Abstract

The prefrontal cortex is a key player in stress response regulation. Electroencephalographic (EEG) responses, such as a decrease in frontal alpha and an increase in frontal beta power, have been proposed to reflect stress-related brain activity. However, the stress response is likely composed of different parts such as cognitive effort, time pressure, and social-evaluative threat, which have not been distinguished in previous studies. This distinction, however, is crucial if we aim to establish reliable tools for early detection of stress-related conditions and monitoring of stress responses throughout treatment. This randomized cross-over study (N=38) aimed to disentangle EEG correlates of stress. With linear mixed models accounting for missing values in some conditions, we found a decrease in frontal alpha and increase in beta power when performing the Paced Auditory Serial Addition Test (PASAT; cognitive effort; n=32) compared to resting state (n=33). No change in EEG power was found when the PASAT was performed under time pressure (n=29) or when adding social-evaluative threat (video camera; n=29). These findings suggest that frontal EEG power can discriminate stress from resting state but not more fine-grained differences of the stress response.

Highlights

  • The incidence of stress-r­elated disorders such as depression, anxiety, and cardiovascular disease is rising

  • We focused on the effects of alpha and beta power as these are commonly investigated in the stress literature with mixed cognitive and other stressors

  • As hypothesized and in line with research showing that cognitive activity is related to a decrease in alpha and an increase in beta activity in task-r­ elated brain areas (Klimesch, 1999; Stern & Engel, 2013), we found significantly reduced alpha and significantly increased beta power following stress induced by a cognitive stressor (PASAT) compared to resting state

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Summary

Introduction

The incidence of stress-r­elated disorders such as depression, anxiety, and cardiovascular disease is rising. In line with the role of the prefrontal cortex (PFC) in stress response regulation (Herman et al, 2003; McEwen & Gianaros, 2011), changes in the rhythmicity of EEG activity in the PFC have been suggested as stress markers (Alonso et al, 2015; Al-­Shargie et al, 2018; Lewis et al, 2007). (a) alpha power (8–­13 Hz) is thought to decrease because of its association with relaxation and inverse relation to cognitive activity (Klimesch, 1999), while (b) beta power (13–­30 Hz) is thought to increase in response to stress (Tran et al, 2007) due to its association with information processing and anxiety (Stern & Engel, 2013). Gamma power is increased among patients with depression, compared to controls, and in students during examination stress (Strelets et al, 2007), pointing towards increased gamma activity due to stress

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