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Intersectional stigma, health behaviors, and allostatic load among sexual and gender diverse people 性和性别不同人群的交叉病耻感、健康行为和适应负荷。
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-11-27 DOI: 10.1016/j.psyneuen.2025.107708
Nevena Chuntova , Inès Ait Abdelmalek , Karine Lavallée-Rodrigue , Emma-Rose Thériault , Ryan Hogan , Ziad Guenoun , Jasmine Boulette , Ahmed Jérome Romain , L. Zachary DuBois , Robert-Paul Juster
Sexual and gender diverse (SGD) people face significant health disparities linked to chronic stigma exposure. Yet, the biological mechanisms underlying these inequities remain unexplored. This project examines how lifetime intersectional discrimination influences allostatic load (AL) —the cumulative biological 'wear and tear' of chronic stress—and explores the role of health behaviors (smoking, alcohol use, drug use, sleep quality and physical activity) as potential mediators in this pathway. Our team recruited 357 adults separated into 7 subgroups stratified by gender identity and sexual orientation. Blood samples and biometrics were collected from each participant and analysed to create a composite AL index incorporating 16 biomarkers across multiple physiological systems. Psychosocial variables including intersectional discrimination experiences and health behaviors were derived from validated questionnaires. Results show that intersectional discrimination experiences were positively associated with AL after controlling for age, indicating that both major discriminatory events and cumulative daily experiences independently contribute to physiological dysregulation through enacted stigma and discrimination exposure. Additionally, both gender identity and sexual orientation relate to differential AL patterns, with masculine-spectrum people (cisgender and transgender men) and sexual minority men (bisexual and gay men) showing the highest AL levels. Contrary to our hypothesis, health behaviors did not mediate the relationship between discrimination and AL, suggesting that discrimination may exert direct biological effects through stress response systems without requiring negative behavioral pathways. These findings provide further support for recognition of the impacts of structural and social determinants of health among SGD communities and the need for policy changes that protect against structural inequities.
性和性别多样化(SGD)人群面临着与慢性污名暴露相关的重大健康差异。然而,这些不平等背后的生物学机制仍未被探索。本项目研究了终生交叉歧视如何影响适应负荷(AL)——慢性压力的累积生物学“磨损”,并探讨了健康行为(吸烟、饮酒、吸毒、睡眠质量和身体活动)在这一途径中作为潜在介质的作用。我们的团队招募了357名成年人,按性别认同和性取向分为7个亚组。从每个参与者收集血液样本和生物特征,并进行分析,以创建包含多个生理系统的16种生物标志物的复合AL指数。包括交叉歧视经历和健康行为在内的社会心理变量来自有效的问卷。结果表明,在控制年龄后,交叉歧视经历与AL呈正相关,表明主要歧视事件和累积的日常经历都通过制定的污名和歧视暴露独立地促进生理失调。此外,性别认同和性取向都与不同的AL模式有关,男性谱系人群(双性恋和变性男性)和性少数人群(双性恋和同性恋男性)的AL水平最高。与我们的假设相反,健康行为并没有介导歧视与AL之间的关系,这表明歧视可能通过应激反应系统发挥直接的生物学效应,而不需要消极的行为途径。这些发现进一步支持认识到结构和社会决定因素对SGD社区健康的影响,以及需要改变政策以防止结构性不平等。
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引用次数: 0
Neuroendocrine profiles in relation to female callous-unemotional traits and distress facilitation 神经内分泌特征与女性冷酷无情特征和痛苦促进的关系。
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-11-26 DOI: 10.1016/j.psyneuen.2025.107710
Victoria Auricht , Natalie Goulter , Eva R. Kimonis
Emerging evidence supports that primary and secondary callous-unemotional (CU) variants show distinct physiological correlates, though prior research has exclusively distinguished CU variants based on psychosocial measures, rather than physiological indices, and focused on male samples. This study aimed to determine whether identified neuroendocrine (i.e., cortisol, dehydroepiandrosterone [DHEA], and testosterone) profiles mapped onto theoretically relevant psychosocial constructs consistent with CU variants, and whether profiles differed in emotional processing. Salivary samples from undergraduate women (Mage = 19.02 years; SD = 1.50) oversampled for high psychopathic/CU traits (N = 101) were assayed for basal cortisol, DHEA, and testosterone. Participants completed self-report measures of CU traits, maltreatment history, anxiety, and depression, and a dot-probe task assessing facilitation to emotional distress. Latent profile analysis revealed a ‘hypoactive’ profile with low cortisol, DHEA, and testosterone, and a ‘hyperactive’ profile with high cortisol, DHEA, and testosterone. Profiles partially aligned with psychosocial measures used to validate theoretical conceptualizations of CU variants, and the hyperactive profile showed greater facilitation to emotional distress relative to the hypoactive profile. Findings add to a limited literature on female CU traits in relation to neuroendocrine functioning and emotional processing. Our findings also provide preliminary evidence of possible congruency between physiological and psychosocial measures underlying the identification of CU variants.
