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Effect of a multidisciplinary lifestyle intervention on stress-related parameters in people with rheumatoid arthritis and osteoarthritis: secondary analysis of the "Plants for Joints" randomized controlled trial 多学科生活方式干预对类风湿关节炎和骨关节炎患者压力相关参数的影响:“关节植物”随机对照试验的二次分析
IF 2.1 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-05-02 DOI: 10.1016/j.cpnec.2025.100298
C.A. Wagenaar , J. Christiaans , V. Hermans , W. Walrabenstein , F.A. Koopman , H. van Middendorp , D. van Schaardenburg

Objective

In two randomized controlled trials, the Plants for Joints (PFJ) multidisciplinary lifestyle intervention reduced signs and symptoms of rheumatoid arthritis (RA), or metabolic syndrome-associated hip or knee osteoarthritis (MSOA) compared with usual care. This secondary analysis aimed to evaluate the effect of the PFJ intervention on stress-related parameters.

Methods

In two PFJ observer-blind randomized controlled trials (RCT), people with (1) RA with low-moderate disease activity or (2) MSOA were randomized to receive the PFJ lifestyle intervention or usual care. The 16-week PFJ intervention consisted of a whole-food plant-based diet, physical activity, and sleep and stress management. This secondary analysis investigated stress-related outcomes including heart rate, heart rate variability (HRV: root square mean of successive differences (RMSSD) and normalised high frequency (HFnorm), salivary cortisol, perceived stress (Perceived Stress Scale 10; PSS-10), and time spent on stress-reducing activities. An intention-to-treat analysis with a linear regression model (HRV) or linear mixed model (cortisol and PSS-10), adjusted for baseline values, was used to analyse between-group differences.

Results

77 people with RA and 64 with MSOA completed the RCT. RA participants following the PFJ intervention showed a significant improvement in HFnorm (between-group difference: 6.6; 95 % CI 0.5, 12.6) and an improving trend in RMSSD (4.3; 95 % CI -1.5, 10.1) alongside non-significant reductions of heart rate (3.1; 95 % CI-3.9, 10.1), salivary cortisol (1.3; 95 % CI -0.6, 3.1) and perceived stress (−2.0; 95 % CI -4.4, 0.3), compared to usual care. In participants with MSOA, there were no differences in heart rate, HRV outcomes, cortisol, or perceived stress between the intervention and control group. Both RA and MSOA participants temporarily increased time spent on stress-reducing activities, yet no change from baseline was observed after 16 weeks. In RA participants increased time spent on stress-reducing activities was associated with increased HFnorm.

Conclusion

This secondary analysis suggests the PFJ program may have a positive influence on stress-related parameters in people with RA, but not MSOA, compared to usual care.
在两项随机对照试验中,与常规治疗相比,关节植物(PFJ)多学科生活方式干预减少了类风湿性关节炎(RA)或代谢综合征相关髋关节或膝关节骨性关节炎(MSOA)的体征和症状。这项二级分析旨在评估PFJ干预对应力相关参数的影响。方法在两项PFJ观察盲随机对照试验(RCT)中,(1)RA伴中低疾病活动度或(2)MSOA患者随机接受PFJ生活方式干预或常规护理。为期16周的PFJ干预包括全食物植物性饮食、体育活动、睡眠和压力管理。这项二级分析调查了与压力相关的结果,包括心率、心率变异性(HRV:连续差异均方根(RMSSD)和正常化高频(HFnorm))、唾液皮质醇、感知压力(感知压力量表10;PSS-10),以及花在减压活动上的时间。使用线性回归模型(HRV)或线性混合模型(皮质醇和PSS-10)进行意向治疗分析,调整基线值,分析组间差异。结果77例RA患者和64例MSOA患者完成了RCT。RA参与者在PFJ干预后HFnorm显著改善(组间差异:6.6;95% CI 0.5, 12.6), RMSSD有改善趋势(4.3;95% CI -1.5, 10.1),同时心率无显著降低(3.1;95% CI-3.9, 10.1),唾液皮质醇(1.3;95% CI -0.6, 3.1)和感知压力(- 2.0;95% CI -4.4, 0.3)。在MSOA参与者中,干预组和对照组在心率、HRV结果、皮质醇或感知压力方面没有差异。RA和MSOA参与者都暂时增加了用于减压活动的时间,但在16周后没有观察到基线的变化。在RA参与者中,花在减压活动上的时间增加与HFnorm增加有关。结论:与常规治疗相比,PFJ计划可能对RA患者的压力相关参数有积极影响,但对MSOA没有积极影响。
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引用次数: 0
The impact of a multimodal intervention on physical health factors and lifestyle in patients with affective disorders – results from a randomized controlled trial 多模式干预对情感性障碍患者身体健康因素和生活方式的影响——一项随机对照试验的结果
IF 2.1 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-04-30 DOI: 10.1016/j.cpnec.2025.100295
Ida Schou Ipsen , Rasmus Schwarz , Lars Vedel Kessing , Kamilla W. Miskowiak , Maj Vinberg

