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Is the Mannheim Multicomponent Stress Test a viable alternative to the Trier Social Stress Test? 曼海姆多成分压力测试是特里尔社会压力测试的可行替代方案吗?
IF 2.1 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-11-01 DOI: 10.1016/j.cpnec.2024.100275
Daniel S. Kashi, Marianne Hunter, Jason P. Edwards, Harry Bell, Megan Robinson, Neil P. Walsh

Background

The Trier Social Stress Test (TSST) is a widely used laboratory protocol to study acute stress reactivity, a hallmark of which is a meaningful increase in saliva cortisol (>2.5 nmol/L) in most individuals, reflecting hypothalamic-pituitary-adrenal (HPA) axis activation. The Mannheim Multicomponent Stress Test (MMST) has potential as a low staff burden alternative to the TSST, with one study showing statistically significant increases in subjective stress, heart rate and saliva cortisol; however, uncertainty remains about the meaningfulness of these psychobiological responses.

Objective

To assess whether the MMST is a viable alternative to the TSST.

Methods

Using a between subjects design, 31 healthy adults were randomised to the standard TSST or the MMST using stratified block randomisation accounting for sex and trait anxiety. The standard TSST consisted of an anticipation phase, followed by a free speech and mental arithmetic task performed in front of a panel of trained actors. The MMST consisted of a computer based Paced Auditory Serial Addition Task (cognitive stressor) with additional motivational, emotional and acoustic stressors in the presence of one unresponsive observer.

Results

Group × time interactions showed that the MMST induced smaller psychobiological responses compared with the TSST (mixed model ANCOVA, P < 0.05). Post-hoc analyses revealed that the MMST induced a significant yet smaller state anxiety response (score range 20–80, MMST: 47 ± 12 vs. TSST: 57 ± 9; P < 0.01, Cohens d = 0.9) and peak heart rate response (MMST: 98 ± 17 vs. TSST: 110 ± 21 bpm; P < 0.05, Cohens d = 0.6) compared with the TSST. Despite observing stereotypical neuroendocrine responses to the TSST, the MMST did not increase saliva α-amylase or cortisol (Δ saliva cortisol, 0.1 ± 1.1 vs. TSST: 10.3 ± 12.8 nmol/L; between group difference P < 0.01, Cohens d = 1.1). Moreover, meaningful increases in saliva cortisol (>2.5 nmol/L) were observed in 80% of participants after the TSST but in no participant after the MMST.

Conclusion

The Mannheim Multicomponent Stress Test increased state anxiety and heart rate but not saliva cortisol. As such, the present results do not support the utility of the Mannheim Multicomponent Stress Test as a viable alternative to The Trier Social Stress Test.
背景特里尔社会压力测试(TSST)是一种广泛使用的实验室方案,用于研究急性压力反应性,其特点是大多数人的唾液皮质醇(2.5 nmol/L)会显著增加,反映出下丘脑-垂体-肾上腺(HPA)轴的激活。曼海姆多组分压力测试(MMST)具有替代TSST的低人员负担潜力,一项研究显示,主观压力、心率和唾液皮质醇的增加具有统计学意义;但是,这些心理生物学反应的意义仍不确定。方法采用受试者间设计,使用分层区组随机法(考虑性别和特质焦虑)将31名健康成年人随机分配到标准TSST或MMST。标准 TSST 包括一个预期阶段,然后在一组训练有素的演员面前完成自由言论和心算任务。MMST包括一项基于计算机的步调听觉连续加法任务(认知压力源)以及额外的动机、情绪和声音压力源,并有一名无反应的观察者在场。结果组×时间的交互作用表明,与TSST相比,MMST引起的心理生物反应较小(混合模型方差分析,P < 0.05)。事后分析表明,与 TSST 相比,MMST 诱导的状态焦虑反应(得分范围为 20-80,MMST:47 ± 12 vs. TSST:57 ± 9;P <;0.01,Cohens d = 0.9)和心率峰值反应(MMST:98 ± 17 vs. TSST:110 ± 21 bpm;P <;0.05,Cohens d = 0.6)显著但较小。尽管观察到了 TSST 的刻板神经内分泌反应,但 MMST 并未增加唾液中的α-淀粉酶或皮质醇(Δ唾液皮质醇:0.1 ± 1.1 vs. TSST:10.3 ± 12.8 nmol/L;组间差异 P < 0.01,Cohens d = 1.1)。结论曼海姆多组分压力测试增加了状态焦虑和心率,但没有增加唾液皮质醇。因此,目前的结果并不支持将曼海姆多成分压力测试作为特里尔社会压力测试的可行替代方法。
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引用次数: 0
Association between depression and anxiety disorders with euthyroid Hashimoto's thyroiditis: A systematic review and meta-analysis 抑郁症和焦虑症与甲状腺功能良好的桥本甲状腺炎之间的关系:一项系统综述和荟萃分析。
IF 2.1 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-11-01 DOI: 10.1016/j.cpnec.2024.100279
Bo Wang , Jie Huang , Li Chen