新出现的证据支持原发性和继发性冷酷无情(CU)变异具有明显的生理相关性,尽管先前的研究仅基于社会心理测量来区分CU变异,而不是生理指标,并且主要集中在男性样本上。本研究旨在确定已识别的神经内分泌(即皮质醇、脱氢表雄酮[DHEA]和睾酮)谱是否与CU变异的理论相关的社会心理结构相一致,以及谱是否在情绪处理中有所不同。从大学生女性(年龄= 19.02岁;SD = 1.50)中抽取高精神病态/CU特征(N = 101)的唾液样本,检测基础皮质醇、脱氢表雄酮和睾酮。参与者完成了CU特征、虐待史、焦虑和抑郁的自我报告,以及评估对情绪困扰的促进作用的点探测任务。潜在性分析揭示了低皮质醇、脱氢表雄酮和睾酮的“低活性”特征,高皮质醇、脱氢表雄酮和睾酮的“过度活跃”特征。这些特征部分符合用于验证CU变体理论概念的社会心理测量,并且相对于低活性特征,过度活跃的特征更容易产生情绪困扰。研究结果补充了有关女性CU特征与神经内分泌功能和情绪处理的有限文献。我们的研究结果也提供了初步的证据,证明生理和社会心理测量之间可能存在一致性,从而确定CU变异。
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引用次数: 0
Exogenous estradiol modulates entorhinal cortex contributions to episodic encoding of conditioned threat in women 外源性雌二醇调节内嗅皮层对女性条件威胁的情景编码的贡献
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-11-26 DOI: 10.1016/j.psyneuen.2025.107709
Katelyn I. Oliver , Kristina Dahlgren , Alyssa R. Roeckner , Cecilia A. Hinojosa , Justin L.C. Santos , Linzie S. Taylor , Helena Zeleke , Amy Murphy , Colin Johnson II , Dasani DelRosario , Timothy D. Ely , Rebecca Hinrichs , Natalie A. Merrill , Marisa R. Young , Andrea Braden , Abigail Powers , Sanne J.H. van Rooij , Vasiliki Michopoulos , Jennifer S. Stevens
Estradiol (E2) positively influences memory facilitation effects in older women and rodent models by targeting key memory-related brain regions. However, the impacts of E2 on emotional memory processes in younger women are less clear. As women are twice as likely as men to develop trauma related disorders such as posttraumatic stress disorder (PTSD), it is important to understand how hormones like E2 might impact threat memory mechanisms. Using a randomized, double-blinded, cross-over design, we administered transdermal E2 or placebo to 45 naturally-cycling, Black women (18–35 years) with a range of trauma-related symptoms during the early luteal (low endogenous E2) phase of their cycles. The following day, participants underwent a categorical threat conditioning paradigm during fMRI recording and completed a post-scan recognition test of images seen during the scanning session. The next month, participants repeated experimental procedures under the opposite patch condition. Blood samples taken day of scan showed a mean 80 pg/mL increase in serum E2 levels under E2 supplementation. While all participants showed an enhancement of threat on memory, such that threat-associated (CS+) images were later recognized better than neutral (CS-) pictures, neither E2 patch nor PTSD symptom severity predicted recognition performance. However, under placebo, greater bilateral entorhinal cortex (ERC) response during threat vs safety learning (CS+>CS-) was associated with greater post-scan recognition for CS+ compared to the CS- category, indicating greater ERC facilitation of episodic encoding and threat bias in the low E2 condition. We also found that the combination of high E2 and progesterone (P4) was associated with reduced ERC CS+ >CS- activity, potentially explaining why E2 supplementation did not facilitate CS+ >CS- recognition and suggesting an antagonistic role for P4 with E2 in memory facilitation. E2 produced an increase in ERC functional connectivity to the superior temporal gyrus during CS- encoding, which may suggest a shift in ERC engagement away from episodic encoding. These findings indicate that the post-ovulation drop in E2 and potential interactions with P4 facilitate the episodic encoding of safety and threat cues in women, given that exogenous E2 blocked these effects. This study provides novel causal evidence on the role of cyclical fluctuation in E2 in determining episodic components of memory for learned threat and safety.
雌二醇(E2)对老年妇女和啮齿动物模型的记忆促进作用有积极的影响。然而,E2对年轻女性情绪记忆过程的影响尚不清楚。由于女性患创伤相关疾病(如创伤后应激障碍)的可能性是男性的两倍,因此了解E2等激素如何影响威胁记忆机制非常重要。采用随机、双盲、交叉设计,我们对45名自然循环的黑人女性(18-35岁)在黄体早期(低内源性E2)出现一系列创伤相关症状给予透皮E2或安慰剂。第二天,参与者在fMRI记录期间接受了分类威胁条件反射范式,并完成了扫描期间看到的图像的扫描后识别测试。下个月,参与者在相反的贴片条件下重复实验过程。扫描当天采集的血液样本显示,补充E2后,血清E2水平平均增加80 pg/mL。虽然所有参与者都表现出威胁对记忆的增强,例如威胁相关(CS+)图像后来比中性(CS-)图像更好地识别,但E2贴片和创伤后应激障碍症状严重程度都不能预测识别性能。然而,在安慰剂下,与CS-类别相比,威胁学习与安全学习(CS+>CS-)期间更大的双侧内鼻皮层(ERC)反应与CS+ 的扫描后识别相关,表明低E2条件下更大的ERC促进了情景编码和威胁偏见。我们还发现,高E2和孕酮(P4)的结合与ERC CS+ >;CS-活性降低有关,这可能解释了为什么补充E2不能促进CS+ >;CS-识别,并表明P4与E2在记忆促进中起拮抗作用。在CS编码期间,E2增加了ERC与颞上回的功能连接,这可能表明ERC的参与从情景编码转移。这些发现表明,考虑到外源性E2阻断了这些作用,排卵后E2的下降以及与P4的潜在相互作用促进了女性对安全和威胁线索的情景编码。本研究为E2的周期性波动在决定习得性威胁和安全记忆的情景成分中的作用提供了新的因果证据。
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引用次数: 0
