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皮质醇——理解儿童癌症适应情况的关键因素。

Cortisol-a Key Factor to the Understanding of the Adjustment to Childhood Cancer.

作者信息

Firoozi Manijeh, Besharat Mohammad Ali

机构信息

Dept. of Psychology, University of Tehran, Tehran, Iran.

出版信息

Iran J Cancer Prev. 2013 Winter;6(1):1-7.

PMID:25250102
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4142903/
Abstract

BACKGROUND

Malignancy and its treatments could cause disturbance in homeostasisof body such as cortisol secretion. The present study has investigated the effects of cortisol level imbalance in behavioral and emotional adjustments.

METHODS

Seventy-eight children with Acute Lymphoblastic Leukemia (ALL) have involved in this study. Their salivary cortisol level, which were sensitive to pain and disruptive behaviors, have measured.

RESULTS

CORTISOL LEVEL EFFECT IN DIFFERENT PERIODS: within duration of reaction to pain, sensitivity to pain and disruptive behaviors have evaluated. In addition abnormal regulation of cortisol levels have shown a very strong relationship between sensitivity to pain and the disruptive behaviors. Cortisol suppression was responsible for adjustment by the participants to stressful conditions.

CONCLUSION

Previous investigations have shown that there is a low reaction to stressor which decreases the vitality as well as impairing a negative memory in low cortisol levels. The findings of the present study demonstrated a nonlinear relation between cortisol level and sensitivity to pain as well as disruptive behaviors. Therefore, regulation of cortisol- up and down- is predisposed to maladjustment.

摘要

背景

恶性肿瘤及其治疗可能会导致身体内环境稳态的紊乱,如皮质醇分泌异常。本研究旨在探讨皮质醇水平失衡对行为和情绪调节的影响。

方法

78名急性淋巴细胞白血病(ALL)患儿参与了本研究。测量了他们对疼痛和破坏性行为敏感的唾液皮质醇水平。

结果

不同时期皮质醇水平的影响:在对疼痛的反应期间,评估了对疼痛的敏感性和破坏性行为。此外,皮质醇水平的异常调节表明对疼痛的敏感性与破坏性行为之间存在非常强的关联。皮质醇抑制作用促使参与者适应压力环境。

结论

先前的研究表明,在低皮质醇水平下,对应激源的反应较低,这会降低活力并损害负面记忆。本研究结果表明皮质醇水平与对疼痛的敏感性以及破坏性行为之间存在非线性关系。因此,皮质醇水平的上调和下调调节都易导致适应不良。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e79f/4142903/b1ba7f16b17c/IJCP-06-001f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e79f/4142903/83dbc4bc0499/IJCP-06-001f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e79f/4142903/c508c41e311d/IJCP-06-001f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e79f/4142903/b1ba7f16b17c/IJCP-06-001f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e79f/4142903/83dbc4bc0499/IJCP-06-001f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e79f/4142903/c508c41e311d/IJCP-06-001f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e79f/4142903/b1ba7f16b17c/IJCP-06-001f3.jpg

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本文引用的文献

1
"Vitality" a Missing Link in Adjustment to Childhood Cancer.“活力”是儿童癌症适应过程中缺失的一环。
Iran J Cancer Prev. 2011 Summer;4(3):109-13.
2
Cognitive Emotion Regulation in Children with Acute Lymphoblastic Leukemia.急性淋巴细胞白血病患儿的认知情绪调节
Iran J Cancer Prev. 2011 Fall;4(4):183-8.
3
'Tell me about your pain': abdominal pain and a history of bullying.“告诉我你的疼痛情况”:腹痛与霸凌史
BMJ Case Rep. 2011 Mar 24;2011:bcr1220103611. doi: 10.1136/bcr.12.2010.3611.
4
Psychological problems in children with cancer in the initial period of treatment.癌症患儿治疗初期的心理问题。
Cancer Nurs. 2011 Jul-Aug;34(4):269-76. doi: 10.1097/NCC.0b013e3181fa5698.
5
Altered stress responses in children exposed to early adversity: a systematic review of salivary cortisol studies.早期逆境暴露儿童的应激反应改变:唾液皮质醇研究的系统评价。
Stress. 2011 Nov;14(6):614-26. doi: 10.3109/10253890.2011.577848. Epub 2011 Jun 15.
6
High perceived stress is linked to afternoon cortisol levels and greater symptom distress in patients with localized prostate cancer.高感知压力与局部前列腺癌患者下午的皮质醇水平和更大的症状困扰有关。
Cancer Nurs. 2011 Nov-Dec;34(6):470-8. doi: 10.1097/NCC.0b013e31820a5943.
7
Radiation therapy and stereotactic radiosurgery for the treatment of Cushing's disease: an evidence-based review.放射治疗和立体定向放射外科治疗库欣病:循证综述。
Curr Opin Endocrinol Diabetes Obes. 2010 Aug;17(4):356-64. doi: 10.1097/MED.0b013e32833ab069.
8
Hypothalamic-pituitary-adrenal axis dysregulation in dysphoric children and adolescents: cortisol reactivity to psychosocial stress from preschool through middle adolescence.儿童和青少年抑郁时下丘脑-垂体-肾上腺轴失调:皮质醇对应激源的反应性从学龄前到青春期中期。
Biol Psychiatry. 2010 Sep 1;68(5):484-90. doi: 10.1016/j.biopsych.2010.04.004. Epub 2010 May 23.
9
Suppressing the morning rise in cortisol impairs free recall.抑制皮质醇的晨峰会损害自由回忆。
Learn Mem. 2010 Mar 24;17(4):186-90. doi: 10.1101/lm.1728510. Print 2010 Apr.
10
Clinical anxiety, cortisol and interleukin-6: evidence for specificity in emotion-biology relationships.临床焦虑、皮质醇和白细胞介素-6:情绪-生物学关系特异性的证据。
Brain Behav Immun. 2010 Oct;24(7):1074-7. doi: 10.1016/j.bbi.2010.03.003. Epub 2010 Mar 18.