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The effect of exposure to natural sounds on stress reduction: a systematic review and meta-analysis. 接触自然声音对减压的影响:系统回顾和荟萃分析。
IF 2.6 4区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-01-01 Epub Date: 2024-09-17 DOI: 10.1080/10253890.2024.2402519
Luyao Fan, Mohamad Rizal Baharum

The main aim of this review is to compare whether natural sounds or a quiet environment is more beneficial for alleviating stress. The results showed that there is a statistically significant difference between exposure to natural sounds and a quiet environment in terms of their effect on heart rate (p = 0.006), blood pressure (p = 0.001), and respiratory rate (p = 0.032). However, no significant difference was found between exposure to natural sounds and a quiet environment in terms of their effect on MAP (p = 0.407), perceived stress, and SPO2 (p = 0.251). Although the evidence was slightly inconsistent, overall, natural sounds were found more beneficial for stress reduction than quiet environments.

本综述的主要目的是比较自然声音和安静环境是否更有利于缓解压力。结果表明,在对心率(p = 0.006)、血压(p = 0.001)和呼吸频率(p = 0.032)的影响方面,自然声音和安静环境在统计学上存在显著差异。然而,在对血压(P = 0.407)、感知压力和 SPO2(P = 0.251)的影响方面,暴露于自然声音和安静环境之间没有发现明显差异。虽然证据略有不一致,但总体而言,自然声音比安静环境更有利于减轻压力。
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引用次数: 0
Dimensions of childhood adversity differentially affect autonomic nervous system coordination in response to stress. 童年逆境对自律神经系统在应对压力时的协调性有不同影响。
IF 2.6 4区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-01-01 Epub Date: 2024-11-06 DOI: 10.1080/10253890.2024.2419668
Meredith A Gruhn, Rachel E Siciliano, Allegra S Anderson, Allison Vreeland, Lauren M Henry, Kelly H Watson, George M Slavich, Jon Ebert, Tarah Kuhn, Bruce E Compas

It is well-established that disrupted autonomic nervous system (ANS) reactivity exacerbates risk for long-term maladjustment following childhood adversity (CA). However, few studies have integrated measures of both the sympathetic (SNS) and parasympathetic (PNS) branches of the ANS, resulting in a unidimensional understanding of ANS functioning as a mechanism of risk. Further, past work has primarily measured CA only at the aggregate level (e.g. "total CA"), necessitating further research to accurately characterize this risk pathway. The present study examines how CA, measured cumulatively and dimensionally (i.e. CA characterized by threat versus deprivation), moderates the association between the SNS and PNS at rest and in response to acute social and nonsocial stressors. Participants included 97 adolescents ages 10-15 (Mage = 12.22, SDage = 1.68) experiencing a range of CA and one accompanying caregiver. Participants completed questionnaires assessing prior CA exposure. SNS and PNS responses were then continuously measured during rest and two stress tasks. First, results indicate a blunting effect of cumulative CA and CA characterized by threat (e.g. physical abuse) on resting SNS activity. Second, in moderation analyses assessing ANS coordination, threat exposure emerged as a significant moderator of the association between SNS and PNS reactivity to social stress. Results suggest that CA characterized by threat may specifically impact physiologic regulation by disrupting the coordination of the two branches of the ANS. Disentangling the independent and concurrent engagement of biological stress response systems following CA remains an important target for research to identify the etiology of aberrant stress reactivity patterns.