Background

Traditional treatment for affective disorders primarily focuses on symptom management through pharmacotherapy and psychotherapy and rarely addresses co-existing physical impairments.

Methods

This randomized controlled trial assessed the impact of a six-month multimodal intervention (AWARE) on physical health in patients with bipolar and unipolar depressive disorders. A total of 103 patients, median age 40.75 years (65 % female), were randomized into the AWARE group (n = 50) or treatment as usual (TAU) group (n = 53). The AWARE intervention included five modules focused on activities of daily living, mood management, social relations, physical health, and cognition, with participants receiving approximately 12 sessions. TAU involved standard psychiatric care, Health outcomes were evaluated on sleep, metabolic markers, substance use, medication side effects, and perceived physical health. Statistical analyses used logistic regression for group comparisons and analysis of covariance for continuous outcomes.

Results

The AWARE group had significant improvements in sleep onset latency and reported reduced physical pain affecting daily work compared to TAU. However, no statistically significant differences were found in other physical health outcomes, such as metabolic markers, substance use, medication side effects, or perceived physical health. Study limitations include a modest sample size and a relatively short intervention duration.

Conclusion

While the AWARE intervention improved sleep and pain management, it did not significantly affect other health markers. Future research should involve longer intervention periods, larger sample sizes, and a comprehensive approach to both mental and physical health.
传统的情感障碍治疗主要侧重于通过药物治疗和心理治疗来控制症状,很少涉及共存的身体损伤。方法本随机对照试验评估了为期六个月的多模式干预(AWARE)对双相和单相抑郁症患者身体健康的影响。103例患者,中位年龄40.75岁(65%为女性),随机分为AWARE组(n = 50)和照常治疗组(n = 53)。AWARE干预包括五个模块,重点是日常生活活动、情绪管理、社会关系、身体健康和认知,参与者接受大约12次会议。TAU涉及标准的精神病学治疗,健康结果评估包括睡眠、代谢标志物、物质使用、药物副作用和感知的身体健康。统计分析采用逻辑回归进行组间比较,对连续结果进行协方差分析。结果与TAU相比,AWARE组睡眠发作潜伏期有显著改善,影响日常工作的身体疼痛减少。然而,在其他身体健康结果,如代谢标志物、物质使用、药物副作用或感知身体健康方面,没有发现统计学上的显著差异。研究的局限性包括样本量适中和干预时间相对较短。结论虽然AWARE干预改善了睡眠和疼痛管理,但对其他健康指标没有显著影响。未来的研究应该包括更长的干预期,更大的样本量,以及对心理和身体健康的综合方法。
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引用次数: 0
Cortisol awakening response in pregnant women with depressive disorders: a potential marker of recovery status from pregnancy to postpartum 抑郁症孕妇的皮质醇唤醒反应:从怀孕到产后恢复状态的潜在标志
IF 2.1 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-04-28 DOI: 10.1016/j.cpnec.2025.100297
Carlinde W. Broeks , Babette Bais , Rien Van , Hilmar H. Bijma , Elisabeth F.C. van Rossum , Witte J.G. Hoogendijk , Mijke P. Lambregtse-Van den Berg , Astrid M. Kamperman

Introduction

Dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis has been linked to peripartum depression, potentially contributing to symptom persistence. This study examines the relationship between the cortisol awakening response (CAR) during pregnancy and depressive symptom reduction postpartum.

Methods

Pregnant women with a current depressive episode were included in this study, part of a larger RCT on bright light therapy. At baseline (12–32 weeks of pregnancy), participants provided saliva samples at awakening, +30, and +60 min post-awakening. The CAR was assessed using three measures: area under the curve relative to ground (AUCg), area under the curve relative to increase (AUCi), and peak reactivity (difference between awakening and +30 min cortisol levels). Depressive symptoms were measured using the Hamilton Depression Rating Scale (HAM-D) at baseline and two months postpartum. Linear regression models assessed associations between CAR measures and depressive symptom change, adjusting for relevant covariates.

