Department of Human Development, MVR Hall, Cornell University, Ithaca, NY 14853, USA.
Psychol Rev. 2010 Jan;117(1):134-74. doi: 10.1037/a0017773.
We draw on the theory of allostasis to develop an integrative model of the current stress process that highlights the brain as a dynamically adapting interface between the changing environment and the biological self. We review evidence that the core emotional regions of the brain constitute the primary mediator of the well-established association between stress and health, as well as the neural focus of wear and tear due to ongoing adaptation. This mediation, in turn, allows us to model the interplay over time between context, current stressor exposure, internal regulation of bodily processes, and health outcomes. We illustrate how this approach facilitates the integration of current findings in human neuroscience and genetics with key constructs from stress models from the social and life sciences, with implications for future research and the design of interventions targeting individuals at risk.
我们借鉴适应理论来构建一个综合模型,以阐明当前压力过程,突出大脑作为不断变化的环境和生物自我之间动态适应界面的作用。我们回顾了证据,证明大脑的核心情绪区域构成了压力与健康之间已确立关联的主要中介,也是由于持续适应而导致磨损的神经焦点。反过来,这种中介使我们能够对一段时间内的环境、当前压力源暴露、身体过程的内部调节以及健康结果之间的相互作用进行建模。我们说明了这种方法如何促进将人类神经科学和遗传学的当前发现与社会和生命科学的应激模型的关键概念相结合,对未来的研究和针对处于危险中的个体的干预措施的设计具有重要意义。