单一创伤暴露后的身体健康问题:当压力在体内扎根时。
Physical health problems after single trauma exposure: when stress takes root in the body.
机构信息
The New School, New York, NY, USA.
出版信息
J Am Psychiatr Nurses Assoc. 2011 Nov-Dec;17(6):378-92. doi: 10.1177/1078390311425187.
Research has established that chronic stress, including traumatic events, leads to adverse health outcomes. The literature has primarily used two approaches: examining the effect of acute stress in a laboratory setting and examining the link between chronic stress and negative health outcomes. However, the potential health impact of a single or acute traumatic event is less clear. The goal of this literature review is to extend the literature linking both chronic trauma exposure and posttraumatic stress disorder to adverse health outcomes by examining current literature suggesting that a single trauma may also have negative consequences for physical health. The authors review studies on health, including cardiovascular, immune, gastrointestinal, neurohormonal, and musculoskeletal outcomes; describe potential pathways through which single, acute trauma exposure could adversely affect health; and consider research and clinical implications.
研究已经证实,慢性压力(包括创伤性事件)会导致不良的健康后果。文献主要采用了两种方法:在实验室环境中检查急性压力的影响,以及检查慢性压力与负面健康结果之间的联系。然而,单次或急性创伤事件的潜在健康影响不太清楚。本文献综述的目的是通过检查当前文献,将慢性创伤暴露和创伤后应激障碍与不良健康结果联系起来,这些文献表明单次创伤也可能对身体健康产生负面影响,从而扩展这方面的文献。作者综述了关于健康的研究,包括心血管、免疫、胃肠道、神经激素和肌肉骨骼方面的结果;描述了单次急性创伤暴露可能对健康产生不利影响的潜在途径;并考虑了研究和临床意义。