Corrigendum to “U.S. men’s testosterone (T), partnering, and residence with children: Evidence from a nationally-representative cohort (NHANES) and relevance to clinically low T” [Psychoneuroendocrinology 182 (2025) 107658] “美国男性睾酮(T),伴侣关系和与子女的居住:来自全国代表性队列(NHANES)的证据和临床低睾酮的相关性[精神神经内分泌学182 (2025)107658]
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-11-25 DOI: 10.1016/j.psyneuen.2025.107707
Lee T. Gettler , Sarah Hoegler Dennis
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引用次数: 0
Functional polygenic risk score of glucocorticoid-dependent regulatory element activity and its relation to clinical and stress-related phenotypes 糖皮质激素依赖性调节元件活性的功能多基因风险评分及其与临床和应激相关表型的关系。
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-11-25 DOI: 10.1016/j.psyneuen.2025.107703
F. Linsen , P.C. Habets , Y. Milaneschi , S. Penner-Goeke , B. Mishuris , D. Czamara , B.W.J.H. Penninx , E.B. Binder , O.C. Meijer , C.H. Vinkers
<div><h3>Background</h3><div>Chronic stress and adverse life events are major contributors to depression and anxiety disorders. Genetic variants that influence glucocorticoid (GC) hormone responses may moderate the impact of stress on psychiatric outcomes. Here, we use a functional polygenic risk score (fPRS) based on GC-responsive gene regulatory elements (GREs) following dexamethasone (DEX) exposure (DEX-fPRS) and examined its association with clinical and biological stress-related phenotypes.</div></div><div><h3>Methods</h3><div>We analyzed data from 2286 participants in the Dutch NESDA cohort, with baseline, 2-year, and 6-year follow-up visits, including 1115 with baseline depression/anxiety diagnoses. Univariable and multivariable regression models, adjusted for age, sex, batch, and ancestry principal components, were used to test associations between DEX-fPRS and lifetime diagnosis, cumulative symptom severity, and clinical features among cases (e.g. symptom severity, recurrence). Subgroup comparisons (e.g. single vs. recurrent episodes) and biological outcomes (salivary cortisol, immune markers) were also assessed. A vehicle-treated fPRS control (VEH-fPRS) was additionally tested, capturing genetic variants associated with baseline, non-GR-stimulated enhancer activity. Gene-environment interactions were tested and replication in the MARS cohort (N = 1160).</div></div><div><h3>Results</h3><div>In the full sample, DEX-fPRS showed no significant associations with lifetime diagnosis, symptom severity, or biological measures after Bonferroni correction (all <em>p</em><sub>bonf</sub>>0.05), although a nominally significant negative association was observed for morning cortisol (AUCg) in the univariable model (B=-0.05, <em>p</em><sub>nominal</sub>=0.03, <em>p</em><sub>bonf</sub>=0.19). Among cases, evening cortisol showed nominally significant negative associations in both models (univariable: B=-0.05, <em>p</em><sub>nominal</sub>=0.02, <em>p</em><sub>bonf</sub>=0.09; multivariable: B=-0.04, <em>p</em><sub>nominal</sub>=0.02, <em>p</em><sub>bonf</sub>=0.14). A significant positive association was found for recurrent vs. single episodes in both models (univariable: β=1.24, <em>p</em><sub>nominal</sub>=0.01, <em>p</em><sub>bonf</sub>=0.03; multivariable B=1.21, <em>p</em><sub>nominal</sub>=0.01, <em>p</em><sub>bonf</sub>=0.04). VEH-fPRS showed similar nominal associations for recurrent episodes (univariable: B=1.13, <em>p</em><sub>nominal</sub>=0.03, <em>p</em><sub>bonf</sub>=0.11; multivariable B=1.21, <em>p</em><sub>nominal</sub>=0.02, <em>p</em><sub>bonf</sub>=0.08) and a negative association for single episodes versus controls in the multivariable model (B=-1.52, <em>p</em><sub>nominal</sub>=0.02, <em>p</em><sub>bonf</sub>=0.07). No gene-environment interactions were detected, and none of the NESDA findings were replicated in the MARS cohort.</div></div><div><h3>Conclusion</h3><div>While the DEX-fPRS was not associated with lifetime diagnosi
背景:慢性压力和不良生活事件是抑郁症和焦虑症的主要诱因。影响糖皮质激素(GC)反应的遗传变异可能会缓和压力对精神结局的影响。在这里,我们使用基于地塞米松暴露(DEX)后GC-responsive gene regulatory elements (GREs) (DEX-fPRS)的功能性多基因风险评分(fPRS),并研究其与临床和生物学应激相关表型的关系。方法:我们分析了2286名荷兰NESDA队列参与者的数据,进行了基线、2年和6年的随访,其中包括1115名基线抑郁/焦虑诊断。采用单变量和多变量回归模型,调整年龄、性别、批次和血统主成分,检验DEX-fPRS与终生诊断、累积症状严重程度和病例临床特征(如症状严重程度、复发)之间的相关性。亚组比较(如单次与反复发作)和生物学结果(唾液皮质醇、免疫标志物)也进行了评估。另外还测试了一种经载体处理的fPRS对照(VEH-fPRS),捕获了与基线、非gr刺激的增强子活性相关的遗传变异。在MARS队列(N = 1160)中测试了基因-环境相互作用并进行了复制。结果:在整个样本中,DEX-fPRS与Bonferroni校正后的终生诊断、症状严重程度或生物学测量无显著相关性(均为pbonf -0.05),尽管在单变量模型中观察到早晨皮质醇(AUCg)有名义上显著的负相关(B=-0.05, pbonf= 0.03, pbonf=0.19)。在这些病例中,夜间皮质醇在两个模型中都显示出名义上显著的负相关(单变量:B=-0.05, pnominal=0.02, pbonf=0.09;多变量:B=-0.04, pnominal=0.02, pbonf=0.14)。在两种模型中,反复发作与单次发作均有显著正相关(单变量:β=1.24, pnominal=0.01, pbonf=0.03;多变量B=1.21, pnominal=0.01, pbonf=0.04)。VEH-fPRS与反复发作有相似的名义关联(单变量:B=1.13, pnominal=0.03, pbonf=0.11;多变量B=1.21, pnominal=0.02, pbonf=0.08),而在多变量模型中,单变量与对照组之间呈负相关(B=-1.52, pnominal=0.02, pbonf=0.07)。没有检测到基因与环境的相互作用,NESDA的研究结果也没有在MARS队列中重复。结论:虽然DEX-fPRS与终生诊断或症状严重程度无关,但结果提示HPA轴敏感性和发作复发的潜在作用。值得注意的是,最初作为对照的VEH-fPRS本身可能捕获基线转录调控。然而,缺乏重复强调了谨慎解释和进一步验证的必要性。
