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Oxytocin in autism: Rethinking treatment and research through a neurodivergent perspective 自闭症患者的催产素:从神经变异的角度重新思考治疗和研究。
IF 3.4 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-19 DOI: 10.1016/j.psyneuen.2024.107220
Jenny Mai Phan, Patrick Dwyer, Mahmoud Medhat Elsherif, Emily Friedel, Steven K. Kapp
This perspective piece addresses critical challenges in oxytocin-based interventions for autism, drawing on neurodivergent perspectives to highlight key issues in research relevance and inclusivity. Although oxytocin has been posited to modulate social and routinized behaviors in autistic individuals, empirical findings on its efficacy remain inconsistent. We argue that these behavioral targets may reflect neurotypical biases, often disregarding autistic individuals' perspectives, thereby limiting intervention acceptability and efficacy. Past research has frequently excluded marginalized autistic populations, including individuals with intellectual disabilities or gender-diverse identities, exacerbating generalizability issues. This piece advocates for a reorientation of research objectives in autism, proposing a shift from modifying core autistic behaviors towards enhancing quality of life through participatory research. By integrating autistic perspectives into study design and outcome selection, researchers move away from deficit-oriented frameworks and instead prioritize socially valid outcomes, such as reducing anxiety and improving adaptive functioning. Further, the perspective piece critiques the reliance on animal models, which often lack translational validity due to autism's complex social and communicative dimensions. In closing, we underscore the importance of inclusive, reproducible autism research practices that align with the lived experiences and priorities of autistic individuals. Embracing participatory research, alongside rigorous methodological adjustments, can foster advancements that effectively support the well-being of the autistic community.
本视角文章探讨了基于催产素的自闭症干预措施所面临的关键挑战,从神经变异的角度强调了研究相关性和包容性方面的关键问题。尽管催产素被认为可以调节自闭症患者的社交行为和常规行为,但有关其疗效的实证研究结果仍不一致。我们认为,这些行为目标可能反映了神经典型的偏见,往往忽视了自闭症患者的观点,从而限制了干预的可接受性和有效性。过去的研究经常将边缘化的自闭症人群排除在外,包括智障人士或具有不同性别身份的人,这加剧了可推广性问题。本文主张调整自闭症研究目标,建议通过参与式研究,从改变自闭症核心行为转向提高生活质量。通过将自闭症视角纳入研究设计和结果选择,研究人员将摆脱以缺陷为导向的框架,转而优先考虑社会有效的结果,如减少焦虑和改善适应功能。此外,该视角文章还批评了对动物模型的依赖,由于自闭症复杂的社交和沟通层面,动物模型往往缺乏转化的有效性。最后,我们强调包容性、可复制性自闭症研究实践的重要性,这些实践应与自闭症患者的生活经历和优先事项相一致。接受参与式研究,同时进行严格的方法调整,可以促进有效支持自闭症群体福祉的进步。
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引用次数: 0
Contextual memory bias in emotional events: Neurobiological correlates and depression risk 情绪事件中的情境记忆偏差:神经生物学相关性与抑郁风险。
IF 3.4 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-19 DOI: 10.1016/j.psyneuen.2024.107218
Yuko Hakamata , Shinya Mizukami , Shuhei Izawa , Hiroaki Hori , Mie Matsui , Yoshiya Moriguchi , Takashi Hanakawa , Yusuke Inoue , Hirokuni Tagaya
<div><h3>Background</h3><div>Contextual memory loss of emotional events plays a critical role in depression psychopathology. Individuals with depression, clinical or subclinical, exhibit enhanced and impaired memory for emotionally negative stimuli and context in an event, respectively. This suggests that contextual encoding may fail because of attentional interference caused by concurrent negative stimuli, possibly leading to contextual memory loss as a depression risk. Amygdala–prefrontal connectivity and cortisol may underlie the mechanism; however, the relationships remain unknown.