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Effectiveness of acute aerobic exercise in regulating emotions in individuals with test anxiety 急性有氧运动对调节考试焦虑症患者情绪的效果
IF 2.7 3区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-09-18 DOI: 10.1016/j.biopsycho.2024.108873
Lingfeng Wu , Renlai Zhou

High levels of test anxiety can cause negative emotional interference and have adverse effects in multiple aspects. It is currently unclear whether acute aerobic exercise can effectively reduce a series of negative emotions triggered by test anxiety. This study investigates the impact of 30 min of moderate-intensity aerobic exercise on the subjective emotional responses and frontal alpha asymmetry (FAA) in individuals with high test anxiety. Forty-four college students with high test anxiety were randomly assigned to an aerobic exercise group and a control group. Each group underwent two tests, involving subjective scale measurements and resting-state EEG recordings, with a seven-day interval between tests. Results showed that after 30 min of moderate-intensity acute aerobic exercise, the intervention group had significantly reduced scores in subjective negative emotional experiences, and FAA indicators significantly increased. The study suggests that acute aerobic exercise can enhance the emotional regulation ability of college students with high test anxiety and reduce their negative emotions.

高度的考试焦虑会造成负面情绪干扰,并在多个方面产生不良影响。目前尚不清楚急性有氧运动是否能有效减轻由考试焦虑引发的一系列负面情绪。本研究探讨了 30 分钟中等强度的有氧运动对高度考试焦虑者的主观情绪反应和额叶阿尔法不对称(FAA)的影响。44 名高度考试焦虑的大学生被随机分配到有氧运动组和对照组。每组进行两次测试,包括主观量表测量和静息状态脑电图记录,两次测试之间间隔七天。结果显示,经过30分钟中等强度的急性有氧运动后,干预组的主观负面情绪体验得分显著降低,而FAA指标则显著增加。该研究表明,急性有氧运动可增强高度考试焦虑大学生的情绪调节能力,减轻其负面情绪。
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引用次数: 0
The influence of contextual uncertainty on facial expression processing: Evidence from behavior and ERPs 语境不确定性对面部表情处理的影响:来自行为和 ERP 的证据
IF 2.7 3区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-09-16 DOI: 10.1016/j.biopsycho.2024.108861
Xinchao Yang, Weihan Wang, Mingkui Yang, Chunying Qiu, Qiang Xu

The brain helps individuals build expectations based on emotional prediction, facilitating the processing of faces in social interactions. Due to the intricacy of the environment, accurately predicting emotions remains a formidable task. Contextual uncertainty represents a state characterized by the inability to predict when, how, and why events occur. It leads to intensified sentiments and triggers adverse emotions like anxiety. Therefore, comprehending the influences of contextual uncertainty carries importance. The present study utilized event-related potentials (ERPs) technology to investigate contextual uncertainty's influence on facial expression processing. We employed a novel S1-S2 paradigm, using scene images as S1 and faces as S2. From the learning phase into the testing phase, the certain to uncertain group (CER to UNC) experienced more unpredictability (increased uncertainty), whereas the uncertain to certain group (UNC to CER) experienced more predictability (decreased uncertainty). This allowed for manipulating dynamic alterations in predictive relationships. The behavioral results showed that the valence ratings of neutral facial expressions were more negative in the CER to UNC group with increased contextual uncertainty. The ERP results showed that the more negative SPN (stimulus preceding negativity) amplitudes and positive LPP (late positive potential) amplitudes were observed in the UNC to CER group with decreased contextual uncertainty, compared to the CER to UNC group with increased contextual uncertainty. These findings have indicated that contextual uncertainty affects facial expression processing. In summary, these results contributed to comprehending the contextual uncertainty.

