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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。
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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
Heterogeneous cortisol patterns during the peripartum: Insights from a longitudinal trajectory analysis 围产期的异质皮质醇模式:来自纵向轨迹分析的见解。
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-11-15 DOI: 10.1016/j.psyneuen.2025.107692
Jelena Dukic , Alexandra Johann , Mirka Henninger , Ulrike Ehlert

Background

The maternal hypothalamic-pituitary-adrenal (HPA) axis undergoes substantial physiological changes during pregnancy and postpartum, reflected in altered cortisol secretion patterns. However, research has shown considerable heterogeneity in cortisol patterns across the peripartum period and in part contradictory findings. Individual courses of cortisol secretion and their determinants remain poorly understood.

Methods

In a longitudinal cohort of 127 healthy pregnant women, we assessed salivary cortisol at five time points from late pregnancy (gestational weeks 34–36 and 40) to eight weeks postpartum. Group-based trajectory modeling was applied to three cortisol measures to identify distinct cortisol secretion patterns. Associations with sociodemographic and psychological covariates were explored.

Results

Across all cortisol indices, two distinct trajectory groups emerged. The majority of women (79–86 %) exhibited stable, relatively lower cortisol levels during late pregnancy and postpartum, while a smaller subgroup (14–21 %) exhibited a consistently elevated and more variable cortisol trajectory. Trajectory groups showed high classification stability (98–99 %), but no sociodemographic or psychological variables significantly predicted group membership.

Conclusions

Our findings reveal two distinct maternal cortisol trajectory subgroups across the peripartum period, reflecting heterogeneity in HPA axis regulation. The lack of significant associations with the measured covariates raises the possibility that unmeasured mechanisms, such as genetic or epigenetic influences, may contribute to these patterns. These distinct cortisol trajectories may reflect differing modes of neuroendocrine regulation, offering a potential explanation for inconsistencies in prior peripartum cortisol research.
背景:母体下丘脑-垂体-肾上腺(HPA)轴在怀孕和产后经历了实质性的生理变化,反映在皮质醇分泌模式的改变上。然而,研究表明,在整个围产期皮质醇模式的相当大的异质性和部分矛盾的发现。皮质醇分泌的个别过程及其决定因素仍然知之甚少。方法:在127名健康孕妇的纵向队列中,我们在妊娠晚期(妊娠34-36周和40周)至产后8周的五个时间点评估唾液皮质醇。将基于组的轨迹建模应用于三种皮质醇测量,以识别不同的皮质醇分泌模式。我们还探讨了与社会人口学和心理协变量的关联。结果:在所有皮质醇指数中,出现了两个不同的轨迹组。大多数妇女(79-86 %)在妊娠后期和产后表现出稳定的、相对较低的皮质醇水平,而较小的亚组(14-21 %)表现出持续升高和更可变的皮质醇轨迹。轨迹组表现出较高的分类稳定性(98-99 %),但没有社会人口学或心理变量显著预测群体成员。结论:我们的研究结果揭示了围生期两个不同的产妇皮质醇轨迹亚组,反映了HPA轴调节的异质性。缺乏与测量协变量的显著关联,增加了未测量机制(如遗传或表观遗传影响)可能促成这些模式的可能性。这些不同的皮质醇轨迹可能反映了神经内分泌调节的不同模式,为之前围产期皮质醇研究的不一致提供了潜在的解释。
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引用次数: 0
Corrigendum to “Posttraumatic stress disorder and epigenetic signatures of inflammation in middle-aged women” [Psychoneuroendocrinology 182 (2025) 107654] “中年妇女创伤后应激障碍和炎症的表观遗传特征”的勘误表[精神神经内分泌学182 (2025)107654]
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-11-14 DOI: 10.1016/j.psyneuen.2025.107687
Jiaxuan Liu , Andrew Ratanatharathorn , Anat Yaskolka Meir , Audrey R. Murchland , Yiwen Zhu , Andrea L. Roberts , Rebecca B. Lawn , Jennifer A. Sumner , Sebastien Haneuse , Liming Liang , Laura D. Kubzansky , Karestan C. Koenen , Lori B. Chibnik
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引用次数: 0
Psychological and immunological benefits of eye movement desensitization and reprocessing in hashimoto thyroiditis: Preliminary findings from a randomized controlled trial 桥本甲状腺炎眼动脱敏和再加工的心理和免疫益处:一项随机对照试验的初步发现。
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-11-14 DOI: 10.1016/j.psyneuen.2025.107695
Maria-Magdalena Macarenco , Cristian Opariuc-Dan , Teodora Georgescu , Livia Căciuloiu