Background

Hashimoto's thyroiditis (HT) affects up to 10 % of the population and is a common cause of hypothyroidism, which can lead to depression and anxiety. However, it remains unclear whether HT directly causes these conditions or if they arise due to HT-induced hypothyroidism. The present review aims to offer meta-analytic insights into the relationship between depression and anxiety in patients with euthyroid HT.

Methods

A comprehensive search was conducted in PubMed, Embase, Web of Science, Cochrane Library, CNKI, Wanfang Data, SinoMed, and VIP from their inception through May 2024. Case-control or cross-sectional studies examining the association between euthyroid HT and either depression, anxiety disorders, or both were included.

Results

For depression, 1365 patients (694 HT vs. 671 controls) from 11 articles were analyzed; for anxiety, 1009 patients (516 HT vs. 493 controls) from 8 articles were included. HT patients had 2.5 times higher odds of anxiety disorders (OR = 2.52, 95 % CI: 1.66–3.82). The Beck Depression Inventory showed a WMD of 4.26 (95 % CI: 1.28–7.24) and the Beck Anxiety Inventory a WMD of 5.10 (95 % CI: 1.55–8.66).

Limitation

The findings should be interpreted cautiously due to heterogeneity, potential publication bias, and variability in assessment tools, which may limit generalizability.

Conclusions

Euthyroid HT patients exhibit a higher prevalence of anxiety disorders compared to healthy control groups, and more susceptible to anxiety and depression symptoms based on the Beck Inventory. Thyroid antibodies themselves are also associated with depression and anxiety disorder.
桥本甲状腺炎(桥本甲状腺炎)影响高达10%的人口,是甲状腺功能减退的常见原因,可导致抑郁和焦虑。然而,目前尚不清楚是HT直接导致这些疾病,还是HT引起的甲状腺功能减退。本综述旨在对甲状腺激素治疗患者抑郁和焦虑之间的关系进行meta分析。方法:综合检索PubMed、Embase、Web of Science、Cochrane Library、CNKI、万方数据、中国医学信息网(sinmed)、维普网(VIP)自成立至2024年5月的数据库。研究甲状腺激素与抑郁症、焦虑症或两者之间关系的病例对照或横断面研究也包括在内。结果:在抑郁症方面,来自11篇文章的1365例患者(694例HT对671例对照)被分析;对于焦虑症,纳入了来自8篇文章的1009例患者(516例HT对493例对照)。HT患者出现焦虑障碍的几率是前者的2.5倍(OR = 2.52, 95% CI: 1.66-3.82)。贝克抑郁量表的WMD为4.26 (95% CI: 1.28-7.24),贝克焦虑量表的WMD为5.10 (95% CI: 1.55-8.66)。局限性:由于异质性、潜在的发表偏倚和评估工具的可变性,研究结果应谨慎解释,这可能限制推广。结论:与健康对照组相比,甲状腺功能亢进患者表现出更高的焦虑障碍患病率,并且根据贝克量表更容易出现焦虑和抑郁症状。甲状腺抗体本身也与抑郁症和焦虑症有关。
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引用次数: 0
A Festschrift for Janice Kiecolt-Glaser: At the origin of stress and immunity 贾尼丝·基科特-格拉泽:压力和免疫的起源。
IF 2.1 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-11-01 DOI: 10.1016/j.cpnec.2024.100277
Robert Dantzer (Editor-in-Chief of Comprehensive Psychoneuroendocrinology)
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引用次数: 0
Perceived partner responsiveness alters the association between marital distress and well-being in dementia spousal caregivers 感知到的伴侣响应能力会改变痴呆症配偶照顾者的婚姻痛苦与幸福之间的关系
IF 2.1 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-18 DOI: 10.1016/j.cpnec.2024.100271
Vincent D. Lai , Jensine Paoletti-Hatcher , E. Lydia Wu-Chung , Itee Mahant , Daniel L. Argueta , Kelly N. Brice , Bryan T. Denny , Charles Green , Luis D. Medina , Paul E. Schulz , Jennifer M. Stinson , Cobi J. Heijnen , Christopher P. Fagundes
Caregivers for spouses with Alzheimer's disease and related dementias (ADRD) experience drastic changes in the marital relationship that may put them at risk for worsening well-being. Perceived partner responsiveness, or feeling cared for, understood, and appreciated by one's spouse, may help mitigate these effects. In this study, we investigated the associations between marital distress, perceived partner responsiveness, and psychological and physiological well-being indicators among ADRD spousal caregivers.