大脑帮助人们在情绪预测的基础上建立期望,从而促进社会交往中对人脸的处理。由于环境错综复杂,准确预测情绪仍然是一项艰巨的任务。情境不确定性代表了一种无法预测事件发生的时间、方式和原因的状态。它导致情绪激化,引发焦虑等不良情绪。因此,理解情境不确定性的影响具有重要意义。本研究利用事件相关电位(ERPs)技术来研究情境不确定性对面部表情处理的影响。我们采用了一种新颖的 S1-S2 范式,将场景图像作为 S1,人脸作为 S2。从学习阶段到测试阶段,确定到不确定组(CER 到 UNC)经历了更多的不可预测性(不确定性增加),而不确定到确定组(UNC 到 CER)经历了更多的可预测性(不确定性减少)。这样就可以操纵预测关系的动态变化。行为结果表明,随着情境不确定性的增加,CER 到 UNC 组对中性面部表情的情感评级更加负面。ERP结果显示,与情境不确定性增加的CER到UNC组相比,情境不确定性减少的UNC到CER组的SPN(刺激前负性)振幅更消极,LPP(晚期正电位)振幅更积极。这些研究结果表明,情境不确定性会影响面部表情处理。总之,这些结果有助于理解语境的不确定性。
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引用次数: 0
Socioeconomic status moderates the relationship between self-esteem and attitudes towards conspicuous consumption: An electrophysiological study 社会经济地位调节自尊与炫耀性消费态度之间的关系:电生理学研究
IF 2.7 3区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-09-12 DOI: 10.1016/j.biopsycho.2024.108862
Yiqin Lin , Nan Zhang , Xiaomin Sun

Research on the impact of self-esteem on conspicuous consumption has shown inconsistent results. This study addresses this variability by examining how socioeconomic status (SES) moderates the relationship between self-esteem and conspicuous consumption. We hypothesized that the relationship varies with SES, predicting a positive relationship at high SES levels and a negative relationship at low SES levels. Our findings confirm this hypothesis. Using a Go/NoGo association task (GNAT) combined with event-related potentials (ERP), we investigated the cognitive processing speeds for congruent and incongruent pairings. This method provided insights into the implicit attitudes towards conspicuous products and revealed the complex dynamics between self-esteem and SES in influencing consumer behavior tendencies. This research advances our understanding of the interactions between self-esteem and SES in conspicuous consumption from an implicit cognitive perspective. It also offers significant practical implications, guiding the development of consumer marketing strategies that can be tailored to different socioeconomic contexts.

有关自尊对炫耀性消费影响的研究结果并不一致。本研究通过考察社会经济地位(SES)如何调节自尊与炫耀性消费之间的关系来解决这一差异。我们假设这种关系会随着社会经济地位的变化而变化,高社会经济地位的人自尊与炫耀性消费之间的关系为正,而低社会经济地位的人自尊与炫耀性消费之间的关系为负。我们的研究结果证实了这一假设。我们使用 "去/不去 "联想任务(GNAT)结合事件相关电位(ERP),研究了一致和不一致配对的认知处理速度。这种方法有助于深入了解消费者对显性产品的内隐态度,并揭示了自尊与社会经济地位之间影响消费者行为倾向的复杂动态关系。这项研究从内隐认知的角度推进了我们对自尊和社会经济地位在显性消费中的相互作用的理解。它还具有重要的现实意义,可指导我们制定适合不同社会经济背景的消费者营销策略。
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引用次数: 0
Multimodal assessment of the role of intolerance of uncertainty in fear acquisition and extinction 对不确定性不容忍在恐惧获得和消退中的作用进行多模式评估
IF 2.7 3区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-09-11 DOI: 10.1016/j.biopsycho.2024.108860
Marcelo Malbec , Marta Andreatta , Matthias J. Wieser

