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Luteal phase sertraline treatment of premenstrual dysphoric disorder (PMDD): Effects on markers of hypothalamic pituitary adrenal (HPA) axis activation and inflammation 黄体期舍曲林治疗经前性欲障碍(PMDD):对下丘脑-垂体-肾上腺(HPA)轴激活和炎症标志物的影响
IF 3.4 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-07-24 DOI: 10.1016/j.psyneuen.2024.107145

Rationale

Premenstrual dysphoric disorder (PMDD) is characterized by severe affective symptoms during the luteal phase of the menstrual cycle. There is some evidence of altered interactions between the hypothalamic pituitary gonadal (HPG) and hypothalamic pituitary adrenal (HPA) axes in PMDD. There is also evidence that similar affective disorders such as major depression and perinatal depression are associated with dysregulation in immune factors, but this has not been characterized in PMDD.

Aims

The goals of this exploratory study were to identify 1) whether HPA-HPG axis interactions and immune markers differ between PMDD patients and controls across the menstrual cycle; 2) how luteal phase sertraline treatment impacts stress and inflammatory markers.

Methods

Participants were females age 18–50 with regular menstrual cycles, not using psychotropic or hormonal medications, and were assigned to a control group or PMDD group based on prospective daily symptom ratings and clinical interview. Blood was drawn in the follicular and luteal phases, during laboratory sessions involving a mildly stressful task. In a second luteal phase, PMDD participants received open-label sertraline (50 mg/d) from ovulation to menses. Serum cortisol and ACTH were measured via ELISA and operationalized as area under the curve with respect to ground (AUCg), and peak level following laboratory task. Serum TNF-α, IL-6, CXCL-8, and IL-1β were measured using multiplex kits. Serum allopregnanolone (ALLO) was measured by gas chromatography/mass spectroscopy. To characterize HPA-HPG axis interactions across the menstrual cycle in PMDD participants and controls, multilevel linear models predicted cortisol and ACTH from the interaction of cycle phase (controlling for sertraline treatment), ALLO, and group. To determine the effects of sertraline treatment on inflammatory markers and how groups might differ in cyclical change on each marker, multilevel linear models predicted inflammatory markers from cycle phase (controlling for sertraline treatment) and group. A final set of exploratory models tested whether inflammatory markers predict premenstrual symptom score severity.

Results

The sample included n=77 participants (41 controls, 36 PMDD); 28 participants with PMDD completed sertraline treatment. Group x phase x ALLO interactions showed that higher ALLO levels predicted lower cortisol peak in the treated luteal phase (interaction between phase and ALLO, p=0.042), and there was a higher cortisol peak in the treated luteal phase than the untreated luteal phase (p=0.038). CXCL-8 was significantly associated with premenstrual symptom severity after controlling for group and cycle phase (p=0.011). There were no main effects of group, phase, or ALLO on cortisol AUCg, ACTH AUCg, IL-6, CXCL-8, IL-1β, nor TNF-α (p’s>0.05).

Conclusion

Serum markers of HPA axis and immune

理论依据月经前期情感障碍(PMDD)的特点是在月经周期的黄体期出现严重的情感症状。有证据表明,在 PMDD 中,下丘脑垂体性腺轴(HPG)和下丘脑垂体肾上腺轴(HPA)之间的相互作用发生了改变。本探索性研究的目的是确定:1)PMDD 患者和对照组在整个月经周期中 HPA-HPG 轴的相互作用和免疫标记物是否存在差异;2)黄体期舍曲林治疗对应激和炎症标记物有何影响。方法参与者为年龄在18-50岁之间、月经周期规律、未使用精神药物或激素药物的女性,根据前瞻性每日症状评分和临床访谈将其分配到对照组或PMDD组。在卵泡期和黄体期,在涉及轻度压力任务的实验室课程中抽取血液。在第二个黄体期,PMDD 参与者从排卵到月经期间接受开放标签舍曲林(50 毫克/天)治疗。血清皮质醇和促肾上腺皮质激素通过酶联免疫吸附测定法(ELISA)进行测定,并以相对于地面的曲线下面积(AUCg)和完成实验室任务后的峰值水平来表示。血清 TNF-α、IL-6、CXCL-8 和 IL-1β 采用多重试剂盒进行测定。血清异丙孕酮(ALLO)通过气相色谱/质谱进行测定。为了描述PMDD参与者和对照组在整个月经周期中HPA-HPG轴的相互作用,多层次线性模型通过周期阶段(控制舍曲林治疗)、ALLO和组别的相互作用来预测皮质醇和促肾上腺皮质激素。为了确定舍曲林治疗对炎症标志物的影响以及各组在每种标志物的周期性变化上可能存在的差异,多层次线性模型根据周期阶段(控制舍曲林治疗)和组别预测了炎症标志物。最后一组探索性模型测试了炎症标志物是否能预测经前症状评分的严重程度。结果样本包括77名参与者(41名对照组,36名PMDD组);28名患有PMDD的参与者完成了舍曲林治疗。组x阶段x ALLO的交互作用表明,较高的ALLO水平可预测治疗后黄体期较低的皮质醇峰值(阶段与ALLO之间的交互作用,p=0.042),治疗后黄体期的皮质醇峰值高于未治疗的黄体期(p=0.038)。在控制了组别和周期阶段后,CXCL-8 与经前期症状严重程度有明显相关性(p=0.011)。组别、生理期或 ALLO 对皮质醇 AUCg、促肾上腺皮质激素 AUCg、IL-6、CXCL-8、IL-1β 和 TNF-α 均无主效应(p's>0.05)。然而,在黄体期进行舍曲林治疗与较高的ALLO水平有关,这预示着对轻度实验室应激反应的皮质醇峰值较低,这表明舍曲林治疗可使PMDD患者的HPG-HPA轴相互作用正常化。更严重的经前症状与更高水平的炎症标志物CXCL-8有关,但还需要进一步研究炎症在PMDD中的潜在作用。
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引用次数: 0
Corrigendum to “Prolactin and morning cortisol concentrations in antipsychotic naïve first episode psychosis: A systematic review and meta-analysis” [Psychoneuroendocrinology 150 (2023) 106049] 泌乳素和早晨皮质醇浓度在抗精神病新药首次发作精神病中的作用:系统综述和荟萃分析" [Psychoneuroendocrinology 150 (2023) 106049]。
IF 3.4 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-07-23 DOI: 10.1016/j.psyneuen.2024.107143
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引用次数: 0
Oxytocin and cortisol concentrations in urine and saliva in response to physical exercise in humans 尿液和唾液中的催产素和皮质醇浓度对人体体育锻炼的反应。
IF 3.4 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-07-21 DOI: 10.1016/j.psyneuen.2024.107144