Results

The study included 55 pregnant women (mean age: 32.3 years, SD 4.8; mean gestational age: 19.7 weeks). Mean HAM-D scores decreased from 16.7 (SD 5.3) at baseline to 5.7 (SD 5.6) postpartum. Higher AUCi during pregnancy was associated with less symptom reduction postpartum (unadjusted β = 0.36, p = .02; adjusted β = 0.36, p = .02), as was peak cortisol reactivity (unadjusted β = 0.33, p = .03; adjusted β = 0.32, p = .03), while AUCg showed no significant association with symptom change (unadjusted p = .19; adjusted p = .28).

Conclusion

Higher AUCi and peak cortisol reactivity of the cortisol awakening response during pregnancy were linked to persistence of depressive symptoms postpartum, suggesting that heightened cortisol reactivity to awakening may indicate persistent stress vulnerability in peripartum depression. Total cortisol output (AUCg) was not predictive of recovery. These findings underscore the potential relevance of stress reactivity over basal cortisol levels in peripartum depression and highlight the need for further research in larger samples to elucidate the usefulness in clinical practice.
下丘脑-垂体-肾上腺(HPA)轴的失调与围产期抑郁有关,可能导致症状持续存在。本研究探讨了怀孕期间皮质醇觉醒反应(CAR)与产后抑郁症状减轻之间的关系。方法本研究纳入了当前抑郁发作的孕妇,这是一项更大的强光疗法随机对照试验的一部分。在基线(妊娠12-32周),参与者在醒来后、醒来后+30和+60分钟提供唾液样本。CAR采用三种测量方法进行评估:相对于地面的曲线下面积(AUCg)、相对于增加的曲线下面积(AUCi)和峰值反应性(觉醒和+30分钟皮质醇水平之间的差异)。在基线和产后两个月采用汉密尔顿抑郁评定量表(HAM-D)测量抑郁症状。线性回归模型评估了CAR测量与抑郁症状变化之间的关联,并对相关协变量进行了调整。结果纳入55例孕妇,平均年龄32.3岁,SD 4.8;平均胎龄:19.7周)。平均HAM-D评分从基线时的16.7 (SD 5.3)降至产后的5.7 (SD 5.6)。孕期较高的AUCi与产后症状减轻较少相关(未经调整β = 0.36, p = 0.02;调整后的β = 0.36, p = 0.02),皮质醇反应性峰值也是如此(未调整的β = 0.33, p = 0.03;调整后的β = 0.32, p = .03),而AUCg与症状改变无显著相关性(未经调整的p = .19;调整后p = .28)。结论孕期较高的AUCi和皮质醇觉醒反应的峰值与产后抑郁症状的持续存在有关,提示皮质醇觉醒反应的升高可能表明围产期抑郁患者存在持续的应激易感性。总皮质醇输出量(AUCg)不能预测康复。这些发现强调了应激反应与围生期抑郁症基础皮质醇水平的潜在相关性,并强调需要在更大的样本中进行进一步的研究,以阐明其在临床实践中的实用性。
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引用次数: 0
Exploring the metabolic signature of intermittent explosive disorder: Preliminary evidence and potential mechanisms for altered bilirubin metabolism 探索间歇性爆发性疾病的代谢特征:胆红素代谢改变的初步证据和潜在机制
IF 2.1 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-04-22 DOI: 10.1016/j.cpnec.2025.100294
Jeffrey B. Schwimmer , Murray B. Stein , Emil F. Coccaro , Alejandro D. Meruelo
Intermittent Explosive Disorder (IED) is characterized by impulsive aggression and emotional dysregulation, yet its systemic biological underpinnings remain poorly understood. This study examined bilirubin metabolism and systemic biomarkers as indicators of metabolic vulnerability in individuals with IED. Laboratory data for total and indirect bilirubin and white blood cell (WBC) count were analyzed in individuals with IED and a demographically and clinically matched general population (GP) control group. A 10:1 nearest-neighbor propensity score matching procedure was used to balance covariates including age, sex, race, ethnicity, body mass index (BMI), and alcohol and tobacco use. Participants with hepatobiliary or inflammatory conditions were excluded to reduce heterogeneity and confounding. Group comparisons used unique individuals with biomarker values averaged across timepoints.
Individuals with IED showed lower total and indirect bilirubin levels compared to matched controls, with a moderate effect size for indirect bilirubin (d = −0.37) and a small effect for total bilirubin (d = −0.10). WBC differences were minimal (d = −0.12). Linear mixed-effects models incorporating repeated measures yielded consistent results, though none of the group differences reached statistical significance, likely due to limited sample size in the IED group. Sensitivity analyses suggested bilirubin findings were more robust to unmeasured confounding than WBC.
