Paribello Pasquale, Branchi Igor, Viglione Aurelia, Mancini Giulia Federica, Morena Maria, Campolongo Patrizia, Manchia Mirko
Unit of Psychiatry, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Unit of Clinical Psychiatry, University Hospital Agency of Cagliari, Cagliari, Italy.
Neurosci Appl. 2024 Feb 28;3:104052. doi: 10.1016/j.nsa.2024.104052. eCollection 2024.
The complex dyadic interaction of stress and resilience has received growing attention as a promising avenue for informing new diagnostic and prognostic models for human health. In this review, we present a selection of some of the most relevant data on translational models and biomarkers of stress and resilience in the field of mental health. Several critical aspects concerning the preclinical and clinical model development are addressed. The distance between preclinical and clinical disease models has widened with time across all fields of medicine, with psychiatry presenting additional hurdles represented by the inherent heterogeneity of the studied phenotypes. Capitalizing on technological advances in developing and consolidating sound theories for stress-resilience interaction models represents a promising avenue, possibly endowed with greater ecological validity compared to the sole socio-psychological assessment. Instrumental in advancing the field will be an increased level of integration between preclinical and clinical researchers' efforts in developing translational biomarkers, aiming to elucidate better the interindividual heterogeneity in the impact of stress exposure on individuals' health and behavior.
压力与复原力之间复杂的二元互动作为一种为人类健康新的诊断和预后模型提供信息的有前景的途径,受到了越来越多的关注。在本综述中,我们展示了心理健康领域中一些关于压力与复原力的转化模型和生物标志物的最相关数据。涉及临床前和临床模型开发的几个关键方面也得到了探讨。随着时间的推移,临床前和临床疾病模型之间的差距在医学的各个领域都有所扩大,精神病学领域还存在因所研究表型的固有异质性而带来的额外障碍。利用技术进步来开发和巩固压力 - 复原力相互作用模型的可靠理论是一条有前景的途径,与单纯的社会心理评估相比,可能具有更高的生态效度。临床前和临床研究人员在开发转化生物标志物方面的努力之间更高水平的整合,对于推动该领域发展至关重要,旨在更好地阐明压力暴露对个体健康和行为影响中的个体间异质性。