Background

While peripheral markers of endogenous oxytocin and glucocorticoid release are widely employed in psychological and behavioural research, there remains uncertainty regarding the effectiveness of saliva and urine samples in accurately capturing fluctuating hormone levels in response to relevant stimuli. In addition, it is unclear whether and under which conditions, urinary concentrations correlate with salivary levels of oxytocin and cortisol.

Methods

In the present study, two groups of healthy adult male and female participants (N=43) provided heart rate, saliva, and urine samples before and after exercising at different durations and intensities (3 ×10 min of running vs. 60 min of running). Effects of age, gender, cycle phase, and previous running experience were considered in the statistical analyses. Concentrations of oxytocin and cortisol were analysed in both saliva, and urine using validated assays.

Results

Runners of both groups had significantly increased oxytocin concentrations in urine and saliva after running than before. Oxytocin in saliva was elevated after 10 min and peaked after 30 min of running. Only participants of the long-running group showed an increase in urinary cortisol concentrations following exercise (and only after 90 min of stimulus onset), and neither group had a significant increase in salivary cortisol levels. Oxytocin rise in urine and saliva from basal to post-run was strongly and significantly correlated, as was cortisol rise from basal to post-rest, but no correlations between absolute hormone concentrations were found for oxytocin.

Conclusions

Our results show that both urine and saliva are useful body fluids that can provide meaningful results when measuring oxytocin and cortisol concentrations after a physical stimulus. While temporal resolution may be better with salivary sampling as higher sampling frequency is possible, signal strength and robustness were better in urinary samples. Importantly, we report a strong correlation between the magnitude of change in oxytocin and cortisol concentrations in urine and saliva following physical exercise, but no correlations between absolute oxytocin concentrations in the two substrates.

背景:虽然心理和行为研究中广泛使用了内源性催产素和糖皮质激素释放的外周标志物,但唾液和尿液样本能否准确捕捉到激素水平在相关刺激下的波动仍存在不确定性。此外,尿液浓度与唾液中催产素和皮质醇水平是否相关以及在何种条件下相关,目前尚不清楚:在本研究中,两组健康的成年男性和女性参与者(N=43)在不同持续时间和强度的运动(3 × 10 分钟的跑步与 60 分钟的跑步)前后提供了心率、唾液和尿液样本。统计分析考虑了年龄、性别、周期阶段和以往跑步经验的影响。使用有效的检测方法分析了唾液和尿液中催产素和皮质醇的浓度:结果:两组跑步者在跑步后尿液和唾液中的催产素浓度均明显高于跑步前。唾液中的催产素在跑步 10 分钟后升高,30 分钟后达到峰值。只有长跑组的参与者在运动后尿液中的皮质醇浓度有所上升(且仅在刺激开始 90 分钟后),而两组参与者唾液中的皮质醇水平均无明显上升。尿液和唾液中的催产素从基础到跑后的升高与皮质醇从基础到休息后的升高有显著的强相关性,但催产素的绝对激素浓度之间没有发现相关性:我们的研究结果表明,尿液和唾液都是有用的体液,可在测量身体刺激后催产素和皮质醇浓度时提供有意义的结果。虽然唾液采样的时间分辨率可能更高,因为采样频率可能更高,但尿液样本的信号强度和稳健性更好。重要的是,我们报告了体育锻炼后尿液和唾液中催产素和皮质醇浓度的变化幅度之间存在很强的相关性,但这两种底物中催产素的绝对浓度之间没有相关性。
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引用次数: 0
Differential inflammatory profiles in carriers of reciprocal 22q11.2 copy number variants 互作 22q11.2 拷贝数变异携带者的炎症特征差异
IF 3.4 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-07-20 DOI: 10.1016/j.psyneuen.2024.107135

Background

Genetic copy number variants (CNVs; i.e., a deletion or duplication) at the 22q11.2 locus confer increased risk of neuropsychiatric disorders and immune dysfunction. Inflammatory profiles of 22q11.2 CNV carriers can shed light on gene-immune relationships that may be related to neuropsychiatric symptoms. However, little is known about inflammation and its relationship to clinical phenotypes in 22q11.2 CNV carriers. Here, we investigate differences in peripheral inflammatory markers in 22q11.2 CNV carriers and explore their relationship with psychosis risk symptoms and sleep disturbance.

