Hidden Wounds? Inflammatory Links Between Childhood Trauma and Psychopathology

被引:195
作者
Danese, Andrea [1 ,2 ,3 ]
Baldwin, Jessie R. [1 ]
机构
[1] Kings Coll London, Inst Psychiat Psychol & Neurosci, MRC Social Genet & Dev Psychiat Res Ctr, London SE5 8AF, England
[2] Kings Coll London, Inst Psychiat Psychol & Neurosci, Dept Child & Adolescent Psychiat, London SE5 8AF, England
[3] South London & Maudsley NHS Fdn Trust, 3Nat & Specialist Clin Child Traumat Stress & Anx, London SE5 8AZ, England
来源
ANNUAL REVIEW OF PSYCHOLOGY, VOL 68 | 2017年 / 68卷
关键词
childhood trauma; maltreatment; psychopathology; psychiatric disorders; inflammation; immunity; EARLY-LIFE STRESS; C-REACTIVE PROTEIN; SUBSTANCE USE DISORDERS; CRITERIA RDOC PROJECT; BIPOLAR DISORDER; INTERNALIZING SYMPTOMS; PSYCHOLOGICAL STRESS; BEHAVIORAL-RESPONSES; MATERNAL SEPARATION; MAJOR DEPRESSION;
D O I
10.1146/annurev-psych-010416-044208
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
Childhood trauma is a key risk factor for psychopathology. However, little is known about how exposure to childhood trauma is translated into biological risk for psychopathology. Observational human studies and experimental animal models suggest that childhood exposure to stress can trigger an enduring systemic inflammatory response not unlike the bodily response to physical injury. In turn, these "hidden wounds" of childhood trauma can affect brain development, key behavioral domains (e. g., cognition, positive valence systems, negative valence systems), reactivity to subsequent stressors, and, ultimately, risk for psychopathology. Further research is needed to better characterize the inflammatory links between childhood trauma and psychopathology. Detecting and healing these hidden wounds may help prevent and treat psychopathology emerging after childhood trauma.
引用
收藏
页码:517 / 544
页数:28
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