Method

A sample of 161 caregivers provided blood samples and completed self-report measures of marital distress, perceived partner responsiveness, and depressive symptoms. We tested hypotheses in our sample cross-sectionally based on two theoretical frameworks.

Results

Testing the marital discord model of depression, caregivers who reported greater marital distress also reported more depressive symptoms, and this association was stronger as participants reported lower perceived partner responsiveness. Caregivers who reported greater marital distress exhibited elevated proinflammatory cytokine production by in vitro lipopolysaccharide (LPS)-stimulated peripheral blood leukocytes at low levels of perceived partner responsiveness, but not mean or high levels. Testing the vulnerability-stress-adaptation model, caregivers who reported more depressive symptoms also reported greater marital distress. Further, caregivers who exhibited elevated LPS-stimulated proinflammatory cytokine production reported greater marital distress at mean and high levels of perceived partner responsiveness, but not low levels. These patterns of results held even when accounting for the dementia stage and reported hours of caregiving per day.

Discussion

This study's findings contribute to the body of research examining interpersonal factors that shape health and well-being among the caregiver population.
阿尔茨海默病及相关痴呆症(ADRD)患者配偶的照顾者会经历婚姻关系的急剧变化,这可能使他们面临幸福感恶化的风险。感知到的伴侣响应能力,或感觉到配偶的关心、理解和赞赏,可能有助于减轻这些影响。在这项研究中,我们调查了 ADRD 配偶照顾者的婚姻困境、感知伴侣响应度与心理和生理幸福感指标之间的关联。方法:161 名照顾者提供了血液样本,并完成了婚姻困境、感知伴侣响应度和抑郁症状的自我报告测量。我们根据两个理论框架对样本中的假设进行了横截面测试。结果在测试抑郁症的婚姻不和谐模型时,报告了较多婚姻困扰的照顾者也报告了较多抑郁症状,并且这种关联在参与者报告了较低的感知伴侣响应度时更为强烈。在感知伴侣响应度较低的情况下,体外脂多糖(LPS)刺激的外周血白细胞会分泌更多的促炎细胞因子,而在感知伴侣响应度较高或较低的情况下,这种现象则不会出现。通过检验脆弱性-压力-适应模型,发现抑郁症状较多的照顾者的婚姻问题也较严重。此外,LPS 刺激促炎细胞因子分泌增加的照顾者在感知到伴侣反应性的平均水平和高水平上报告了更大的婚姻困扰,而在低水平上则没有。即使考虑到痴呆症阶段和报告的每天护理时数,这些结果模式仍然成立。 讨论这项研究的发现为研究影响护理人群健康和幸福的人际因素做出了贡献。
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引用次数: 0
Distress and inflammation are independently associated with cancer-related symptom severity 苦恼和炎症与癌症相关症状的严重程度独立相关
IF 2.1 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-11 DOI: 10.1016/j.cpnec.2024.100269
Tamara E. Lacourt , D. Tripathy , Maria C. Swartz , Emily C. LaVoy , Cobi J. Heijnen