{"title":"Functional polygenic risk score of glucocorticoid-dependent regulatory element activity and its relation to clinical and stress-related phenotypes","authors":"F. Linsen ,&nbsp;P.C. Habets ,&nbsp;Y. Milaneschi ,&nbsp;S. Penner-Goeke ,&nbsp;B. Mishuris ,&nbsp;D. Czamara ,&nbsp;B.W.J.H. Penninx ,&nbsp;E.B. Binder ,&nbsp;O.C. Meijer ,&nbsp;C.H. Vinkers","doi":"10.1016/j.psyneuen.2025.107703","DOIUrl":"10.1016/j.psyneuen.2025.107703","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Chronic stress and adverse life events are major contributors to depression and anxiety disorders. Genetic variants that influence glucocorticoid (GC) hormone responses may moderate the impact of stress on psychiatric outcomes. Here, we use a functional polygenic risk score (fPRS) based on GC-responsive gene regulatory elements (GREs) following dexamethasone (DEX) exposure (DEX-fPRS) and examined its association with clinical and biological stress-related phenotypes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;We analyzed data from 2286 participants in the Dutch NESDA cohort, with baseline, 2-year, and 6-year follow-up visits, including 1115 with baseline depression/anxiety diagnoses. Univariable and multivariable regression models, adjusted for age, sex, batch, and ancestry principal components, were used to test associations between DEX-fPRS and lifetime diagnosis, cumulative symptom severity, and clinical features among cases (e.g. symptom severity, recurrence). Subgroup comparisons (e.g. single vs. recurrent episodes) and biological outcomes (salivary cortisol, immune markers) were also assessed. A vehicle-treated fPRS control (VEH-fPRS) was additionally tested, capturing genetic variants associated with baseline, non-GR-stimulated enhancer activity. Gene-environment interactions were tested and replication in the MARS cohort (N = 1160).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;In the full sample, DEX-fPRS showed no significant associations with lifetime diagnosis, symptom severity, or biological measures after Bonferroni correction (all &lt;em&gt;p&lt;/em&gt;&lt;sub&gt;bonf&lt;/sub&gt;&gt;0.05), although a nominally significant negative association was observed for morning cortisol (AUCg) in the univariable model (B=-0.05, &lt;em&gt;p&lt;/em&gt;&lt;sub&gt;nominal&lt;/sub&gt;=0.03, &lt;em&gt;p&lt;/em&gt;&lt;sub&gt;bonf&lt;/sub&gt;=0.19). Among cases, evening cortisol showed nominally significant negative associations in both models (univariable: B=-0.05, &lt;em&gt;p&lt;/em&gt;&lt;sub&gt;nominal&lt;/sub&gt;=0.02, &lt;em&gt;p&lt;/em&gt;&lt;sub&gt;bonf&lt;/sub&gt;=0.09; multivariable: B=-0.04, &lt;em&gt;p&lt;/em&gt;&lt;sub&gt;nominal&lt;/sub&gt;=0.02, &lt;em&gt;p&lt;/em&gt;&lt;sub&gt;bonf&lt;/sub&gt;=0.14). A significant positive association was found for recurrent vs. single episodes in both models (univariable: β=1.24, &lt;em&gt;p&lt;/em&gt;&lt;sub&gt;nominal&lt;/sub&gt;=0.01, &lt;em&gt;p&lt;/em&gt;&lt;sub&gt;bonf&lt;/sub&gt;=0.03; multivariable B=1.21, &lt;em&gt;p&lt;/em&gt;&lt;sub&gt;nominal&lt;/sub&gt;=0.01, &lt;em&gt;p&lt;/em&gt;&lt;sub&gt;bonf&lt;/sub&gt;=0.04). VEH-fPRS showed similar nominal associations for recurrent episodes (univariable: B=1.13, &lt;em&gt;p&lt;/em&gt;&lt;sub&gt;nominal&lt;/sub&gt;=0.03, &lt;em&gt;p&lt;/em&gt;&lt;sub&gt;bonf&lt;/sub&gt;=0.11; multivariable B=1.21, &lt;em&gt;p&lt;/em&gt;&lt;sub&gt;nominal&lt;/sub&gt;=0.02, &lt;em&gt;p&lt;/em&gt;&lt;sub&gt;bonf&lt;/sub&gt;=0.08) and a negative association for single episodes versus controls in the multivariable model (B=-1.52, &lt;em&gt;p&lt;/em&gt;&lt;sub&gt;nominal&lt;/sub&gt;=0.02, &lt;em&gt;p&lt;/em&gt;&lt;sub&gt;bonf&lt;/sub&gt;=0.07). No gene-environment interactions were detected, and none of the NESDA findings were replicated in the MARS cohort.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;While the DEX-fPRS was not associated with lifetime diagnosi","PeriodicalId":20836,"journal":{"name":"Psychoneuroendocrinology","volume":"184 ","pages":"Article 107703"},"PeriodicalIF":3.6,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145649214","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
Plasma biomarkers in drug-naïve schizophrenia with severe cognitive impairment via targeted metabolomics 通过靶向代谢组学研究drug-naïve重度认知障碍精神分裂症的血浆生物标志物
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-11-25 DOI: 10.1016/j.psyneuen.2025.107711
Yeqing Dong , Shuo Wang , Yuying Qiu , Qiao Su, Xiaoxiao Sun, Meijuan Li, Jie Li

