Psychosocial Stress Response Research Articles

Physiologic and cortical response to acute psychosocial stress in left temporal lobe epilepsy — A pilot cross-sectional fMRI study

Stress is commonly reported as a seizure precipitant in individuals with poorly controlled seizures including temporal lobe epilepsy. The aim of the study was to assess the neural and physiologic correlates of psychosocial stress response during functional magnetic resonance imaging (fMRI) and their relationship with seizure occurrence in patients with left temporal lobe epilepsy (LTLE). We enrolled 23 patients with LTLE and 23 age- and sex-matched healthy controls (HCs); all underwent fMRI with control math task (CMT) and stress math task (SMT) and pre-/post-fMRI salivary cortisol analysis (acute stress reactivity calculated as % reduction from post-stress to recovery baseline; dCORT). The Beck Depression Inventory-II (BDI-II) and Perceived Stress Scale (PSS-10) were administered. T-tests of performance and cortisol variables were performed. Processing and single-subject modeling of fMRI response to CMT positive feedback and SMT negative feedback, group comparisons, and whole-brain correlation of seizure occurrence and fMRI response in patients with poorly controlled LTLE were performed. Patients with LTLE and healthy controls were similar in demographics, math performance, heart rate, and PSS-10 scores (all p>0.05). Patients with LTLE exhibited greater dCORT (p=0.048) and lower BDI-II scores (p=0.016) compared with HCs. Patients with poorly controlled LTLE showed a positive association between seizure frequency and dCORT (r=0.73, p=0.016). Functional MRI activation to feedback was similar between groups, including midfrontal, temporal, parietal, and occipital regions. Regression analyses revealed no group differences to positive feedback, but, compared with HCs, patients with LTLE showed decreased activation to negative feedback in the left cerebellum/middle occipital/fusiform gyri, left hippocampus/parahippocampus, bilateral medial frontal/cingulate/superior frontal gyri, right postcentral gyrus/inferior parietal lobule, and right insula/postcentral gyrus (p<0.05, corrected). Patients with poorly controlled LTLE showed negative association between seizure frequency and activation in the bilateral subgenual anterior cingulate (p<0.05, corrected). This study is the first to characterize the cortical and physiologic responses to acute psychosocial stress and to show a significant relationship between seizure control in LTLE and both the hypothalamic–pituitary–adrenal axis and fMRI signal reactivity to acute psychosocial stress. These findings extend our understanding of the complex interplay between stress, physiologic stress markers, and seizures/epilepsy.

Aged rats are hypo-responsive to acute restraint: implications for psychosocial stress in aging

Cognitive processes associated with prefrontal cortex and hippocampus decline with age and are vulnerable to disruption by stress. The stress/stress hormone/allostatic load hypotheses of brain aging posit that brain aging, at least in part, is the manifestation of life-long stress exposure. In addition, as humans age, there is a profound increase in the incidence of new onset stressors, many of which are psychosocial (e.g., loss of job, death of spouse, social isolation), and aged humans are well-understood to be more vulnerable to the negative consequences of such new-onset chronic psychosocial stress events. However, the mechanistic underpinnings of this age-related shift in chronic psychosocial stress response, or the initial acute phase of that chronic response, have been less well-studied. Here, we separated young (3 month) and aged (21 month) male F344 rats into control and acute restraint (an animal model of psychosocial stress) groups (n = 9–12/group). We then assessed hippocampus-associated behavioral, electrophysiological, and transcriptional outcomes, as well as blood glucocorticoid and sleep architecture changes. Aged rats showed characteristic water maze, deep sleep, transcriptome, and synaptic sensitivity changes compared to young. Young and aged rats showed similar levels of distress during the 3 h restraint, as well as highly significant increases in blood glucocorticoid levels 21 h after restraint. However, young, but not aged, animals responded to stress exposure with water maze deficits, loss of deep sleep and hyperthermia. These results demonstrate that aged subjects are hypo-responsive to new-onset acute psychosocial stress, which may have negative consequences for long-term stress adaptation and suggest that age itself may act as a stressor occluding the influence of new onset stressors.

Effects of panel sex composition on the physiological stress responses to psychosocial stress in healthy young men and women

Men and women differ in regard to psychosocial stress responses. Biological and contextual factors are known to mediate these differences; however, few studies investigated their interaction. In the present study, we examined contributions of both contextual and biological factors to the stress response of young healthy adults. Men and women were exposed to a modified version of Trier Social Stress Test. The participants gave a speech in front of a panel of judges, composed of either male or female panelists. Both men, and women presented a cortisol increase only when exposed to opposite sex panelists. Interestingly, this effect was only observed in women in their follicular phase. This finding showed that the induction of a psychosocial stress response does not strictly rely on direct social evaluation, but also depends on the sex composition of the panel. Implications for future studies are discussed.