Objective

To evaluate longitudinal associations of distress and inflammation with somatic and depressive symptom severity in breast cancer patients, from before to six months after neoadjuvant chemotherapy. We also explored feasibility and effects of an early mindfulness-based intervention for preventing or reducing somatic and depressive symptoms.

Methods

Longitudinal pilot study with a randomized waitlist-controlled intervention design. Women with breast cancer were randomized to receive access to a smartphone application offering meditation exercises, either immediately after baseline testing (intervention group) or after study completion (control group) in a 1:1 ratio. Assessments (self-report questionnaires and a blood draw when feasible) were completed before, halfway through, immediately after, and 6 months after completing neoadjuvant chemotherapy.

Results

Fifty evaluable women were enrolled. Somatic symptom severity increased during chemotherapy, whereas depressive symptom severity was at its peak before treatment and declined gradually thereafter. Distress was positively associated with depressive symptom severity. Only Distress Thermometer-results were positively associated with somatic symptom severity. Inflammation was positively associated with both types of symptoms, and distress did not moderate the associations between inflammation and symptom severity. Intervention adherence was low and no intervention effect on symptom experience was observed.

Conclusion

Inflammation and distress are independently associated with somatic and depressive symptoms experienced during breast cancer treatment.
目的评估乳腺癌患者从新辅助化疗前到化疗后六个月期间的痛苦和炎症与躯体症状和抑郁症状严重程度之间的纵向关联。我们还探讨了以正念为基础的早期干预措施在预防或减轻躯体症状和抑郁症状方面的可行性和效果。患有乳腺癌的妇女按 1:1 的比例被随机分配到提供冥想练习的智能手机应用中,或者在基线测试后立即进行冥想练习(干预组),或者在研究完成后进行冥想练习(对照组)。在完成新辅助化疗前、化疗中途、化疗后和化疗后 6 个月,分别完成评估(自我报告问卷和抽血)。躯体症状的严重程度在化疗期间有所增加,而抑郁症状的严重程度在治疗前达到高峰,之后逐渐下降。躯体不适与抑郁症状严重程度呈正相关。只有 "压力温度计 "的结果与躯体症状的严重程度呈正相关。炎症与这两类症状均呈正相关,而苦恼并不能缓和炎症与症状严重程度之间的关联。结论炎症和痛苦与乳腺癌治疗过程中出现的躯体症状和抑郁症状独立相关。
{"title":"Distress and inflammation are independently associated with cancer-related symptom severity","authors":"Tamara E. Lacourt ,&nbsp;D. Tripathy ,&nbsp;Maria C. Swartz ,&nbsp;Emily C. LaVoy ,&nbsp;Cobi J. Heijnen","doi":"10.1016/j.cpnec.2024.100269","DOIUrl":"10.1016/j.cpnec.2024.100269","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate longitudinal associations of distress and inflammation with somatic and depressive symptom severity in breast cancer patients, from before to six months after neoadjuvant chemotherapy. We also explored feasibility and effects of an early mindfulness-based intervention for preventing or reducing somatic and depressive symptoms.</div></div><div><h3>Methods</h3><div>Longitudinal pilot study with a randomized waitlist-controlled intervention design. Women with breast cancer were randomized to receive access to a smartphone application offering meditation exercises, either immediately after baseline testing (intervention group) or after study completion (control group) in a 1:1 ratio. Assessments (self-report questionnaires and a blood draw when feasible) were completed before, halfway through, immediately after, and 6 months after completing neoadjuvant chemotherapy.