Objective

This study examined the effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) in improving psychological functioning and modulating immune markers in adults with Hashimoto’s thyroiditis (HT), a chronic autoimmune disorder increasingly linked to early trauma.

Method

In a randomized controlled trial, 91 adults with HT were assigned to EMDR plus treatment-as-usual (TAU), placebo plus TAU, or TAU alone. The EMDR protocol focused on processing ten distressing memories predating illness onset. Outcomes included anti-thyroid peroxidase (anti-TPO) and anti-thyroglobulin (anti-TG) levels, and measures of depression, anxiety, stress, dissociation, alexithymia, trait anger, emotion regulation, and quality of life, assessed at baseline, posttreatment, and 3-month follow-up.

Results

EMDR led to significant improvements in dissociation, alexithymia, depression, anxiety, stress, trait anger, and emotion regulation, along with enhanced quality of life. These effects were maintained at follow-up and generally exceeded those of placebo or TAU. A significant reduction in anti-TPO levels was also observed in the EMDR group, although between-group effects at follow-up did not remain significant after correction for multiple comparisons. No significant differences were found in anti-TG levels.

Conclusion

EMDR may offer a clinically relevant adjunctive intervention for individuals with HT, reducing psychological distress and potentially influencing immune activity. Findings on immunomodulation are preliminary and warrant further investigation in larger trials.
目的:本研究探讨眼动脱敏和再加工(EMDR)在改善成人桥本甲状腺炎(HT)患者心理功能和调节免疫标记物方面的有效性。桥本甲状腺炎是一种慢性自身免疫性疾病,与早期创伤日益相关。方法:在一项随机对照试验中,91名成人HT患者被分配到EMDR +常规治疗(TAU),安慰剂+ TAU或单独TAU。EMDR方案侧重于在疾病发作前处理10个痛苦记忆。结果包括抗甲状腺过氧化物酶(anti-TPO)和抗甲状腺球蛋白(anti-TG)水平,以及在基线、治疗后和3个月随访时评估的抑郁、焦虑、压力、解离、叙情障碍、特质性愤怒、情绪调节和生活质量的测量。结果:EMDR显著改善了分离、述情障碍、抑郁、焦虑、压力、特质性愤怒和情绪调节,并提高了生活质量。这些效果在随访中保持不变,并且通常超过安慰剂或TAU。EMDR组也观察到抗tpo水平显著降低,尽管在多次比较校正后随访时组间效应并不显著。抗tg水平无显著性差异。结论:EMDR可能为HT患者提供临床相关的辅助干预,减少心理困扰并可能影响免疫活性。免疫调节的发现是初步的,需要在更大的试验中进一步调查。
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引用次数: 0
Gut feelings: Dysbiosis of gut microbiota and short-chain fatty acids associated with prenatal depression, pregnancy-related anxiety, and prenatal combined depression and anxiety 肠道感受:肠道菌群失调和短链脂肪酸与产前抑郁、妊娠相关焦虑以及产前抑郁和焦虑相关。
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-11-13 DOI: 10.1016/j.psyneuen.2025.107686
Xiaoxiao Fan , Yi Wei , Tianzi Zang , Yiming Tu , Linxia Liu , Huan Tian , Xiaoxiao Li , Hairong Cheng , Jinbing Bai , Yanqun Liu

Objectives

The role of the gut microbiota and short-chain fatty acids (SCFAs) in psychiatric disorders in pregnant women has not been fully elucidated. Therefore, this study aimed to investigate the association between the gut microbiota and its metabolite SCFAs and prenatal depression, pregnancy-related anxiety, and prenatal combined depression and anxiety.

