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The Cortisol Paradox of Trauma-Related Disorders: Lower Phasic Responses but Higher Tonic Levels of Cortisol Are Associated with Sexual Abuse in Childhood.创伤相关障碍的皮质醇悖论:较低的阶段性反应但较高的皮质醇基础水平与童年期性虐待有关。
PLoS One. 2015 Aug 28;10(8):e0136921. doi: 10.1371/journal.pone.0136921. eCollection 2015.
2
Blunted endocrine and cardiovascular reactivity in young healthy women reporting a history of childhood adversity.有童年逆境史的年轻健康女性的内分泌和心血管反应迟钝。
Psychoneuroendocrinology. 2015 Jan;51:58-67. doi: 10.1016/j.psyneuen.2014.09.008. Epub 2014 Sep 19.
3
Rated and measured impulsivity in children is associated with diminished cardiac reactions to acute psychological stress.儿童的评定和测量的冲动性与对急性心理应激的心脏反应减弱有关。
Biol Psychol. 2014 Oct;102:68-72. doi: 10.1016/j.biopsycho.2014.07.009. Epub 2014 Jul 17.
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Childhood physical abuse predicts stressor-evoked activity within central visceral control regions.童年期身体虐待可预测中枢内脏控制区域内应激源诱发的活动。
Soc Cogn Affect Neurosci. 2015 Apr;10(4):474-85. doi: 10.1093/scan/nsu073. Epub 2014 May 19.
5
Stress reactivity in maltreated and comparison male and female young adolescents.受虐待和对照组的男女青少年的应激反应性。
Child Maltreat. 2014 Feb;19(1):27-37. doi: 10.1177/1077559513520466. Epub 2014 Jan 29.
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The other side of the coin: blunted cardiovascular and cortisol reactivity are associated with negative health outcomes.硬币的另一面:心血管和皮质醇反应迟钝与负面健康结果有关。
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Blunted cardiac stress reactivity relates to neural hypoactivation.心脏应激反应迟钝与神经活动不足有关。
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心血管对心理压力和虐待史的反应:虐待的发生、频率和类型的作用。

Cardiovascular reactions to psychological stress and abuse history: the role of occurrence, frequency, and type of abuse.

作者信息

Ginty Annie T, Masters Nicole A, Nelson Eliza B, Kaye Karen T, Conklin Sarah M

机构信息

a Department of Psychiatry , University of Pittsburgh , Pittsburgh , PA , USA.

b Neuroscience Program , Allegheny College , Meadville , PA , USA.

出版信息

Anxiety Stress Coping. 2017 Mar;30(2):155-162. doi: 10.1080/10615806.2016.1210791. Epub 2016 Aug 2.

DOI:10.1080/10615806.2016.1210791
PMID:27425575
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8162677/
Abstract

BACKGROUND AND OBJECTIVES

Extreme cardiovascular reactions to psychological stress have been associated with traumatic life experiences. Previous studies have focused on the occurrence or frequency of abuse rather than type of abuse. We examined how occurrence, frequency, and the type of abuse history are related to cardiovascular reactivity (CVR) to acute psychological stress.

DESIGN

The study consisted of between group and continuous analyses to examine the association between occurrence, type, and frequency of abuse with cardiovascular reactions to acute psychological stress.

METHODS

Data from 64 participants were collected. Heart rate, systolic blood pressure, and diastolic blood pressure were measured at baseline and during a standard mental arithmetic stress task.

RESULTS

Individuals who experienced abuse showed diminished CVR to acute psychological stress; this was driven specifically by the history of sexual abuse. Frequency of abuse did not relate to stress reactions.

CONCLUSIONS

These findings accord with previous work suggesting a relationship between traumatic life experience and hypoarousal in physiological reactivity and extend previous findings by suggesting the relationship may be driven by sexual abuse.

摘要

背景与目的

对心理压力产生的极端心血管反应与创伤性生活经历有关。以往的研究主要关注虐待行为的发生或频率,而非虐待类型。我们研究了虐待史的发生、频率和类型与急性心理压力下心血管反应性(CVR)之间的关系。

设计

本研究包括组间分析和连续分析,以检验虐待的发生、类型和频率与急性心理压力下心血管反应之间的关联。

方法

收集了64名参与者的数据。在基线和标准心算应激任务期间测量心率、收缩压和舒张压。

结果

经历过虐待的个体对急性心理压力的心血管反应性降低;这一现象尤其由性虐待史导致。虐待频率与应激反应无关。

结论

这些发现与之前表明创伤性生活经历与生理反应性唤醒不足之间存在关联的研究结果一致,并通过表明这种关系可能由性虐待导致,扩展了之前的研究结果。