Background

Cognitive impairment is the core symptom of schizophrenia (SZ). Early recognition of cognitive dysfunction is of great significance. Here, we used a metabolome-targeted approach to explore potential biomarkers associated with severe cognitive impairment in drug-naïve SZ patients.

Methods

Plasma metabolites from 108 SZ patients and 55 healthy controls (HC) were analyzed using liquid chromatography-mass spectrometry (LC-MS). Participants were split into discovery (n = 88) and validation (n = 75) sets. The cognitive function was assessed using MATRICS Consensus Cognitive Batter (MCCB), with cognitive deficit score ≥ 3 defined as "severe cognitive impairment" (SCI) and others as "non-severe cognitive impairment"(non-SCI).

Results

We found 21 candidate differential metabolites only present in SCI patients, and they were mainly involved in sphingolipid metabolism and glycerophospholipid metabolism. Furthermore, SM C20:2 and PC ae C36:2 were associated with social cognition and neurocognitive subdimensions of MCCB in SCI patients, while no similar results were found in non-SCI patients. The combination of SM C20:2 and PC ae C36:2 could modestly discriminated SCI subjects from non-SCI patients with an area under the curve (AUC) of 0.685 in discovery set and 0.720 in validation set. Moreover, these 2 candidate differential metabolites enabled distinguishing SZ patients from HC with an AUC of 0.717 in discovery set and 0.786 in validation set.