Methods

Blood samples and clinical assessments were collected from 22q11.2 deletion (22qDel) carriers (n=45), 22q11.2 duplication (22qDup) carriers (n=29), and typically developing (TD) control participants (n=92). Blood plasma levels of pro-inflammatory cytokines, including interleukin-6 (IL-6), interleukin-8 (IL-8), tumor necrosis factor-alpha (TNF-α) and interferon-gamma (IFN-γ), and anti-inflammatory cytokine interleukin-10 (IL-10) were measured using a MesoScale Discovery multiplex immunoassay. Plasma levels of C-reactive protein (CRP) were measured using Enzyme-linked Immunosorbent Assay (ELISA). Linear mixed effects models controlling for age, sex, and body mass index were used to: a) examine group differences in inflammatory markers between 22qDel, 22qDup, and TD controls, b) test differences in inflammatory markers between 22qDel carriers with psychosis risk symptoms (22qDelPS+) and those without (22qDelPS-), and c) conduct an exploratory analysis testing the effect of sleep disturbance on inflammation in 22qDel and 22qDup carriers. A false discovery rate correction was used to correct for multiple comparisons.

Results

22qDup carriers exhibited significantly elevated levels of IL-8 relative to TD controls (q<0.001) and marginally elevated IL-8 levels relative to 22qDel carriers (q=0.08). There were no other significant differences in inflammatory markers between the three groups (q>0.13). 22qDelPS+ exhibited increased levels of IL-8 relative to both 22qDelPS- (q=0.02) and TD controls (p=0.002). There were no relationships between sleep and inflammatory markers that survived FDR correction (q>0.14).

Conclusion

Our results suggest that CNVs at the 22q11.2 locus may have differential effects on inflammatory processes related to IL-8, a key mediator of inflammation produced by macrophages and microglia. Further, these IL-8-mediated inflammatory processes may be related to psychosis risk symptoms in 22qDel carriers. Additional research is required to understand the mechanisms contributing to these differential levels of IL-8 between 22q11.2 CNV carriers and IL-8’s association with psychosis risk.

背景22q11.2基因座上的遗传拷贝数变异(CNV,即缺失或重复)会增加神经精神疾病和免疫功能障碍的风险。22q11.2 CNV 携带者的炎症特征可以揭示可能与神经精神症状有关的基因免疫关系。然而,人们对 22q11.2 CNV 携带者的炎症及其与临床表型的关系知之甚少。在此,我们调查了22q11.2 CNV携带者外周炎症标志物的差异,并探讨了它们与精神病风险症状和睡眠障碍的关系。方法收集了22q11.2缺失(22qDel)携带者(45人)、22q11.2重复(22qDup)携带者(29人)和发育典型(TD)对照组参与者(92人)的血液样本和临床评估。使用 MesoScale Discovery 多功能免疫测定法测定血浆中促炎性细胞因子(包括白细胞介素-6 (IL-6)、白细胞介素-8 (IL-8)、肿瘤坏死因子-α (TNF-α) 和干扰素-γ (IFN-γ))以及抗炎细胞因子白细胞介素-10 (IL-10)的水平。血浆中的 C 反应蛋白 (CRP) 水平采用酶联免疫吸附测定法 (ELISA) 进行测定。线性混合效应模型控制了年龄、性别和体重指数,用于:a)检验 22qDel、22qDup 和 TD 对照组之间炎症标志物的组间差异;b)检验有精神病风险症状的 22qDel 携带者(22qDelPS+)和无精神病风险症状的 22qDel 携带者(22qDelPS-)之间炎症标志物的差异;c)进行探索性分析,检验睡眠障碍对 22qDel 和 22qDup 携带者炎症的影响。结果22qDup携带者的IL-8水平与TD对照组相比显著升高(q<0.001),与22qDel携带者相比IL-8水平略有升高(q=0.08)。三组之间的炎症标记物没有其他明显差异(q>0.13)。与 22qDelPS- 组(q=0.02)和 TD 对照组(p=0.002)相比,22qDelPS+ 组的 IL-8 水平升高。结论我们的研究结果表明,22q11.2基因座上的CNV可能对与IL-8相关的炎症过程产生不同的影响,IL-8是巨噬细胞和小胶质细胞产生炎症的关键介质。此外,这些由 IL-8 介导的炎症过程可能与 22qDel 基因携带者的精神病风险症状有关。要了解导致 22q11.2 CNV 携带者 IL-8 水平差异的机制以及 IL-8 与精神病风险的关系,还需要进行更多的研究。
{"title":"Differential inflammatory profiles in carriers of reciprocal 22q11.2 copy number variants","authors":"","doi":"10.1016/j.psyneuen.2024.107135","DOIUrl":"10.1016/j.psyneuen.2024.107135","url":null,"abstract":"<div><h3>Background</h3><p>Genetic copy number variants (CNVs; i.e., a deletion or duplication) at the 22q11.2 locus confer increased risk of neuropsychiatric disorders and immune dysfunction. Inflammatory profiles of 22q11.2 CNV carriers can shed light on gene-immune relationships that may be related to neuropsychiatric symptoms. However, little is known about inflammation and its relationship to clinical phenotypes in 22q11.2 CNV carriers. Here, we investigate differences in peripheral inflammatory markers in 22q11.2 CNV carriers and explore their relationship with psychosis risk symptoms and sleep disturbance.</p></div><div><h3>Methods</h3><p>Blood samples and clinical assessments were collected from 22q11.2 deletion (22qDel) carriers (n=45), 22q11.2 duplication (22qDup) carriers (n=29), and typically developing (TD) control participants (n=92). Blood plasma levels of pro-inflammatory cytokines, including interleukin-6 (IL-6), interleukin-8 (IL-8), tumor necrosis factor-alpha (TNF-<em>α</em>) and interferon-gamma (IFN-<strong>γ</strong>), and anti-inflammatory cytokine interleukin-10 (IL-10) were measured using a MesoScale Discovery multiplex immunoassay. Plasma levels of C-reactive protein (CRP) were measured using Enzyme-linked Immunosorbent Assay (ELISA). Linear mixed effects models controlling for age, sex, and body mass index were used to: a) examine group differences in inflammatory markers between 22qDel, 22qDup, and TD controls, b) test differences in inflammatory markers between 22qDel carriers with psychosis risk symptoms (22qDelPS+) and those without (22qDelPS-), and c) conduct an exploratory analysis testing the effect of sleep disturbance on inflammation in 22qDel and 22qDup carriers. A false discovery rate correction was used to correct for multiple comparisons.</p></div><div><h3>Results</h3><p>22qDup carriers exhibited significantly elevated levels of IL-8 relative to TD controls (<em>q</em>&lt;0.001) and marginally elevated IL-8 levels relative to 22qDel carriers (<em>q</em>=0.08). There were no other significant differences in inflammatory markers between the three groups (<em>q</em>&gt;0.13). 22qDelPS+ exhibited increased levels of IL-8 relative to both 22qDelPS- (<em>q</em>=0.02) and TD controls (<em>p</em>=0.002). There were no relationships between sleep and inflammatory markers that survived FDR correction (<em>q</em>&gt;0.14).</p></div><div><h3>Conclusion</h3><p>Our results suggest that CNVs at the 22q11.2 locus may have differential effects on inflammatory processes related to IL-8, a key mediator of inflammation produced by macrophages and microglia. Further, these IL-8-mediated inflammatory processes may be related to psychosis risk symptoms in 22qDel carriers. Additional research is required to understand the mechanisms contributing to these differential levels of IL-8 between 22q11.2 CNV carriers and IL-8’s association with psychosis risk.</p></div>","PeriodicalId":20836,"journal":{"name":"Psychoneuroendocrinology","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0306453024001793/pdfft?md5=a5c159d536e2121379a3f4dd585bc471&pid=1-s2.0-S0306453024001793-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141847262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
LPS-induced whole-blood cytokine production and depressive symptoms in dementia spousal caregivers: The moderating effect of childhood trauma LPS 诱导的全血细胞因子分泌与痴呆症配偶照顾者的抑郁症状:童年创伤的调节作用
IF 3.4 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-07-19 DOI: 10.1016/j.psyneuen.2024.107140