</div></div><div><h3>Results</h3><div>Fifty evaluable women were enrolled. Somatic symptom severity increased during chemotherapy, whereas depressive symptom severity was at its peak before treatment and declined gradually thereafter. Distress was positively associated with depressive symptom severity. Only Distress Thermometer-results were positively associated with somatic symptom severity. Inflammation was positively associated with both types of symptoms, and distress did not moderate the associations between inflammation and symptom severity. Intervention adherence was low and no intervention effect on symptom experience was observed.</div></div><div><h3>Conclusion</h3><div>Inflammation and distress are independently associated with somatic and depressive symptoms experienced during breast cancer treatment.</div></div>","PeriodicalId":72656,"journal":{"name":"Comprehensive psychoneuroendocrinology","volume":"20 ","pages":"Article 100269"},"PeriodicalIF":2.1,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142445040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Oxytocin and our place in the universe 催产素与我们在宇宙中的位置
IF 2.1 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-10 DOI: 10.1016/j.cpnec.2024.100270
Julie R. Korenberg
Is the oxytocin-vasopressin (OT-AVP) system a part of the unseen force that subtly (in a clever and indirect way) directs our human fascination to ourselves? And is it possible that this fundamental drive is the inevitable handmaiden of the genetic selection for survival and reproduction that is played out at the level of the individual, the family and the society? Perhaps. But an equally intense biological drive to experience the unknown is intertwined and exists in the individual as “curiosity”. Both are essential for survival and success of the species. Curiously, the path to understanding ourselves, the joy of discovery and joining with others on this imperial journey to the OT-AVP system may itself be driven by the same system. I have been driven and inspired to understand “Us” for some unseen reason. This chapter relates how a driving curiosity and search for meaning led to the critical training and inspired mentorship essential for developing novel genetic, cellular and imaging technologies necessary for each advance toward this deeper understanding. Specifically, the chapter describes my recognition of human “Genetics” as the hub of medicine and the language of human neurobiology. We then set out the rationale for and sequential development of four technologies (dense whole genome arrays of genomic markers integrated with the recombination map; needed to genetically dissect and define the genetic contributions to the distinct features of brain and social behavior in Down syndrome and Williams syndrome. These include generation of 1) dense whole genome arrays of genomic markers integrated with the recombination and gene maps for defining rare cases of WS differing by one or more deleted genes, 2) analytic methods for parsing genetic contributions to standardized outcomes of cognitive and behavioral data, 3) technologies using multicolor and multi temporal fluorescence in situ hybridization to define the subcellular and neuroanatomic localization of candidate genes in the non-human primate (macaque) brain, and 4) an approach to integrating timed measures of blood neuropeptides and genomic DNA sequence variants with self-reported religious experience in devout members of the LDS church. Working across evolution and ontogeny at the cellular, neural systems and organismal levels, has led to a suspicion that a bit of the grand design may involve OT, AVP and their partners in the subtle and artful processes of the last one-half billion years that link survival of our species with our prized capacity for abstract thought and spirituality.