Personality traits linked to internalizing disorders influence the way we develop fears, but also how we regain a sense of safety. In the present study, we investigated the effect of intolerance of uncertainty (IU) on defensive responses using a differential fear conditioning protocol with an extinction phase. The conditioned stimulus was associated with an aversive sound (90 dB) in 75 % of the presentations during acquisition. A final sample of 176 participants completed the experiment. We measured self-reports of associative (expectancy of the unconditioned stimulus in acquisition) and evaluative learning (arousal and valence), and both physiological (skin conductance response) and electrocortical responses (steady-state visually evoked potentials, ssVEPs; late positive potentials, LPP) to the conditioned stimuli. Our results show that IU's impact is limited, with no effect in both acquisition and extinction. These findings emphasize the necessity of large samples in research on inter-individual differences and contribute to our understanding of how IU may or may not be involved in fear and safety learning processes considering multiple aspects of fear responding.

与内化障碍有关的人格特质会影响我们产生恐惧的方式,也会影响我们如何重新获得安全感。在本研究中,我们采用一种带有消退阶段的差异化恐惧条件反射方案,研究了不确定性不容忍(IU)对防御反应的影响。在习得过程中,条件刺激与厌恶声音(90 dB)关联的比例为 75%。最终有 176 名参与者完成了实验。我们测量了对联想(习得过程中对无条件刺激的预期)和评价性学习(唤醒和价值)的自我报告,以及对条件刺激的生理反应(皮肤电导反应)和皮层电反应(稳态视觉诱发电位,ssVEPs;晚期正电位,LPP)。我们的研究结果表明,IU 的影响是有限的,对获得和消退都没有影响。这些发现强调了大样本研究个体间差异的必要性,并有助于我们理解 IU 在恐惧和安全学习过程中可能参与或不参与恐惧反应的多个方面。
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引用次数: 0
Scene effects on disgusted facial expression detection in individuals with social anxiety: The role of emotional intensity 场景对社交焦虑症患者厌恶表情检测的影响:情绪强度的作用
IF 2.7 3区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-09-11 DOI: 10.1016/j.biopsycho.2024.108863
Siyu He , Ruonan Zhao , Chieh Li , Lihong Hui , Shubo Dong , Cai Xu , Lixia Cui

Individuals exhibiting high social anxiety (HSA) typically encounter challenges in identifying threatening stimuli with varying levels of intensity in different social scenes, ultimately affecting their social interactions. However, it is not well understood how social scenes, emotional intensity, and interaction influence the recognition of threat stimuli among HSA individuals (HSAs). To address this issue, a face recognition task was administered to 20 HSA participants and 22 individuals exhibiting low social anxiety (LSA) in this study. Results indicated that during the social scene presentation stage, HSAs produced larger P2 amplitude than LSA individuals (LSAs) no matter the valence of the scenes. During the face recognition stage, HSAs had smaller N170 amplitude than LSAs and exhibited lower recognition time for 2 % disgusted faces compared to LSAs. Furthermore, the consistency between scenes and faces led to faster recognition of disgusted faces in HSAs, but not in LSAs. Consequently, our findings suggested that HSAs exhibited unique cognitive processing patterns in social scenes, manifested by increased attention to scenes and decreased attention to faces. In addition, the emotional congruence between the scene and the faces could facilitate the recognition of faces by HSAs.

表现出高度社交焦虑(HSA)的人在识别不同社交场景中不同强度的威胁刺激时通常会遇到困难,最终影响他们的社交互动。然而,人们对社交场景、情绪强度和互动如何影响高度社交焦虑者(HSAs)对威胁刺激的识别还不甚了解。为了解决这个问题,本研究对 20 名 HSA 参与者和 22 名低社交焦虑(LSA)者进行了人脸识别任务。结果表明,在社交场景呈现阶段,无论场景的情绪如何,HSA 都比 LSA 产生更大的 P2 振幅。在人脸识别阶段,与LSA相比,HSA的N170振幅小于LSA,对2%厌恶人脸的识别时间也较LSA短。此外,场景和人脸之间的一致性使 HSA 对厌恶人脸的识别速度更快,而 LSA 则不然。因此,我们的研究结果表明,HSA 在社交场景中表现出独特的认知加工模式,表现为对场景的注意力增加,而对人脸的注意力减少。此外,场景和面孔之间的情绪一致性也会促进 HSA 对面孔的识别。
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引用次数: 0
Examining associations between brain morphology in late childhood and early alcohol or tobacco use initiation in adolescence: Findings from a large prospective cohort 研究童年晚期大脑形态与青少年早期开始使用酒精或烟草之间的关系:大型前瞻性队列的发现。
IF 2.7 3区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-09-02 DOI: 10.1016/j.biopsycho.2024.108859
Olga D. Boer , Ingmar H.A. Franken , Ryan L. Muetzel , Janna Cousijn , Hanan El Marroun