众所周知,自律神经系统(ANS)反应紊乱会加剧童年逆境(CA)后长期适应不良的风险。然而,很少有研究对自律神经系统的交感神经(SNS)和副交感神经(PNS)分支进行综合测量,从而导致对自律神经系统功能作为一种风险机制的单一理解。此外,过去的研究主要是在总体水平(如 "总CA")上测量CA,因此需要进一步研究以准确描述这一风险途径。本研究探讨了从累积和维度(即以威胁和匮乏为特征的CA)测量的CA如何调节静息状态下和应对急性社会和非社会压力时SNS和PNS之间的关联。研究对象包括 97 名 10-15 岁的青少年(平均年龄为 12.22 岁,平均年龄为 1.68 岁),他们都曾经历过不同程度的 "CA",并有一名陪同照顾者。受试者填写了调查问卷,评估之前的CA接触情况。然后在休息和两项压力任务中连续测量 SNS 和 PNS 反应。首先,研究结果表明,累积 CA 和以威胁(如身体虐待)为特征的 CA 对静息 SNS 活动的影响是钝化的。其次,在评估自律神经系统协调性的调节分析中,威胁暴露成为自律神经系统和动力神经系统对社会压力反应之间关联的重要调节因素。研究结果表明,以威胁为特征的CA可能会通过破坏自律神经系统两个分支的协调来影响生理调节。要确定异常应激反应模式的病因,厘清CA后生物应激反应系统的独立和并发参与仍然是一个重要的研究目标。
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引用次数: 0
Fatigue during the COVID-19 pandemic - prevalence and predictors: findings from a prospective cohort study. COVID-19 大流行期间的疲劳--流行程度和预测因素:一项前瞻性队列研究的结果。
IF 2.3 4区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-01-01 Epub Date: 2024-05-17 DOI: 10.1080/10253890.2024.2352117
Michail Kalfas, Kieran Ayling, Ru Jia, Carol Coupland, Kavita Vedhara, Trudie Chalder

The COVID-19 pandemic and consequent lockdowns had a substantial impact on mental health. Distress and fatigue are highly correlated. However, little is known about the determinants of fatigue in the general population during the pandemic. This study aimed to examine the prevalence and predictors of fatigue during the COVID-19 pandemic in the UK population. Online surveys were completed by a UK community cohort in April 2020 (wave 1), July-September 2020 (wave 2) and November-December 2020 (wave 3). In total, 3097 participants completed the wave 1 survey, and 1385 and 1087 participants (85.4% women) completed wave 2 and 3 surveys respectively. Fatigue was assessed using the Chalder Fatigue Scale at waves 2 and 3. Hair samples were provided by 827 participants (90.6% women) at wave 1 and wave 2, which were analyzed to indicate HairE (stress hormone). The mean total fatigue score during wave 2 was 14.7 (SD = 4.7), significantly higher than pre-pandemic levels observed in the community (mean difference 0.50, p = .003). At wave 2, 614 (44.3%) participants met the case definition for fatigue, only 15.6% of whom indicated that fatigue lasted for more than 6 months (suggesting it had started prior to the pandemic). Predictors of fatigue at wave 3 included being in a risk group, depression and belief in having COVID-19, which explained 23.8% of the variability in fatigue scores. Depression at wave 1 was the only significant predictor of remaining a fatigue case at wave 3. Fatigue was highly prevalent in the UK community during the COVID-19 pandemic and limited people's daily function. Depression and sociodemographic variables were significant predictors of fatigue.

COVID-19 大流行和随之而来的封锁对心理健康产生了重大影响。苦恼和疲劳是高度相关的。然而,人们对大流行期间普通人群疲劳的决定因素知之甚少。本研究旨在调查 COVID-19 大流行期间英国人口疲劳的发生率和预测因素。英国社区人群于 2020 年 4 月(第 1 次调查)、2020 年 7 月至 9 月(第 2 次调查)和 2020 年 11 月至 12 月(第 3 次调查)完成了在线调查。共有 3097 名参与者完成了第 1 次调查,1385 名和 1087 名参与者(85.4% 为女性)分别完成了第 2 次和第 3 次调查。在第 2 和第 3 次调查中,使用 Chalder 疲劳量表对疲劳程度进行了评估。827 名参与者(90.6% 为女性)在第 1 波和第 2 波提供了头发样本,分析结果显示了 HairE(压力荷尔蒙)。第 2 波的疲劳总分平均值为 14.7(标准差 = 4.7),明显高于在社区观察到的大流行前水平(平均差为 0.50,P = .003)。在第 2 次调查中,有 614 名(44.3%)参与者符合疲劳的病例定义,其中只有 15.6% 的人表示疲劳持续了 6 个月以上(表明疲劳在大流行之前就已开始)。第 3 波时的疲劳预测因素包括处于风险组、抑郁和认为自己患有 COVID-19,这些因素解释了 23.8% 的疲劳评分差异。第 1 次检测时的抑郁是第 3 次检测时仍为疲劳病例的唯一重要预测因素。在 COVID-19 大流行期间,疲劳在英国社区非常普遍,限制了人们的日常活动。抑郁和社会人口变量是疲劳的重要预测因素。
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引用次数: 0
Decreased amygdala-sensorimotor connectivity mediates the association between prenatal stress and broad autism phenotype in young adults: Project Ice Storm. 杏仁核-感觉运动连通性的降低介导了产前压力与青少年广泛自闭症表型之间的关联:冰风暴项目
IF 2.3 4区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-01-01 Epub Date: 2023-12-22 DOI: 10.1080/10253890.2023.2293698
Xinyuan Li, Muhammad Naveed Iqbal Qureshi, David P Laplante, Guillaume Elgbeili, Vincent Paquin, Sherri Lee Jones, Suzanne King, Pedro Rosa-Neto