Methods

In total 200 pregnant women in the third trimester were recruited for this study. The Edinburgh Postnatal Depression Scale and Pregnancy-Related Anxiety Questionnaire Revised-2 were used to evaluate pregnant women’s anxiety and depression, and stool samples were collected for gut microbiome and SCFAs.

Results

This study found that reduced abundance of Allobaculum and Cetobacterium were associated with pregnancy-related anxiety in women. Furthermore, the enrichment of Anaerofustis, Gemella, and Staphylococcus and the reduction of Tyzzerella and unclassified_f_UCG-011 were associated with prenatal depression. This study was the first to indicate that women with comorbid prenatal anxiety and depression share similarities in gut microbiota and SCFAs with women with prenatal depression (Anaerofustis, Gemella, Staphylococcus, Tyzzerella, and isohexanoic acid). This study also found that certain gut microbial profiles were associated with prenatal comorbid anxiety and depression. While receiver operating characteristic analysis suggests a limited ability of the gut microbiota alone to predict prenatal psychological distress problems, the integration of phenotypic variables into the model significantly improved the model’s predictive ability.

Conclusion

Our findings suggested that dysbiosis of gut microbiota and SCFAs are associated with prenatal psychiatric disorders. Alterations of the gut microbiota may have the potential as biomarkers for distinguishing prenatal psychiatric disorders.
目的:肠道微生物群和短链脂肪酸(SCFAs)在孕妇精神疾病中的作用尚未完全阐明。因此,本研究旨在探讨肠道菌群及其代谢物SCFAs与产前抑郁、妊娠相关焦虑、产前合并抑郁和焦虑之间的关系。方法:本研究共招募了200名晚期妊娠妇女。采用《爱丁堡产后抑郁量表》和《妊娠相关焦虑问卷修订-2》评估孕妇的焦虑和抑郁,并收集粪便样本检测肠道微生物组和scfa。结果:本研究发现异源菌和鲸杆菌丰度的减少与妇女妊娠相关焦虑有关。此外,厌氧菌、Gemella和葡萄球菌的富集以及Tyzzerella和unclassified_f_UCG-011的减少与产前抑郁有关。这项研究首次表明,患有产前焦虑和抑郁的女性与患有产前抑郁的女性在肠道微生物群和SCFAs方面有相似之处(无肺菌、Gemella、葡萄球菌、Tyzzerella和异己酸)。该研究还发现,某些肠道微生物谱与产前共病焦虑和抑郁有关。虽然受试者操作特征分析表明肠道微生物群单独预测产前心理困扰问题的能力有限,但将表型变量整合到模型中显着提高了模型的预测能力。结论:我们的研究结果表明,肠道菌群失调和scfa与产前精神疾病有关。肠道菌群的改变可能有作为鉴别产前精神疾病的生物标志物的潜力。
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引用次数: 0
Parent-child salivary cortisol synchrony in early childhood: A systematic review 儿童早期亲子唾液皮质醇同步:一项系统综述。
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-11-13 DOI: 10.1016/j.psyneuen.2025.107693
Maitri Jain , Emily Sokol , Elizabeth Freehling , Sneha Kamath , Renée Lajiness-O'Neill , Angela D. Staples , Jamie M. Lawler

Importance

Although parent-child cortisol synchrony is essential for the development of children’s socio-emotional development, the research findings on what affects this synchrony are unclear. This lack of clarity makes it difficult to pinpoint the best areas to target when creating interventions to help improve synchrony between parents and their children.

Objective

We aimed to characterize the literature on parent-child cortisol synchrony and how various family-related risks and protective factors were associated with parent-child cortisol synchrony.

