Developmental Timing of Stress Effects on the Brain

Keira B. Leneman, M. Gunnar
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引用次数: 2

Abstract

The physiological stress response integrates endocrine, autonomic, and neural structures and pathways to respond and adapt to an organism’s environment. This integration is dynamic throughout development, with certain periods of rapid change for each system. With the introduction of chronic stress, physiological responses that may be adaptive in the immediate context can have long-term consequences for physical and emotional health, influencing systems differently depending upon developmental status at the time of stress exposure. From the nonhuman literature, prenatal, infancy, and adolescence are developmental stages that seem especially sensitive to major stress exposures. Human studies are less conclusive. Although much work has been done on prenatal stress and certain stressors (e.g., deprivation) during infancy and early childhood, more work is needed that addresses the challenges of isolating periods of environmental insults as well as carefully considering how prior developmental and subsequent experiences moderate exposure to major stress conditions at different points in development. Information on the transition from childhood to adolescence is especially sparse. A more comprehensive understanding of these developmental processes will enable a more targeted approach to ameliorating negative consequences of stress with both prevention and intervention.
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压力对大脑影响的发育时间
生理应激反应整合了内分泌、自主神经和神经结构和途径,以响应和适应生物体的环境。这种集成在整个开发过程中是动态的,每个系统都有特定的快速变化时期。随着慢性应激的引入,可能在即时环境中具有适应性的生理反应可能对身体和情绪健康产生长期影响,并根据应激暴露时的发育状态对系统产生不同的影响。从非人类文献来看,产前、婴儿期和青春期是对主要压力暴露特别敏感的发育阶段。人体研究则不那么有定论。虽然在产前压力和婴儿期和幼儿期的某些压力源(如剥夺)方面已经做了很多工作,但需要做更多的工作来解决隔离环境侮辱时期的挑战,以及仔细考虑先前的发育和随后的经历如何在发育的不同阶段适度暴露于主要压力条件。关于从童年到青春期过渡的信息尤其稀少。对这些发展过程的更全面的了解将使我们能够更有针对性地通过预防和干预来改善压力的负面后果。
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