</div></div><div><h3>Methods</h3><div>One hundred twenty participants, including 34 with subclinical depression, underwent behavioral tasks, functional magnetic resonance imaging (fMRI) scans, and saliva collection. Encoding and 24 h later recollection performance of visuoperceptual/spatial/temporal context in a series of events, where fearful (vs. neutral) faces appeared, were measured via contextual memory tasks. Overgeneral autobiographical memory (OGM), a more remote form of contextual memory loss, was also assessed via the Autobiographical Memory Test. Amygdala connectivity was measured by fMRI during attentional interference by fearful (vs. neutral) faces to differentiate selective attention from encoding. Basal cortisol levels were assayed through saliva collected at encoding during the visit day and across 2 consecutive days in the following week (12 time points in total). We explored whether contextual memory encoding failure would explain depressive symptoms through OGM under possible moderation of amygdala connectivity and cortisol.</div></div><div><h3>Results</h3><div>In individuals with subclinical depression compared to those without, fearful faces disturbed memory encoding of the visuoperceptual context rather than 24 h later recollection, while neutral faces in their temporal proximity contrastingly augmented it. The more the contextual memory encoding bias (fearful vs. neutral) intensified, the more the amygdala’s functional connectivity with the ventromedial prefrontal cortex (vmPFC) weakened. Higher total cortisol output tended to be correlated with poorer 24-h later recollection of the temporal context. Moderated mediation effects of the amygdala-vmPFC connectivity and cortisol were not significant; however, contextual encoding bias explained depressive symptoms through negatively valenced OGM.</div></div><div><h3>Conclusions</h3><div>Negative stimuli appearing in an event might impair memory encoding of the visuoperceptual context under attentional interference, represented as weakened amygdala-vmPFC connectivity implicated in emotion-related attentional dysregulation. Conversely, negative stimuli might enhance temporally proximal visuoperceptual encoding after their disappearance. Contextual encoding bias could explain the overgeneralization (or lower coherence) of autobiographical memory and increase the risk of depression. The possible role o
背景情绪事件的情境记忆缺失在抑郁症精神病理学中起着至关重要的作用。无论是临床抑郁症患者还是亚临床抑郁症患者,他们对情绪负面刺激和事件情境的记忆分别表现出增强和减弱。这表明,情境编码可能会因为同时出现的负面刺激造成的注意力干扰而失效,从而可能导致情境记忆丧失,成为抑郁症的一种风险。杏仁核-前额叶连通性和皮质醇可能是这一机制的基础;然而,其中的关系仍然未知:120名参与者(包括34名亚临床抑郁症患者)接受了行为任务、功能磁共振成像(fMRI)扫描和唾液采集。通过情境记忆任务测量了一系列事件中出现的恐惧(与中性)面孔的视觉感知/空间/时间情境的编码和24小时后的回忆表现。此外,还通过自传体记忆测试对自传体记忆过度(OGM)进行了评估,自传体记忆过度是自传体记忆缺失的一种较远的形式。在注意力受到恐惧(与中性)面孔干扰时,通过 fMRI 测量杏仁核连通性,以区分选择性注意和编码。基础皮质醇水平是通过在访问日编码时和随后一周连续两天(共 12 个时间点)收集的唾液进行测定的。我们探讨了在杏仁核连通性和皮质醇的可能调节下,情境记忆编码失败是否能通过 OGM 解释抑郁症状:亚临床抑郁症患者与非亚临床抑郁症患者相比,恐惧面孔会干扰视知觉情境记忆编码,而不是 24 小时后的回忆,而与其时间相近的中性面孔则会增强视知觉情境记忆编码。上下文记忆编码偏差(恐惧与中性)越大,杏仁核与腹外侧前额叶皮层(vmPFC)的功能连接就越弱。较高的皮质醇总输出量往往与较差的 24 小时后时间背景回忆相关。杏仁核-前额叶皮质连通性和皮质醇的调节中介效应并不显著;然而,情境编码偏差通过负向情感的OGM解释了抑郁症状:结论:事件中出现的负面刺激可能会在注意干扰下损害视觉感知上下文的记忆编码,表现为杏仁核-大脑前区连通性减弱,这与情绪相关的注意失调有关。相反,负面刺激可能会在其消失后增强时间上临近的视知觉编码。情境编码偏差可以解释自传体记忆的过度泛化(或一致性降低),并增加抑郁的风险。皮质醇在随着时间的推移回忆情绪事件的情境中可能扮演的角色值得进一步研究。
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引用次数: 0
Stress responses of infants and mothers to a still-face paradigm after traumatic childbirth 创伤性分娩后婴儿和母亲对静止面部范例的应激反应。
IF 3.4 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-16 DOI: 10.1016/j.psyneuen.2024.107222
Nadine Messerli-Bürgy , Vania Sandoz , Camille Deforge , Alain Lacroix , Nicole Sekarski , Antje Horsch

