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بررسی رابطۀ دلبستگی و تجربۀ بدرفتاریهای دوران کودکی با نشانگرهای التهابی در بزرگسالی از منظر سایکونوروایمونولوژی: یک مطالعۀ فراتحلیل | ||
فصلنامه پژوهشهای کاربردی روانشناختی | ||
مقاله 8، دوره 12، شماره 3، آذر 1400، صفحه 157-169 اصل مقاله (609.23 K) | ||
نوع مقاله: مقاله پژوهشی | ||
شناسه دیجیتال (DOI): 10.22059/japr.2021.318187.643742 | ||
نویسندگان | ||
هانیه زراعت کار1؛ محمدعلی بشارت* 2؛ رضا رستمی2؛ کیوان صالحی3؛ عبدالرحمان رستمیان4 | ||
1دانشجوی دکتری روانشناسی سلامت، دانشکده روانشناسی و علوم تربیتی، دانشگاه تهران، تهران، ایران. | ||
2استاد گروه روانشناسی، دانشکده روانشناسی و علوم تربیتی، دانشگاه تهران، تهران، ایران | ||
3استادیار گروه علوم تربیتی، دانشکده روان شناسی و علومتربیتی؛ دانشگاه تهران، تهران، ایران | ||
4دانشیار گروه داخلی، دانشکده علوم پزشکی، دانشگاه تهران ، تهران، ایران | ||
چکیده | ||
التهاب یکی از سازوکارهای زیربنایی بسیاری از بیماریهای خودایمنی، قلبی-عروقی و دیابت نوع 2 است؛ از اینرو مطالعۀ حاضر با هدف مقایسۀ پژوهشهای انجامشده دربارۀ تجربۀ بدرفتاری و استرسهای دوران کودکی با سطح نشانگرهای التهابی CRP-IL-6 انجام شده است. با جستوجو در پایگاههای دادههای پژوهشی Pub Med، Springer، Elsevier از سال 2000 تا 2019 و با زبان انگلیسی سی مقاله بهدست آمد. از این میان، پس از بررسی چکیدۀ مقالات، یازده مقاله که به بررسی ارتباط تروماها و بدرفتاریهای دوران کودکی (زیر 18 سال) با نشانگرهای التهابی (CRP-IL-6) در دوران بزرگسالی پرداخته بودند، انتخاب و بررسی شدند. در پژوهشهای مرورشده، درمجموع برای نشانگر التهابی CRP 16867 نفر و برای نشانگر IL-6 6728 نفر بررسی شدند. نتایج تأثیر تصادفی فراتحلیل نشان میدهد افرادی که در کودکی در معرض بدرفتاریها، استرسهای شدید یا ترومای روانی قرار گرفتهاند، بهطور معناداری سطح پایۀ CRP (2/3=Z، 09/0-05/0= CI 95 درصد) و IL-6 (1/3=Z، 19/0-31/0= CI 95 درصد) بیشتری در بزرگسالی دارند. این مطالعه حاکی از آن است که تجربۀ بدرفتاری و استرسهای شدید در دوران کودکی در ایجاد شرایط پیشالتهابی در دوران بزرگسالی دخالت دارد؛ بنابراین با توجه به حساسیت و اهمیت این حوزه، کاوش بیشتری برای روشنشدن بسیاری از سازوکارهای واسطهای نیاز است. | ||
کلیدواژهها | ||
دلبستگی؛ بدرفتاریهای دوران کودکی؛ سایکونوروایمونولوژی؛ التهاب | ||
عنوان مقاله [English] | ||
Studying the Relationship between Childhood Maltreatment and Inflammatory Biomarkers in Adulthood from a Psychoneuroimmunological Perspective: A Meta-Analysis | ||
نویسندگان [English] | ||
Haniyeh zeraatkar1؛ Mohammad Ali Besharat2؛ Reza Rostami2؛ Keyvan Salehi3؛ Rahman Rostamian4 | ||
2Department of Psychology, Psychology and Educational Science Faculty, University of Tehran, Tehran, Iran | ||
3Department of Education, Psychology and Educational Science Faculty, University of Tehran, Tehran, Iran | ||
4Medical sciences Faculty, Tehran University of Tehran, Iran | ||
چکیده [English] | ||
This study was conducted since inflammation is one of the underlying mechanisms of many autoimmune diseases, cardiovascular diseases, type 2 diabetes, etc. The aim of this study is to collect and compare research findings on the relationship between childhood maltreatment and attachment styles with the level of CRP-IL-6 inflammatory markers. A systematic search of Pub Med, Springer, and Elsevier from 2000 to 2019 yielded approximately 30 English-language papers. Finally, 11 papers met the research criteria and were included. In the included studies, a total of 16,867 subjects were screened for CRP inflammatory markers and 6728 subjects were screened for IL-6 markers. And the random effect meta-analysis results show that people who were exposed to abuse as children, childhood maltreatment, or severe stress or psychological trauma had significantly higher baseline CRP (Z = 3.2, 95% CI= 0.05-0.09) and more IL-6 (Z = 3.1, 95%CI = 0.19-3.19) in adulthood. This systematic review suggests that the experience of severe abuse and stress in childhood contributes to the development of preinflammatory conditions in adulthood. Given the sensitivity and importance of this topic, further research is needed to elucidate many intermediary mechanisms. | ||
کلیدواژهها [English] | ||
Attachment, Childhood Maltreatment, Psychoneuroimmunology, Inflammation | ||
مراجع | ||
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