These results highlight a potential hepatobiliary or metabolic signature in IED, rather than a primary inflammatory process. Given the preliminary nature of the findings, absence of cytokine data, and limited statistical power, results should be interpreted cautiously and warrant replication in larger samples with broader inflammatory and lifestyle profiling.
间歇性爆发障碍(IED)以冲动攻击和情绪失调为特征,但其系统生物学基础尚不清楚。本研究检测了胆红素代谢和全身生物标志物作为IED患者代谢易损性的指标。分析了IED患者和人口统计学和临床匹配的普通人群(GP)对照组的总胆红素和间接胆红素和白细胞(WBC)计数的实验室数据。采用10:1的最近邻倾向评分匹配程序来平衡协变量,包括年龄、性别、种族、民族、体重指数(BMI)和烟酒使用情况。排除有肝胆或炎症的参与者,以减少异质性和混淆。组比较使用具有生物标志物值在不同时间点平均的独特个体。与对照组相比,IED患者的总胆红素和间接胆红素水平较低,间接胆红素的影响大小中等(d = - 0.37),总胆红素的影响较小(d = - 0.10)。WBC差异极小(d = - 0.12)。纳入重复测量的线性混合效应模型得出了一致的结果,尽管各组差异均未达到统计学意义,这可能是由于IED组的样本量有限。敏感性分析表明,胆红素的发现对未测量的混杂比白细胞更可靠。这些结果强调了IED的潜在肝胆或代谢特征,而不是原发性炎症过程。考虑到研究结果的初步性质,细胞因子数据的缺乏和有限的统计能力,结果应谨慎解释,并保证在更广泛的炎症和生活方式分析的更大样本中复制。
{"title":"Exploring the metabolic signature of intermittent explosive disorder: Preliminary evidence and potential mechanisms for altered bilirubin metabolism","authors":"Jeffrey B. Schwimmer ,&nbsp;Murray B. Stein ,&nbsp;Emil F. Coccaro ,&nbsp;Alejandro D. Meruelo","doi":"10.1016/j.cpnec.2025.100294","DOIUrl":"10.1016/j.cpnec.2025.100294","url":null,"abstract":"<div><div>Intermittent Explosive Disorder (IED) is characterized by impulsive aggression and emotional dysregulation, yet its systemic biological underpinnings remain poorly understood. This study examined bilirubin metabolism and systemic biomarkers as indicators of metabolic vulnerability in individuals with IED. Laboratory data for total and indirect bilirubin and white blood cell (WBC) count were analyzed in individuals with IED and a demographically and clinically matched general population (GP) control group. A 10:1 nearest-neighbor propensity score matching procedure was used to balance covariates including age, sex, race, ethnicity, body mass index (BMI), and alcohol and tobacco use. Participants with hepatobiliary or inflammatory conditions were excluded to reduce heterogeneity and confounding. Group comparisons used unique individuals with biomarker values averaged across timepoints.</div><div>Individuals with IED showed lower total and indirect bilirubin levels compared to matched controls, with a moderate effect size for indirect bilirubin (d = −0.37) and a small effect for total bilirubin (d = −0.10). WBC differences were minimal (d = −0.12). Linear mixed-effects models incorporating repeated measures yielded consistent results, though none of the group differences reached statistical significance, likely due to limited sample size in the IED group. Sensitivity analyses suggested bilirubin findings were more robust to unmeasured confounding than WBC.</div><div>These results highlight a potential hepatobiliary or metabolic signature in IED, rather than a primary inflammatory process. Given the preliminary nature of the findings, absence of cytokine data, and limited statistical power, results should be interpreted cautiously and warrant replication in larger samples with broader inflammatory and lifestyle profiling.</div></div>","PeriodicalId":72656,"journal":{"name":"Comprehensive psychoneuroendocrinology","volume":"22 ","pages":"Article 100294"},"PeriodicalIF":2.1,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Panic attack symptoms in patients with diabetic peripheral neuropathy 糖尿病周围神经病变患者的惊恐发作症状
