CONTROL AND INTRUSIVE MEMORIES AS POSSIBLE DETERMINANTS OF CHRONIC STRESS

CONTROL AND INTRUSIVE MEMORIES AS POSSIBLE DETERMINANTS OF CHRONIC STRESS
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DOI:
10.1097/00006842-199305000-00005
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发表时间:
1993-05-01
影响因子:
3.3
通讯作者:
HALL, M
HALL, M
中科院分区:
医学3区
文献类型:
--
作者:
BAUM, A;COHEN, L;HALL, M

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在人们对压力结构的性质和有用性以及急性压力和慢性压力之间的区别感到困惑的情况下,研究已经开始确定压力影响健康的机制以及压力在压力源物理存在之外持续存在的机制。此外,研究已开始确定选择性易受慢性压力影响的原因。创伤事件后产生慢性压力的可能原因之一是失去控制和违反正常控制下的生活各方面的期望所产生的混乱影响。三哩岛核事故发生后慢性压力的纵向研究数据表明,失控和频繁经历有关事故及其后果的侵入性记忆与事故发生后几年的持续压力反应有关。压力反应与压力记忆的调节和巩固之间的关系被认为是持久侵入性记忆和慢性压力的基础。
Amidst confusion about the nature and usefulness of the stress construct and distinctions between acute and chronic stress, research has begun to identify mechanisms by which stress affects health and by which stress can persist beyond the physical presence of the stressor. In addition, research has begun to identify reasons for selective vulnerability to chronic stress. One of the possible reasons for chronic stress following traumatic events is the disorganizing effect of loss of control and violation of expectations for regulating aspects of one's life normally under control. Data from a longitudinal study of chronic stress at Three Mile Island in the wake of the nuclear accident there suggest that loss of control and frequent experience of intrusive memories about the accident and its aftermath were related to persistent stress responding several years after the accident. The relationships between stress responding and conditioning and consolidation of stressful memories are considered as a basis for persistent intrusive memories and chronic stress.