Studies show that prenatal maternal stress (PNMS) is related to risk for child autism, and to atypical amygdala functional connectivity in the autistic child. Yet, it remains unclear whether amygdala functional connectivity mediates the association between PNMS and autistic traits, particularly in young adult offspring. We recruited women who were pregnant during, or within 3 months of, the 1998 Quebec ice storm crisis, and assessed three aspects of PNMS: objective hardship (events experienced during the ice storm), subjective distress (post-traumatic stress symptoms experienced as a result of the ice storm) and cognitive appraisal. At age 19, 32 young adults (21 females) self-reported their autistic-like traits (i.e., aloof personality, pragmatic language impairment and rigid personality), and underwent structural MRI and resting-state functional MRI scans. Seed-to-voxel analyses were conducted to map the amygdala functional connectivity network. Mediation analyses were implemented with bootstrapping of 20,000 resamplings. We found that greater maternal objective hardship was associated with weaker functional connectivity between the left amygdala and the right postcentral gyrus, which was then associated with more pragmatic language impairment. Greater maternal subjective distress was associated with weaker functional connectivity between the right amygdala and the left precentral gyrus, which was then associated with more aloof personality. Our results demonstrate that the long-lasting effect of PNMS on offspring autistic-like traits may be mediated by decreased amygdala-sensorimotor circuits. The differences between amygdala-sensory and amygdala-motor pathways mediating different aspects of PNMS on different autism phenotypes need to be studied further.

研究表明,产前母亲压力(PNMS)与儿童自闭症的风险以及自闭症儿童的非典型杏仁核功能连接有关。然而,杏仁核功能连接是否会介导产前母体压力与自闭症特征之间的关联,尤其是在年轻的成年后代中,目前仍不清楚。我们招募了在1998年魁北克冰风暴危机期间或危机后3个月内怀孕的妇女,并对PNMS的三个方面进行了评估:客观困难(冰风暴期间经历的事件)、主观痛苦(冰风暴导致的创伤后应激症状)和认知评估。32 名 19 岁的年轻人(21 名女性)自我报告了他们的自闭症样特征(即冷漠性格、实用性语言障碍和刻板性格),并接受了结构性核磁共振成像和静息状态功能性核磁共振成像扫描。研究人员进行了种子到象素分析,以绘制杏仁核功能连接网络图。通过对 20,000 个重置点进行引导,进行了中介分析。我们发现,产妇的客观困难越大,左侧杏仁核和右侧中央后回之间的功能连接就越弱,而这又与更多的实用性语言障碍有关。产妇的主观痛苦越大,右侧杏仁核和左侧中央前回之间的功能连接性就越弱,而这又与更冷漠的性格有关。我们的研究结果表明,PNMS 对后代自闭症样特征的长期影响可能是由杏仁核-感觉运动回路的减少介导的。杏仁核-感觉和杏仁核-运动通路在介导PNMS对不同自闭症表型的不同影响方面的差异还需要进一步研究。
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引用次数: 0
Exploring the efficacy of sense of Okayness (SOK) as an antidote for stress in older adults: the role of SOK elevation intervention, heart rate variability (HRV), and cognitive performance in stressful and relaxing situations. 探索 "好感"(SOK)作为老年人压力解药的功效:"好感 "提升干预的作用、心率变异性(HRV)以及压力和放松情况下的认知表现。
IF 2.6 4区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-01-01 Epub Date: 2024-07-11 DOI: 10.1080/10253890.2024.2371145
Itai Gilo, Carla Biegert, Dikla Segel-Karpas, Annika Benz, Maria Meier, Yuval Palgi, Jens Pruessner