Introduction

One-third of women experience childbirth as traumatic and some develop symptoms of childbirth-related posttraumatic stress symptoms (CB-PTSD symptoms). Whether CB-PTSD symptoms negatively impact on physiological and psychological stress responses in mothers and their offspring and whether they are associated with mother-infant synchrony is not clear. This study aimed to investigate stress responses of (1) mothers with CB-PTSS, (2) of their infant, and (3) the physiological mother-child-synchrony at six months postpartum.

Method

Psychophysiological (cortisol and vagal tone) and psychological stress responses of mothers and infant’s (n=31 dyads) from the Swiss TrAumatic biRth Trial (NCT03576586) were assessed during a face-to-face still-face paradigm (FFSF-R).

Results

There was a significant time effect in maternal stress responses for salivary cortisol, vagal tone, and for maternal subjective stress. As expected, mothers’ subjective stress increased during the stress task and mothers vagal tone changed during the first stressful period but not during the second, whereas cortisol unexpectedly decreased over the FFSF-R. Infant negative mood increased over the experiment, but there were no physiological changes. However, a significant interaction effect for mother-infant synchrony during the second reunion period of the FFSF-R was found.

Conclusion

Although mothers and their infants were subjectively stressed, they showed only limited physiological stress responses.
导言:三分之一的妇女在分娩时会受到创伤,有些妇女会出现与分娩相关的创伤后应激症状(CB-PTSD 症状)。CB-创伤后应激障碍症状是否会对母亲及其后代的生理和心理应激反应产生负面影响,以及这些症状是否与母婴同步相关,目前尚不清楚。本研究旨在调查(1)CB-PTSD 母亲的应激反应;(2)婴儿的应激反应;以及(3)产后 6 个月母婴生理同步性:方法:在面对面静止范式(FFSF-R)中评估瑞士TrAumatic biRth试验(NCT03576586)中母亲和婴儿(31对)的心理生理(皮质醇和迷走神经张力)和心理应激反应:在唾液皮质醇、迷走神经张力和母亲主观压力方面,母亲的压力反应存在明显的时间效应。正如预期的那样,母亲的主观压力在压力任务期间增加了,母亲的迷走神经张力在第一个压力期发生了变化,但在第二个压力期没有变化,而皮质醇在 FFSF-R 期间出乎意料地减少了。婴儿的负面情绪在实验过程中有所增加,但生理上没有变化。然而,在FFSF-R的第二个重聚期,发现母婴同步性有明显的交互效应:结论:虽然母亲和婴儿主观上感到压力,但他们仅表现出有限的生理压力反应。
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引用次数: 0
Lymphocyte-derived and lipoprotein-derived inflammatory ratios as biomarkers in bipolar disorder type I: Characteristics, predictive values, and influence of current psychopharmacological treatments 作为双相情感障碍 I 型生物标志物的淋巴细胞衍生炎症比率和脂蛋白衍生炎症比率:特征、预测价值以及当前精神药物治疗的影响。
IF 3.4 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-15 DOI: 10.1016/j.psyneuen.2024.107209
Lourdes Villegas García , Esther Patró , Juan David Barbero , Enrique Esteve-Valverde , Diego J. Palao , Virginia Soria , Javier Labad , Jesús Cobo

Purpose of this research

The purpose of this research was to investigate peripheral inflammation by analyzing lymphocyte and lipoprotein-derived inflammatory ratios in patients with bipolar disorder type I (BD-I) and healthy controls (HCs), considering mood stabilizer drug treatments, sex and clinical trajectories.

Methods

This was a cross-sectional case-control study of BD-I patients (n=252) and healthy controls (n=62). We investigated peripheral inflammation biomarkers through blood count values (CBCs), lipoproteins and a complex panel of inflammatory ratios, including the neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), platelet-to-lymphocyte ratio (PLR), systemic immune-inflammation index (SII), systemic inflammation response index (SIRI), neutrophil-to-HDL ratio (NHR), monocyte-to-HDL ratio (MHR), platelet-to-HDL ratio (PHR) and lymphocyte-to-HDL ratio (LHR). Furthermore, we examined the effects of sex, drug treatment and clinical outcome on the inflammatory profile.

Results

We found that the monocyte-to-lymphocyte ratio (MLR) and lipoprotein-derived inflammatory ratio (NHR, MHR, PHR, and LHR) were significantly greater in BD-I patients than in control individuals. The monocyte-to-HDL ratio (MHR) showed acceptable accuracy as a disease predictor. Logistic regression analysis adjusted for sex, age and BMI indicated that the risk of having a BD-I diagnosis was greater for participants with MHR levels in quartiles 3 (OR= 5.2, p=0.001) and 4 (OR=13, p<0.001). There was a strong association between lithium treatment and increased inflammation represented by elevated lymphocyte-derived inflammatory ratios (NLR, MLR, PLR, SII, and SIRI) in lithium-treated BD-I patients compared to those in lithium-free or lithium treatment-naïve BD-I patients. The main limitations are the cross-sectional nature of the study and limited sample size of HCs.

