Lupien Sonia J, McEwen Bruce S, Gunnar Megan R, Heim Christine
Université de Montréal, Mental Health Research Centre, Fernand Seguin Hôpital Louis-H Lafontaine, Quebec, Canada.
Nat Rev Neurosci. 2009 Jun;10(6):434-45. doi: 10.1038/nrn2639. Epub 2009 Apr 29.
Chronic exposure to stress hormones, whether it occurs during the prenatal period, infancy, childhood, adolescence, adulthood or aging, has an impact on brain structures involved in cognition and mental health. However, the specific effects on the brain, behaviour and cognition emerge as a function of the timing and the duration of the exposure, and some also depend on the interaction between gene effects and previous exposure to environmental adversity. Advances in animal and human studies have made it possible to synthesize these findings, and in this Review a model is developed to explain why different disorders emerge in individuals exposed to stress at different times in their lives.
长期暴露于应激激素之下,无论这种暴露发生在产前、婴儿期、儿童期、青春期、成年期还是老年期,都会对涉及认知和心理健康的脑结构产生影响。然而,对应激激素的暴露在大脑、行为和认知方面产生的具体影响,是暴露时间和时长的函数,并且有些影响还取决于基因效应与先前暴露于环境逆境之间的相互作用。动物和人体研究的进展使得综合这些研究结果成为可能,在本综述中,我们构建了一个模型,以解释为何在生命中不同时期暴露于应激源的个体中会出现不同的病症。