An in-depth analysis of the polyvagal theory in light of current findings in neuroscience and clinical research.

Autor: Manzotti A; Division of Neonatology, 'V. Buzzi' Children's Hospital, ASST-FBF-Sacco, Milan, Italy.; RAISE Lab, Clinical-Based Human Research Department, Foundation COME Collaboration, Pescara, Italy.; Research Department, SOMA Istituto Osteopatia Milano, Milan, Italy., Panisi C; Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, Italy., Pivotto M; Research Department, SOMA Istituto Osteopatia Milano, Milan, Italy., Vinciguerra F; Anesthesia and Intensive Care Unit, San Giuseppe Hospital, Milan, Italy., Benedet M; Research Department, SOMA Istituto Osteopatia Milano, Milan, Italy., Brazzoli F; Research Department, SOMA Istituto Osteopatia Milano, Milan, Italy., Zanni S; Research Department, SOMA Istituto Osteopatia Milano, Milan, Italy., Comassi A; Research Department, SOMA Istituto Osteopatia Milano, Milan, Italy., Caputo S; Research Department, SOMA Istituto Osteopatia Milano, Milan, Italy., Cerritelli F; RAISE Lab, Clinical-Based Human Research Department, Foundation COME Collaboration, Pescara, Italy., Chiera M; RAISE Lab, Clinical-Based Human Research Department, Foundation COME Collaboration, Pescara, Italy.
Jazyk: angličtina
Zdroj: Developmental psychobiology [Dev Psychobiol] 2024 Feb; Vol. 66 (2), pp. e22450.
DOI: 10.1002/dev.22450
Abstrakt: The polyvagal theory has led to the understanding of the functions of the autonomic nervous system in biological development in humans, since the vagal system, a key structure within the polyvagal theory, plays a significant role in addressing challenges of the mother-child dyad. This article aims to summarize the neurobiological aspects of the polyvagal theory, highlighting some of its strengths and limitations through the lens of new evidence emerging in several research fields-including comparative anatomy, embryology, epigenetics, psychology, and neuroscience-in the 25 years since the theory's inception. Rereading and incorporating the polyvagal idea in light of modern scientific findings helps to interpret the role of the vagus nerve through the temporal dimension (beginning with intrauterine life) and spatial dimension (due to the numerous connections of the vagus with various structures and systems) in the achievement and maintenance of biopsychosocial well-being, from the uterus to adulthood.
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Databáze: MEDLINE