Sense of Okayness (SOK) is an emerging concept that describes a person's ability to remain stable and unshaken in the face of life transitions and hardships. This quality enables effective stress regulation and heightened tolerance to uncertainty. To investigate the possible role of the parasympathetic nervous system (PNS) in mediating the relationship between SOK and stress regulation among older individuals, an analytical sample of N  =  69 participants (74% women) with a mean age of 78.75 years (SD age  =  6.78) was recruited for a standardized cognitive assessment and stress induction. Baseline heart rate variability (HRV), measured via electrocardiogram (ECG), and SOK assessments were conducted prior to stress induction, along with a baseline cognitive evaluation. Subsequently, participants were subjected to a psychosocial stress paradigm, followed by either a 30-minute SOK elevation intervention (n = 40) or a control condition with nature sounds (n = 29). A second cognitive assessment was administered post-intervention, with continuous HRV measurement through ECG. The results revealed significant HRV changes due to the experimental intervention, though no significant differences were observed between the SOK intervention and control groups. Interestingly, individuals with high trait SOK displayed more stable HRV trajectories, exhibiting a smaller decline during the stress intervention and a milder increase during both the stressor and SOK intervention phases. Overall, these findings do suggest a significant association between SOK, parasympathetic activity, and stress reactivity. These results prompt further investigation into whether personality patterns, such as a strong SOK, may be linked to reduced vagal reactivity and better coping in old age.

良好感觉(SOK)是一个新兴概念,它描述了一个人在面对生活转变和困难时保持稳定和不动摇的能力。这种品质能够有效调节压力,提高对不确定性的承受能力。为了研究副交感神经系统(PNS)在介导 SOK 与老年人压力调节之间的关系中可能发挥的作用,我们招募了 N = 69 名参与者(74% 为女性),平均年龄为 78.75 岁(SD 年龄 = 6.78),对他们进行了标准化认知评估和压力诱导。通过心电图(ECG)测量基线心率变异性(HRV),在压力诱导前进行 SOK 评估,同时进行基线认知评估。随后,参与者接受了社会心理压力范例,接着是 30 分钟的 SOK 提升干预(n = 40)或自然声音对照条件(n = 29)。干预后进行第二次认知评估,并通过心电图对心率变异进行连续测量。结果表明,尽管 SOK 干预组和对照组之间没有观察到明显的差异,但实验干预却带来了明显的心率变异。有趣的是,具有高特质 SOK 的个体表现出更稳定的心率变异轨迹,在压力干预期间表现出较小的下降,而在压力和 SOK 干预阶段则表现出较温和的上升。总的来说,这些发现确实表明,SOK、副交感神经活动和压力反应性之间存在着显著的联系。这些结果促使我们进一步研究人格模式(如强烈的SOK)是否与降低迷走神经反应性和更好地应对老年问题有关。
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引用次数: 0
Multi-omics in stress and health research: study designs that will drive the field forward. 压力与健康研究中的多组学:推动该领域发展的研究设计。
IF 2.6 4区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-01-01 Epub Date: 2024-02-29 DOI: 10.1080/10253890.2024.2321610
Summer Mengelkoch, Jeffrey Gassen, Shahar Lev-Ari, Jenna C Alley, Sophia Miryam Schüssler-Fiorenza Rose, Michael P Snyder, George M Slavich