IF 2.1 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-04-10 DOI: 10.1016/j.cpnec.2025.100292
Nayden H. Manolov , Arman Sh Postadzhiyan , Sonya M. Karabeliova , Peter M. Marinov
Assessment of diabetic peripheral neuropathy (DPN) usually focuses on nerve damage resulting from hyperglycaemia. However, screening for common psychiatric disorders may improve the recognition of psychopathology in patients with DPN.
This epidemiological cohort study aimed to evaluate the prevalence of panic attack symptoms in patients with DPN compared toa control group of healthy individuals without type 2 diabetes mellitusorDPN.Additionally, this study sought to compare the severity of these symptoms between the two groups.The study was conducted via a survey over three years in an accredited practice of physicians at the Medical University-Sofia.
A total of267 participants were included, comprising 83 patients with DPN and 184healthy controls. Both groups completed the Prime-MD Patient Health Questionnaire. The results indicated significant differences between the two study groups(t[127.513] = 3.293; p < 0.01), and patients with DPN had a higher prevalence of panic attack symptoms than those in the control group.Furthermore, significant differences were observed in the severity of panic attack symptoms within the DPN group (t[(81] = 2.017, p < 0.05).Patients who had experienced DPN for more than one year reported more severe symptoms than those who had experienced it for less than oneyear. Our results indicate that the high prevalence of panic attack symptoms inpatients with DPN highlights the need for integrated screening for psychiatric disorders within the overall management plan for diabetes mellitus.
糖尿病周围神经病变(DPN)的评估通常侧重于高血糖引起的神经损伤。然而,对常见精神疾病的筛查可能会提高DPN患者对精神病理的认识。本流行病学队列研究旨在评估惊恐发作症状在DPN患者中的流行程度,并与无2型糖尿病或DPN的健康对照组进行比较。此外,本研究试图比较两组之间这些症状的严重程度。这项研究是通过对索非亚医科大学认可执业医师进行的一项为期三年的调查进行的。共纳入267名参与者,包括83名DPN患者和184名健康对照者。两组都完成了Prime-MD患者健康问卷。结果显示两个研究组之间存在显著差异(t[127.513] = 3.293;p & lt;DPN患者出现惊恐发作症状的发生率高于对照组(0.01)。此外,DPN组惊恐发作症状严重程度差异有统计学意义(t[(81] = 2.017, p <;0.05)。经历DPN超过一年的患者比经历DPN不到一年的患者报告的症状更严重。我们的研究结果表明,DPN患者惊恐发作症状的高发突出了在糖尿病总体管理计划中对精神疾病进行综合筛查的必要性。
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引用次数: 0
Weight-based discrimination and cortisol output: A systematic review 基于体重的歧视和皮质醇输出:一项系统综述
IF 2.1 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-04-03 DOI: 10.1016/j.cpnec.2025.100290
Maria A. Kalantzis , Daniel M. Maitland , Miranda Yannon , Christina Gaggiano , Jinbo He , Aldo Barrita , Lorelai Symmes , William H. O'Brien
Discrimination based on weight status (or weight-related discrimination/stigma) may be related to greater physical and mental health concerns via physiological and psychological phenotypes of stress. Cortisol output, a biomarker of stress, has been measured in relation to weight stigma and weight-related discrimination. This systematic review aims to synthesize existing research on the relationship between weight-related discrimination and cortisol output, evaluate methodological approaches for measuring these constructs, and identify research gaps regarding contextual factors influencing this relationship. A comprehensive search was conducted across multiple databases (PsycINFO, Scopus, ProQuest, and PubMed) from February 1 to July 1, 2024, resulting in 11 eligible studies that examined weight discrimination in relation to cortisol levels. Studies were assessed for quality using the NHLBI Study Quality Assessment Tool, and inter-rater reliability for coding was established at 90 %. The findings revealed