Visually detected NREM Stage 2 sleep spindles in kindergarten children are associated with stress challenge and coping strategies

Objectives. Sleep EEG spindles are linked to efficient cortical-subcortical connectivity and intellectual abilities. The aim of the present study was to investigate the relationship of spindle activity to psychosocial stress response and coping strategies in healthy kindergarten children. Methods. In a cross-sectional study of 41 5-year old kindergarten children we examined stress-induced hypothalamic-pituitary-adrenocortical (HPA) system activity by saliva cortisol measurements and sleep regulation by sleep EEG-monitoring. Stress response was measured during the application of a standardized psychological challenge appropriate at this age. NREM S2 sleep EEG spindles were visually scored and put into relation to coping and HPA activity parameters. Results. An increased total number of NREM S2 sleep spindles correlated positively with increased high ego-involvement strategies such as “positive emotions”. By contrast, total number of NREM S2 sleep spindles correlated negatively with low ego-involvement strategies such as “denial” and “avoidance”. Stress induced HPA-activity correlated positively with coping strategies with high ego-involvement; while there was no correlation with low ego-involvement strategies. Conclusions. Total number of visually detected NREM S2 sleep spindles is elevated in children with coping involving positive, high ego-involvement; in contrast, low ego-involvement during stress is associated with reduced total number of NREM S2 sleep spindles.

Polymorphisms in the FKBP5 gene region modulate recovery from psychosocial stress in healthy controls

Mood and anxiety disorders are considered stress-related diseases characterized by an impaired function of mineralocorticoid and glucocorticoid receptors (MR and GR, respectively), the major regulatory elements of the hypothalamus-pituitary-adrenocortical (HPA) axis. A number of so-called chaperone proteins moderate the function of these receptors. Genetic variations in one of these chaperones, FKBP5, were associated with antidepressant treatment response in depression and with a major risk-factor for the development of posttraumatic stress disorder. To further investigate the effect of FKPB5 polymorphisms on corticosteroid receptor-mediated HPA axis regulation we conducted the Trier Social Stress test, a standardized procedure to evaluate psychosocial stress response, in 64 healthy volunteers. We genotyped rs4713916, rs1360780 and rs3800737, the three single nucleotide polymorphisms (SNPs) in the FKBP5 region which had shown the strongest effect in previous studies. In addition, we evaluated the effects of the GR polymorphisms Bcl1 and N363S as well as the MR polymorphism I180V. Subjects homozygous for any of the FKBP5 variants displayed an incomplete normalization of the stress-elicited cortisol secretion. This was also observed following a second test additionally accompanied by an increased self-reported anxiety. Regarding GR and MR, only carriers of the Bcl1 variant displayed an altered cortisol response in the prognosticated direction. While Bcl1 was predominantly associated with anticipatory cortisol, homozygous carriers of the FKBP5 minor allele showed insufficient cortisol recovery and increased self-reported anxiety after psychosocial stress. This reaction pattern suggests that subjects carrying these variants are at risk of displaying chronically elevated cortisol levels after repeated stress constituting a risk factor for stress-related diseases.

High-Affinity CRF1 Receptor Antagonist NBI-34041: Preclinical and Clinical Data Suggest Safety and Efficacy in Attenuating Elevated Stress Response

There is an extensive evidence that corticotropin releasing factor (CRF) is hypersecreted in depression and anxiety, and blockade of CRF could have therapeutic benefit. We report preclinical data and the results of a clinical Phase I study with the novel nonpeptide CRF(1) antagonist NBI-34041/SB723620. Preclinical data conducted with different cell lines expressing human CRF receptors and in Wistar and Sprague-Dawley rats indicate that NBI-34041 is effective in reducing endocrine responses to pharmacological and behavioral challenge mediated by CRF(1) receptors. These specific properties and its well-documented safety profile enabled a clinical Phase I study with 24 healthy male subjects receiving NBI-34041 (10, 50, or 100 mg) or placebo for 14 days. Regulation of the hypothalamic-pituitary-adrenocortical (HPA) axis was evaluated by intravenous stimulation with 100 microg of human CRF. Psychosocial stress response was investigated with the Trier Social Stress Test (TSST). Treatment with NBI-34041 did not impair diurnal adrenocorticotropic hormone (ACTH) and cortisol secretion or CRF evoked ACTH and cortisol responses but attenuated the neuroendocrine response to psychosocial stress. These results suggest that NBI-34041 is safe and does not impair basal regulation of the HPA system but improves resistance against psychosocial stress. NBI-34041 demonstrates that inhibition of the CRF system is a promising target for drug development against depression and anxiety disorders.