A prominent challenge in understanding neural consequences of substance use involves disentangling predispositional risk factors from resulting consequences of substance use. Existing literature has identified pre-existing brain variations as vulnerability markers for substance use throughout adolescence. As early initiation of use is an important predictor for later substance use problems, we examined whether pre-existing brain variations are associated with early initiation of use.

In the Generation R Study, a prospective population-based cohort, brain morphology (gray matter volume, cortical thickness and surface area) was assessed at ages 10 and 14 using neuroimaging. In the second wave, participants reported on alcohol and tobacco use initiation. From a base study population (N = 3019), we examined the longitudinal (N = 2218) and cross-sectional (N = 1817) association between brain morphology of frontolimbic regions of interest known to be associated with substance use risk, and very early (age < 13) alcohol/tobacco use initiation. Additionally, longitudinal and cross-sectional associations were examined with a brain surface-based approach. Models were adjusted for age at neuroimaging, sex and relevant sociodemographic factors.

No associations were found between brain morphology (ages 10 and 14) and early alcohol/tobacco use initiation (<13 years). Sex-specific analyses suggested a cross-sectional association between smaller brain volume and early initiated tobacco use in girls. Our findings are important for interpreting studies examining neural consequences of substance use in the general population. Future longitudinal studies are needed to specify whether these findings can be extended to initiation and continuation of alcohol/tobacco use in later stages of adolescence.

在了解药物使用的神经后果方面,一个突出的挑战是如何将易感风险因素与药物使用的后果区分开来。现有的文献已经发现,在整个青少年时期,已有的大脑变异是药物使用的易感性标志。由于早期开始使用药物是日后出现药物使用问题的重要预测因素,我们研究了先前存在的大脑变异是否与早期开始使用药物有关。R 世代研究是一项基于人群的前瞻性队列研究,我们在参与者 10 岁和 14 岁时利用神经成像技术对其大脑形态(灰质体积、皮质厚度和表面积)进行了评估。在第二波研究中,参与者报告了开始饮酒和吸烟的情况。在基础研究人群(N = 3019)中,我们研究了已知与药物使用风险相关的前边缘相关区域的大脑形态与过早(年龄小于 13 岁)开始使用酒精/烟草之间的纵向(N = 2218)和横断面(N = 1817)关联。此外,还采用基于脑表面的方法研究了纵向和横截面关联。模型根据神经成像时的年龄、性别和相关社会人口因素进行了调整。结果表明,大脑形态(10 岁和 14 岁)与早期开始酗酒/吸烟之间没有任何关联 (
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引用次数: 0
Trait reward sensitivity modulates connectivity with the temporoparietal junction and Anterior Insula during strategic decision making 在战略决策过程中,特质奖赏敏感性会调节与颞顶交界处和前脑岛的连通性
IF 2.7 3区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-08-27 DOI: 10.1016/j.biopsycho.2024.108857
Daniel Sazhin , James B. Wyngaarden , Jeff B. Dennison , Ori Zaff , Dominic Fareri , Michael S. McCloskey , Lauren B. Alloy , Johanna M. Jarcho , David V. Smith