a range of sample sizes (45–4341) and diverse participant characteristics, including variations in age, race, and body mass index (BMI). About half (N = 5) of the included studies reported a positive relation between weight stigma and cortisol output. The review also uncovered significant limitations in current methodologies, particularly concerning contextual factors and other marginalized identities, such as socioeconomic status and food insecurity, along with measuring other forms of discrimination in tandem with weight stigma, such as racial discrimination. These findings underscore the need for future research to adopt a more intersectional approach in examining the multifaceted nature of weight stigma and how it relates to a greater stress response in multiple marginalized identities, as well as including longitudinal modeling of weight stigma's impact on biomarkers for stress.
基于体重状况的歧视(或与体重相关的歧视/耻辱)可能通过生理和心理压力表型与更大的身心健康问题相关。皮质醇输出是压力的生物标志物,已经测量了与体重耻辱和体重相关歧视的关系。本系统综述旨在综合有关体重相关歧视与皮质醇输出之间关系的现有研究,评估测量这些结构的方法学方法,并确定影响这种关系的背景因素的研究空白。从2024年2月1日到7月1日,我们在多个数据库(PsycINFO、Scopus、ProQuest和PubMed)中进行了全面的搜索,得出了11项符合条件的研究,研究了体重歧视与皮质醇水平的关系。使用NHLBI研究质量评估工具对研究进行质量评估,并确定编码的评分者间信度为90%。研究结果揭示了样本量的范围(45-4341)和不同的参与者特征,包括年龄、种族和身体质量指数(BMI)的变化。纳入的研究中约有一半(N = 5)报告了体重耻感与皮质醇输出之间的正相关。审查还发现了现有方法的重大局限性,特别是在背景因素和其他边缘化身份方面,如社会经济地位和粮食不安全,以及与体重耻辱相结合的其他形式的歧视,如种族歧视。这些发现强调了未来的研究需要采用更交叉的方法来研究体重耻辱感的多面性,以及它如何与多个边缘化身份的更大压力反应相关,以及包括体重耻辱感对压力生物标志物影响的纵向建模。
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引用次数: 0
Atypical language lateralization in positive schizotypy and modulating effects of the menstrual cycle 阳性分裂型患者的非典型语言侧化和月经周期的调节作用
IF 2.1 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-04-02 DOI: 10.1016/j.cpnec.2025.100291
Helene Hjelmervik , Josef J. Bless , Julien Laloyaux , Kenneth Hugdahl , Markus Hausmann
Previous studies have shown atypical language asymmetry in male participants with high schizotypy traits, but in female participants the pattern is less clear. Such sex differences could suggest a role of sex hormones, especially since hemispheric asymmetries have been shown to change across the menstrual cycle. By modulating attention in a consonant-vowel dichotic listening test, the current study aimed to investigate language lateralization (ear advantage of non-forced condition) in high vs low positive-schizotypy and the role of the menstrual cycle. In addition, we aimed to replicate menstrual cycle effects on the left attention condition. Thirty-nine female participants were tested in the menstrual (low estradiol) or follicular (high estradiol) cycle phase. Women tested in the follicular phase were found to perform better on the left attention condition, indicating enhanced cognitive control. In the non-forced condition, the high positive-schizotypy group showed increased right hemispheric involvement during the follicular phase relative to the menstrual phase; whereas an increase in left hemispheric dominance was seen in the low positive-schizotypy group during this cycle phase. The results suggest an underlying difference in lateralization between low and high positive-schizotypy that is enhanced by gonadal hormones, perhaps through altered interhemispheric inhibition. Overall, the study suggests that the atypical language lateralization in high schizotypy individuals is highly flexible and dependent on the hormonal milieu, and could potentially be related to neuroprotective effects of estradiol.
