School of Nursing, Institute for Research on Women and Gender, Department of Obstetrics and Gynecology, and Department of Women's Studies, University of Michigan, Ann Arbor, Michigan 48109-1290, USA.
J Trauma Dissociation. 2010;11(4):387-406. doi: 10.1080/15299732.2010.496075.
This article explicates a theory that oxytocin, a sexually dimorphic neurotransmitter and paracrine hormone, is a plausible mechanism linking early relational trauma with posttraumatic self disorders (e.g., dissociation, somatization, and interpersonal sensitivity), posttraumatic stress disorder, and pelvic visceral dysregulation disorders (e.g., irritable bowel syndrome, chronic pelvic pain, interstitial cystitis, and hyperemesis gravidarum). This posttraumatic oxytocin dysregulation disorders theory is consistent with the historical and contemporary literature. It integrates attention to psychological and physical comorbidities and could account for the increased incidence of these disorders among females. Specific propositions are explored in data from studies of traumatic stress and women's health.
本文阐述了一种理论,即催产素是一种性二态神经递质和旁分泌激素,它可能是将早期关系创伤与创伤后自我障碍(如解离、躯体化和人际敏感)、创伤后应激障碍以及盆腔内脏功能失调障碍(如肠易激综合征、慢性盆腔疼痛、间质性膀胱炎和妊娠剧吐)联系起来的一种机制。这种创伤后催产素失调障碍理论与历史和当代文献一致。它关注心理和生理共病,并可以解释这些障碍在女性中发病率增高的原因。本文还从创伤应激和女性健康研究的数据中探讨了具体的假设。