Dementia spousal caregivers are at risk for adverse mental and physical health outcomes. Caregiver burden, anticipatory grief, and proinflammatory cytokine production may contribute to depressive symptoms among caregivers. People who report childhood trauma are more likely to have exaggerated stress responses that may also contribute to depressive symptoms in adulthood. This study aimed to test whether the relationship between whole-blood cytokine production and depressive symptoms is strongest in caregivers who report high levels of childhood trauma.

Methods

A sample of 103 dementia spousal caregivers provided self-report data on demographics, health information, caregiver burden, anticipatory grief, and depressive symptoms. We also determined lipopolysaccharide-induced whole-blood cytokine production as the primary measure of immune cell reactivity. We measured interleukin-1β (IL-1β), interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), and interleukin-10 (IL-10) and converted z-scores of each cytokine into a composite panel. We regressed depressive symptoms on proinflammatory cytokine production, caregiver burden, and anticipatory grief, adjusting for demographic and health-related covariates.

Results

Whole-blood cytokine production and childhood trauma were associated with depressive symptoms. Childhood trauma moderated the relationship between whole-blood cytokine production and depressive symptoms. Whole-blood cytokine production was only associated with depressive symptoms at mean and high levels of childhood trauma, but not at low levels of childhood trauma. The main effects of burden and anticipatory grief on depressive symptoms were strongest for caregivers reporting high levels of childhood trauma.

Discussion

Childhood trauma has lasting impacts on psychosocial experiences later in life and has effects that may confer susceptibility to inflammation-related depression. Our findings contribute to ongoing efforts to identify risk factors for adverse mental health in dementia spousal caregivers.

痴呆症的配偶照顾者面临着不良身心健康后果的风险。照顾者的负担、预期悲伤和促炎细胞因子的产生可能会导致照顾者出现抑郁症状。报告有童年创伤的人更有可能有夸张的应激反应,这也可能导致成年后出现抑郁症状。本研究旨在检验全血细胞因子的产生与抑郁症状之间的关系是否在报告有严重童年创伤的照顾者中最为密切。方法:103 位痴呆症配偶照顾者提供了有关人口统计学、健康信息、照顾者负担、预期悲伤和抑郁症状的自我报告数据。我们还测定了脂多糖诱导的全血细胞因子分泌量,作为衡量免疫细胞反应性的主要指标。我们测量了白细胞介素-1β (IL-1β)、白细胞介素-6 (IL-6)、肿瘤坏死因子-α (TNF-α) 和白细胞介素-10 (IL-10),并将每种细胞因子的 Z 值转换成一个复合面板。我们将抑郁症状与促炎细胞因子分泌、照顾者负担和预期悲伤进行了回归,并对人口统计学和健康相关协变量进行了调整。 结果全血细胞因子分泌和童年创伤与抑郁症状相关。童年创伤调节了全血细胞因子分泌与抑郁症状之间的关系。全血细胞因子的产生仅在平均水平和高水平的童年创伤时与抑郁症状相关,而在低水平的童年创伤时则与抑郁症状无关。负担和预期悲痛对抑郁症状的主要影响在儿童创伤程度高的照顾者中最强。我们的研究结果有助于不断努力识别痴呆症配偶照顾者心理健康不良的风险因素。
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引用次数: 0
The longitudinal relationship between prenatal maternal cortisol and preschool internalising problems 产前母亲皮质醇与学龄前内化问题之间的纵向关系。
IF 3.4 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-07-17 DOI: 10.1016/j.psyneuen.2024.107141

