Garzon-Rey J M, Arza A, de-la-Camara C, Lobo A, Armario A, Aguilo J
Universitat Autonoma de Barcelona, Bellaterra, Espana.
Hospital Clinico Universitario Lozano Blesa, 50009 Zaragoza, Espana.
Rev Neurol. 2017 Jun 16;64(12):529-537.
The clinical diagnosis aims to identify the degree of affectation of the psycho-physical state of the patient as a guide to therapeutic intervention. In stress, the lack of a measurement tool based on a reference makes it difficult to quantitatively assess this degree of affectation.
To define and perform a primary assessment of a standard reference in order to measure acute emotional stress from the markers identified as indicators of the degree.
Psychometric tests and biochemical variables are, in general, the most accepted stress measurements by the scientific community. Each one of them probably responds to different and complementary processes related to the reaction to a stress stimulus. The reference that is proposed is a weighted mean of these indicators by assigning them relative weights in accordance with a principal components analysis.
An experimental study was conducted on 40 healthy young people subjected to the psychosocial stress stimulus of the Trier Social Stress Test in order to perform a primary assessment and consistency check of the proposed reference. The proposed scale clearly differentiates between the induced relax and stress states.
Accepting the subjectivity of the definition and the lack of a subsequent validation with new experimental data, the proposed standard differentiates between a relax state and an emotional stress state triggered by a moderate stress stimulus, as it is the Trier Social Stress Test. The scale is robust. Although the variations in the percentage composition slightly affect the score, but they do not affect the valid differentiation between states.
临床诊断旨在确定患者心理生理状态的受影响程度,以此作为治疗干预的指导。在压力方面,缺乏基于参考标准的测量工具使得难以定量评估这种受影响程度。
定义并进行一项标准参考的初步评估,以便根据被确定为程度指标的标志物来测量急性情绪压力。
心理测量测试和生化变量通常是科学界最认可的压力测量方法。它们每一个可能都对应着与对压力刺激的反应相关的不同且互补的过程。所提出的参考标准是通过主成分分析为这些指标赋予相对权重后得出的加权平均值。
对40名健康年轻人进行了一项实验研究,让他们接受特里尔社会压力测试的心理社会压力刺激,以便对所提出的参考标准进行初步评估和一致性检验。所提出的量表能够清晰地区分诱导出的放松状态和压力状态。
尽管承认定义存在主观性且缺乏新的实验数据进行后续验证,但所提出的标准能够区分放松状态和由适度压力刺激引发的情绪压力状态,比如特里尔社会压力测试所引发的状态。该量表具有稳健性。虽然百分比组成的变化会对分数有轻微影响,但并不影响状态之间的有效区分。