Medical Research Council, Social, Genetic, and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, London SE5 8AF, United Kingdom.
Proc Natl Acad Sci U S A. 2012 Oct 16;109 Suppl 2(Suppl 2):17149-53. doi: 10.1073/pnas.1121258109. Epub 2012 Oct 8.
The starting point for the study of adverse experiences is that some have enduring consequences that continue after the period of exposure to the adversity. That raises four basic issues: whether social adversities can be considered homogeneous, whether the crucial effect lies in the "objective" or subjectively perceived "effective" environment, whether the effects are environmentally mediated, and whether the form of biological embedding involves psychological or health consequences. The findings in the literature are discussed in relation to the biological effects of supposedly positive or normal experiences, the use of natural experiments to determine the causal effects of early experience, the heterogeneity of social adversity, the possible mediators of the biological embedding, gene-environment interdependence, and remaining challenges.
不良经历研究的起点是,有些经历具有持久的后果,会在经历逆境的时期之后持续存在。这提出了四个基本问题:社会逆境是否可以被视为同质的,关键影响是否在于“客观”或主观感知的“有效”环境,影响是否是环境介导的,以及生物嵌入的形式是否涉及心理或健康后果。本文讨论了文献中的发现,这些发现涉及假定的积极或正常经历的生物学效应、利用自然实验来确定早期经历的因果效应、社会逆境的异质性、生物嵌入的可能中介因素、基因-环境相互依存以及尚存的挑战。