先前的研究表明,具有高度分裂型特征的男性参与者存在非典型的语言不对称,但在女性参与者中,这种模式就不太清楚了。这种性别差异可能暗示性激素的作用,特别是因为半球不对称已被证明在月经周期中会发生变化。本研究通过调节辅音-元音二元听力测试中的注意力,探讨高、低阳性分裂型患者的语言偏侧化(非强迫条件下的耳优势)及其在月经周期中的作用。此外,我们旨在复制月经周期对左注意力状况的影响。39名女性参与者在月经(低雌二醇)或卵泡(高雌二醇)周期阶段进行了测试。在卵泡期接受测试的女性在左注意力条件下表现更好,表明认知控制能力增强。在非强迫条件下,高阳性分裂型组在卵泡期与月经期相比右半球受累增加;然而,在这个周期阶段,在低阳性分裂型组中,左半球优势性增加。结果表明,低阳性分裂型和高阳性分裂型之间的侧化存在潜在差异,这种差异可能通过改变半球间抑制作用而被性激素增强。总的来说,研究表明,高度分裂型个体的非典型语言侧化高度灵活,依赖于激素环境,可能与雌二醇的神经保护作用有关。
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引用次数: 0
Workers’ well-being during viral pandemics and epidemics: A scoping review 病毒大流行和流行病期间工人的福祉:范围审查
IF 2.1 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-03-04 DOI: 10.1016/j.cpnec.2025.100286
Tyler Pacheco , Simon Coulombe , Nancy L. Kocovski , Julia Carbone
Studies have documented workers' well-being during individual pandemics and epidemics. However, there lies a need to summarize worker well-being across crises. Moreover, there is a scarcity of reviews exploring precarious workers' well-being during these crises. Adopting a multidisciplinary perspective via positive psychology's third wave, this scoping review examines positive and negative well-being across diverse occupational groups and situations (e.g., precarious employment) and across crises. Inspired by Ecological Systems Theory, factors at different ecological levels (self, social, workplace, pandemic) relevant to workers' well-being are reviewed. The following questions are addressed: 1) How are virus-related public health crises (i.e., epidemics, pandemics) related to workers' well-being? 2) What resilience and risk factors are associated with workers' well-being in these crises? And 2a) How is the well-being of precarious workers impacted during virus-related public health crises? Of the 2,395 potentially relevant articles published before October 23rd, 2020, 187 were retained. Overall, more research has been conducted on negative than positive well-being. Workers experienced: 1) positive well-being frequently or at moderately high levels overall during pandemics and epidemics, 2) mild to moderate negative well-being during SARS and COVID-19's beginning and high negative well-being during other crises, and 3) high work-related well-being during such crises. Factors at self- (age, gender), social- (social support), workplace- (occupation, frontline status), and pandemic-related (risk/exposure, knowing someone infected/killed by the virus, PPE access) levels were associated with workers' well-being. Although explored infrequently, precarious employment was typically associated with greater negative well-being. Practice- and policy-related recommendations are discussed.
研究记录了工人在个别流行病和流行病期间的福祉。然而,有必要总结危机期间工人的福祉。此外,在这些危机中,探讨不稳定工人福利的评论很少。通过积极心理学的第三波,采用多学科视角,这一范围审查检查了不同职业群体和情况(例如,不稳定的就业)和危机中的积极和消极幸福感。受生态系统理论的启发,在不同的生态水平(自我、社会、工作场所、流行病)与工人的福祉相关的因素进行了审查。处理以下问题:1)与病毒有关的公共卫生危机(即流行病、大流行)与工人的福祉有何关系?2)在这些危机中,哪些适应力和风险因素与工人的幸福感有关?2a)在与病毒相关的公共卫生危机期间,不稳定工人的福祉如何受到影响?在2020年10月23日之前发表的2395篇可能相关的文章中,187篇被保留。总的来说,对消极幸福感的研究多于对积极幸福感的研究。工人经历:1)在大流行和流行病期间经常或总体上处于中高水平的积极幸福感,2)在SARS和COVID-19开始期间轻度至中度的消极幸福感,在其他危机期间高度的消极幸福感,以及3)在此类危机期间与工作相关的高度幸福感。自我因素(年龄、性别)、社会因素(社会支持)、工作场所因素(职业、一线状况)和与大流行相关的因素(风险/接触、认识被病毒感染/死亡的人、获得个人防护装备)水平与工人的福祉相关。虽然很少被研究,但不稳定的就业通常与更大的负面幸福感有关。讨论了与实践和政策相关的建议。
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引用次数: 0
Using hair biomarkers to examine social-emotional resilience in adolescence: A feasibility study 利用头发生物标志物检测青少年社会情绪弹性的可行性研究
IF 2.1 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-03-03 DOI: 10.1016/j.cpnec.2025.100287
Cynthia R. Rovnaghi , Anjali Gupta , Susan Ramsundarsingh , Ronnie I. Newman , Sa Shen , Jordan K.H. Vedelli , Elizabeth L. Reichert , Kanwaljeet J.S. Anand

