Nurius Paula S, Uehara Edwina, Zatzick Douglas F
School of Social Work, University of Washington, Seattle, WA, USA.
School of Medicine, University of Washington, Seattle, WA, USA.
Am J Psychiatr Rehabil. 2013 Apr;16(2):91-114. doi: 10.1080/15487768.2013.789688.
This paper describes the intersection of converging lines of research on the social structural, psychosocial, and physiological factors involved in the production of stress and implications for the field of mental health. Of particular interest are the stress sensitization consequences stemming from exposure to adversity over the life course. Contemporary stress sensitization theory provides important clinical utility in articulating mechanisms through which these multiple levels exert influence on mental health. Stress sensitization models (a) extend understanding of neurobiological and functional contexts within which extreme stressors operate and (b) make clear how these can influence psychologically traumatic outcomes. The value of interventions that are sensitive to current contexts as well as life course profiles of cumulative stress are illustrated through recent treatment innovations.
本文描述了关于社会结构、心理社会和生理因素在压力产生过程中相互交织的研究线路，以及对心理健康领域的影响。特别值得关注的是，一生中暴露于逆境所产生的压力敏感化后果。当代压力敏感化理论在阐明这些多层次因素对心理健康产生影响的机制方面具有重要的临床应用价值。压力敏感化模型（a）扩展了对极端应激源起作用的神经生物学和功能背景的理解，（b）明确了这些因素如何影响心理创伤性结果。通过近期的治疗创新，展示了对当前情境以及累积压力的生命历程概况敏感的干预措施的价值。
