Center for Autonomic and Peripheral Nerve Disorders, Harvard Medical School, Boston, MA, USA; Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Center for Autonomic and Peripheral Nerve Disorders, Harvard Medical School, Boston, MA, USA.
Neurosci Biobehav Rev. 2024 Mar;158:105566. doi: 10.1016/j.neubiorev.2024.105566. Epub 2024 Feb 1.
Different stress models are employed to enhance our understanding of the underlying mechanisms and explore potential interventions. However, the utility of these models remains a critical concern, as their validities may be limited by the complexity of stress processes. Literature review revealed that both mental and physical stress models possess reasonable construct and criterion validities, respectively reflected in psychometrically assessed stress ratings and in activation of the sympathoadrenal system and the hypothalamic-pituitary-adrenal axis. The findings are less robust, though, in the pharmacological perturbations' domain, including such agents as adenosine or dobutamine. Likewise, stress models' convergent- and discriminant validity vary depending on the stressors' nature. Stress models share similarities, but also have important differences regarding their validities. Specific traits defined by the nature of the stressor stimulus should be taken into consideration when selecting stress models. Doing so can personalize prevention and treatment of stress-related antecedents, its acute processing, and chronic sequelae. Further work is warranted to refine stress models' validity and customize them so they commensurate diverse populations and circumstances.
不同的应激模型被用来加深我们对潜在机制的理解,并探索潜在的干预措施。然而,这些模型的效用仍然是一个关键问题,因为它们的有效性可能受到应激过程复杂性的限制。文献回顾表明,心理和生理应激模型分别具有合理的结构和效标效度,这分别反映在心理测量评估的应激评分和交感肾上腺系统和下丘脑-垂体-肾上腺轴的激活上。然而,在药理学干扰领域,这些发现的稳健性较差,包括腺苷或多巴酚丁胺等药物。同样,应激模型的会聚和判别效度取决于应激源的性质。应激模型有相似之处,但在有效性方面也有重要的差异。在选择应激模型时,应该考虑到应激刺激性质所定义的特定特征。这样做可以使应激相关前因、其急性处理和慢性后果的预防和治疗个性化。需要进一步的工作来提高应激模型的有效性,并使其适应不同的人群和情况。