Many decisions happen in social contexts such as negotiations, yet little is understood about how people balance fairness versus selfishness. Past investigations found that activation in brain areas involved in executive function and reward processing was associated with people offering less with no threat of rejection from their partner, compared to offering more when there was a threat of rejection. However, it remains unclear how trait reward sensitivity may modulate activation and connectivity patterns in these situations. To address this gap, we used task-based fMRI to examine the relation between reward sensitivity and the neural correlates of bargaining choices. Participants (N = 54) completed the Sensitivity to Punishment (SP)/Sensitivity to Reward (SR) Questionnaire and the Behavioral Inhibition System/Behavioral Activation System scales. Participants performed the Ultimatum and Dictator Games as proposers and exhibited strategic decisions by being fair when there was a threat of rejection, but being selfish when there was not a threat of rejection. We found that strategic decisions evoked activation in the Inferior Frontal Gyrus (IFG) and the Anterior Insula (AI). Next, we found elevated IFG connectivity with the Temporoparietal junction (TPJ) during strategic decisions. Finally, we explored whether trait reward sensitivity modulated brain responses while making strategic decisions. We found that people who scored lower in reward sensitivity made less strategic choices when they exhibited higher AI-Angular Gyrus connectivity. Taken together, our results demonstrate how trait reward sensitivity modulates neural responses to strategic decisions, potentially underscoring the importance of this factor within social and decision neuroscience.

许多决策都是在谈判等社会环境中做出的,但人们对如何在公平与自私之间取得平衡却知之甚少。过去的研究发现,涉及执行功能和奖赏处理的大脑区域的激活与人们在没有伴侣拒绝威胁的情况下提供较少奖赏有关,而在有拒绝威胁的情况下则提供较多奖赏。然而,目前仍不清楚特质奖赏敏感性在这些情况下如何调节激活和连接模式。为了填补这一空白,我们使用基于任务的 fMRI 来研究奖励敏感性与讨价还价选择的神经相关性之间的关系。参与者(N = 54)完成了惩罚敏感性(SP)/奖励敏感性(SR)问卷和行为抑制系统/行为激活系统量表。参与者以提议者的身份进行最后通牒游戏和独裁者游戏,并在有拒绝威胁时表现出公平的战略决策,而在没有拒绝威胁时则表现出自私的战略决策。我们发现,战略决策会诱发额叶下回(IFG)和岛叶前部(AI)的激活。接着,我们发现在战略决策过程中,IFG 与颞顶交界处(TPJ)的连接性增强。最后,我们探讨了特质奖赏敏感性是否会调节大脑在做出战略决策时的反应。我们发现,奖励敏感性得分较低的人在表现出较高的人工智能-杏仁回连接性时,做出的策略性选择较少。综上所述,我们的研究结果表明了特质奖赏敏感性是如何调节大脑对战略决策的反应的,从而强调了这一因素在社会和决策神经科学中的重要性。
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引用次数: 0
Infants’ psychophysiological responses to eye contact with a human and with a humanoid robot 婴儿与人类和仿人机器人目光接触时的心理生理反应。
IF 2.7 3区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-08-17 DOI: 10.1016/j.biopsycho.2024.108858
Samuli Linnunsalo , Santeri Yrttiaho , Chiara Turati , Ermanno Quadrelli , Mikko J. Peltola , Jari K. Hietanen

Eye contact with a human and with a humanoid robot elicits attention- and affect-related psychophysiological responses. However, these responses have mostly been studied in adults, leaving their developmental origin poorly understood. In this study, 114 infants (6–8 months old) viewed direct and averted gaze directions of a live human and an embodied humanoid robot while their heart rate deceleration (attention orienting), skin conductance (affective arousal), and facial muscle activity (affective valence) were measured. In addition, a non-humanoid object (a vase) was used as a control stimulus. Infants’ attention orienting was stronger to averted versus direct gaze of a human and a robot, but indifferent to the averted versus direct orientation of the non-humanoid object. Moreover, infants’ attention orienting was equally intensive toward a human and a robot, but less intensive toward a non-humanoid object. Affective arousal was insensitive to gaze direction and did not differ between the human, the robot, and the non-humanoid object. Facial muscle responses showed sensitivity to the gaze direction of a human and of a robot but not to the orientation of the non-humanoid object. These results suggest that infants recognize the attentional and affective/affiliative significance not only in a human’s gaze but also in a robot’s gaze.

