Department of Psychology, University of Helsinki, Finland.
Scand J Psychol. 2009 Dec;50(6):583-91. doi: 10.1111/j.1467-9450.2009.00786.x.
According to the Developmental Origins of Health and Disease (DOHaD)-hypothesis, conditions early in life may have life-long consequences. In a series of epidemiological birth cohort and clinical studies and natural experiments, we have had the chance to test the extent to which this hypothesis is useful in understanding individual differences in psychological development and mental health. Our findings have provided evidence that individual differences in cognitive, social and emotional development and in mental health may lie in early life circumstances, and add significantly to the literature by pointing out which periods of early growth are the most critical. These findings are also important in translating pre-clinical evidence to humans. What remains less clear, however, is what the mechanisms of programming are. Thus, further research is needed to elucidate these mechanisms before information on the early life origins of health and disease can be used in designing prevention and intervention programs.
根据健康与疾病的发育起源(DOHaD)假说,生命早期的状况可能会产生终身的影响。在一系列的流行病学出生队列和临床研究以及自然实验中,我们有机会检验这一假说在理解心理发展和精神健康个体差异方面的有效性。我们的研究结果提供了证据,表明认知、社会和情感发展以及精神健康方面的个体差异可能源于生命早期的环境,并通过指出哪些早期生长阶段最为关键,为文献做出了重要补充。这些研究结果在将临床前证据转化为人类研究方面也很重要。然而,目前还不太清楚编程的机制是什么。因此,在利用健康和疾病的早期起源的信息来设计预防和干预计划之前,还需要进一步研究以阐明这些机制。