Conclusions

Our study initially identified 21 candidate differential metabolites and 2 potentially important metabolic pathways related to SCI in drug-naïve SZ patients. SM C20:2 and PC ae C36:2 may serve as biomarkers for cognitive severity assessment in SZ patients.
认知障碍是精神分裂症的核心症状。早期发现认知功能障碍具有重要意义。在这里,我们使用代谢组靶向方法来探索与drug-naïve SZ患者严重认知障碍相关的潜在生物标志物。方法采用液相色谱-质谱联用技术对108例SZ患者和55例健康对照者的血浆代谢物进行分析。参与者被分成发现组(n = 88)和验证组(n = 75)。使用matrix Consensus cognitive Batter (MCCB)评估认知功能,认知缺陷评分≥ 3定义为“严重认知障碍”(SCI),其他定义为“非严重认知障碍”(non-SCI)。结果发现21种候选差异代谢物仅存在于脊髓损伤患者中,主要参与鞘脂代谢和甘油磷脂代谢。此外,SM C20:2和PC ae C36:2与脊髓损伤患者MCCB的社会认知和神经认知亚维度相关,而在非脊髓损伤患者中未发现类似的结果。SM C20:2和PC ae C36:2的组合可以适度区分SCI和非SCI患者,发现集的曲线下面积(AUC)为0.685,验证集的AUC为0.720。此外,这两种候选差异代谢物能够区分SZ患者和HC患者,发现集的AUC为0.717,验证集的AUC为0.786。sour研究初步确定了drug-naïve SZ患者与SCI相关的21种候选差异代谢物和2种可能重要的代谢途径。SM C20:2和PC ae C36:2可作为SZ患者认知严重程度评估的生物标志物。
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引用次数: 0
Increased social reward behavior in adolescent male and female rats exposed prenatally to alcohol is associated with altered dopamine receptor expression 青春期雄性和雌性大鼠在产前暴露于酒精中,其社会奖励行为的增加与多巴胺受体表达的改变有关
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-11-21 DOI: 10.1016/j.psyneuen.2025.107705
Andrew C. Sheehan, Amanda M. Leonetti, Shealin H. Murray, Roopan Dhaliwal, Molly A. Stamp, Parker J. Holman, Cheryl M. McCormick, Charlis Raineki
Prenatal alcohol exposure (PAE) has detrimental consequences on cognitive, physiological, and social development. Adolescence, characterized by increased exploration, risk-taking, and social interaction, is a critical developmental stage that may amplify social deficits caused by PAE. This study examined how PAE affects social motivation in males and females across adolescent development using a social reward task to measure preferences for social and non-social stimuli at postnatal day (P)30, P40, P50, and P70. Our results demonstrated that PAE rats exhibited higher social motivation than controls during training and progressive ratio sessions. Extinction testing showed PAE males persisted in responding to the previously social side, resisting the typical shift to a non-social preference observed in controls. Dopamine receptor analysis revealed sex- and age-specific effects. Both PAE males and females showed increased D2 receptor expression in the nucleus accumbens (NAcc) at P30 and P50. In contrast, D3 receptor expression was decreased in the NAcc of P30 PAE males. In the medial amygdala, PAE females exhibited reduced D3 expression at P40 and P70, while PAE males showed similar reductions at P30 and P50. These findings suggest that PAE disrupts development of social motivation and dopamine receptor expression, with distinct effects based on sex and developmental stage. The observed increases in D2 expression, coupled with decreases in the inhibitory D3 receptor, may contribute to the heightened social motivation in PAE rats by shifting the balance of dopamine signaling toward increased reward sensitivity and reduced behavioral inhibition.
产前酒精暴露(PAE)对认知、生理和社会发展有不利影响。青春期以探索、冒险和社会互动的增加为特征,是一个关键的发展阶段,可能会扩大PAE引起的社会缺陷。本研究考察了PAE如何影响男性和女性在青春期发展过程中的社会动机,使用社会奖励任务来测量出生后第30、40、50和70天对社会和非社会刺激的偏好。我们的研究结果表明,PAE大鼠在训练和递进比率训练中表现出比对照组更高的社会动机。灭绝测试表明,PAE雄性坚持对先前的社会性方面做出反应,抵制在对照组中观察到的向非社会性偏好的典型转变。多巴胺受体分析揭示了性别和年龄特异性的影响。PAE雄性和雌性在P30和P50时伏隔核(NAcc) D2受体表达增加。相比之下,P30 PAE雄性NAcc中D3受体表达降低。在内侧杏仁核中,PAE雌性在P40和P70处表现出D3表达的降低,而PAE雄性在P30和P50处表现出类似的降低。这些发现表明,PAE会扰乱社会动机的发展和多巴胺受体的表达,并根据性别和发育阶段产生不同的影响。观察到D2表达的增加,加上抑制性D3受体的减少,可能通过改变多巴胺信号的平衡,增加奖励敏感性和减少行为抑制,有助于PAE大鼠的社会动机增强。
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引用次数: 0
Aging anxiety and epigenetic aging in a national sample of adult women in the United States 老龄化焦虑和表观遗传衰老在美国成年女性的全国样本
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-11-21 DOI: 10.1016/j.psyneuen.2025.107704
Mariana Rodrigues , Jemar R. Bather , Adolfo G. Cuevas

Background

Aging anxiety is a multidimensional psychosocial stressor with potential implications for women’s long-term health, yet its biological embedding remains poorly understood. This study examined whether domain-specific aging anxieties are associated with accelerated epigenetic aging, using second-generation methylation-based biomarkers.

Methods

Data were drawn from 726 women participating in the Midlife in the United States (MIDUS) study. Aging anxiety was assessed across three domains: declining attractiveness, declining health, and reproductive aging. Epigenetic aging was measured using two complementary second-generation clocks: GrimAge2, which estimates cumulative biological damage and predicts mortality risk, and DunedinPACE, which captures the current pace of biological aging. Multivariable linear regression models tested associations between aging anxiety and epigenetic age acceleration, adjusting sequentially for sociodemographic factors, chronic health conditions, and health behaviors.

Results

Greater declining health anxiety was significantly associated with higher DunedinPACE z-scores (0.07 SD increase, 95 % CI: 0.01, 0.13). This association attenuated to non-significance after adjusting for health behaviors (0.02 SD increase, 95 % CI: −0.04, 0.08), which could be potential mediators on the exposure-outcome association pathway. Higher cumulative aging anxiety was significantly associated with a 0.07 SD increase (95 % CI: 0.01, 0.14) in DunedinPACE, but this association attenuated to non-significance after adjusting for chronic health conditions (0.06 SD increase, 95 % CI: −0.01, 0.13) and health behaviors (0.03 SD increase, 95 % CI: −0.03, 0.08).