Major conclusions

Several CBCs, lipoproteins, and a complex panel of inflammatory ratios, including lymphocyte-derived inflammatory ratios (NLR, MLR, PLR, SII, and SIRI) and lipoprotein-derived inflammatory ratios (NHR, MHR, PHR, and LHR), are altered in individuals diagnosed with BD-I. The monocyte-to-HDL ratio (MHR) emerged as a disease predictor in our BD-I sample. A remarkable finding is the association of lithium and valproate treatment with the inflammatory state. Considering the study limitations, our results underscore the importance of pharmacological treatments when researching inflammation markers in mood disorders. Lymphocyte-derived and lipoprotein-derived inflammatory ratios are easy-to-implement and relevant biomarkers in BD-I patients.
研究目的本研究的目的是通过分析双相情感障碍 I 型(BD-I)患者和健康对照组(HCs)的淋巴细胞和脂蛋白衍生炎症比率来研究外周炎症,同时考虑情绪稳定剂治疗、性别和临床轨迹:这是一项横断面病例对照研究,研究对象为双相情感障碍 I 型患者(252 人)和健康对照组(62 人)。中性粒细胞与高密度脂蛋白的比率(NLR)、单核细胞与淋巴细胞的比率(MLR)、血小板与淋巴细胞的比率(PLR)、全身免疫炎症指数(SII)、全身炎症反应指数(SIRI)、中性粒细胞与高密度脂蛋白的比率(NHR)、单核细胞与高密度脂蛋白的比率(MHR)、血小板与高密度脂蛋白的比率(PHR)和淋巴细胞与高密度脂蛋白的比率(LHR)。此外,我们还研究了性别、药物治疗和临床结果对炎症特征的影响:结果:我们发现,BD-I 患者的单核细胞与淋巴细胞比率(MLR)和脂蛋白衍生炎症比率(NHR、MHR、PHR 和 LHR)明显高于对照组。单核细胞与高密度脂蛋白比率(MHR)作为疾病预测指标的准确性尚可接受。对性别、年龄和体重指数进行调整后的逻辑回归分析表明,MHR 水平在四分位数 3(OR=5.2,p=0.001)和 4(OR=13,p)的参与者被诊断为 BD-I 的风险更大:在被诊断为 BD-I 的患者中,一些全血细胞计数、脂蛋白和一系列复杂的炎症比率,包括淋巴细胞衍生炎症比率(NLR、MLR、PLR、SII 和 SIRI)和脂蛋白衍生炎症比率(NHR、MHR、PHR 和 LHR)都发生了改变。在我们的 BD-I 样本中,单核细胞与高密度脂蛋白的比率(MHR)成为疾病的预测因子。一个值得注意的发现是,锂和丙戊酸钠治疗与炎症状态有关。考虑到研究的局限性,我们的研究结果强调了在研究情绪障碍的炎症标志物时药物治疗的重要性。淋巴细胞衍生炎症比率和脂蛋白衍生炎症比率是 BD-I 患者易于实施且相关的生物标记物。
{"title":"Lymphocyte-derived and lipoprotein-derived inflammatory ratios as biomarkers in bipolar disorder type I: Characteristics, predictive values, and influence of current psychopharmacological treatments","authors":"Lourdes Villegas García ,&nbsp;Esther Patró ,&nbsp;Juan David Barbero ,&nbsp;Enrique Esteve-Valverde ,&nbsp;Diego J. Palao ,&nbsp;Virginia Soria ,&nbsp;Javier Labad ,&nbsp;Jesús Cobo","doi":"10.1016/j.psyneuen.2024.107209","DOIUrl":"10.1016/j.psyneuen.2024.107209","url":null,"abstract":"<div><h3>Purpose of this research</h3><div>The purpose of this research was to investigate peripheral inflammation by analyzing lymphocyte and lipoprotein-derived inflammatory ratios in patients with bipolar disorder type I (BD-I) and healthy controls (HCs), considering mood stabilizer drug treatments, sex and clinical trajectories.</div></div><div><h3>Methods</h3><div>This was a cross-sectional case-control study of BD-I patients (n=252) and healthy controls (n=62). We investigated peripheral inflammation biomarkers through blood count values (CBCs), lipoproteins and a complex panel of inflammatory ratios, including the neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), platelet-to-lymphocyte ratio (PLR), systemic immune-inflammation index (SII), systemic inflammation response index (SIRI), neutrophil-to-HDL ratio (NHR), monocyte-to-HDL ratio (MHR), platelet-to-HDL ratio (PHR) and lymphocyte-to-HDL ratio (LHR). Furthermore, we examined the effects of sex, drug treatment and clinical outcome on the inflammatory profile.</div></div><div><h3>Results</h3><div>We found that the monocyte-to-lymphocyte ratio (MLR) and lipoprotein-derived inflammatory ratio (NHR, MHR, PHR, and LHR) were significantly greater in BD-I patients than in control individuals. The monocyte-to-HDL ratio (MHR) showed acceptable accuracy as a disease predictor. Logistic regression analysis adjusted for sex, age and BMI indicated that the risk of having a BD-I diagnosis was greater for participants with MHR levels in quartiles 3 (OR= 5.2, p=0.001) and 4 (OR=13, p&lt;0.001). There was a strong association between lithium treatment and increased inflammation represented by elevated lymphocyte-derived inflammatory ratios (NLR, MLR, PLR, SII, and SIRI) in lithium-treated BD-I patients compared to those in lithium-free or lithium treatment-naïve BD-I patients. The main limitations are the cross-sectional nature of the study and limited sample size of HCs.</div></div><div><h3>Major conclusions</h3><div>Several CBCs, lipoproteins, and a complex panel of inflammatory ratios, including lymphocyte-derived inflammatory ratios (NLR, MLR, PLR, SII, and SIRI) and lipoprotein-derived inflammatory ratios (NHR, MHR, PHR, and LHR), are altered in individuals diagnosed with BD-I. The monocyte-to-HDL ratio (MHR) emerged as a disease predictor in our BD-I sample. A remarkable finding is the association of lithium and valproate treatment with the inflammatory state. Considering the study limitations, our results underscore the importance of pharmacological treatments when researching inflammation markers in mood disorders. Lymphocyte-derived and lipoprotein-derived inflammatory ratios are easy-to-implement and relevant biomarkers in BD-I patients.</div></div>","PeriodicalId":20836,"journal":{"name":"Psychoneuroendocrinology","volume":"171 ","pages":"Article 107209"},"PeriodicalIF":3.4,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142506747","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
Growth Differentiation Factor 15 during pregnancy and postpartum as captured in blood, cerebrospinal fluid and placenta: A cohort study on associations with maternal mental health 从血液、脑脊液和胎盘中捕获的孕期和产后生长分化因子 15:与产妇心理健康关系的队列研究
IF 3.4 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-11 DOI: 10.1016/j.psyneuen.2024.107212
Stinne Høgh , Camilla Borgsted , Hanne K. Hegaard , Kristina M. Renault , Kim Ekelund , Silvia EP Bruzzone , Christoffer Clemmensen , Anders B. Klein , Vibe G. Frokjaer

Introduction

Growth Differentiation Factor 15 (GDF15) increases substantially during pregnancy and is primarily produced by the placenta. Elevated levels of GDF15 have been associated with mental health problems in non-perinatal populations, higher corticosterone levels, and decreased estrogen receptor activity. However, the role of GDF15 in mental health during the perinatal transition remains unknown. This longitudinal study is the first to evaluate pregnancy levels of GDF15 in cerebrospinal fluid (cGDF15), plasma (pGDF15) and placenta GDF15 mRNA, along with mapping plasma GDF15 (pGDF15) level changes from late pregnancy to early postpartum. Moreover, we aimed to evaluate the association between pregnancy cGDF15 levels and cortisol early postpartum, evaluate the association between pregnancy cGDF15 levels and mental health in pregnancy and postpartum, and evaluate the association between pGDF15 and estrogens and high-sensitivity C-reactive protein (CRP).

