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压力大的生活事件与身体健康。

Stressful life events and physical health.

作者信息

Tosevski Dusica Lecic, Milovancevic Milica Pejovic

机构信息

Institute of Mental Health, School of Medicine, University of Belgrade, Serbia and Montenegro.

出版信息

Curr Opin Psychiatry. 2006 Mar;19(2):184-9. doi: 10.1097/01.yco.0000214346.44625.57.

Abstract

PURPOSE OF REVIEW

This review summarizes the findings of recent researches from selected empirical and nonempirical publications focused on stressful life events and physical health.

RECENT FINDINGS

The findings can be divided into biological, psychological, and social issues concerning the important relationship between stressful life events and physical health. Growing evidence in the field of psychoneuroimmunology contributes to the understanding of the mechanisms by which stressful events affect physical health. The interactions between behavior, central nervous system, and endocrine system that might cause immunosuppression is the most fascinating finding in modern medicine, and its implications are important for the prevention and treatment of somatic illnesses. Trauma, abuse, and stressful events have been studied extensively, especially among vulnerable groups such as children, women, caregivers, and combatants. Risk factors and resilience were the focus of attention of some authors as well as the behavioral intervention for coping with stressful events.

SUMMARY

The findings support old observations and case reports of a close link between stressful life events and physical health and emphasize the necessity of early recognition and timely management of stress-induced illnesses. Psychosomatic approach, multidimensional diagnostics, and treatment should be sine qua non in the integrated care of affected people and should improve their quality of life.

摘要

综述目的

本综述总结了近期从一些实证和非实证出版物中选取的、聚焦于应激性生活事件与身体健康的研究结果。

近期发现

这些发现可分为与应激性生活事件和身体健康之间重要关系相关的生物学、心理学和社会问题。心理神经免疫学领域越来越多的证据有助于理解应激事件影响身体健康的机制。行为、中枢神经系统和内分泌系统之间可能导致免疫抑制的相互作用是现代医学中最引人入胜的发现,其意义对于躯体疾病的预防和治疗很重要。创伤、虐待和应激事件已得到广泛研究,尤其是在儿童、妇女、照料者和战斗人员等弱势群体中。风险因素和恢复力是一些作者关注的焦点,以及应对应激事件的行为干预。

总结

这些发现支持了应激性生活事件与身体健康之间密切联系的既往观察和病例报告,并强调了早期识别和及时处理应激诱发疾病的必要性。心身方法、多维诊断和治疗应该是对受影响人群进行综合护理的必不可少的条件,并应改善他们的生活质量。

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