Background

The SKY Schools Program combines breath-based techniques and a social-emotional learning curriculum. We examined its effects on objective physiological biomarkers, including hair cortisol (HCC, chronic stress measure) and hair oxytocin (HOC, social affiliation measure), as well as behavioral (youth risk behaviors) and mental health outcomes (anxiety, depression).

Methods

The SKY Schools program was adapted for post-pandemic restrictions (i.e., staff shortages, no lessons requiring writing, limited weekly follow-ups) and implemented among 7th grade students (daily in-person 40-min sessions for three weeks during physical education classes). Longitudinal assessments were obtained at baseline (T1, February 2022, N = 21), post-intervention (T2, June 2022, N = 20), and follow-up (T3, December 2022, N = 18).

Results

Most of our sample was male (67 %), Hispanic (62 %), and lived in low-income (<$100K) households (75 %). Students reported fewer poor mental health days at follow-up (Friedman test p < 0.01). Log-normal (Ln)-HCC (p < 0.01) were higher post-intervention vs. baseline (median 1.81 (IQR 1.63–2.46) vs. 1.60 (0.91–1.85)) and lower at follow-up (1.23; IQR: 0.64–1.50), with HCC in more students moving into the adaptive range (25th-75th percentile). Ln-HOC (p = 0.04) were higher post-intervention vs. baseline (1.78 (1.54–2.26) vs. 1.50 (0.81–1.70)).

Conclusions

This study uniquely evaluated the impact of the SKY intervention on hair cortisol (HCC) and hair oxytocin concentrations (HOC), which are objective, physiological measures of chronic stress and social affiliation. Results suggest that SKY may improve social affiliation and possibly HPA-axis regulation.
SKY学校项目结合了基于呼吸的技术和社会情感学习课程。我们研究了它对客观生理生物标志物的影响,包括头发皮质醇(HCC,慢性压力测量)和头发催产素(HOC,社会关系测量),以及行为(青少年风险行为)和心理健康结果(焦虑,抑郁)。方法SKY学校项目针对大流行后的限制条件(即人员短缺、不需要写作的课程、每周有限的随访)进行了调整,并在七年级学生中实施(在体育课上每天面对面授课40分钟,持续三周)。在基线(T1, 2022年2月,N = 21)、干预后(T2, 2022年6月,N = 20)和随访(T3, 2022年12月,N = 18)进行纵向评估。结果我们的大多数样本是男性(67%),西班牙裔(62%),生活在低收入(10万美元)家庭(75%)。在随访中,学生报告的心理健康状况不佳的天数较少(Friedman测试p <;0.01)。对数正态(Ln)-HCC (p <;0.01)干预后高于基线(中位数1.81 (IQR 1.63-2.46)比1.60(0.91-1.85)),随访时较低(1.23;IQR: 0.64-1.50),更多学生的HCC进入适应范围(25 -75百分位)。Ln-HOC (p = 0.04)干预后高于基线(1.78(1.54-2.26)比1.50(0.81-1.70))。结论:本研究独特地评估了SKY干预对毛发皮质醇(HCC)和毛发催产素浓度(HOC)的影响,这是慢性应激和社会关系的客观生理指标。结果表明,SKY可能改善社会关系,并可能改善hpa轴的调节。
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引用次数: 0
Depression and the prefrontal-hippocampal pathway - A multimodal neuroimaging study in transgender women 抑郁症与前额叶-海马通路——跨性别女性的多模态神经影像学研究
IF 2.1 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-03-02 DOI: 10.1016/j.cpnec.2025.100288
Setthanan Jarukasemkit , Karen M. Tam , Seksan Yoadsanit , Ty Easley , Hailey Modi , Lyn Stahl , Adun Kampaengtip , Thanissara Chansakul , Rena Janamnuaysook , Akarin Hiransuthikul , Chaipat Chunharas , Janine D. Bijsterbosch
This study aims to investigate functional and neurotransmitter signaling in the prefrontal-hippocampal pathway in relation to depression in a cohort of Thai transgender women. Twenty participants completed mental health surveys and imaging between January and March 2024. Depression severity was measured by Patient Health Questionnaire-9 (PHQ-9) scores. Higher PHQ-9 scores were associated with lower GABA levels in the hippocampus, and with lower fractional amplitude of low-frequency fluctuations (fALFF) in the dorsolateral prefrontal cortex. However, removal of the hippocampal GABA outlier resulted in a non-significant relationship with PHQ-9. Therefore, future studies with larger datasets should further investigate the association between GABA and depression in a transgender cohort. These findings revealed interactions between neurotransmitter signaling and functional brain activity of the hippocampal-prefrontal circuit in depression.
本研究旨在探讨泰国跨性别女性抑郁相关的前额叶-海马通路的功能和神经递质信号。20名参与者在2024年1月至3月期间完成了心理健康调查和成像。抑郁严重程度通过患者健康问卷-9 (PHQ-9)得分来测量。PHQ-9得分越高,海马GABA水平越低,前额叶背外侧皮层低频波动分数幅值(fALFF)越低。然而,海马GABA异常值的去除导致PHQ-9与PHQ-9的关系不显著。因此,未来有更大数据集的研究应该进一步研究GABA与跨性别人群抑郁之间的关系。这些发现揭示了抑郁症患者海马体-前额叶回路的神经递质信号与功能性脑活动之间的相互作用。
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引用次数: 0
期刊
Comprehensive psychoneuroendocrinology
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