Despite decades of stress research, there still exist substantial gaps in our understanding of how social, environmental, and biological factors interact and combine with developmental stressor exposures, cognitive appraisals of stressors, and psychosocial coping processes to shape individuals' stress reactivity, health, and disease risk. Relatively new biological profiling approaches, called multi-omics, are helping address these issues by enabling researchers to quantify thousands of molecules from a single blood or tissue sample, thus providing a panoramic snapshot of the molecular processes occurring in an organism from a systems perspective. In this review, we summarize two types of research designs for which multi-omics approaches are best suited, and describe how these approaches can help advance our understanding of stress processes and the development, prevention, and treatment of stress-related pathologies. We first discuss incorporating multi-omics approaches into theory-rich, intensive longitudinal study designs to characterize, in high-resolution, the transition to stress-related multisystem dysfunction and disease throughout development. Next, we discuss how multi-omics approaches should be incorporated into intervention research to better understand the transition from stress-related dysfunction back to health, which can help inform novel precision medicine approaches to managing stress and fostering biopsychosocial resilience. Throughout, we provide concrete recommendations for types of studies that will help advance stress research, and translate multi-omics data into better health and health care.

尽管压力研究已经进行了几十年,但我们对社会、环境和生物因素如何相互作用并与发展过程中接触的压力源、对压力源的认知评价以及社会心理应对过程相结合,从而形成个体的压力反应性、健康和疾病风险的认识仍然存在很大差距。被称为多组学的相对较新的生物剖析方法有助于解决这些问题,它使研究人员能够从单个血液或组织样本中量化成千上万的分子,从而从系统的角度提供生物体内发生的分子过程的全景快照。在这篇综述中,我们总结了最适合采用多组学方法的两类研究设计,并介绍了这些方法如何帮助我们加深对应激过程以及应激相关病症的发展、预防和治疗的理解。我们首先讨论将多组学方法纳入理论丰富的密集型纵向研究设计中,以高分辨率描述整个发育过程中与压力相关的多系统功能障碍和疾病的转变过程。接下来,我们将讨论如何将多组学方法纳入干预研究,以更好地了解从压力相关功能障碍向健康的过渡,这有助于为管理压力和培养生物心理社会复原力的新型精准医学方法提供信息。在整个过程中,我们为有助于推进压力研究的研究类型提出了具体建议,并将多组学数据转化为更好的健康和医疗保健。
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引用次数: 0
How an appreciation of dynamics has altered our understanding of the HPA axis. 对动力学的了解如何改变了我们对 HPA 轴的认识。
IF 2.3 4区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-01-01 Epub Date: 2024-01-23 DOI: 10.1080/10253890.2023.2297371
Stafford Lightman, Thomas Upton

Rhythmicity is a intrinsic feature of biological systems, including the hypothalamic-pituitary-adrenal axis, a mammalian neurohormonal system crucial both in daily life and as a network that responds to stressful stimuli. Circadian and ultradian rhythmicity underlie HPA activity in rodents and in humans, regulating gene expression, metabolism and behavior, and adverse consequences occur when rhythms are disturbed. In the assessment of human disease, the complexity of HPA rhythmicity is rarely acknowledged or understood, and is currently a limitation to better diagnosis and treatment. However, the recent emergence of ambulatory, high frequency and blood-free hormone sampling techniques has the promise to substantially change our understanding of the function of HPA axis in healthy normal life, and provide new opportunities for the diagnosis and treatment of disease.

节律性是生物系统的一个固有特征,包括下丘脑-垂体-肾上腺轴,这是哺乳动物的一个神经激素系统,在日常生活中和作为对压力刺激做出反应的网络中都至关重要。昼夜节律和超昼夜节律是啮齿动物和人类 HPA 活动的基础,调节着基因表达、新陈代谢和行为。在评估人类疾病时,HPA 节律的复杂性很少得到承认或理解,目前也限制了更好的诊断和治疗。然而,最近出现的非卧床、高频率和无血激素采样技术有望大大改变我们对健康正常生活中 HPA 轴功能的认识,并为疾病的诊断和治疗提供新的机会。
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引用次数: 0
Cold pressor stress effects on cardiac repolarization. 冷压应激对心脏复极化的影响
IF 2.3 4区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-01-01 Epub Date: 2024-05-20 DOI: 10.1080/10253890.2024.2352626
Lisa Drost, Johannes B Finke, Petra Bachmann, Hartmut Schächinger

