Psychophysiological Models of Stress

Ellen Zakreski, J. Pruessner
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Abstract

Psychophysiological models have a long history within stress research of trying to explain the link between stress exposure and psychological and physiological disease. The current chapter tries to offer complementary perspectives on this issue. First, it covers the relevant physiological systems (sympathetic, parasympathetic, enteric nervous system) and their markers (heart rate, heart rate variability, blood pressure), such that the reader receives an overview of the significant factors at play. Second, it provides an overview of the various forms of stress (acute, chronic, and stress during early life periods) that are believed to put the individual at heightened risk to develop stress-related disease. Finally, it presents the theories and models that have emerged over the years that try to explain how the various forms of stress can eventually lead to psychological and physical disease. The chapter ends with a short outlook on some recent work emphasizing the interaction between the various systems at play, and how that by itself can play a role in the origin of stress-related disease.
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压力的心理生理模型
心理生理学模型在压力研究中有着悠久的历史,试图解释压力暴露与心理和生理疾病之间的联系。本章试图就这个问题提供补充的观点。首先,它涵盖了相关的生理系统(交感、副交感、肠神经系统)和它们的标记(心率、心率变异性、血压),使读者对起作用的重要因素有一个概述。其次,它概述了各种形式的压力(急性、慢性和生命早期的压力),这些压力被认为会使个体面临更高的患压力相关疾病的风险。最后,它介绍了多年来出现的理论和模型,这些理论和模型试图解释各种形式的压力如何最终导致心理和身体疾病。本章最后简要回顾了一些最近的工作,强调了不同系统之间的相互作用,以及这种相互作用本身如何在压力相关疾病的起源中发挥作用。
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