催产素-血管加压素(OT-AVP)系统是否是一种看不见的力量的一部分,它巧妙地(以一种巧妙而间接的方式)引导我们人类对自身的迷恋?这种基本驱动力是否可能是个人、家庭和社会为生存和繁衍而进行的基因选择的必然产物?也许是的。但是,同样强烈的体验未知世界的生物动力是相互交织在一起的,它作为 "好奇心 "存在于个体之中。两者对于物种的生存和成功都至关重要。奇怪的是,了解自己的道路、发现的喜悦以及与他人一起踏上通往 OT-AVP 系统的帝国之旅,可能本身就是由同一系统驱动的。出于某种看不见的原因,我被驱使和激励去了解 "我们"。本章讲述了好奇心的驱使和对意义的探寻如何导致了关键的培训和启发式指导,而这些培训和指导对于开发新的基因、细胞和成像技术是必不可少的,这些技术对于加深对 "我们 "的理解是必不可少的。具体而言,本章描述了我对人类 "遗传学 "作为医学枢纽和人类神经生物学语言的认识。然后,我们阐述了四项技术(与重组图谱相结合的高密度全基因组标记阵列;对唐氏综合征和威廉姆斯综合征的大脑和社会行为的不同特征进行基因剖析和定义所需的基因贡献)的原理和顺序发展。这包括生成 1)与重组和基因图谱相结合的高密度基因组标记物全基因组阵列,以确定因一个或多个缺失基因而不同的 WS 罕见病例;2)解析基因对认知和行为数据标准化结果的贡献的分析方法、3) 利用多色和多时间荧光原位杂交技术,确定候选基因在非人灵长类动物(猕猴)大脑中的亚细胞和神经解剖定位;以及 4) 一种将血液神经肽的定时测量和基因组 DNA 序列变异与虔诚的 LDS 教会成员自我报告的宗教经历相结合的方法。通过在细胞、神经系统和生物体水平上进行跨进化和本体的研究,我们怀疑,在过去的 15 亿年中,OT、AVP 及其合作伙伴可能参与了一些宏伟的设计,这些微妙而巧妙的过程将我们物种的生存与我们珍贵的抽象思维能力和灵性联系在了一起。
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引用次数: 0
Addendum to “Reflections on the study of empathy in a sample of refugees and migrants from Arabic-speaking countries with diverse experiences of war-related trauma” [Compr. Psychoneuroendocrinology 19C (2024) 100253] "对来自阿拉伯语国家、具有不同战争创伤经历的难民和移民样本的移情研究的思考"[Compr. Psychoneuroendocrinology 19C (2024) 100253]增编
IF 2.1 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-04 DOI: 10.1016/j.cpnec.2024.100264
Christiane Wesarg-Menzel , Mathilde Gallistl , Michael Niconchuk , Veronika Engert
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引用次数: 0
Oxytocin in growth, reproduction, restoration and health 催产素在生长、繁殖、恢复和健康中的作用
IF 2.1 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-09-30 DOI: 10.1016/j.cpnec.2024.100268
Kerstin Uvnäs Moberg
This article summarizes my scientific work and describes some personal experiences during this period. After my basal medical training (MD) (1971), I obtained a PhD in pharmacology (1976) and ended up as a professor of Physiology.
My initial studies were within the field of gastroenterology. I showed that the gastrointestinal hormone gastrin, which stimulates HCL secretion in the stomach, was released in response to stimulation of the vagal nerve. Later I showed that the entire endocrine system of the gastrointestinal (GI) tract that promotes digestion and anabolic metabolism and growth was under vagal nerve control. I also showed that activation of the vagal nerve inhibits the function of the inhibitory substance somatostatin.
10 years later, after some big changes in my personal life, my research focus changed. I became interested in female physiology, particularly the role of oxytocin. In addition, I became aware of the situation of female scientists and started to work with questions regarding equality between women and men.
I gathered a group of interested female medical students and midwives around me. We demonstrated that breastfeeding and touch (e.g., between mother and baby), via stimulation of sensory nerves in the skin, activated the endocrine system of the GI tract and, thereby, anabolic processes and growth. The effects were exerted via a vagal mechanism and involved activation of parvocellular oxytocinergic neurons from the paraventricular nucleus (PVN). We also showed that the gastrointestinal hormone cholecystokinin stimulated the release of oxytocin in a calorie-dependent way via an afferent vagal mechanism.