The cold pressor test (CPT) elicits strong cardiovascular reactions via activation of the sympathetic nervous system (SNS), yielding subsequent increases in heart rate (HR) and blood pressure (BP). However, little is known on how exposure to the CPT affects cardiac ventricular repolarization. Twenty-eight healthy males underwent both a bilateral feet CPT and a warm water (WW) control condition on two separate days, one week apart. During pre-stress baseline and stress induction cardiovascular signals (ECG lead II, Finometer BP) were monitored continuously. Salivary cortisol and subjective stress ratings were assessed intermittently. Corrected QT (QTc) interval length and T-wave amplitude (TWA) were assessed for each heartbeat and subsequently aggregated individually over baseline and stress phases, respectively. CPT increases QTc interval length and elevates the TWA. Stress-induced changes in cardiac repolarization are only in part and weakly correlated with cardiovascular and cortisol stress-reactivity. Besides its already well-established effects on cardiovascular, endocrine, and subjective responses, CPT also impacts on cardiac repolarization by elongation of QTc interval length and elevation of TWA. CPT effects on cardiac repolarization share little variance with the other indices of stress reactivity, suggesting a potentially incremental value of this parameter for understanding psychobiological adaptation to acute CPT stress.

冷加压试验(CPT)通过激活交感神经系统(SNS)引起强烈的心血管反应,导致心率(HR)和血压(BP)随之升高。然而,人们对 CPT 如何影响心室复极化知之甚少。28 名健康男性在相隔一周的两天内分别接受了双脚 CPT 和温水(WW)对照试验。在应激前基线和应激诱导期间,连续监测心血管信号(心电图第二导联、血压计)。对唾液皮质醇和主观压力评分进行间歇性评估。对每次心跳的校正 QT(QTc)间期长度和 T 波振幅(TWA)进行评估,随后分别对基线阶段和压力阶段进行汇总。CPT 增加了 QTc 间期长度并提高了 TWA。应激诱导的心脏复极化变化仅在一定程度上与心血管和皮质醇应激反应微弱相关。除了已经证实的对心血管、内分泌和主观反应的影响外,CPT 还会通过延长 QTc 间期长度和升高 TWA 来影响心脏复极化。CPT 对心脏复极化的影响与其他应激反应指数的差异很小,这表明该参数对了解急性 CPT 应激的心理生物学适应性具有潜在的增量价值。
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引用次数: 0
Can the DEX/CRH test or markers of oxidative stress distinguish work-related stress from major depressive disorder and normal controls? DEX/CRH 试验或氧化应激标记物能否将工作压力与重度抑郁障碍和正常对照组区分开来?
IF 2.3 4区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-01-01 Epub Date: 2024-06-01 DOI: 10.1080/10253890.2024.2353781
Ditte H Rotvig, Anders Jorgensen, Johan Høy Jensen, Allan Rene Hansen, Nanna Hurwitz Eller, Steffen H Jonsson, Ulla Knorr, Marianne C Klose, Ulla Feldt-Rasmussen, Andreas Menke, Henrik Enghusen Poulsen, Jeanett Ø Bauer, Martin Balslev Jørgensen

