Muscatell Keely A, Eisenberger Naomi I
Department of Psychology, University of California, Los Angeles.
Soc Personal Psychol Compass. 2012 Dec 1;6(12):890-904. doi: 10.1111/j.1751-9004.2012.00467.x. Epub 2012 Dec 2.
Psychological stress is a major risk factor for the development and progression of a number of diseases, including cardiovascular disease, cancer, arthritis, and major depression. A growing body of research suggests that long-term, stress-induced activation of the sympathetic nervous system (SNS) and the hypothalamic-pituitary-adrenal (HPA) axis may lead to increases in inflammation, which is known to play a key role in the pathophysiology of a variety of diseases. Furthermore, the burgeoning fields of social neuroscience and health neuroscience have begun to identify the neurocognitive mechanisms by which stress may lead to these physiological changes. Here we review the literature examining the neurocognitive correlates of stress-induced SNS, HPA, and inflammatory responses. Specifically, we summarize the results of neuroimaging studies that have examined the neural correlates of stress-related increases in SNS, HPA, and inflammatory activity. A set of neural systems involved in threat processing, safety processing, and social cognition are suggested as key contributors to stress-related changes in physiology. We conclude by offering suggestions for future research in the exciting new field of health neuroscience.
心理压力是包括心血管疾病、癌症、关节炎和重度抑郁症在内的多种疾病发生和发展的主要风险因素。越来越多的研究表明,长期由压力引起的交感神经系统(SNS)和下丘脑-垂体-肾上腺(HPA)轴的激活可能会导致炎症增加,而炎症在多种疾病的病理生理学中起着关键作用。此外,社会神经科学和健康神经科学的新兴领域已开始确定压力可能导致这些生理变化的神经认知机制。在此,我们回顾了研究压力诱导的SNS、HPA和炎症反应的神经认知相关性的文献。具体而言,我们总结了神经影像学研究的结果,这些研究考察了与压力相关的SNS、HPA和炎症活动增加的神经相关性。一组参与威胁处理、安全处理和社会认知的神经系统被认为是压力相关生理变化的关键因素。我们通过为健康神经科学这一令人兴奋的新领域的未来研究提供建议来结束本文。