Unifob Health, University of Bergen, Bergen, Norway.
Neurosci Biobehav Rev. 2010 May;34(6):877-81. doi: 10.1016/j.neubiorev.2009.03.001. Epub 2009 Mar 10.
The cognitive activation theory of stress (CATS) is based on a long series of experiments on animals and on humans, in the laboratory, and in real life situations. From the common sense coping concept formulated by Seymour Levine; coping is when my "tommy" does not hurt, we have advanced to a systematic theory for what is behind the relaxed and happy coping rat (and cat). We also cover the translational leap to humans, starting with the now classic parachutist study. The bridge is based on formal and symbolic definitions, a theoretical short cut that Levine actually never really accepted. The essential pathophysiological concept is the potential pathological effects of sustained activation, which may occur in the absence of coping (positive response outcome expectancy). We review the current status of CATS in Behavioural Medicine by discussing its potential explanatory power in epidemiology, prevention and treatment of "subjective health complaints".
应激的认知激活理论(CATS)是基于一系列对动物和人类的实验室和现实生活情境中的实验而提出的。从 Seymour Levine 提出的普遍意义上的应对概念“当我的‘汤米’不疼时,我就应对了”,我们已经发展到了一个关于轻松快乐的应对大鼠(和猫)背后的系统理论。我们还涵盖了从现在经典的跳伞者研究开始向人类的转化。这个桥梁是基于正式和象征性的定义,这是一个 Levine 实际上从未真正接受的理论捷径。基本的病理生理学概念是持续激活的潜在病理效应,这种效应可能在没有应对(积极的反应结果预期)的情况下发生。我们通过讨论其在流行病学、“主观健康抱怨”的预防和治疗方面的潜在解释力,来回顾行为医学中 CATS 的现状。