Intro

Prenatal exposure to synthetic glucocorticoids may increase the risk of emotional symptoms in childhood partly by reducing fetal growth. We explored if physiological levels of prenatal maternal cortisol were associated with internalising problems in boys and girls and if this was mediated by birth weight.

Methods

Mother-child dyads from the prospective Odense Child Cohort (n=1162) were included if maternal serum cortisol (3rd trimester), offspring birth weight, and Child Behaviour Checklist (CBCL) assessments in preschool age were available. Crude and adjusted associations between cortisol and internalising problems were determined in linear mixed models stratified by offspring sex. Covariates included parental psychiatric history, parity, maternal age, education, smoking during pregnancy, and gestational age at birth. In the presence of significant associations, we evaluated the potential mediating role of birth weight.

Results

The study sample included 601 boys and 561 girls and internalising problems were assessed at mean ages 2.3 (±0.4) and 5 (±0.5) years. In the crude analysis, cortisol was positively associated with internalising problems in boys (p-value 0.017) and in girls (p-value < 0.0001). In the adjusted analyses, there was no statistically significant association between cortisol and offspring internalising problems in boys or girls (all p-values > 0.15). There was no mediation by birth weight.

Discussion

Maternal serum cortisol was positively associated with offspring internalising problems in boys and girls, but there was no association following adjustment for potential confounders and no mediation through birth weight. Maternal third-trimester cortisol levels do not predict preschool offspring internalising problems in our study.

简介:产前暴露于合成糖皮质激素可能会增加儿童期出现情绪症状的风险,部分原因是胎儿生长速度降低。我们探讨了产前母体皮质醇的生理水平是否与男孩和女孩的内化问题有关,以及这种关系是否受出生体重的影响。方法:如果母体血清皮质醇(怀孕三个月)、后代出生体重和学龄前儿童行为检查表(CBCL)评估结果可用,则纳入前瞻性欧登塞儿童队列中的母子二人组(n=1162)。通过线性混合模型确定皮质醇与内化问题之间的粗略关联和调整关联,并按后代性别进行分层。协变量包括父母的精神病史、胎次、母亲年龄、教育程度、孕期吸烟情况和出生时的胎龄。结果研究样本包括601名男孩和561名女孩,内化问题分别在平均年龄2.3(±0.4)岁和5(±0.5)岁时进行评估。在粗略分析中,皮质醇与男孩(p-value 0.017)和女孩(p-value < 0.0001)的内化问题呈正相关。在调整分析中,皮质醇与男孩或女孩后代的内化问题之间没有统计学意义上的显著关联(所有 p 值均为 0.15)。讨论母体血清皮质醇与男童和女童后代的内化问题呈正相关,但在调整潜在混杂因素后,两者之间没有关联,出生体重也没有起到中介作用。在我们的研究中,母体第三孕期皮质醇水平不能预测学龄前后代的内化问题。
{"title":"The longitudinal relationship between prenatal maternal cortisol and preschool internalising problems","authors":"","doi":"10.1016/j.psyneuen.2024.107141","DOIUrl":"10.1016/j.psyneuen.2024.107141","url":null,"abstract":"<div><h3>Intro</h3><p>Prenatal exposure to synthetic glucocorticoids may increase the risk of emotional symptoms in childhood partly by reducing fetal growth. We explored if physiological levels of prenatal maternal cortisol were associated with internalising problems in boys and girls and if this was mediated by birth weight.</p></div><div><h3>Methods</h3><p>Mother-child dyads from the prospective Odense Child Cohort (n=1162) were included if maternal serum cortisol (3rd trimester), offspring birth weight, and Child Behaviour Checklist (CBCL) assessments in preschool age were available. Crude and adjusted associations between cortisol and internalising problems were determined in linear mixed models stratified by offspring sex. Covariates included parental psychiatric history, parity, maternal age, education, smoking during pregnancy, and gestational age at birth. In the presence of significant associations, we evaluated the potential mediating role of birth weight.</p></div><div><h3>Results</h3><p>The study sample included 601 boys and 561 girls and internalising problems were assessed at mean ages 2.3 (±0.4) and 5 (±0.5) years. In the crude analysis, cortisol was positively associated with internalising problems in boys (p-value 0.017) and in girls (p-value &lt; 0.0001). In the adjusted analyses, there was no statistically significant association between cortisol and offspring internalising problems in boys or girls (all p-values &gt; 0.15). There was no mediation by birth weight.</p></div><div><h3>Discussion</h3><p>Maternal serum cortisol was positively associated with offspring internalising problems in boys and girls, but there was no association following adjustment for potential confounders and no mediation through birth weight. Maternal third-trimester cortisol levels do not predict preschool offspring internalising problems in our study.</p></div>","PeriodicalId":20836,"journal":{"name":"Psychoneuroendocrinology","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0306453024001859/pdfft?md5=5b0bd993f7a42b72c1cf9bc6f916b93f&pid=1-s2.0-S0306453024001859-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141640080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of music on stress recovery 音乐对压力恢复的影响
IF 3.4 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-07-15 DOI: 10.1016/j.psyneuen.2024.107137

