a Department of Psychology , University of California-Davis.
b Department of Psychology , Northwestern University.
J Clin Child Adolesc Psychol. 2018 Jan-Feb;47(1):142-156. doi: 10.1080/15374416.2016.1266647. Epub 2017 Jan 20.
Early-life stress is associated with increased vulnerability to physical and emotional health problems across the lifespan. The recently developed neuroimmune network hypothesis proposes that one of the underlying mechanisms for these associations is that early-life stress amplifies bidirectional crosstalk between the brain and the immune system, contributing to several mental and physical health conditions that have inflammatory underpinnings, such as depression and coronary heart disease. Neuroimmune crosstalk is thought to perpetuate inflammation and neural alterations linked to early-life stress exposure, and also foster behaviors that can further compromise health, such as smoking, drug abuse and consumption of high-fat diets. The goal of the present review is to briefly summarize the neuroimmune network hypothesis and use it as a starting point for generating new questions about the role of early-life stress in establishing a dysregulated relationship between neural and immune signaling, with consequences for lifespan physical and emotional health. Specifically, we aim to discuss implications and future directions for theory and empirical research on early-life stress, as well as for interventions that may improve the health and well-being of children and adolescents living in adverse conditions.
早期生活压力与整个生命周期中身体和情绪健康问题的易感性增加有关。最近提出的神经免疫网络假说提出,这些关联的潜在机制之一是,早期生活压力放大了大脑和免疫系统之间的双向交流,导致几种具有炎症基础的精神和身体健康状况,如抑郁症和冠心病。神经免疫交流被认为会使与早期生活压力暴露相关的炎症和神经改变持续存在,并助长可能进一步损害健康的行为,如吸烟、药物滥用和高脂肪饮食的摄入。本综述的目的是简要总结神经免疫网络假说,并以此为起点,提出新的问题,即早期生活压力在建立神经和免疫信号之间失调关系中的作用,对寿命的身体和情绪健康产生影响。具体来说,我们旨在讨论早期生活压力的理论和实证研究以及干预措施的意义和未来方向,这些干预措施可能改善生活在不利条件下的儿童和青少年的健康和福祉。