Lee SeungHyun, Williams Ziv M
Department of Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Department of Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts; Harvard-MIT Division of Health Sciences and Technology, Boston, Massachusetts; Program in Neuroscience, Harvard Medical School, Boston, Massachusetts.
Biol Psychiatry. 2025 May 15;97(10):953-960. doi: 10.1016/j.biopsych.2024.07.007. Epub 2024 Jul 15.
Homeostasis is a fundamental concept in biology and ensures the stability of life by maintaining the constancy of physiological processes. Recent years have witnessed a surge in research interest in these physiological processes, with a growing focus on understanding the mechanisms underlying social homeostasis. This shift in focus underscores our increasing understanding of the importance of social interactions and their impact on individual well-being. In this review, we explore the interconnected research across 3 primary categories: understanding the neural mechanisms influencing set points, defining contemporary factors that can disrupt social homeostasis, and identifying the potential contributions of social homeostatic failure in the development of psychiatric diseases. We also delve into the role of the prefrontal cortex and its circuitry in regulating social behavior, decision-making processes, and the manifestation of neuropsychiatric disorders, such as depression and anxiety. Finally, we examine the influence of more recent factors such as growing social media exposure and the COVID-19 pandemic on mental health, highlighting their disruptive effects. We also identify gaps in current literature through the analysis of research trends and propose future research directions to advance our understanding of social homeostasis, with implications for mental health interventions.
内稳态是生物学中的一个基本概念,它通过维持生理过程的恒定来确保生命的稳定性。近年来,对这些生理过程的研究兴趣激增,越来越关注理解社会内稳态背后的机制。这种关注点的转变凸显了我们对社会互动的重要性及其对个体幸福感的影响的认识不断加深。在这篇综述中,我们探讨了三个主要类别的相互关联的研究:理解影响设定点的神经机制、定义可能破坏社会内稳态的当代因素,以及确定社会内稳态失衡在精神疾病发展中的潜在作用。我们还深入研究了前额叶皮层及其神经回路在调节社会行为、决策过程以及神经精神疾病(如抑郁症和焦虑症)表现中的作用。最后,我们研究了社交媒体曝光增加和新冠疫情等近期因素对心理健康的影响,强调了它们具有的破坏作用。我们还通过分析研究趋势来找出当前文献中的空白,并提出未来的研究方向,以增进我们对社会内稳态的理解,这对心理健康干预具有启示意义。