Objective

Previous research has suggested beneficial effects of music in reducing stress levels. However, there is no consistent conclusion demonstrating that music can contribute to stress recovery, primarily due to limitations in stress measurement, and inconsistent methodology within existing studies. Our study explores whether relaxing music, especially when self-selected, outperforms non-music acoustic, and silence conditions, fostering both subjective and biological stress recovery.

Methods

One hundred and five healthy female participants underwent the Trier Social Stress Test (TSST) before being randomly allocated to one of four conditions: condition 1 (n = 25) listened to researcher-selected relaxing music; condition 2 (n = 27) listened to self-selected relaxing music; condition 3 (n = 26) listened to the sound of rippling water; and condition 4 (n = 27) remained in silence. Stress parameters were repeatedly measured nine times before and after the TSST. Saliva samples were collected for cortisol and saliva alpha-amylase (sAA) analysis, Movisens equipment was used to measure heart rate (HR) and skin conductance levels (SCL), and Visual Analogue Scales (VAS) were used for subjective stress measurement.

Results

The examination of SCL, and VAS scores revealed no significant changes following the four relaxation interventions. Although sAA displayed a significant main effect of condition, post hoc tests did not pinpoint specific differences. HR recovery patterns varied among the four relaxation interventions, with the sound of rippling water condition exhibiting a later significant decrease compared to the other conditions. Exploratory analyses revealed that cortisol levels continued increase in all conditions during intervention phase except the researcher-selected music condition.

Conclusions

The subjective and biological stress markers did not exhibit better recovery after the music stimulus, except for a tendency in the researcher-selected music condition to mitigate the continued increase in cortisol levels after the stress test. Our study provides the first evidence comparing the impact of researcher- and participant-selected music with silence and a non-music acoustic stimulus, on both subjective and biological stress recovery. Our findings contribute to a more nuanced understanding of the impact of music on stress recovery.

目的以前的研究表明,音乐对降低压力水平有好处。但是,目前还没有一致的结论表明音乐有助于压力恢复,这主要是由于压力测量的局限性和现有研究方法的不一致。我们的研究探讨了放松的音乐(尤其是自主选择的音乐)是否优于非音乐和安静的环境,从而促进主观和生理压力的恢复。方法 115名健康女性参加者在接受特里尔社会压力测试(TSST)后被随机分配到四个条件之一:条件1(n = 25)聆听研究人员选择的放松音乐;条件2(n = 27)聆听自选的放松音乐;条件3(n = 26)聆听水波荡漾的声音;条件4(n = 27)保持沉默。在 TSST 前后反复测量了九次压力参数。采集的唾液样本用于皮质醇和唾液α-淀粉酶(sAA)分析,Movisens 设备用于测量心率(HR)和皮肤电导水平(SCL),视觉模拟量表(VAS)用于主观压力测量。虽然 sAA 显示出明显的条件主效应,但事后检验并未发现具体差异。四种放松干预措施的心率恢复模式各不相同,与其他条件相比,荡漾的水声条件下的心率显著下降较晚。探索性分析表明,在干预阶段,除了研究人员选择的音乐条件外,所有条件下的皮质醇水平都在持续上升。结论 除了研究人员选择的音乐条件有缓解压力测试后皮质醇水平持续上升的趋势外,主观和生物压力标记物在音乐刺激后并没有表现出更好的恢复效果。我们的研究首次提供了证据,比较了研究者和参与者选择的音乐与沉默和非音乐声学刺激对主观和生物压力恢复的影响。我们的研究结果有助于人们更细致地了解音乐对压力恢复的影响。
{"title":"The effect of music on stress recovery","authors":"","doi":"10.1016/j.psyneuen.2024.107137","DOIUrl":"10.1016/j.psyneuen.2024.107137","url":null,"abstract":"<div><h3>Objective</h3><p>Previous research has suggested beneficial effects of music in reducing stress levels. However, there is no consistent conclusion demonstrating that music can contribute to stress recovery, primarily due to limitations in stress measurement, and inconsistent methodology within existing studies. Our study explores whether relaxing music, especially when self-selected, outperforms non-music acoustic, and silence conditions, fostering both subjective and biological stress recovery.</p></div><div><h3>Methods</h3><p>One hundred and five healthy female participants underwent the Trier Social Stress Test (TSST) before being randomly allocated to one of four conditions: condition 1 (<em>n</em> = 25) listened to researcher-selected relaxing music; condition 2 (<em>n</em> = 27) listened to self-selected relaxing music; condition 3 (<em>n</em> = 26) listened to the sound of rippling water; and condition 4 (<em>n</em> = 27) remained in silence. Stress parameters were repeatedly measured nine times before and after the TSST. Saliva samples were collected for cortisol and saliva alpha-amylase (sAA) analysis, Movisens equipment was used to measure heart rate (HR) and skin conductance levels (SCL), and Visual Analogue Scales (VAS) were used for subjective stress measurement.</p></div><div><h3>Results</h3><p>The examination of SCL, and VAS scores revealed no significant changes following the four relaxation interventions. Although sAA displayed a significant main effect of condition, post hoc tests did not pinpoint specific differences. HR recovery patterns varied among the four relaxation interventions, with the sound of rippling water condition exhibiting a later significant decrease compared to the other conditions. Exploratory analyses revealed that cortisol levels continued increase in all conditions during intervention phase except the researcher-selected music condition.</p></div><div><h3>Conclusions</h3><p>The subjective and biological stress markers did not exhibit better recovery after the music stimulus, except for a tendency in the researcher-selected music condition to mitigate the continued increase in cortisol levels after the stress test. Our study provides the first evidence comparing the impact of researcher- and participant-selected music with silence and a non-music acoustic stimulus, on both subjective and biological stress recovery. Our findings contribute to a more nuanced understanding of the impact of music on stress recovery.</p></div>","PeriodicalId":20836,"journal":{"name":"Psychoneuroendocrinology","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0306453024001811/pdfft?md5=2120f2bda74ff3788ea2450d35b194f0&pid=1-s2.0-S0306453024001811-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141637796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hair and nail cortisol levels are associated and affected by glucocorticoid use 头发和指甲的皮质醇水平与使用糖皮质激素有关并受其影响
IF 3.4 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-07-15 DOI: 10.1016/j.psyneuen.2024.107139

