Pascoe Michaela C, de Manincor Michael, Tseberja Jana, Hallgren Mats, Baldwin Peter A, Parker Alexandra G
Institute for Health and Sport, Victoria University, Melbourne, VIC, 3011, Australia.
Peter MacCallum Cancer Centre, 305 Grattan St, Melbourne, VIC, 3000, Australia.
Compr Psychoneuroendocrinol. 2021 Mar 10;6:100037. doi: 10.1016/j.cpnec.2021.100037. eCollection 2021 May.
Psychological stressors can lead to distress and result in autonomic arousal and activation of a stress response. Ongoing or persistent stress can disrupt the stress response feedback mechanisms and result in elevated cortisol and pro-inflammatory cytokines which can cause damage to brain regions involved in the regulation of mood and emotion. We propose that the magnitude of the stress response experienced in response to psychological stressors depends on a number of modifiable psychological processes including an individual's level of self-compassion, dispositional mindfulness, tendency to ruminate and attentional bias. We further propose that the stress response elected by psychological stressors can be meditated by influencing these modifiable psychological processes, and that meditation practices can decrease stress and improve mood by decreasing stress reactivity on a psychological, physiological and neurobiological level. We explore this in a narrative review.
心理应激源可导致痛苦,并引发自主神经兴奋和应激反应的激活。持续或持久的压力会破坏应激反应的反馈机制,导致皮质醇和促炎细胞因子升高,进而损害参与情绪和情感调节的脑区。我们认为,对心理应激源所经历的应激反应程度取决于一些可改变的心理过程,包括个体的自我同情水平、特质正念、反刍倾向和注意偏向。我们进一步提出,心理应激源所引发的应激反应可通过影响这些可改变的心理过程来调节,并且冥想练习可以通过在心理、生理和神经生物学层面降低应激反应性来减轻压力并改善情绪。我们在一篇叙述性综述中对此进行探讨。