More than a feeling: A unified view of stress measurement for population science.

More than a feeling: A unified view of stress measurement for population science.
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DOI:
10.1016/j.yfrne.2018.03.001
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发表时间:
2018-04
影响因子:
7.4
通讯作者:
Mendes WB
Mendes WB
中科院分区:
医学1区
文献类型:
--
作者:
Epel ES;Crosswell AD;Mayer SE;Prather AA;Slavich GM;Puterman E;Mendes WB

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压力可以影响一生的健康,但关于压力的哪些类型和方面对人类健康和疾病最重要,人们几乎没有达成一致意见。这在一定程度上是因为“压力”不是一个铁板一块的概念,而是一个紧急的过程,涉及个人和环境因素、历史和当前事件、变态状态以及心理和生理反应之间的相互作用。仅这些过程中就有许多被贴上了“压力”的标签。如果研究人员采用一个包括流行病学、情感和心理生理学观点的共同概念模型,并用更准确的语言来描述压力措施,那么应激科学将得到进一步的发展。我们阐述了一个综合的工作模式,强调了整个生命过程中的压力源暴露如何影响习惯反应和压力反应,以及健康行为如何与压力相互作用。我们为压力测量提供了一个清晰的压力测量时间表--急性的、基于事件的、每日的和慢性的--以及更精确的压力测量维度的语言。
Stress can influence health throughout the lifespan, yet there is little agreement about what types and aspects of stress matter most for human health and disease. This is in part because “stress” is not a monolithic concept but rather, an emergent process that involves interactions between individual and environmental factors, historical and current events, allostatic states, and psychological and physiological reactivity. Many of these processes alone have been labeled as “stress.” Stress science would be further advanced if researchers adopted a common conceptual model that incorporates epidemiological, affective, and psychophysiological perspectives, with more precise language for describing stress measures. We articulate an integrative working model, highlighting how stressor exposures across the life course influence habitual responding and stress reactivity, and how health behaviors interact with stress. We offer a Stress Typology articulating timescales for stress measurement – acute, event-based, daily, and chronic – and more precise language for dimensions of stress measurement.
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