In summary, there is a bidirectional, vagally mediated connection between the endocrine system of the GI tract and the oxytocin producing neurons in the supraoptic (SON) and paraventricular (PVN) nuclei of the hypothalamus.1. Oxytocinergic neurons from the PVN enhances the activity of the endocrine system of the GI tract and thereby growth and regeneration. The effect is exerted via efferent vagal fibers which inhibit the release of somatostatin. 2. Food in the duodenum triggers a release of cholecystokinin (CCK), which via a vagal afferent mechanism stimulates the release and function of oxytocin. This mechanism is not activated in the absence of food intake.
Administration of oxytocin induces a multitude of actions, i.e., anxiolytic and sedative effects, increased pain threshold, lowering of cortisol and blood pressure and an increased activity of the endocrine system of the GI tract. Repeated administration of oxytocin may induce long-term effects and “secondary” mechanisms such as an increased activity of alpha-2- adrenoceptors are involved.
Oxytocin released by suckling during breastfeeding or by touch during social interaction will induce a similar effect spectrum. Activation of the parvocellular neurons will stimulate some aspects of social behavior,
本文总结了我在此期间的科研工作,并介绍了一些个人经历。在接受基础医学培训(医学博士)(1971 年)后,我获得了药理学博士学位(1976 年),并最终成为生理学教授。我的最初研究是在胃肠病学领域,我发现胃肠激素胃泌素能刺激胃分泌 HCL,而胃泌素的释放是对迷走神经刺激的反应。后来我又发现,胃肠道的整个内分泌系统都受迷走神经控制,该系统促进消化、合成代谢和生长。10 年后,在我的个人生活发生了一些重大变化之后,我的研究重点也发生了变化。10 年后,在我的个人生活发生了一些重大变化之后,我的研究重点发生了变化。我开始对女性生理学感兴趣,尤其是催产素的作用。此外,我开始意识到女科学家的处境,并开始研究男女平等的问题。我们证明,母乳喂养和抚摸(如母亲和婴儿之间的抚摸)通过刺激皮肤的感觉神经,激活了消化道的内分泌系统,从而促进了新陈代谢过程和生长。这种效应是通过迷走神经机制产生的,涉及激活室旁核(PVN)的细胞旁催产素能神经元。总之,胃肠道内分泌系统与下丘脑视上核(SON)和室旁核(PVN)中产生催产素的神经元之间存在双向的、由迷走神经介导的联系。PVN 的催产素能神经元可增强消化道内分泌系统的活动,从而促进生长和再生。这种效应通过迷走神经传出纤维产生,迷走神经传出纤维可抑制体泌素的释放。2.2. 十二指肠中的食物引发胆囊收缩素(CCK)的释放,CCK 通过迷走神经传入机制刺激催产素的释放和功能。催产素具有多种作用,如抗焦虑和镇静作用、提高痛阈值、降低皮质醇和血压以及增强消化道内分泌系统的活性。重复施用催产素可能会诱发长期效应,其中涉及 "次级 "机制,如α-2-肾上腺素受体的活性增加。激活副细胞神经元会刺激某些方面的社会行为,使人平静和安宁,并降低恐惧、压力和疼痛的程度。此外,迷走神经功能和消化道内分泌系统的活动也会受到刺激。总之,这些效果与催产素介导的平静和联系反应是一致的,而且从长远角度来看,还能促进幸福和健康。我来到瑞典农业大学,开始研究催产素在人类与宠物互动中的作用,因为这种互动方式被证明可以促进健康。我继续研究催产素在女性生殖过程中的作用,特别是催产素在分娩和产期以及围产期的作用。此外,我还开始撰写有关催产素不同方面的书籍。我还希望确定催产素在治疗阴道萎缩中的作用。多项临床研究表明,阴道萎缩妇女局部阴道内注射催产素可促进阴道粘膜细胞再生,增强阴道粘膜功能。
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引用次数: 0
Is age more than a number? Accounting for adult development and aging in the study of psychoneuroimmunology, stress, and health 年龄不仅仅是一个数字吗?在心理神经免疫学、压力和健康研究中考虑成人发展和老龄化问题
IF 2.1 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-09-27 DOI: 10.1016/j.cpnec.2024.100266
Stephanie J. Wilson
Traditional stress-and-health models link stressors to their health consequences through a well-characterized cascade. Most of the research assumes that the stress-health sequence unfolds in the same way across adulthood, whether a person is 25 years old or 80. Taking a “developmental” or “lifespan” approach has been synonymous with studying the lasting health impacts of early life experiences. However, theories and evidence from adult development and geroscience suggest that stress-health dynamics evolve in important ways over the adult lifespan—from the stressors that we encounter, to the emotion regulation strategies that we use to confront challenges, to the psychosocial