Gastric myoelectrical associations with autonomic and central nervous system activity during state negative emotionality and perseverative negative thinking: A two-study investigation

Abigail Szkutak , Megan E. Renna , Jean M. Quintero , Douglas S. Mennin
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Abstract

Background

Distress is known to set off a variety of physiological dysfunctions. There have been previous investigations of central and peripheral (e.g., cardiac) correlates of distress and a burgeoning field examining immunological and inflammatory relationships to distress. However, despite a connection between gastrointestinal symptoms and distress at the clinical level, little research has connected this activity to other biological correlates of distress. Heightened negative emotions and dysregulation of emotions in the form of perseverative negative thinking (PNT, e.g., worry, rumination) are two components that underlie distress. Investigating the effect that these components have on gastric and related biological measures is crucial to better understanding the relationship between distress and health outcomes. We present results from two studies, which examined the impact of experimentally induced negative emotionality and PNT on gastric, autonomic nervous system, central nervous system, and inflammatory processes.

Method

In Study 1 (N = 95), we examined changes in electrogastrogram (EGG), respiratory sinus arrythmia (RSA), and alpha- and beta-band electroencephalogram (EEG) power at baseline and during experimental inductions of fear and sadness in a diverse sample of undergraduate students. In Study 2 (N = 30), we examined changes in EGG, RSA, and EEG at baseline and during worry and rumination inductions. We also collected inflammatory markers post-inductions in Study 2.

Results

In Study 1, normal gastric activity, vagal tone, and alpha- and beta-band power decreased, whereas EGG cycle length and variability increased during fear and sadness compared to baseline. We also observed significant relationships among EGG, RSA, and EEG during fear and sadness. In Study 2, normal gastric activity and RSA decreased, whereas EGG cycle length and variability increased during rumination compared to baseline. We also observed increases in frontal alpha-band power during worry and rumination compared to baseline. Regarding relationships among EGG, RSA, EEG, and inflammation, greater EGG cycle variability was associated with higher vagal tone during worry; additionally, EGG cycle length and variability during rumination were positively related to CRP and TNF-α inflammation composite scores post-inductions.

Conclusions

These findings offer insight into how negative emotionality and PNT might relate to gastric, ANS, CNS, and inflammatory processes.

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消极情绪状态和持久消极思维时胃肌电与自律神经和中枢神经系统活动的关联:两项研究调查
背景众所周知,压力会引发各种生理功能障碍。以前曾对压力的中枢和外周(如心脏)相关性进行过研究,并对压力与免疫和炎症的关系进行了新兴领域的研究。然而,尽管在临床层面上胃肠道症状与痛苦之间存在联系,但很少有研究将这种活动与痛苦的其他生物学相关因素联系起来。负面情绪的加剧和以持续性负面思维(PNT,如担忧、反刍)形式出现的情绪失调是导致痛苦的两个因素。研究这些因素对胃和相关生物指标的影响,对于更好地理解困扰与健康结果之间的关系至关重要。我们介绍了两项研究的结果,这两项研究考察了实验诱导的负面情绪和 PNT 对胃部、自主神经系统、中枢神经系统和炎症过程的影响。方法在研究 1(95 人)中,我们考察了不同样本的本科生在基线和实验诱导恐惧和悲伤时胃电图(EGG)、呼吸窦性节律(RSA)以及阿尔法和贝塔波段脑电图(EEG)功率的变化。在研究 2(N = 30)中,我们检测了基线时以及在担忧和反刍诱导过程中 EGG、RSA 和脑电图的变化。结果在研究 1 中,与基线相比,正常胃活动、迷走神经张力以及阿尔法和贝塔波段功率下降,而在恐惧和悲伤时 EGG 周期长度和变异性增加。我们还观察到,在恐惧和悲伤时,EGG、RSA 和脑电图之间存在明显的关系。在研究 2 中,与基线相比,反刍时正常胃活动和 RSA 减少,而 EGG 周期长度和变异性增加。我们还观察到,与基线相比,担忧和反刍时额叶α波段功率增加。关于 EGG、RSA、EEG 和炎症之间的关系,更大的 EGG 周期变异性与担忧时更高的迷走神经张力相关;此外,反刍时的 EGG 周期长度和变异性与诱导后的 CRP 和 TNF-α 炎症综合评分呈正相关。
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