与人或仿人机器人的目光接触会引起与注意力和情感相关的心理生理反应。然而,这些反应大多是在成人身上研究出来的,对其发展起源知之甚少。在这项研究中,114 名婴儿(6-8 个月大)观看了真人和仿人机器人的直视和背视,同时测量了他们的心率减速(注意定向)、皮肤电导(情感唤醒)和面部肌肉活动(情感价位)。此外,还使用了一个非仿人物体(花瓶)作为对照刺激。婴儿对人类和机器人的转移视线和直接注视有更强的注意定向,但对非人类物体的转移视线和直接注视则无动于衷。此外,婴儿对人类和机器人的注意定向强度相同,但对非人类物体的注意定向强度较低。情感唤醒对注视方向不敏感,并且在人类、机器人和非人类物体之间没有差异。面部肌肉反应对人类和机器人的注视方向很敏感,但对非人类物体的方向不敏感。这些结果表明,婴儿不仅能从人类的注视中识别注意力和情感/亲和力,也能从机器人的注视中识别注意力和情感/亲和力。
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引用次数: 0
Neural mechanisms of inhibitory control in preadolescent irritability: Insights from the ABCD study 青春期易激惹的抑制控制神经机制:ABCD 研究的启示
IF 2.7 3区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-08-16 DOI: 10.1016/j.biopsycho.2024.108856
Alyssa J. Parker , Johanna C. Walker , Leslie S. Jordan , Yukari Takarae , Jillian Lee Wiggins , Lea R. Dougherty

Objective

Elevated pediatric irritability is a transdiagnostic symptom that predicts multiple mental health problems in adolescence and adulthood. Altered top-down regulatory networks, such as inhibitory control networks that suppress an impulse in favor of goal-directed behavior, are thought to contribute to high levels of youth irritability. Nevertheless, little work has examined links between youth irritability and neural processes supporting inhibitory control in large diverse samples, nor have they focused on the key period ramping up to adolescence (i.e., preadolescence).

Method

Functional MRI data from 5380 preadolescents (age M=9.97 years, SD=0.62) in the baseline Adolescent Brain and Cognitive Development (ABCD) Study were analyzed. Parents reported on their preadolescent’s irritability. The stop signal task (SST) was leveraged to probe successful and failed inhibitory control. Activation and functional connectivity with amygdala, ventral striatum, and prefrontal seed regions were calculated during the SST and used in whole brain and region of interest (ROI) group-level analyses evaluating irritability effects.

Results

Preadolescents with higher levels of irritability displayed decreases in functional connectivity among amygdala, ventral striatum, and prefrontal cortex regions during both successful and failed inhibitory control conditions. These results remained after adjusting for co-occurring anxiety, depression, and attention-deficit/hyperactivity symptoms.

Conclusions

Findings suggest neural aberrations in inhibitory control play a role in the pathophysiology of preadolescent irritability and associations are not merely due to co-occurring symptoms. Neural mechanisms of inhibitory control associated with irritability may provide novel intervention targets.