Methods

We included data from 95 women scheduled for a planned cesarean section and obtained cerebrospinal fluid (CSF) and plasma levels of GDF15. We quantified GDF15 mRNA levels in placenta biopsies. Estrogens, high-sensitivity CRP, and mental health measures were further collected on the day or one day before the cesarean section. At five weeks postpartum, mental health measures and saliva samples for cortisol analyses were collected. Correlation analyses for GDF15 in CSF, plasma, and placenta mRNA were performed, along with association analyses for pregnancy cGDF15, Cortisol Awakening Response, and mental health outcomes.

Results

We demonstrated a strong correlation between cGDF15 and pGDF15 (r=0.52; p<0.001) and found that both cGDF15 and pGDF15 correlated with placenta GDF15 mRNA*placental weight (r=0.62, p<0.001 and r=0.44, p=0.008, respectively). During late pregnancy, both estradiol (E2) and estriol (E3) were significantly associated with pGDF15 levels (E2: p=0.002; E3: p(corrected)<0.001). Finally, we found that cGDF15 levels were not associated with self-reported mental well-being or the Cortisol Awakening Response or absolute cortisol at awakening postpartum.

Conclusion

This novel study points to the unique hormonal landscape during the perinatal transition and the specific role of GDF15 in pregnancy, which appears uncoupled with perinatal mental health and cortisol outcomes. Our data also strongly imply that the overall amount of circulating GDF15 in late pregnancy is closely related to placenta size.
引言 生长分化因子 15(GDF15)在怀孕期间会大幅增加,主要由胎盘产生。在非围产期人群中,GDF15水平升高与精神健康问题、皮质酮水平升高和雌激素受体活性降低有关。然而,GDF15 在围产期心理健康中的作用仍然未知。这项纵向研究首次评估了妊娠期脑脊液(cGDF15)、血浆(pGDF15)和胎盘GDF15 mRNA中的GDF15水平,并绘制了从妊娠晚期到产后早期血浆GDF15(pGDF15)水平的变化图。此外,我们还旨在评估妊娠期 cGDF15 水平与产后早期皮质醇之间的关联,评估妊娠期 cGDF15 水平与妊娠期和产后心理健康之间的关联,评估 pGDF15 与雌激素和高敏 C 反应蛋白(CRP)之间的关联。我们对胎盘活检组织中的 GDF15 mRNA 水平进行了量化。我们在剖腹产当天或前一天进一步收集了雌激素、高敏CRP和心理健康指标。产后五周时,收集心理健康指标和用于皮质醇分析的唾液样本。对 CSF、血浆和胎盘 mRNA 中的 GDF15 进行了相关性分析,并对妊娠 cGDF15、皮质醇觉醒反应和心理健康结果进行了关联分析。结果我们发现cGDF15和pGDF15之间有很强的相关性(r=0.52;p<0.001),并发现cGDF15和pGDF15都与胎盘GDF15 mRNA*胎盘重量相关(分别为r=0.62,p<0.001和r=0.44,p=0.008)。在妊娠晚期,雌二醇(E2)和雌三醇(E3)均与 pGDF15 水平显著相关(E2:p=0.002;E3:p(校正)<0.001)。最后,我们发现 cGDF15 水平与自我报告的精神健康状况、皮质醇觉醒反应或产后觉醒时的绝对皮质醇无关。我们的数据还强烈暗示,妊娠晚期循环中 GDF15 的总量与胎盘大小密切相关。
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引用次数: 0
TSST-OL: Comparison between online and laboratory application and effects on empathy TSST-OL:在线应用与实验室应用的比较以及对移情的影响。
IF 3.4 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-11 DOI: 10.1016/j.psyneuen.2024.107211
Katrin Heyers , Lena Sophie Pfeifer , Christian J. Merz , Ursula Stockhorst , Onur Güntürkün , Oliver T. Wolf , Sebastian Ocklenburg
Online test protocols are increasingly popular in psychological and neuroscientific research. Despite its relevance to the social functioning, the influence of acute stress on cognitive and affective state empathy is not clearly understood. Recently, a remote online version (TSST-OL) of the Trier Social Stress Test (TSST) was established for use in research with both children and adults. In general, the TSST-OL offers the opportunity for context-independent application (e.g., at the participants’ home or in field contexts). However, in order to exploit this opportunity, it seems crucial to validate the TSST-OL across different settings and contextual variables. We compared stress reactivity in response to the TSST-OL at home and in the laboratory. In a 2 ×2 factorial design, N=120 participants (n=60 women) underwent the TSST-OL and an online adaption of the friendly TSST (fTSST-OL) either at home (n=60) or at the laboratory (n=60). Stress induction was evaluated in terms of physiological (cortisol and salivary alpha-amylase, sAA) and subjective stress and affect measures. Participants also completed an empathy performance task after stress and control exposure. Results confirmed that the TSST-OL successfully induced stress both when conducted at participants’ homes and in the laboratory. Still, cortisol levels were higher during laboratory participation compared to application at home, likely due to anticipatory stress. Consequently, the TSST-OL in a home-based application seems to buffer anticipatory stress thus making it an attractive tool to study experimentally