Physiological reactivity to psychological stress in human pregnancy: Current knowledge and future directions

被引:83
作者
Christian, Lisa M. [1 ,2 ,3 ,4 ]
机构
[1] Ohio State Univ, Med Ctr, Inst Behav Med Res, Columbus, OH 43210 USA
[2] Ohio State Univ, Med Ctr, Dept Psychiat, Columbus, OH 43210 USA
[3] Ohio State Univ, Dept Psychol, Columbus, OH 43210 USA
[4] Ohio State Univ, Med Ctr, Dept Obstet & Gynecol, Columbus, OH 43210 USA
关键词
Pregnancy; Stress; Cardiovascular reactivity; Neuroendocrine reactivity; Physiology; HEART-RATE-VARIABILITY; PITUITARY-ADRENAL AXIS; LOW-BIRTH-WEIGHT; BLOOD-PRESSURE RESPONSE; CARDIOVASCULAR REACTIVITY; PRETERM BIRTH; SOCIAL SUPPORT; MATERNAL STRESS; INDUCED HYPERTENSION; PSYCHOSOCIAL FACTORS;
D O I
10.1016/j.pneurobio.2012.07.003
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Cardiovascular and neuroendocrine reactivity to acute stress are important predictors of health outcomes in non-pregnant populations. Greater magnitude and duration of physiological responses have been associated with increased risk of hypertensive disorders and diabetes, greater susceptibility to infectious illnesses, suppression of cell-mediated immunity as well as risk for depression and anxiety disorders. Stress reactivity during pregnancy has unique implications for maternal health, birth outcomes, and fetal development. However, as compared to the larger literature, our understanding of the predictors and consequences of exaggerated stress reactivity in pregnancy is limited. This paper reviews the current state of this literature with an emphasis on gaps in knowledge and future directions. (C) 2012 Elsevier Ltd. All rights reserved.
引用
收藏
页码:106 / 116
页数:11
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