目的:小儿易怒是一种跨诊断症状,可预示青春期和成年期的多种心理健康问题。人们认为,自上而下的调节网络(如抑制控制网络)发生了改变,从而抑制了冲动,使行为更倾向于目标导向,这也是导致青少年易怒的原因之一。然而,很少有研究在大量不同样本中考察青少年易怒与支持抑制控制的神经过程之间的联系,也很少有研究关注青春期前的关键时期(即青春期前):方法:分析了基线青少年大脑和认知发展(ABCD)研究中 5380 名青春期前儿童(年龄中位数=9.97 岁,标准差=0.62)的功能磁共振成像数据。家长报告了其子女的易怒情况。利用停止信号任务(SST)来探测成功和失败的抑制控制。计算了SST期间杏仁核、腹侧纹状体和前额叶种子区的激活和功能连接,并将其用于全脑和感兴趣区(ROI)组级分析,以评估易激惹的影响:结果:在成功和失败的抑制控制条件下,易怒程度较高的前青少年杏仁核、腹侧纹状体和前额叶皮层区域的功能连接性都有所下降。在对同时出现的焦虑、抑郁和注意力缺陷/多动症状进行调整后,这些结果依然存在:结论:研究结果表明,抑制控制的神经畸变在青春期前易怒的病理生理学中起着一定的作用,其关联不仅仅是由共存症状引起的。与易怒相关的抑制控制神经机制可能会提供新的干预目标。
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引用次数: 0
Hypothalamic pituitary adrenal and autonomic nervous system biomarkers of stress and tobacco relapse: Review of the research 压力和烟草复吸的下丘脑垂体肾上腺和自主神经系统生物标志物:研究综述。
IF 2.7 3区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-08-14 DOI: 10.1016/j.biopsycho.2024.108854
Madeleine LaFond, Briana DeAngelis, Mustafa al'Absi

Tobacco smoking is a risk factor for countless diseases, and smoking relapse remains a major public health concern. Subjective reports of stress by smokers are a common theme for relapse, however, the role of objective stress-related biomarkers in predicting tobacco relapse risk has been less studied. The aim of this manuscript was to review existing literature on the connection between biomarkers of stress and smoking relapse. Overall, trends indicate that blunted hypothalamic-pituitary-adrenal (HPA) responses to acute stress, larger reductions in HPA biomarkers during the initial days of abstinence during cessation (compared to pre-cessation levels), and exaggerated autonomic responses to stress predict increased risk of relapse. In addition, successful cessation is followed by changes in stress biomarkers (e.g., reductions in cortisol and heart rate, HR). This review also identifies potential modifiers, such as methodological differences, biological sex, and chronic stress, to account for heterogeneity of findings within and across studies. In addition, we identify gaps in the literature and suggest future research directions focusing on the roles of genetics and gene expression as well as the influence of neurobiological mechanisms on stress and relapse risk. Future clinical implications of this research include identifying reliable indicators of relapse risk and the potential of pharmacotherapeutic treatments to target stress response systems to correct dysregulation and potentially reduce stress-related risk of relapse.

吸烟是导致无数疾病的危险因素,而吸烟复吸仍然是一个重大的公共卫生问题。吸烟者对压力的主观报告是复吸的一个常见主题,然而,客观的压力相关生物标志物在预测烟草复吸风险中的作用却鲜有研究。本手稿旨在回顾压力生物标志物与复吸之间联系的现有文献。总体趋势表明,下丘脑-垂体-肾上腺(HPA)对急性压力的反应减弱、戒烟初期HPA生物标志物较戒烟前水平有更大程度的降低以及自律神经对压力反应的夸大都预示着复吸风险的增加。此外,成功戒烟后压力生物标志物也会发生变化(如皮质醇和心率降低)。本综述还确定了潜在的调节因素,如方法差异、生理性别和慢性压力,以解释研究内部和研究之间发现的异质性。此外,我们还发现了文献中的空白,并提出了未来的研究方向,重点关注遗传学和基因表达的作用以及神经生物学机制对压力和复发风险的影响。这项研究的未来临床意义包括确定复发风险的可靠指标,以及针对应激反应系统的药物治疗的潜力,以纠正应激反应系统的失调,并降低与应激相关的复发风险。
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Biological Psychology
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