induced stress reactivity. Concerning empathy, positive emotions were generally better identified (cognitive empathy) and empathized (affective empathy) than negative emotions. For the latter, this difference was absent after stress, indicated by decreased affective empathy for positive emotions. Overall, this study indicates that the TSST-OL induces stress and validates the tool using a rigorous study design with sufficient participants and relevant stress parameters. Thus, future studies may apply the TSST-OL in different contexts and diverse samples. The findings on empathy under stress align with mixed results in existing research, highlighting the necessity for further investigations into empathy, considering various measurements, stimulus valence, and sex of the participant.
在线测试协议在心理学和神经科学研究中越来越受欢迎。尽管与社会功能相关,但人们对急性压力对认知和情感状态移情的影响并不清楚。最近,特里尔社交压力测试(TSST)的远程在线版本(TSST-OL)被开发出来,用于儿童和成人的研究。一般来说,TSST-OL 提供了不受环境影响的应用机会(例如,在受试者家中或实地环境中)。然而,为了利用这一机会,在不同的环境和情境变量中验证 TSST-OL 似乎至关重要。我们比较了在家中和实验室中对 TSST-OL 的压力反应性。在一个 2 × 2 的因子设计中,120 名参与者(60 名女性)在家中(60 名)或实验室(60 名)接受了 TSST-OL 和友好 TSST 的在线改编版(fTSST-OL)。压力诱导通过生理(皮质醇和唾液α-淀粉酶,sAA)和主观压力及情绪测量进行评估。受试者还在压力和控制暴露后完成了移情表现任务。结果证实,无论是在参与者家中还是在实验室中,TSST-OL 都能成功诱发压力。不过,与在家中进行测试相比,在实验室参与测试时皮质醇水平更高,这可能是由于预期压力造成的。因此,在家中应用 TSST-OL 似乎可以缓冲预期压力,从而使其成为研究实验诱导压力反应性的一种有吸引力的工具。在移情方面,积极情绪的识别(认知移情)和移情(情感移情)普遍优于消极情绪。就后者而言,这种差异在压力后消失了,表现为对积极情绪的情感共鸣减少。总之,本研究表明,TSST-OL 可诱发压力,并通过严格的研究设计、充足的参与者和相关的压力参数验证了该工具的有效性。因此,未来的研究可以将 TSST-OL 应用于不同的环境和不同的样本。关于压力下移情的研究结果与现有研究中喜忧参半的结果一致,这凸显了对移情进行进一步研究的必要性,同时考虑到了各种测量方法、刺激价位和参与者的性别。
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引用次数: 0
Comparative analysis of gut microbiota in major depressive disorder and schizophrenia during hospitalisation - the case-control, post hoc study 住院期间重度抑郁症和精神分裂症患者肠道微生物群的比较分析--病例对照、事后研究
IF 3.4 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-10 DOI: 10.1016/j.psyneuen.2024.107208
Agata Misera , Mariusz Kaczmarczyk , Igor Łoniewski , Paweł Liśkiewicz , Konrad Podsiadło , Błażej Misiak , Karolina Skonieczna-Żydecka , Jerzy Samochowiec
The aim of this study was to investigate the relationship between gut microbiota and major depressive disorder (MDD) and schizophrenia (SCZ) by comparing 36 inpatients with these conditions to 29 healthy controls (HC) matched for age, sex, and body mass index (BMI). Individuals with SCZ exhibited greater microbiota richness compared to HC (FDR P(Q)=0.028). Taxonomically, while no significant differences were observed between the microbiota of MDD and SCZ patients in a head-to-head comparison, both patient groups differed significantly when compared to HC. Interestingly, besides common patterns (such as a higher abundance of Erysipelotrichaceae UCG-003 and Streptococcus, and a lower abundance of Lachnospiraceae ND3007 group), unique patterns were exhibited only in MDD (with a higher abundance of Anaerostipes, Q=0.004) or SCZ (with a higher abundance of Sutterella, Q=0.001, and a lower abundance of Clostridium sensu stricto 1, Q=0.002). The Random Forest algorithm identified Ruminococcus torques group, Lachnospiraceae UCG-001, and Erysipelotrichaceae UCG-003 as highly discriminative features for both SCZ and MDD, while Suturella and Holdemania were unique features for SZC, and Lachnospiraceae genus CAG-56 and Anaerostipes for MDD. Additionally, between 50 % and 60 % of the differentially abundant taxa were found among the top 10 influential features in the RF models. In conclusion, while no significant differences were found between the microbiota of MDD and SCZ patients, distinct microbial patterns were found in each group when compared to HC. The study did not confirm universal microbial biomarkers reported in other studies but showed that the observed differences concern the bacteria associated with inflammation, the production of short chain fatty acids (SCFA), and the synthesis of metabolites linked to mental health (lactic acid, gamma-aminobutyric acid - GABA). The application of machine learning holds promise for further understanding the complex relationship between microbiota and these psychiatric disorders. The observed results should be treated with caution due to the limitations of this study (mainly sample size), therefore further researches under standardized environmental conditions with consistent analytical and bioinformatics approaches are warranted.