Evidence review

We searched 4 databases (CINAHL, PsycINFO, PubMed, and Web of Science) on August 25th, 2025. Backward and forward citation searching was also conducted. Eligible articles a) were peer-reviewed articles/theses/dissertations published in the English language, b) assessed children between 6 months and 8 years for diurnal cortisol, and between 0 months and 8 years for cortisol reactivity, c) included majority of children free of neurological, genetic, or major psychiatric disorders and born full-term, d) included parents with a mean age above 18 years, where the majority were free of neurological or genetic disorders, e) collected at least 2 salivary cortisol samples from both parent and child, in either home or lab, f) for cortisol reactivity, collected at least one saliva sample each before and after a challenging task, g) collected 2 saliva samples on the same day for diurnal cortisol, and h) reported any statistical association between parent and child cortisol. We used the Quality Assessment with Diverse Studies Tool for quality analysis.

Findings

We identified 33 unique studies, including a total of 5206 participants. All studies were observational, with 7 longitudinal studies. The scarce literature suggested positive child-to-parent synchrony in families without risk factors, but synchrony was absent or reduced in families with risk factors. Protective factors (e.g., parental sensitivity) led to more adaptive synchrony in parent-child dyads.

Conclusions and relevance

While the existing research suggested that parent-child cortisol synchrony is affected by both family risk and protective factors, too few studies existed to draw strong conclusions. More research is essential to develop better interventions for improving parent-child synchrony.
重要性:虽然亲子皮质醇同步性对儿童社会情感发展至关重要,但影响亲子皮质醇同步性的因素研究结果尚不清楚。由于缺乏明确性,在制定干预措施以帮助改善父母与子女之间的同步时,很难确定最佳目标领域。目的:我们旨在描述亲子皮质醇同步的文献特征,以及各种家庭相关风险和保护因素如何与亲子皮质醇同步相关。我们于2025年8月25日检索了4个数据库(CINAHL、PsycINFO、PubMed和Web of Science)。并进行了前后引文检索。符合条件的文章a)以英语发表的同行评审的文章/论文/论文,b)评估6个月至8岁儿童的皮质醇日变化,以及0个月至8岁儿童的皮质醇反应性,c)包括大多数无神经、遗传或主要精神疾病且足月出生的儿童,d)包括平均年龄在18岁以上的父母,其中大多数无神经或遗传疾病。E)在家中或实验室从父母和孩子身上收集至少2个唾液皮质醇样本,f)皮质醇反应性,在具有挑战性的任务之前和之后分别收集至少一个唾液样本,g)在同一天收集2个唾液样本用于每日皮质醇,h)报告父母和孩子皮质醇之间的任何统计关联。我们使用多样化研究质量评估工具进行质量分析。研究结果:我们确定了33项独特的研究,包括5206名参与者。所有研究均为观察性研究,其中7项为纵向研究。很少的文献表明,在没有危险因素的家庭中,孩子与父母的同步性是积极的,但在有危险因素的家庭中,同步性是缺失的或降低的。保护因素(例如,父母敏感性)导致亲子二代更强的适应性同步。结论及相关性:虽然现有研究表明亲子皮质醇同步受家庭风险因素和保护因素的影响,但研究太少,无法得出强有力的结论。更多的研究是必要的,以制定更好的干预措施,以改善亲子同步。
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引用次数: 0
Self-compassion and stress responses among early adolescents 早期青少年自我同情与压力反应。
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-11-13 DOI: 10.1016/j.psyneuen.2025.107694
Gabriel Zieff , Taylyn Jameson , Alison Nutini , Ashley M. Battaglini , Ellen Jopling , Bronwen Grocott , Katerina Rnic , Eli Puterman , Joelle LeMoult

Introduction

Self-compassion is an adaptive means of relating to oneself that encompasses elements of self-kindness, common humanity, and mindfulness. Self-compassion has positive associations with health and may dampen biological and psychological stress responses, which would be particularly helpful for those with a history of early life adversity. The purpose of this study was to determine i) the association of trait self-compassion with cortisol and affective responses to an acute psychosocial stressor among early adolescents, and ii) whether this association differed by exposure to early life adversity (e.g., abuse, neglect).

