The role of social buffering on chronic disruptions in quality of care: evidence from caregiver-based interventions in foster children.

The role of social buffering on chronic disruptions in quality of care: evidence from caregiver-based interventions in foster children.
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DOI:
10.1080/17470919.2016.1170725
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发表时间:
2017-02
影响因子:
2
通讯作者:
Fisher PA
Fisher PA
中科院分区:
医学4区
文献类型:
--
作者:
Flannery JE;Beauchamp KG;Fisher PA

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越来越多的证据表明,社会支持可以缓冲生理压力反应,特别是皮质醇反应。我们使用一个发展的框架来审查社会缓冲在幼儿期的重要性,一个时期的高度可塑性的编程下丘脑-垂体-肾上腺(HPA)轴。父母在早期生活中发挥最大作用的社会环境是HPA轴发展轨迹的关键因素。一个流行的社会缓冲模型主要关注社会支持在急性应激源和皮质醇反应中的作用。本综述扩展了这一模式,以提供证据的机制,社会缓冲,或缺乏,在整个时期的慢性压力的社会缓冲模型,参与儿童福利系统的儿童。我们还强调了目前的干预措施,利用社会缓冲机制,以修改HPA轴功能在整个童年。最后,我们综合我们的研究结果,使用社会缓冲框架,为未来有针对性的干预措施提供信息。
There is growing evidence that social support can buffer the physiological stress response, specifically cortisol reactivity. We use a developmental framework to review the importance of social buffering in early childhood, a period of heightened plasticity for programming of the hypothalamic-pituitary-adrenal (HPA) axis. The social environment, in which parents play the largest role in early life, is a critical agent in the developmental trajectory of the HPA axis. A prevailing model of social buffering primarily focuses on the role of social support in the context of acute stressors and cortisol response. This review expands this model to provide evidence of the mechanism of social buffering, or lack thereof, across periods of chronic stress by applying the social buffer model to children involved in the child welfare system. We also highlight current interventions that capitalize on the mechanism of social buffering to modify HPA axis functioning across childhood. Last, we synthesize our findings using the social buffering framework to inform future targeted interventions.