本研究旨在通过比较 36 名重度抑郁症(MDD)和精神分裂症(SCZ)住院患者与 29 名年龄、性别和体重指数(BMI)匹配的健康对照组(HC),研究肠道微生物群与重度抑郁症(MDD)和精神分裂症(SCZ)之间的关系。与健康对照组相比,SCZ 患者表现出更高的微生物群丰富度(FDR P(Q)=0.028)。从分类学角度看,虽然在正面比较中未观察到 MDD 和 SCZ 患者微生物群之间存在显著差异,但与 HC 相比,两组患者的微生物群均存在显著差异。有趣的是,除了常见的模式(如Erysipelotrichaceae UCG-003和Streptococcus丰度较高,Lachnospiraceae ND3007组丰度较低)外,只有MDD(Anaerostipes丰度较高,Q=0.004)或SCZ(Sutterella丰度较高,Q=0.001,严格意义上的梭状芽孢杆菌1丰度较低,Q=0.002)表现出独特的模式。随机森林算法识别出 Ruminococcus torques 组、Lachnospiraceae UCG-001 和 Erysipelotrichaceae UCG-003 是 SCZ 和 MDD 的高度鉴别特征,而 Suturella 和 Holdemania 是 SZC 的独特特征,Lachnospiraceae 属 CAG-56 和 Anaerostipes 是 MDD 的独特特征。此外,在 RF 模型的前 10 个影响特征中,发现了 50%到 60%的差异丰度类群。总之,虽然 MDD 和 SCZ 患者的微生物群之间没有发现明显的差异,但与 HC 相比,每个组都发现了不同的微生物模式。这项研究没有证实其他研究中报道的普遍微生物生物标志物,但表明观察到的差异涉及与炎症、短链脂肪酸(SCFA)的产生以及与精神健康相关的代谢物(乳酸、γ-氨基丁酸-GABA)的合成有关的细菌。应用机器学习有望进一步了解微生物群与这些精神疾病之间的复杂关系。由于本研究的局限性(主要是样本量),应谨慎对待观察到的结果,因此有必要在标准化的环境条件下,采用一致的分析和生物信息学方法开展进一步研究。
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引用次数: 0
Measuring empathic stress – A systematic review of methodology and practical considerations for future research 测量移情压力--方法论系统回顾和未来研究的实际考虑因素
IF 3.4 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-10 DOI: 10.1016/j.psyneuen.2024.107216
Ruth Marheinecke , Jost Blasberg , Katja Heilmann , Hazel Imrie , Christiane Wesarg-Menzel , Veronika Engert
Aside from stressors that each of us experience directly, we also share the stress of the people around us. Such empathic stress exists on psychological and physiological levels, including subjective, sympathetic, parasympathetic and endocrine activation. The objective of this review is to offer an overview of methodology over the past fifteen years of empathic stress research and derive practical considerations for future research endeavors in the field. We used a keyword search strategy in the databases Web of Science, PsycInfo and PubMed to find empathic stress studies published until December 2023, and included 17 studies into our review. The reviewed laboratory studies provide initial yet consistent evidence for the existence of empathic stress across different populations, in intimate and stranger dyads, with direct and virtual contact, across multiple levels of the stress system, and based on diverse statistical analysis methods. We discuss all findings and derive practical considerations for future empathic stress research. The diversity of methods established provides a solid foundation upon which future studies can expand.
除了我们每个人直接经历的压力之外,我们还分担着周围人的压力。这种移情压力存在于心理和生理层面,包括主观、交感、副交感和内分泌激活。本综述旨在概述过去十五年来移情压力研究的方法,并为该领域未来的研究工作提供实用的参考。我们在 Web of Science、PsycInfo 和 PubMed 数据库中使用关键词搜索策略,查找截至 2023 年 12 月发表的移情应激研究,并将 17 项研究纳入综述。综述的实验室研究提供了初步但一致的证据,证明移情压力存在于不同人群、亲密和陌生人关系、直接和虚拟接触、压力系统的多个层面,并基于不同的统计分析方法。我们对所有研究结果进行了讨论,并为今后的移情压力研究提出了切实可行的建议。研究方法的多样性为今后的研究奠定了坚实的基础。
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引用次数: 0
Effects of an acute maximal exercise bout on serum insulin-like growth factor-1 in adults with MDD 急性最大运动量对 MDD 成人血清胰岛素样生长因子-1 的影响
IF 3.4 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-10 DOI: 10.1016/j.psyneuen.2024.107215
Shania Kelly , Jacob Meyer , Christiane Stielow , Stephan Heinzel , Andreas Heissel
Exercise has acute, positive effects on mood and can lead to antidepressant effects over time when repeated regularly. The mechanisms underlying the antidepressant effects of exercise training are not well known, limiting the prescription of exercise training for depression. Serum Insulin-Like Growth Factor-1 (IGF-1) appears dysregulated in those with Major Depressive Disorder (MDD), suggesting MDD could inhibit or alter the IGF-1 response to exercise. In healthy individuals, exercise has been shown to acutely increase serum IGF-1, which may act positively on the dysregulated IGF-1 system in MDD. Therefore, the purpose of this study was to examine the sensitivity of serum IGF-1 levels to an acute maximal exercise bout in adults with MDD and healthy controls. Additionally, clinical and behavioral factors of MDD are likely to affect this system, such as depression severity, antidepressant usage and physical activity habits. Baseline data were used from a larger trial in Germany (SPeED Study) collected from individuals with mild to moderate