Hypothalamic-pituitary-adrenal (HPA)-axis hyperactivity measured by the combined dexamethasone-CRH test (DEX-CRH test) has been found in patients with major depressive disorder (MDD), whereas hypoactivity has been found in patients with work-related stress. We aimed to investigate the DEX-CRH test as a biomarker to distinguish between MDD and work-related stress (exhaustion disorder - ED). We hypothesized that there would be lower cortisol and ACTH response in participants with ED compared to MDD and healthy controls (HC). Also, we explored if the cortisol response of those patients interacted with robust markers of oxidative stress. Thirty inpatients with MDD and 23 outpatients with ED were recruited. Plasma cortisol and ACTH were sampled during a DEX-CRH test. The main outcome measure, area under the curve (AUC) for cortisol and ACTH, was compa-red between MDD vs. ED participants and a historical HC group. Secondary markers of oxidative stress urinary 8-oxodG and 8-oxoGuo; quality of sleep and psychometrics were obtained. Cortisol concentrations were higher in MDD and ED participants compared to HC, and no differences in AUC cortisol and ACTH were found between ED vs. MDD. Compared to ED, MDD participants had higher stress symptom severity and a lower sense of well-being. No differences in oxidative stress markers or quality of sleep between the groups were found. The result indicates that the patients with ED, like patients with MDD, are non-suppressors in DEX-CRH test and not hypocortisolemic as suggested.

通过地塞米松-CRH联合测试(DEX-CRH测试)测量的下丘脑-垂体-肾上腺(HPA)轴亢进在重度抑郁症(MDD)患者中被发现,而在工作相关压力患者中则被发现。我们的目的是将 DEX-CRH 试验作为一种生物标记物来区分 MDD 和工作相关压力(疲惫障碍 - ED)。我们假设,与 MDD 和健康对照组(HC)相比,ED 患者的皮质醇和促肾上腺皮质激素反应较低。此外,我们还探讨了这些患者的皮质醇反应是否与氧化应激的强健标志物相互作用。我们招募了 30 名 MDD 住院患者和 23 名 ED 门诊患者。在进行 DEX-CRH 试验时对血浆皮质醇和促肾上腺皮质激素进行采样。主要结果指标,即皮质醇和促肾上腺皮质激素的曲线下面积(AUC),在 MDD 与 ED 患者之间以及历史 HC 组之间进行比较。此外,还获得了氧化应激尿8-oxodG和8-oxoGuo的次要指标、睡眠质量和心理测量指标。与 HC 相比,MDD 和 ED 参与者的皮质醇浓度较高,而 ED 与 MDD 之间的皮质醇和促肾上腺皮质激素 AUC 没有差异。与 ED 相比,MDD 患者的压力症状严重程度更高,幸福感更低。两组之间的氧化应激标记物和睡眠质量没有发现差异。这一结果表明,ED 患者与 MDD 患者一样,在 DEX-CRH 试验中都是非抑制性的,并不像人们认为的那样皮质醇分泌过少。
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引用次数: 0
Stress, working memory, and academic performance: a neuroscience perspective. 压力、工作记忆和学习成绩:神经科学视角。
IF 2.6 4区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-01-01 Epub Date: 2024-06-23 DOI: 10.1080/10253890.2024.2364333
Abeer F Almarzouki

The relationship between stress and working memory (WM) is crucial in determining students' academic performance, but the interaction between these factors is not yet fully understood. WM is a key cognitive function that is important for learning academic skills, such as reading, comprehension, problem-solving, and math. Stress may negatively affect cognition, including WM, via various mechanisms; these include the deleterious effect of glucocorticoids and catecholamines on the structure and function of brain regions that are key for WM, such as the prefrontal cortex and hippocampus. This review explores the mechanisms underlying how stress impacts WM and how it can decrease academic performance. It highlights the importance of implementing effective stress-management strategies to protect WM function and improve academic performance.

压力与工作记忆(WM)之间的关系对决定学生的学习成绩至关重要,但这些因素之间的相互作用尚未完全明了。工作记忆是一种关键的认知功能,对于学习阅读、理解、解决问题和数学等学术技能非常重要。压力可能会通过各种机制对认知(包括 WM)产生负面影响;这些机制包括糖皮质激素和儿茶酚胺对前额叶皮质和海马等对 WM 起关键作用的脑区的结构和功能的有害影响。本综述探讨了压力如何影响 WM 以及如何降低学习成绩的内在机制。它强调了实施有效的压力管理策略对保护 WM 功能和提高学习成绩的重要性。
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Stress-The International Journal on the Biology of Stress
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