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儿童虐待的神经生理学基础。

The neurophysiological embedding of child maltreatment.

机构信息

Palmer Wolf Corporation, 8A Francis Avenue, Cambridge, MA02138, USA.

Andrus, 1156 North Broadway, Yonkers, NY 10701, USA.

出版信息

Dev Psychopathol. 2021 Aug;33(3):1107-1137. doi: 10.1017/S0954579420000383.

DOI:10.1017/S0954579420000383
PMID:32624073
Abstract

Maltreatment adversely impacts the development of children across a host of domains. One way in which maltreatment may exert its deleterious effects is by becoming embedded in the activity of neurophysiological systems that regulate metabolic function. This paper reviews the literature regarding the association between childhood maltreatment and the activity of three systems: the parasympathetic nervous system, the sympathetic nervous system, and the hypothalamic-pituitary-adrenal axis. A particular emphasis is placed on the extent to which the literature supports a common account of activity across these systems under conditions of homeostasis and stress. The paper concludes with an outline of directions for future research and the implications of the literature for policy and practice.

摘要

虐待对儿童在多个领域的发展都有不利影响。虐待可能产生有害影响的一种方式是,它会嵌入调节代谢功能的神经生理系统的活动中。本文综述了有关童年虐待与三个系统(副交感神经系统、交感神经系统和下丘脑-垂体-肾上腺轴)活动之间关联的文献。特别强调了文献在多大程度上支持在稳态和应激条件下这些系统活动的共同解释。本文最后概述了未来研究的方向,并阐述了该文献对政策和实践的意义。

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