resources at our disposal, to the cellular milieu, and thus to the magnitude of stressors' biological and functional consequences. This critical review synthesizes theoretical perspectives and selected empirical literature on the social-emotional and biological dimensions of aging to promote an Integrative Model of Aging, Stress, and Health. Through this integration, the model illustrates how an interdisciplinary, developmental perspective can enrich our understanding of stress's consequences for health across adulthood. It also seeks to guide a new generation of research questions that confront aging with a multidimensional approach. The piece concludes with personal reflections on the foundational legacy of the author's mentor, Dr. Janice Kiecolt-Glaser.
传统的压力与健康模型通过一个表征明确的级联将压力因素与其健康后果联系起来。大多数研究假设,无论一个人是 25 岁还是 80 岁,压力-健康序列在整个成年期都以相同的方式展开。采用 "发展 "或 "生命周期 "的方法一直是研究早期生活经历对健康的持久影响的同义词。然而,来自成人发展和地球科学的理论和证据表明,压力与健康的动态关系在人的一生中会发生重要的演变--从我们遇到的压力源,到我们用来应对挑战的情绪调节策略,到我们可以利用的社会心理资源,到细胞环境,从而到压力源的生物和功能后果的严重程度。这篇评论综述了有关老龄化的社会情感和生物维度的理论观点和部分经验文献,以推广老龄化、压力和健康的综合模型。通过这种整合,该模型说明了跨学科的发展视角如何丰富我们对压力对整个成年期健康影响的理解。它还试图引导新一代的研究问题,以多维的方法来面对老龄化问题。文章最后对作者的导师 Janice Kiecolt-Glaser 博士的奠基性遗产进行了个人反思。
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引用次数: 0
Hair cortisol sampling as a measure of physiological stress in youth with acute musculoskeletal pain 将毛发皮质醇采样作为急性肌肉骨骼疼痛青少年生理压力的测量指标
IF 2.1 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-09-27 DOI: 10.1016/j.cpnec.2024.100267
Wendy Gaultney , Jacqueline R. O'Brien , Jessica Heierle , Eleanor A.J. Battison , Anna Wilson , Cynthia Rovnaghi , Kanwaljeet J.S. Anand , Amy Holley
Stress physiology contributes to health outcomes. Hair cortisol concentration (HCC) is an objective measure of cumulative cortisol secretion associated with health, including pain. The aim of the current study was to describe associations between pre-injury stress physiology (as measured by HCC), acute pain characteristics and relevant demographic factors (i.e., BMI, age, sex, days since injury) in youth with an acute musculoskeletal (MSK) injury. Participants were 58 youth aged 11 to 17 with acute MSK pain. Participants completed self-report measures assessing pain intensity, pain catastrophizing, and pain interference. Hair was collected within 1 month after injury using hair cortisol collection procedures adapted from published research protocols. Correlations examining associations among HCC values and clinical/demographic factors revealed that higher HCC was associated with lower body mass index (BMI) and male sex. HCC was not associated with pain variables or age. Additional research is needed to clarify the relation between HCC and psychosocial variables to aid researchers in studying the role of pre-injury stress in acute MSK injury and pain recovery in youth.
压力生理会影响健康状况。毛发皮质醇浓度(HCC)是衡量与健康(包括疼痛)相关的累积皮质醇分泌的客观指标。本研究旨在描述急性肌肉骨骼(MSK)损伤青少年受伤前应激生理机能(通过 HCC 测量)、急性疼痛特征和相关人口统计学因素(即体重指数、年龄、性别、受伤后天数)之间的关联。参与者为 58 名患有急性 MSK 疼痛的 11-17 岁青少年。参与者完成了评估疼痛强度、疼痛灾难化和疼痛干扰的自我报告测量。在受伤后 1 个月内采集毛发,采用的毛发皮质醇采集程序改编自已发表的研究方案。对 HCC 值与临床/人口统计学因素之间的关联进行的相关性研究表明,较高的 HCC 与较低的体重指数 (BMI) 和男性有关。HCC 与疼痛变量或年龄无关。需要进行更多的研究来阐明 HCC 与心理社会变量之间的关系,以帮助研究人员研究受伤前压力在急性 MSK 损伤和青少年疼痛恢复中的作用。
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引用次数: 0
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Comprehensive psychoneuroendocrinology
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