Conclusion

Findings indicate that specific domains of aging anxiety, particularly fears about declining health, may manifest biologically and contribute to accelerated aging processes. These results support a biopsychosocial model in which subjective experiences of aging contribute to physiological decline. Future longitudinal studies are needed to clarify whether aging-related anxiety influences epigenetic aging trajectories among women.
衰老焦虑是一种多维度的社会心理压力源,对女性的长期健康有潜在影响,但其生物学内涵仍知之甚少。本研究使用第二代甲基化生物标志物研究了特定领域的衰老焦虑是否与加速的表观遗传衰老有关。方法数据来自参与美国中年研究(MIDUS)的726名女性。衰老焦虑在三个方面进行了评估:吸引力下降、健康状况下降和生殖衰老。表观遗传衰老是用两个互补的第二代时钟来测量的:GrimAge2,它估计累积的生物损伤并预测死亡风险,DunedinPACE,它捕捉生物衰老的当前速度。多变量线性回归模型检验了衰老焦虑与表观遗传年龄加速之间的关系,并对社会人口因素、慢性健康状况和健康行为进行了顺序调整。结果健康焦虑下降程度越高,DunedinPACE z-score越高(0.07 SD增加,95 % CI: 0.01, 0.13)。在调整健康行为后,这种关联减弱为不显著(0.02 SD增加,95 % CI: - 0.04, 0.08),这可能是暴露-结果关联途径的潜在中介。在DunedinPACE中,较高的累积衰老焦虑与0.07 SD增加(95 % CI: 0.01, 0.14)显著相关,但在调整了慢性健康状况(0.06 SD增加,95 % CI: - 0.01, 0.13)和健康行为(0.03 SD增加,95 % CI: - 0.03, 0.08)后,这种关联减弱至无显著性。结论研究结果表明,衰老焦虑的特定领域,特别是对健康状况下降的恐惧,可能在生物学上表现出来,并有助于加速衰老过程。这些结果支持了一种生物心理社会模型,即衰老的主观经历有助于生理衰退。未来的纵向研究需要澄清衰老相关的焦虑是否会影响女性的表观遗传衰老轨迹。
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引用次数: 0
The mediating role of loneliness between psychosocial and physiological well-being in older adults 孤独在老年人心理社会和生理健康之间的中介作用
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-11-20 DOI: 10.1016/j.psyneuen.2025.107706
Rainbow Tin Hung Ho , Temmy Lee Ting Lo , Ted Chun Tat Fong , Da Jiang , Jojo Yan Yan Kwok , Dannii Yuen-lan Yeung , Namkee G. Choi , Lisa M. Warner , Kee Lee Chou

Background

Loneliness is a risk factor for mental but also physical health concerns in older adults. This study aimed to examine the temporal associations among social relationships, mindfulness, and physiological functioning and the potential mediating role of loneliness.

Methods

The present study recruited 141 older adults experiencing loneliness (Mage = 64.1 years, 76 % female) during the COVID-19 pandemic in Hong Kong. Participants completed a questionnaire that assessed loneliness, social network, perceived social support, and mindfulness, and provided six saliva samples for cortisol and C-reactive protein (CRP) over two days at baseline (T0) and 6-month follow-up (T1). Path analysis was conducted to examine the associations of changes in psychosocial and physiological variables via change in loneliness.

Results

The participants showed small to moderate increases in perceived social support and mindfulness and small to moderate decreases in loneliness and pre-lunch cortisol. Greater improvements in social relationships were significantly associated with changes toward steeper diurnal cortisol slopes, indicating a healthier cortisol pattern. Greater improvements in mindfulness and social relationships were indirectly associated with greater reductions in CRP via a decrease in loneliness.

