Acute & Chronic Stress Flashcards
STRESS
- state of worry/mental tension caused by difficult situations/environments
HYPOTHALAMIC-PITUITARY ADRENAL (HPA) AXIS FUNCTION
- hypothalamus; corticotropin releasing hormone (CRH) ->
- anterior pituitary; adrenocorticotropic hormone (ACTH) ->
- adrenal cortex; negative feedback -> hypothalamus/anterior pituitary
- aka. glucocorticoid production -> increased availability of glucose to facilitate “fight VS flight”
“STRESS-SENSITIVE” BRAIN REGIONS
- dense w/glucocorticoid receptors:
1. prefrontal cortex
2. amygdala
3. hippocampus - development/function might be altered by environmentally-induced variation in cortisol release
PREFRONTAL REGULATION DURING NON-STRESS CONDITIONS
- alert
DMPFC - reality testing; error monitoring
DLPFC - top-down guidance of attention/thought
rIPFC - inhibition of inappropriate actions
VMPFC - regulating emotions
AMYGDALA CONTROL DURING STRESS CONDITIONS
- loss of prefrontal regulation
- emotional habits
- bottom-up attention
- emotional reflexes
- emotional associatons
ACUTE STRESS & EXECUTIVE FUNCTIONS
- acute stress shown to impair working memory & cognitive flexibility
- some effects = for inhibition
SUMMARY I
- acute stress = adaptive response
- leads to reduced executive functions & prefrontal brain activity
- increased emotional & “bottom-up” control from sensory brain parts
CHRONIC STRESS
- ongoing stress resulting in consistent sense of feeling pressured/overwhelmed over long period of time due to internal/external stressor
FELITTI ET AL.
- enduring effects of adversity
- relationship of childhood abuse & household dysfunction to many leading causes of death in adults
- are adverse chilldhood experiences linked to negative health outcomes later in life?
- found strong dose response relationship between exposure to childhood adversity & disease in adulthood/adveristy & psychological health
LIU ET AL. (1997)
- plasticity of HPA axis
- maternal care, hippocampal glucocorticoid receptors & hypothalamic-pituitary-adrenal responses to stress
- more licking/grooming -> pups had reduced lvls of ACTH/CORT to acute stress
- maternal beh serves to “program” HPA axis in offspring
- Q: how do life-experiences impact HPA axis? do adverse life experiences result in heightened/blunted HPA axis reactivity?
THEORETICAL MODELS
SEVERITY OF ADVERSITY
- w/mental illness = positive adveristy -> HPA axis reactivity correlation
- aka. trauma = high HPA reactivity
- w/o mental illness = negative adversity -> HPA axis reactivity correlation
- aka. trauma = low HPA reactivity
DURATION OF ADVERSITY
- stage 1 = alarm; stage 2 = resistance; stage 3 = exhaustion
P-CURVE
- p-curve = distribution of statistically sig p-values for set of studies
- can help resolve discrepancies in literature by determining which set of conflicting findings = more likely to be correct
- aka. could results showing hyper-reactivity of HPA be result of publication bias?
HOSSEINI-KAMKAR, LOWE & MORTON (2021)
- dif calibration of HPA axis as function of trauma VS adversity; systematic review & p-curve meta-analyses
- use p-curve to examine conflicting findings regarding association between early-life experiences & HPA axis reactivity
- study 1 = trauma; study 2 = adversity
HOSSEINI-KAMKAR, LOWE & MORTON (2021): METHODS
- separated articles based on whether they found cortisol HYPER/HYPO reactivity
1. PSYCINFO RECORDS - records entered into cortisol hyper/hypo/both-reactivity p-curve
2. PUBMED RECORDS - records entered into cortisol hyper/hypo-reactivity p-curve
3. REFERENCE SECTION - articles entered into cortisol hypo-reactivity p-curve
HOSSEINI-KAMKAR, LOWE & MORTON (2021): STUDY 1 (TRAUMA) HYPER RESULTS
- cort hyper reactivity
- evidential value if:
1. half p-curve (p-values below .025) = sig right-skewed at p < .05 OR…
2. both half/full p-curve = sig right-skewed at p < .1 - results: half (p = .1321); full (p = .0531)
- aka. neither condition met aka. p-curve = NOT sig right-skewed
- absence of evidential value ONLY if:
1. full p-curve = sig flatter than p-curve of 33% power at p < .05 OR…
2. both half p-curve/binomial tests = sig at p < .1 - neither condition = met; p-curve = inconclusive