Hair and nail cortisol is increasingly studied as a physiologic proxy for chronic stress response. Glucocorticoid use is an expected confounder for cortisol measurement, yet there remains little evidence of whether external cortisol use should be subject to exclusion in study subjects. In a group of 209 youth (15–22 year-olds), we analyzed hair and fingernail cortisol concentrations. We assessed topical, nasal, oral, and injectable glucocorticoid use via a questionnaire. Extensively validated methods were used for hair and nail cortisol extraction and measurements. The median value of hair cortisol was 10.2 pg/mg (n=200), and the median value of nail cortisol was 7.06 pg/mg (n=203). Topical glucocorticoid use significantly increased hair and nail cortisol concentrations (p<0.005). Hair and nail cortisol concentrations were positively associated (p<0.0001, n=194). Spearman correlation coefficients demonstrated that the positive correlation between hair and nail cortisol values was higher in participants who used external glucocorticoids. Topical glucocorticoids moderated the association between hair and nail cortisol values (p=0.006). Based on these findings, we recommend that the assessment of topical glucocorticoid use must be performed when collecting hair/nail samples and that subjects reporting glucocorticoid use should be excluded from all future hair and nail cortisol studies; also, all outliers must be excluded to account for glucocorticoid medication underreporting and yet-unknown confounders.

越来越多的研究将头发和指甲皮质醇作为慢性压力反应的生理替代物。使用糖皮质激素是皮质醇测量的一个预期混杂因素,但对于研究对象是否应排除外部使用皮质醇的情况,目前仍鲜有证据。我们对 209 名青少年(15-22 岁)的头发和指甲皮质醇浓度进行了分析。我们通过问卷调查评估了局部、鼻腔、口服和注射糖皮质激素的使用情况。头发和指甲皮质醇的提取和测量采用了经过广泛验证的方法。毛发皮质醇的中位值为 10.2 pg/mg(样本数=200),指甲皮质醇的中位值为 7.06 pg/mg(样本数=203)。局部使用糖皮质激素会显著增加头发和指甲的皮质醇浓度(p<0.005)。头发和指甲的皮质醇浓度呈正相关(p<0.0001,n=194)。斯皮尔曼相关系数表明,使用外用糖皮质激素的参与者的头发和指甲皮质醇值之间的正相关性更高。外用糖皮质激素缓和了头发和指甲皮质醇值之间的关联(p=0.006)。基于这些发现,我们建议在采集头发/指甲样本时必须对局部使用糖皮质激素的情况进行评估,并且在今后所有的头发和指甲皮质醇研究中应排除报告使用糖皮质激素的受试者;此外,还必须排除所有异常值,以考虑糖皮质激素药物的漏报和尚未知晓的混杂因素。
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引用次数: 0
Osteocalcin: A novel biomarker of adolescent psychopathology 骨钙素青少年心理病理学的新型生物标志物
IF 3.4 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-07-15 DOI: 10.1016/j.psyneuen.2024.107136

Osteocalcin is a bone-derived hormone implicated in the acute stress response and recently linked to adult depression. Yet it is unclear whether osteocalcin is a biomarker of other forms of psychopathology and whether osteocalcin-psychopathology associations emerge during developmentally sensitive periods earlier in life. Thus, in the current pilot study we examined salivary osteocalcin and psychiatric symptoms and disorders among 48 early adolescents during a period of stress. A logistic regression indicated lower osteocalcin was associated with meeting criteria for a psychiatric disorder, OR = 0.43, 95 % CI [.002,.924], and showed moderate-to-large cross-sectional associations with a range of elevated psychopathology symptoms, Bs ≥ |-3.44|, ps ≤.034. Multilevel linear growth models indicated that low osteocalcin prospectively predicted an even greater range of psychopathology symptoms at one-year follow-up as well as increases in some symptoms over time, Bs ≥ |-1.83|, ps ≤.021. Findings introduce osteocalcin as a biomarker of diverse forms of psychopathology in youth. Osteocalcin is a potential transdiagnostic mechanism through which dysregulated responses to stress could cause or exacerbate various types of psychopathology, highlighting a promising target for clinical assessment and early intervention.