Conclusions

The present findings provided empirical support for temporal associations between social relationships, mindfulness, and physiological markers, with loneliness acting as a mediator, in older adults. The results suggest that interventions targeting loneliness, while promoting social engagement and mindfulness, could improve both psychosocial and physiological well-being in this population.
孤独是老年人心理和身体健康问题的一个风险因素。本研究旨在探讨社会关系、正念和生理功能之间的时间关联以及孤独的潜在中介作用。方法本研究在香港招募了141名在COVID-19大流行期间感到孤独的老年人(年龄为64.1岁,76% %为女性)。参与者完成了一份评估孤独感、社会网络、感知社会支持和正力的问卷,并在基线(T0)和6个月随访(T1)期间提供了6份唾液样本,用于检测皮质醇和c反应蛋白(CRP)。通径分析通过孤独感的变化来检验心理社会和生理变量变化的关联。结果:参与者在感知社会支持和正念方面表现出小到中度的增加,孤独感和午餐前皮质醇的下降也表现出小到中度的下降。社会关系的更大改善与皮质醇日斜率更陡的变化显著相关,表明皮质醇模式更健康。正念和社会关系的更大改善通过孤独感的减少与CRP的更大降低间接相关。结论社会关系、正念和生理标记之间存在时间关联,孤独在老年人中起中介作用。结果表明,针对孤独的干预措施,同时促进社会参与和正念,可以改善这一人群的心理社会和生理健康。
{"title":"The mediating role of loneliness between psychosocial and physiological well-being in older adults","authors":"Rainbow Tin Hung Ho ,&nbsp;Temmy Lee Ting Lo ,&nbsp;Ted Chun Tat Fong ,&nbsp;Da Jiang ,&nbsp;Jojo Yan Yan Kwok ,&nbsp;Dannii Yuen-lan Yeung ,&nbsp;Namkee G. Choi ,&nbsp;Lisa M. Warner ,&nbsp;Kee Lee Chou","doi":"10.1016/j.psyneuen.2025.107706","DOIUrl":"10.1016/j.psyneuen.2025.107706","url":null,"abstract":"<div><h3>Background</h3><div>Loneliness is a risk factor for mental but also physical health concerns in older adults. This study aimed to examine the temporal associations among social relationships, mindfulness, and physiological functioning and the potential mediating role of loneliness.</div></div><div><h3>Methods</h3><div>The present study recruited 141 older adults experiencing loneliness (M<sub>age</sub> = 64.1 years, 76 % female) during the COVID-19 pandemic in Hong Kong. Participants completed a questionnaire that assessed loneliness, social network, perceived social support, and mindfulness, and provided six saliva samples for cortisol and C-reactive protein (CRP) over two days at baseline (T0) and 6-month follow-up (T1). Path analysis was conducted to examine the associations of changes in psychosocial and physiological variables via change in loneliness.</div></div><div><h3>Results</h3><div>The participants showed small to moderate increases in perceived social support and mindfulness and small to moderate decreases in loneliness and pre-lunch cortisol. Greater improvements in social relationships were significantly associated with changes toward steeper diurnal cortisol slopes, indicating a healthier cortisol pattern. Greater improvements in mindfulness and social relationships were indirectly associated with greater reductions in CRP via a decrease in loneliness.</div></div><div><h3>Conclusions</h3><div>The present findings provided empirical support for temporal associations between social relationships, mindfulness, and physiological markers, with loneliness acting as a mediator, in older adults. The results suggest that interventions targeting loneliness, while promoting social engagement and mindfulness, could improve both psychosocial and physiological well-being in this population.</div></div>","PeriodicalId":20836,"journal":{"name":"Psychoneuroendocrinology","volume":"184 ","pages":"Article 107706"},"PeriodicalIF":3.6,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145577723","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
Superwoman schema, motherhood status, and subclinical atherosclerosis among African American women 非裔美国女性的女超人图式、母性地位与亚临床动脉粥样硬化
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-11-17 DOI: 10.1016/j.psyneuen.2025.107696
Lori S. Hoggard , Te-ojah J. Dennison-Morgan , Jordan Parker , Raphiel J. Murden , Zachary T. Martin , Jelaina Shipman-Lacewell , Christy L. Erving , Nicole D. Fields , Shivika Udaipuria , Reneé H. Moore , Viola Vaccarino , Arshed A. Quyyumi , Mindy L. Coccari , Tené T. Lewis

Background

Cardiovascular disease (CVD) is the leading cause of death among women in the United States, with African American women facing markedly higher rates of CVD-related morbidity and mortality than women of other racial/ethnic backgrounds. African American women’s heightened risk for CVD has been linked to their disproportionate exposure to social stressors. In the present study, we examine how Superwoman Schema (SWS) is related to carotid intima media thickness (IMT) among African American women, as well as the moderating role of motherhood status.

Methods

Data are from the Mechanisms Underlying the Impact of Stress and Emotions (MUSE) on African American Women’s Health Study, a cohort of 422 African American women residing in the greater Atlanta metropolitan area. The women completed demographic questions (e.g., motherhood status) and psychosocial assessments, including the 35-item SWS scale. IMT scans were also performed during the visit.

Results

After adjustment for sociodemographic (e.g., age) and CVD risk (e.g., systolic blood pressure) factors, the results revealed that Resistance to Vulnerability was associated with lower IMT among non-mothers.

Conclusions

The results indicate that African American women’s culturally rooted tendency to embody strength, independence, self-reliance, ambition, and care for others may serve as a compensatory mechanism influencing CVD risk, with the associations varying by motherhood status.
背景:心血管疾病(CVD)是美国妇女死亡的主要原因,非裔美国妇女与心血管疾病相关的发病率和死亡率明显高于其他种族/民族背景的妇女。非裔美国妇女患心血管疾病的风险增加与她们过度暴露于社会压力源有关。在本研究中,我们研究了女超人图式(Superwoman Schema, SWS)与非裔美国女性颈动脉内膜中膜厚度(IMT)的关系,以及母性地位的调节作用。方法:数据来自压力和情绪对非裔美国妇女健康影响的机制研究,该研究对422名居住在大亚特兰大市区的非裔美国妇女进行了队列研究。这些妇女完成了人口统计问题(例如,母性状况)和社会心理评估,包括35项SWS量表。在访问期间也进行了IMT扫描。结果:在调整了社会人口统计学(如年龄)和心血管疾病风险(如收缩压)因素后,结果显示,非母亲的抗脆弱性与较低的IMT有关。结论:研究结果表明,非裔美国女性的力量、独立、自立、野心和关爱他人的文化根源倾向可能是影响心血管疾病风险的代偿机制,其相关性因母亲身份而异。
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引用次数: 0
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Psychoneuroendocrinology
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