Tonhajzerova I, Mestanik M
Biomedical Center Martin, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin, Slovakia.
Physiol Res. 2017 Sep 22;66(Suppl 2):S173-S185. doi: 10.33549/physiolres.933674.
The reactions of human organism to changes of internal or external environment termed as stress response have been at the center of interest during recent decades. Several theories were designed to describe the regulatory mechanisms which maintain the stability of vital physiological functions under conditions of threat or other environmental challenges. However, most of the models of stress reactivity were focused on specific aspects of the regulatory outcomes - physiological (e.g. neuroendocrine), psychological or behavioral regulation. Recently, a novel complex theory based on evolutionary and developmental biology has been introduced. The Adaptive Calibration Model of stress response employs a broad range of the findings from previous theories of stress and analyzes the responsivity to stress with respect to interindividual differences as a consequence of conditional adaptation - the ability to modify developmental trajectory to match the conditions of the social and physical environment. This review summarizes the contributions of the most important models in the field of stress response and emphasizes the importance of complex analysis of the psycho-physiological mechanisms. Moreover, it outlines the implications for nonpharmacological treatment of stress-related disorders with the application of biofeedback training as a promising tool based on voluntary modification of neurophysiological functions.
人类机体对内部或外部环境变化(即应激反应)的反应,在近几十年一直是人们关注的焦点。人们设计了几种理论来描述在威胁或其他环境挑战条件下维持重要生理功能稳定性的调节机制。然而,大多数应激反应模型都集中在调节结果的特定方面——生理(如神经内分泌)、心理或行为调节。最近,一种基于进化和发育生物学的新型综合理论被提出。应激反应的适应性校准模型采用了先前应激理论的广泛研究成果,并从个体差异的角度分析对应激的反应性,这种个体差异是条件适应的结果——即根据社会和物理环境条件修改发育轨迹的能力。这篇综述总结了应激反应领域最重要模型的贡献,并强调了对心理生理机制进行综合分析的重要性。此外,它概述了生物反馈训练作为一种基于自主调节神经生理功能的有前景的工具,在应激相关障碍非药物治疗中的应用。