Methods

Eighty-three early adolescents (M = 12.86 years; 47 % girls, 1 % non-binary) self-reported their trait self-compassion, completed a structured interview-based assessment to assess threat- and deprivation-related exposures to early life adversity, and underwent a psychosocial laboratory stressor (Trier Social Stress Test for Children; TSST-C). Salivary cortisol and self-reported positive and negative affect were measured at six timepoints before, during, and for 30 min following the stressor. We tested associations of self-compassion with trajectories (reactivity, recovery) and total levels (area under the curve with respect to ground; AUCg) of cortisol and positive and negative affect across the TSST-C, as well as moderating effects of early life adversity. Hierarchical linear models were used to test trajectories, and linear regression was used to test AUCg, with unstandardized (B) and standardized beta coefficients (β) reported, respectively.

Results

Self-compassion was not associated with total cortisol levels or trajectories of cortisol, positive affect, or negative affect (all p > 0.057). However, greater self-compassion was associated with higher sample 1 positive affect, B = 1.815, t(71) = 2.84, p = .006, and greater total positive affect levels, β = 0.411, t(62) = 3.90, p < .001. Similarly, self-compassion was associated with lower sample 1 negative affect, B = -1.261, t(72) = -2.35, p = 0.022, and less total negative affect levels, β = -0.269, t(75) = -2.45, p = 0.017. Additionally, sensitivity analyses indicated that at higher levels of early-life threat exposure, greater self-compassion was associated with higher sample 1 positive affect.

Conclusion

Among adolescents – including those exposed to threat-related forms of early life adversity– self-compassion may impart more general, diffuse beneficial effects on affect rather than buffering affective or cortisol responses to an acute stressor.
自我同情是一种与自己相关的适应性手段,包含了自我仁慈、共同人性和正念的元素。自我同情与健康有积极的联系,可能会抑制生理和心理上的压力反应,这对那些早年经历过逆境的人尤其有帮助。本研究的目的是确定i)特质自我同情与皮质醇和对早期青少年急性社会心理压力的情感反应的关联,以及ii)这种关联是否因早期生活逆境(如虐待,忽视)而不同。方法:83名早期青少年(M = 12.86岁;47 %女孩,1 %非二性别)自我报告了他们的自我同情特质,完成了基于结构化访谈的评估,以评估早期生活逆境中与威胁和剥夺相关的暴露,并进行了心理社会实验室压力源(Trier Social Stress Test for Children; TSST-C)。唾液皮质醇和自我报告的积极和消极影响在压力源之前,期间和30 min后的六个时间点进行测量。我们测试了自我同情与皮质醇的轨迹(反应性、恢复)、总水平(相对于地面的曲线下面积;AUCg)、积极和消极情绪在TSST-C中的关联,以及早期生活逆境的调节作用。采用层次线性模型检验轨迹,采用线性回归检验AUCg,分别报告了未标准化(B)和标准化β系数(β)。结果:自我同情与总皮质醇水平或皮质醇轨迹、积极影响、消极影响无关(p均为 > 0.057)。然而,更大的自我同情与更高的样本1积极情绪相关,B = 1.815,t(71) = 2.84,p = 。β = 0.411,t(62) = 3.90,p 结论:在青少年中,包括那些早期经历过威胁相关逆境的青少年,自我同情可能会对情感产生更普遍、更广泛的有益影响,而不是缓冲对急性压力源的情感或皮质醇反应。
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引用次数: 0
High sensitivity C-reactive protein in response to acute stress in healthy men and women 健康男女对急性应激反应的高敏感性c反应蛋白
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-11-12 DOI: 10.1016/j.psyneuen.2025.107689
A-K. Lennartsson , I.H. Jonsdottir

Background

Psychosocial stress has been suggested to contribute to low-grade inflammation, which in turn can, if persisting, increase the risk of developing a wide range of chronic disorders. The aim of this study was to investigate the level of CRP in response to acute psychosocial stress in healthy men and women, whether the responses related to general stress activation. Since it is known that CRP level in general is associated with BMI, we also aimed to investigate whether CRP response during acute stress is related to BMI and overweight.

