Department of Biotechnology, Jaypee Institute of Information Technology, Noida, Uttar Pradesh, 201309, India.
Cardiovasc Hematol Agents Med Chem. 2024;22(4):399-406. doi: 10.2174/0118715257265832231009072953.
In recent years, there has been increasing global concern about the rising prevalence and rapid progression of psychosomatic disorders (PD). This surge can be attributed to irregular biological conditions and the increasingly stressful lifestyles that individuals lead, ultimately resulting in functional impairments of vital organs. PD arises from intricate interactions involving the central nervous, endocrine, and immune systems. Notably, the hypothalamic-pituitaryadrenal (HPA) axis plays an essential role, as its dysregulation is influenced by prolonged stress and psychological distress. Consequently, stress hormones, including cortisol, exert detrimental effects on immunological function, inflammation, and homeostatic equilibrium. It emerges as physical symptoms influenced by psychological factors, such as persistent pain, gastrointestinal disturbances, or respiratory complications, and is pertinent to highlight that excessive and chronic stress, anxiety, or emotional distress may engender the onset or exacerbation of cardiovascular disorders, namely hypertension and heart disease. Although several therapeutic strategies have been proposed so far, the precise etiology of PD remains elusive due to the intricate nature of disease progression and the underlying modalities of action. This comprehensive review seeks to elucidate the diverse classifications of psychosomatic disorders, explicate their intricate mechanisms, and shed light on their impact on the human body, which may act as catalysts for the development of various other diseases. Additionally, it explores the inherent medico-clinical challenges posed by PD and also explores the cutting-edge technologies, tools, and data analytics pipelines that are being applied in the contemporary era to effectively analyze psychosomatic data.
近年来,人们对身心障碍(PD)的患病率上升和快速发展越来越关注。这种增长可以归因于不规则的生物条件和人们日益紧张的生活方式,最终导致重要器官的功能障碍。PD 是由涉及中枢神经系统、内分泌系统和免疫系统的复杂相互作用引起的。值得注意的是,下丘脑-垂体-肾上腺(HPA)轴起着至关重要的作用,因为其失调受到长期压力和心理困扰的影响。因此,应激激素,包括皮质醇,对免疫功能、炎症和体内平衡产生不利影响。它是受心理因素影响的身体症状,例如持续疼痛、胃肠道紊乱或呼吸并发症,需要强调的是,过度和慢性的压力、焦虑或情绪困扰可能会导致心血管疾病的发作或恶化,即高血压和心脏病。尽管迄今为止已经提出了几种治疗策略,但由于疾病进展的复杂性和潜在的作用方式,PD 的精确病因仍然难以捉摸。这篇全面的综述旨在阐明身心障碍的不同分类,解释其复杂的机制,并阐明其对人体的影响,这可能是引发各种其他疾病的催化剂。此外,它还探讨了 PD 带来的内在医学临床挑战,并探讨了当代应用的前沿技术、工具和数据分析管道,以有效地分析身心数据。