期刊
NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS
卷 127, 期 -, 页码 184-192出版社
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.neubiorev.2021.04.017
关键词
Emotion dysregulation; Affective lability; Bipolar disorder; Borderline personality disorder; Cortisol; Inflammation; Cytokines; Stress; Acute stress response; Allostasis; Anxiety
资金
- Swiss National Science Foundation [51NF40-158776]
- Swiss National Science Foundation (SNF) [51NF40-158776] Funding Source: Swiss National Science Foundation (SNF)
Bipolar disorder (BD) and borderline personality disorder (BPD) share common characteristics such as symptoms, risk factors, and comorbidities. While some studies have focused on the link between stress and peripheral inflammation in other affective disorders, fewer have explored this relationship in BD and BPD.
Bipolar disorder (BD) and borderline personality disorder (BPD) are serious and prevalent psychiatric diseases that share common phenomenological characteristics: symptoms (such as anxiety, affective lability or emotion dysregulation), neuroimaging features, risk factors and comorbidities. While several studies have focused on the link between stress and peripheral inflammation in other affective disorders such as anxiety or depression, fewer have explored this relationship in BD and BPD. This review reports on evidence showing an interplay between immune dysregulation, anxiety and stress, and how an altered acute neuroendocrine stress response may exist in these disorders. Moreover, we highlight limitations and confounding factors of these existing studies and discuss multidirectional hypotheses that either suggest inflammation or stress and anxiety as the primum movens in BD and BPD pathophysiology, or inflammation as a consequence of the pathophysiology of these diseases. Untangling these associations and implementing a transdiagnostic approach will have diagnostic, therapeutic and prognostic implications for BD and BPD patients.
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