Method

Thirty men and 19 women, aged 30—50 years (mean age 39 years, SD 5.6 years), were included in the study. The participants underwent the Trier Social Stress Test (TSST), and CRP was measured in serum together with measurements of general stress activation.

Results

CRP levels slightly and temporarily increased in response to acute psychosocial stress. CRP response was positively related to the response of ACTH and cortisol. The CRP response was also positively associated with BMI and the overweight individuals exhibited a larger stress-induced CRP increase.

Conclusion

The results support the idea that stress may contribute to low-grade inflammation, which in turn can constitute one important pathogenic link between stress and adverse health, especially in overweight individuals.
社会心理压力已被认为是导致低度炎症的原因之一,而低度炎症如果持续下去,则会增加发展为各种慢性疾病的风险。本研究的目的是研究CRP水平在健康男性和女性对急性社会心理应激的反应,是否与一般应激激活有关。由于已知CRP水平一般与BMI相关,我们还旨在研究急性应激时CRP反应是否与BMI和超重有关。方法男性30例,女性19例,年龄30 ~ 50岁,平均39岁,SD 5.6岁。参与者进行了特里尔社会压力测试(TSST),并测量了血清中的CRP和一般应激激活的测量。结果scrp水平在急性心理社会应激时略有升高。CRP反应与ACTH、皮质醇反应呈正相关。CRP反应也与BMI呈正相关,超重个体表现出更大的应激性CRP升高。结论研究结果支持应激可能导致低度炎症的观点,低度炎症反过来又可能构成应激与不良健康之间的一个重要致病环节,特别是在超重个体中。
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引用次数: 0
Impact of sleep fragmentation and estradiol suppression on positive and negative affect: Results of an experimental model of menopause 睡眠片段化和雌二醇抑制对积极和消极影响的影响:绝经实验模型的结果。
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-11-12 DOI: 10.1016/j.psyneuen.2025.107690
Margo D. Nathan , Primavera A. Spagnolo , Leilah K. Grant , Shadab A. Rahman , Irene Gonsalvez , Jessica Harder , Hannah Kim , Aleta Wiley , Hadine Joffe

Background

The menopausal transition (MT) represents a period of increased risk for depressive symptoms. Emergence of these symptoms may reflect dysregulations in affect caused by fundamental MT characteristics, particularly sleep disturbance, estradiol decline, and vasomotor symptoms (VMS). Using an experimental paradigm mimicking menopause, we examined the effects of MT-related characteristics on affect.

Methods

38 premenopausal women without affective disorders completed a 6-day experimental paradigm comprising 2 nights of unfragmented sleep followed by 3 nights of provoked sleep fragmentation, during the high-estradiol mid-to-late-follicular menstrual phase. A subset (n = 27) repeated the paradigm after leuprolide-suppressed estradiol (low-estradiol). Positive affect (PA) and negative affect (NA) ratings were obtained daily using the Positive and Negative Affect Schedule.

Results

Sleep fragmentation adversely influenced PA and NA acutely after one night of fragmentation (p < 0.007). This effect persisted following 3 nights of sleep fragmentation for NA (p = 0.02), but not PA (p = 0.46). Conversely, estradiol suppression increased PA (p = 0.0.03) but not NA (p = 0.51). In the low-estradiol condition, women who developed VMS trended toward having a more pronounced and sustained reduction in PA over three nights of sleep fragmentation compared to those who did not (p = 0.09).