骨钙素是一种骨源性激素,与急性应激反应有关,最近又与成人抑郁症有关。然而,目前还不清楚骨钙素是否是其他形式精神病理学的生物标志物,也不清楚骨钙素与精神病理学之间的联系是否出现在生命早期的发育敏感期。因此,在本次试验性研究中,我们对48名处于压力期的青少年进行了唾液骨钙素与精神症状和精神障碍的研究。逻辑回归结果表明,骨钙素较低与符合精神障碍标准有关,OR = 0.43,95 % CI [.002,.924] ,并与一系列精神病理症状的升高显示出中度到大型的横截面关联,Bs ≥ |-3.44|,ps ≤.034。多层次线性增长模型表明,低骨钙素可预测一年随访时更大范围的精神病理症状,以及随着时间推移某些症状的增加(Bs ≥ |-1.83|,ps ≤.021)。研究结果表明,骨钙素是青少年多种形式精神病理学的生物标志物。骨钙素是一种潜在的跨诊断机制,通过这种机制,对压力的失调反应可能会导致或加剧各种类型的心理病理学,从而为临床评估和早期干预提供了一个有前景的目标。
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引用次数: 0
Chronic intranasal oxytocin alleviates cognitive impairment and reverses oxytocin signaling upregulation in MK801-induced mice 慢性鼻内催产素可减轻 MK801 诱导的小鼠的认知障碍并逆转催产素信号的上调
IF 3.4 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-07-15 DOI: 10.1016/j.psyneuen.2024.107138

Objective

Cognitive impairment, especially impaired social cognition, is largely responsible for the deterioration of the social life of patients with schizophrenia (SZ). Oxytocin (OT) is a neuropeptide that offers promising therapy for SZ. This study aimed to explore whether OT could affect dizocilpine (MK801)-induced cognitive impairment and to investigate the effect of exogenous OT on the endogenous OT system in the hippocampus.

Methods

The SZ mouse model was established by repeated administration of dizocilpine [MK801, 0.6 mg/kg, intraperitoneal (i.p.)], and then OT (6–60 μg/kg, intranasal) or risperidone (0.3 mg/kg, i.p.) was administered to explore the effect of OT on cognitive impairment.

Results

OT at a dose of 6 μg/kg alleviated MK801-induced hyperactivity, sociability impairment, and spatial memory impairment. OT at a dose of 20 or 60 μg/kg attenuated the hyperactivity and social novelty impairment. In MK801-injected mice, the compensatory upregulation of OT mRNA in the hippocampus was reversed by three OT doses, whereas 60 μg/kg OT reversed the compensatory upregulation of CD38 protein expression.

Conclusion

OT alleviated cognitive impairment in the SZ mouse model to varying degrees, reversing the compensatory upregulation of OT signaling in the hippocampus.

目的认知障碍,尤其是社会认知障碍,是精神分裂症(SZ)患者社会生活恶化的主要原因。催产素(OT)是一种神经肽,有望治疗精神分裂症。本研究旨在探讨 OT 是否会影响地佐西平(MK801)诱导的认知障碍,并研究外源性 OT 对海马内源性 OT 系统的影响。6毫克/千克,腹腔注射],然后给予OT(6-60微克/千克,鼻内注射)或利培酮(0.3毫克/千克,腹腔注射),探讨OT对认知障碍的影响。剂量为 20 或 60 μg/kg 的 OT 可减轻多动和社交新奇性损伤。在注射了 MK801 的小鼠中,三种剂量的 OT 均可逆转海马中 OT mRNA 的代偿性上调,而 60 μg/kg 的 OT 则可逆转 CD38 蛋白表达的代偿性上调。
{"title":"Chronic intranasal oxytocin alleviates cognitive impairment and reverses oxytocin signaling upregulation in MK801-induced mice","authors":"","doi":"10.1016/j.psyneuen.2024.107138","DOIUrl":"10.1016/j.psyneuen.2024.107138","url":null,"abstract":"<div><h3>Objective</h3><p>Cognitive impairment, especially impaired social cognition, is largely responsible for the deterioration of the social life of patients with schizophrenia (SZ). Oxytocin (OT) is a neuropeptide that offers promising therapy for SZ. This study aimed to explore whether OT could affect dizocilpine (MK801)-induced cognitive impairment and to investigate the effect of exogenous OT on the endogenous OT system in the hippocampus.</p></div><div><h3>Methods</h3><p>The SZ mouse model was established by repeated administration of dizocilpine [MK801, 0.6 mg/kg, intraperitoneal (i.p.)], and then OT (6–60 μg/kg, intranasal) or risperidone (0.3 mg/kg, i.p.) was administered to explore the effect of OT on cognitive impairment.</p></div><div><h3>Results</h3><p>OT at a dose of 6 μg/kg alleviated MK801-induced hyperactivity, sociability impairment, and spatial memory impairment. OT at a dose of 20 or 60 μg/kg attenuated the hyperactivity and social novelty impairment. In MK801-injected mice, the compensatory upregulation of OT mRNA in the hippocampus was reversed by three OT doses, whereas 60 μg/kg OT reversed the compensatory upregulation of CD38 protein expression.</p></div><div><h3>Conclusion</h3><p>OT alleviated cognitive impairment in the SZ mouse model to varying degrees, reversing the compensatory upregulation of OT signaling in the hippocampus.</p></div>","PeriodicalId":20836,"journal":{"name":"Psychoneuroendocrinology","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141689237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Psychoneuroendocrinology
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