亲密伴侣暴力与应激相关障碍:从表观基因组学到复原力
Intimate partner violence and stress-related disorders: from epigenomics to resilience.
作者信息
Carannante Anna, Giustini Marco, Rota Federica, Bailo Paolo, Piccinini Andrea, Izzo Gabriella, Bollati Valentina, Gaudi Simona
机构信息
Department of Environment and Health, Italian Institute of Health, Rome, Italy.
EPIGET-Epidemiology, Epigenetics and Toxicology Lab, Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
出版信息
Front Glob Womens Health. 2025 May 12;6:1536169. doi: 10.3389/fgwh.2025.1536169. eCollection 2025.
Intimate Partner Violence (IPV) is a major public health problem to be addressed with innovative and interconnecting strategies for ensuring the psychophysical health of the surviving woman. According to the World Health Organization, 27% of women worldwide have experienced physical and sexual IPV in their lifetime. Most of the studies on gender-based violence focus on short-term effects, while long-term effects are often marginally included even though they represent the most serious and complex consequences. The molecular mechanisms underlying stress-related disorders in IPV victims are multiple and include dysregulation of the hypothalamic-pituitary-adrenal axis, inflammatory response, epigenetic modifications, neurotransmitter imbalances, structural changes in the brain, and oxidative stress. This review aims to explore the long-term health consequences of intimate partner violence (IPV), emphasizing the biological and psychological mechanisms underlying stress-related disorders and resilience. By integrating findings from epigenetics, microbiome research, and artificial intelligence (AI)-based data analysis, we highlight novel strategies for mitigating IPV-related trauma and improving recovery pathways. Genome-wide environment interaction studies, enhanced by AI-assisted data analysis, offer a promising public health approach for identifying factors that contribute to stress-related disorders and those that promote resilience, thus guiding more effective prevention and intervention strategies.
亲密伴侣暴力(IPV)是一个重大的公共卫生问题,需要通过创新且相互关联的策略来解决,以确保受害女性的身心健康。根据世界卫生组织的数据,全球27%的女性在其一生中遭受过身体和性方面的亲密伴侣暴力。大多数关于性别暴力的研究都集中在短期影响上,而长期影响尽管代表着最严重和复杂的后果,但往往很少被纳入研究范围。亲密伴侣暴力受害者中与压力相关障碍的分子机制是多方面的,包括下丘脑 - 垂体 - 肾上腺轴失调、炎症反应、表观遗传修饰、神经递质失衡、大脑结构变化以及氧化应激。本综述旨在探讨亲密伴侣暴力(IPV)的长期健康后果,强调与压力相关障碍及恢复力背后的生物学和心理学机制。通过整合表观遗传学、微生物组研究以及基于人工智能(AI)的数据分析结果,我们突出了减轻与IPV相关创伤及改善康复途径的新策略。由人工智能辅助数据分析增强的全基因组环境相互作用研究,为识别导致与压力相关障碍的因素以及促进恢复力的因素提供了一种有前景的公共卫生方法,从而指导更有效的预防和干预策略。