MDD (n=113) and healthy controls (n=34) that were matched for age, sex, and education. Demographics, depression severity (Hamilton Depression Rating Scale-17), self-reported antidepressant usage, MVPA (International Physical Activity Questionnaire-Short Form), and blood draws before and after a maximal exercise test were collected. Multiple linear regressions were conducted to determine relationships between depression severity, antidepressant usage, and physical activity with peripheral IGF-1 levels following acute exercise. Covariates included demographic factors and IGF-1 pre-exercise (baseline levels). Acute IGF-1 changes occurred similarly in depression (mean ± SD; 11.3 ± 12.9) as well as healthy adults (11.3 ± 20.4: p>0.05). Neither depression severity, antidepressant use, nor regular physical activity were significant predictors of peripheral IGF-1 levels at baseline or following exercise. Individuals with MDD are likely to have favorable exercise-induced IGF-1 changes regardless of clinical and behavioral differences. Acute exercise increases peripheral IGF-1 briefly, and in response to repeated exercise bouts, the IGF-1 system could normalize over time. The normalization of the IGF-1 system might be a possible mechanism underlying mood increases that occur during exercise with exercise training research warranted.
运动对情绪有急性和积极的影响,如果定期重复运动,可产生长期的抗抑郁效果。运动训练抗抑郁作用的机制尚不清楚,因此限制了运动训练治疗抑郁症的处方。重度抑郁症(MDD)患者的血清胰岛素样生长因子-1(IGF-1)似乎失调,这表明MDD可能会抑制或改变IGF-1对运动的反应。在健康人中,运动可使血清 IGF-1 急性升高,这可能会对 MDD 中失调的 IGF-1 系统产生积极作用。因此,本研究的目的是检测患有 MDD 的成人和健康对照组的血清 IGF-1 水平对急性最大运动量的敏感性。此外,多发性硬化症的临床和行为因素也可能会影响这一系统,如抑郁症的严重程度、抗抑郁药的使用和体育锻炼习惯等。基线数据来自德国的一项大型试验(SPeED 研究),收集对象为轻度至中度 MDD 患者(人数为 113 人)和健康对照组(人数为 34 人),他们的年龄、性别和教育程度相匹配。研究人员收集了人口统计学资料、抑郁症严重程度(汉密尔顿抑郁评分量表-17)、自我报告的抗抑郁药使用情况、MVPA(国际体力活动问卷-简表)以及最大运动量测试前后的抽血结果。研究人员进行了多元线性回归,以确定抑郁严重程度、抗抑郁药使用情况和体力活动与急性运动后外周 IGF-1 水平之间的关系。协变量包括人口统计学因素和运动前 IGF-1(基线水平)。抑郁症患者(平均 ± SD;11.3 ± 12.9)和健康成人(11.3 ± 20.4:p>0.05)的急性 IGF-1 变化相似。抑郁症的严重程度、抗抑郁药的使用和定期的体育锻炼都不能显著预测基线或运动后的外周 IGF-1 水平。无论临床和行为差异如何,患有多发性抑郁症的人都有可能在运动诱导下产生有利的IGF-1变化。急性运动会短暂增加外周 IGF-1,随着时间的推移,IGF-1 系统会逐渐恢复正常。IGF-1系统的正常化可能是运动时情绪升高的一个潜在机制,因此需要进行运动训练研究。
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引用次数: 0
Exposure to diesel-related particulate matter, cortisol stress responsivity, and depressive symptoms in adolescents 青少年接触柴油相关颗粒物、皮质醇应激反应性和抑郁症状
IF 3.4 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-10 DOI: 10.1016/j.psyneuen.2024.107214
Jessica P. Uy , Katy Shin , Jessica L. Buthmann , Katharina Kircanski , Joelle LeMoult , Anne E. Berens , Ian H. Gotlib
Exposure to air pollution is associated with higher risk for psychopathology; however, the mechanisms underlying this association are not clear. Dysfunction of the hypothalamic-pituitary-adrenal (HPA) axis in response to stress has been implicated in depression. Here, we estimated annual exposure to particulate matter (PM) from diesel emissions in 170 9- to 15-year-old adolescents (56 % female) using their residential addresses and data from nearby monitoring sites. We obtained salivary cortisol samples from participants while they completed a social stress task and calculated area under the curve with respect to ground (AUCg) and with respect to increase (AUCi) in order to assess cortisol responsivity during stress. Participants also reported on their depressive symptoms and sleep disturbances. Greater exposure to diesel PM was associated with lower cortisol output (AUCg) during stress, which was associated with higher depressive symptoms, particularly for adolescents with more sleep disturbances. Importantly, these effects were independent of household and neighborhood socioeconomic disadvantage and exposure to early adversity. Thus, HPA-axis dysfunction may be one mechanism through which environmental pollutants affect adolescents’ mental health.
暴露于空气污染与较高的精神病理学风险有关;然而,这种关联的机制尚不清楚。应对压力的下丘脑-垂体-肾上腺(HPA)轴功能障碍与抑郁症有关联。在此,我们利用 170 名 9-15 岁青少年(56% 为女性)的住址和附近监测点的数据,估算了他们每年暴露于柴油机排放的颗粒物(PM)的情况。我们在参与者完成一项社会压力任务时采集了他们的唾液皮质醇样本,并计算了相对于地面的曲线下面积(AUCg)和相对于上升的曲线下面积(AUCi),以评估压力期间皮质醇的反应性。参与者还报告了他们的抑郁症状和睡眠障碍。暴露于柴油机 PM 的程度越高,应激时皮质醇的输出量(AUCg)就越低,而应激时皮质醇的输出量越低,青少年的抑郁症状就越重,尤其是睡眠障碍较严重的青少年。重要的是,这些影响与家庭和社区的社会经济劣势以及早期逆境暴露无关。因此,HPA 轴功能障碍可能是环境污染物影响青少年心理健康的一种机制。
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