Conclusions

Our findings show that MT-related characteristics significantly disrupt both positive and negative affect, potentially underlying emergence of depressive symptoms during this reproductive stage. We observed differential effects on positive and negative affect, with sleep fragmentation having a greater effect on NA and estradiol and VMS having a greater effect on PA, suggesting benefit for tailoring interventions that target specific types of affect regulation.
背景:绝经过渡期(MT)代表了抑郁症状风险增加的时期。这些症状的出现可能反映了MT基本特征引起的影响失调,特别是睡眠障碍、雌二醇下降和血管舒缩症状(VMS)。使用模拟更年期的实验范式,我们检查了mt相关特征对情绪的影响。方法:38名无情感性障碍的绝经前妇女完成了为期6天的实验范式,包括在高雌二醇的卵泡中后期月经期2晚的无碎片睡眠和3晚的受激睡眠碎片。一个子集(n = 27)在leuprolid抑制雌二醇(低雌二醇)后重复了这种模式。积极情绪(PA)和消极情绪(NA)评分采用每日积极情绪和消极情绪量表。结论:我们的研究结果表明,mt相关特征显著地破坏了积极和消极的情绪,这可能是在这个生殖阶段出现抑郁症状的潜在原因。我们观察到对积极和消极情绪的不同影响,睡眠片段对NA和雌二醇的影响更大,而VMS对PA的影响更大,这表明针对特定类型的情绪调节进行定制干预是有益的。
{"title":"Impact of sleep fragmentation and estradiol suppression on positive and negative affect: Results of an experimental model of menopause","authors":"Margo D. Nathan ,&nbsp;Primavera A. Spagnolo ,&nbsp;Leilah K. Grant ,&nbsp;Shadab A. Rahman ,&nbsp;Irene Gonsalvez ,&nbsp;Jessica Harder ,&nbsp;Hannah Kim ,&nbsp;Aleta Wiley ,&nbsp;Hadine Joffe","doi":"10.1016/j.psyneuen.2025.107690","DOIUrl":"10.1016/j.psyneuen.2025.107690","url":null,"abstract":"<div><h3>Background</h3><div>The menopausal transition (MT) represents a period of increased risk for depressive symptoms. Emergence of these symptoms may reflect dysregulations in affect caused by fundamental MT characteristics, particularly sleep disturbance, estradiol decline, and vasomotor symptoms (VMS). Using an experimental paradigm mimicking menopause, we examined the effects of MT-related characteristics on affect.</div></div><div><h3>Methods</h3><div>38 premenopausal women without affective disorders completed a 6-day experimental paradigm comprising 2 nights of unfragmented sleep followed by 3 nights of provoked sleep fragmentation, during the high-estradiol mid-to-late-follicular menstrual phase. A subset (n = 27) repeated the paradigm after leuprolide-suppressed estradiol (low-estradiol). Positive affect (PA) and negative affect (NA) ratings were obtained daily using the Positive and Negative Affect Schedule.</div></div><div><h3>Results</h3><div>Sleep fragmentation adversely influenced PA and NA acutely after one night of fragmentation (p &lt; 0.007). This effect persisted following 3 nights of sleep fragmentation for NA (p = 0.02), but not PA (p = 0.46). Conversely, estradiol suppression increased PA (p = 0.0.03) but not NA (p = 0.51). In the low-estradiol condition, women who developed VMS trended toward having a more pronounced and sustained reduction in PA over three nights of sleep fragmentation compared to those who did not (p = 0.09).</div></div><div><h3>Conclusions</h3><div>Our findings show that MT-related characteristics significantly disrupt both positive and negative affect, potentially underlying emergence of depressive symptoms during this reproductive stage. We observed differential effects on positive and negative affect, with sleep fragmentation having a greater effect on NA and estradiol and VMS having a greater effect on PA, suggesting benefit for tailoring interventions that target specific types of affect regulation.</div></div>","PeriodicalId":20836,"journal":{"name":"Psychoneuroendocrinology","volume":"184 ","pages":"Article 107690"},"PeriodicalIF":3.6,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565205","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
期刊
Psychoneuroendocrinology
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