Levine Seymour
Center for Neuroscience, University of California, Davis, CA 95616, USA.
Psychoneuroendocrinology. 2005 Nov;30(10):939-46. doi: 10.1016/j.psyneuen.2005.03.013.
The purpose of this paper is two fold. First, to revisit the issue of the definition of stress and to highlight the difficulties with the contemporary definitions and, second, to review the literature on the influence of early experiences on the endocrine stress responses and behavior in rodents, sub-human primates and humans. Early experiences, usually involving some manipulation that results in disruption of the mother-infant relationship, have been shown to have long-term influences on the behavioral and endocrine responses to stress. In the rodent, brief periods of separation result in an attenuated adrenal response to stress (reduced secretion of corticosterone). In contrast, longer periods of separation result in an exaggerated response and several behavioral anomalies i.e. increased alcohol consumption, increased startle response etc. However, the effects of disruptions of the mother-infant relationships in primates reveal a pattern of behavioral disturbance but little influence on the endocrine response. Brief maternal separations result in a blunted cortisol response in juvenile squirrel monkeys. The long-term effects of early experiences in humans are very difficult to interpret. It is not possible to determine the length and severity of the experiences, and when in development the experiences were imposed on the child. Despite these limitations, there is a general consensus that adverse early experiences contribute to adult psychopathology.
本文的目的有两个。其一,重新审视压力的定义问题,并强调当代定义存在的难点;其二,回顾关于早期经历对啮齿动物、非人灵长类动物和人类的内分泌应激反应及行为影响的文献。早期经历通常涉及某种导致母婴关系中断的干预措施,已被证明会对应激的行为和内分泌反应产生长期影响。在啮齿动物中,短暂的分离会导致肾上腺对应激的反应减弱(皮质酮分泌减少)。相反,较长时间的分离会导致反应过度以及一些行为异常,即酒精摄入量增加、惊吓反应增强等。然而,灵长类动物中母婴关系中断的影响表现为行为紊乱模式,但对内分泌反应影响不大。短暂的母婴分离会导致幼年松鼠猴的皮质醇反应减弱。早期经历对人类的长期影响很难解释。无法确定这些经历的时长和严重程度,也无法确定这些经历是在儿童成长的哪个阶段施加的。尽管存在这些局限性,但人们普遍认为不良的早期经历会导致成人精神病理学问题。