设计中的复原力:自然、养育、环境和微生物群如何减轻压力和稳态负荷。
Resilience by design: How nature, nurture, environment, and microbiome mitigate stress and allostatic load.
作者信息
Chbeir Souhad, Carrión Victor
机构信息
Department of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University, Stanford, CA 94305, United States.
出版信息
World J Psychiatry. 2023 May 19;13(5):144-159. doi: 10.5498/wjp.v13.i5.144.
Resilience to psychological stress is defined as adaption to challenging life experiences and not the absence of adverse life events. Determinants of resilience include personality traits, genetic/epigenetic modifications of genes involved in the stress response, cognitive and behavioral flexibility, secure attachment with a caregiver, social and community support systems, nutrition and exercise, and alignment of circadian rhythm to the natural light/dark cycle. Therefore, resilience is a dynamic and flexible process that continually evolves by the intersection of different domains in human's life; biological, social, and psychological. The objective of this minireview is to summarize the existing knowledge about the multitude factors and molecular alterations that result from resilience to stress response. Given the multiple contributing factors in building resilience, we set out a goal to identify which factors were most supportive of a causal role by the current literature. We focused on resilience-related molecular alterations resulting from mind-body homeostasis in connection with psychosocial and environmental factors. We conclude that there is no one causal factor that differentiates a resilient person from a vulnerable one. Instead, building resilience requires an intricate network of positive experiences and a healthy lifestyle that contribute to a balanced mind-body connection. Therefore, a holistic approach must be adopted in future research on stress response to address the multiple elements that promote resilience and prevent illnesses and psychopathology related to stress allostatic load.
心理应激恢复力被定义为对具有挑战性的生活经历的适应能力,而非没有不良生活事件。恢复力的决定因素包括人格特质、参与应激反应的基因的遗传/表观遗传修饰、认知和行为灵活性、与照顾者的安全依恋关系、社会和社区支持系统、营养和运动,以及昼夜节律与自然明暗周期的同步。因此,恢复力是一个动态且灵活的过程,通过人类生活中不同领域(生物、社会和心理)的交叉不断演变。本综述的目的是总结关于应激反应恢复力所涉及的众多因素和分子改变的现有知识。鉴于构建恢复力有多种促成因素,我们设定了一个目标,即根据当前文献确定哪些因素最支持因果关系。我们关注与心理社会和环境因素相关的身心稳态所导致的与恢复力相关的分子改变。我们得出的结论是,没有一个因果因素能区分有恢复力的人和易受伤害的人。相反,构建恢复力需要一个由积极经历和健康生活方式组成的复杂网络,这有助于实现身心的平衡连接。因此,在未来关于应激反应的研究中,必须采用整体方法来应对促进恢复力以及预防与应激性非稳态负荷相关的疾病和精神病理学的多个要素。
相似文献
World J Psychiatry. 2023-5-19
Neurosci Biobehav Rev. 2022-11
Dialogues Clin Neurosci. 2006
Psychiatriki. 2011
引用本文的文献
Nat Med. 2025-7-29
Int J Environ Res Public Health. 2025-3-3
Bioengineering (Basel). 2025-2-19
Endocr Metab Immune Disord Drug Targets. 2025
Future Sci OA. 2024-12-31
本文引用的文献
Transl Psychiatry. 2022-12-6
J Psychiatr Res. 2022-12
Mol Psychiatry. 2022-11
Front Psychiatry. 2022-5-6
Transl Psychiatry. 2022-4-20
Nat Rev Endocrinol. 2022-5
Curr Opin Psychiatry. 2022-1-1