Modelo Procesual del estrés de la Dispepsia Funcional : implicaciones para la evaluación y el tratamiento

Functional dyspepsia (FD) is very prevalent in the general population and has been associated with psychological, social and biological factors. The aim of this article is to present an explanation of FD from the stress process perspective. The paper shows the implication of seven types of variables in this medical condition, i.e.: psychosocial demands, cognitive evaluation, stress response, coping strategies, social factors, dispositional factors and health status. Also, it is considered the possible rol of the Helicobacter pylori and other relevant factors. We conclude that FD is a health problem associated with psychological, biological and social factors. The stress process model makes a possible way to understand the relationship among these factors, helps to systematize the research contribution and guides the clinical psychology in the evaluation and therapy.

A META-ANALYSIS OF EXERCISE AND STRESS REACTIVITY

Crews & Landers (1987) meta-analysis of 34 studies concluded that aerobically fit individuals have a reduced psychosocial stress response. Subsequent studies have produced inconsistent findings and has led narrative reviewers to conclude that no clear evidence exists to indicate that cardiorespiratory fitness or regular exercise are accompained by decreased physiological reactivity to non-exercise stressors. In light of the proliferation of studies examining exercise and stress reactivity since the early meta-analysis, it is vital to statistically combine effects across studies to more accurately assess whether or not exercise or cardiorespiratory fitness have a buffering effect on reactivity to psychosocial stressors. PURPOSE To examine the cumulative effect of acute and chronic exercise bouts or physical fitness on reactivity to and recovery from psychosocial stressors in humans and animals using meta-analytic statistical techniques. METHODS Studies meeting the inclusion criteria were coded based on design and descriptive characteristics, subject characteristics, activity characteristics, and descriptive characteristics, subject characteristics, activity characteristics, and type of stressor(s) used. Effect sizes (ESs) were calculated for each study and an overall ES, and average ESs relative to moderator variables, were then calculated. RESULTS ESs (n = 477) from 77 studies showed that the overall ES across human and animal studies was 0.38 (SD = 0.60), which was significantly different from zero. The mean ES was 0.37 (SD = 0.61) and 0.41 (SD = 0.49) for human and animal studies, respectively. No differences in ESs were found between studies comparing fit versus unfit participants and studies incorporating an exercise intervention. CONCLUSION The results confirm that exercise and fitness reduce psychophysiological reactivity to psychosocial stress. Future research on this consistent relationship needs to focus on unresolved issues such as optimal exercise doses and plausible mechanisms

Hormonal and metabolic responses during psychosocial stimulation in aggressive and nonaggressive rats.

The physiological effects of a psychosocial threat (the mere presence of a potentially antagonist individual in the home cage) were studied in aggressive and nonaggressive rats. Aggressive animals spent a significantly longer time with the investigation of the opponent compared with the nonaggressive group. An increase in plasma epinephrine and corticosterone was noticed both in aggressive and nonaggressive animals. Ir beta-endorphin increased significantly only in nonfighters. Glycemia was slightly larger in nonaggressives, while lactaemia increased in both groups. The possibility is discussed that differences in psychosocial stress response may be involved in the regulation of behavior in a real encounter.

Response to removal from and return to a social group in adult male rhesus monkeys

The removal of four adult rhesus monkeys from a large social group ( n = 85) to peer housing resulted in no significant changes in basal cortisol levels or absolute numbers of T lymphocyte subsets 24 h later. However, the return of these males 1 year later to the same social group resulted in significant increases in cortisol levels (66 ± 21%) and significant decreases in T-helper (−31.6 ± 15.8%) and T-suppressor cells (−35.2 ± 8.7%) 24 h later. Blood samples for immune and cortisol measurements were obtained before and 24 h following both the removal and the return 1 year later. Aggressive and sexual behavioral data were recorded on audiotape for 3.5 h following the reintroduction using an all occurrences of some behaviors sampling technique. Analyses revealed a negative correlation between percent change from baseline in T-helper cells 24 h following the return and the frequency of bites (nonwounding) and chases received during the 3.5 h following the return. The absence of a stress response to separation in adult males is in contrast to the presence of a stress response observed in infants, juveniles, and adult females and possibly is due to sex differences in group attachment in sexually mature males. On the other hand, the return to the social group did induce a psychosocial stress response in the males, and the degree of the stress, as determined by cortisol and immune cell measures, was related to the agonistic interactions experienced by the individuals.

A meta-analytic review of aerobic fitness and reactivity to psychosocial stressors

The effects of aerobic fitness on resistance to psychosocial stressors are reviewed. To unravel the inconsistent results in studies examining the relationship between aerobic fitness and psychosocial stress response, a meta-analysis was conducted. The results of 34 studies having 92 effect size estimates from 1,449 subjects were statistically combined to compare psychosocial stressor tasks and arousal measures. The average effect size estimate of 0.48 was significantly different from zero (P less than 0.01), indicating that aerobically fit subjects had a reduced psychosocial stress response compared to either control group or baseline values. The test for the homogeneity assumption showed that it could not be rejected, and thus none of the proposed moderating variables altered the aerobic fitness-psychosocial reactivity relationship. Various underlying mechanisms which may contribute to this response are discussed, and future research directions are presented.