特里尔社会应激测试(TSST)对唾液皮质醇分泌的影响

特里尔社会应激测试(Trier Social Stress Test: TSST)是国外应用广泛的社会心理应激测试手段, 然而还没有研究对其在中国的适用性进行报告。本研究以健康大学生为被试, 分别采用主观应激报告(简明心境量表和5点量表)和客观应激参数(心率和唾液皮质醇)为指标, 探讨TSST在中国的适用情况以及性别因素对个体在TSST应激情境中的影响。结果发现, TSST诱发了中国被试显著的应激反应, 在经历了TSST情境后, 被试主观报告紧张水平增加, 同时心跳加速, 唾液皮质醇水平增加。即使女性被试主观报告紧张与不安的程度显著高于男性, 但是男性和女性在TSST应激情境下的心跳和唾液皮质醇指标没有差异。研究结果提示, TSST在中国被试中具有良好的适用性, 可以利用其开展与社会心理应激相关的研究。男女被试在与成就动机相关的应激源(例如, TSST)中的客观应激参数差异不明显。     

特里尔社会应激测验对儿童皮质醇分泌的影响

研究以32名小学儿童（平均年龄10.47岁,男生16人）为被试,采用唾液皮质醇为应激测验的客观指标、以被试主观紧张度为主观指标,考察特里尔社会应激测验对中国儿童皮质醇分泌的影响。结果表明：（1）社会应激测验任务引发儿童皮质醇浓度和主观紧张度的显著上升,任务后的恢复期皮质醇浓度和主观紧张度能够恢复到任务前的水平。（2）社会应激测验任务引发的男生皮质醇水平变化显著高于女生,但是引发的主观紧张度水平变化不存在显著性别差异。社会应激测验中文修订版能够有效引发儿童的压力应激变化,可以用其开展儿童社会应激的相关研究。     

人类应激内分泌轴功能状态的测量

HPA轴(下丘脑?垂体?肾上腺皮质轴, hypothalamic-pituitary-adrenal cortex axis)是人类重要的应激内分泌轴, 静息与应激条件下HPA轴的机能障碍能引发应激相关疾病, 而HPA轴机能障碍的表现和原因并不明确。皮质醇作为HPA轴的终端产物能直接反映HPA轴活动, 唾液皮质醇优于其他生物样本皮质醇的特性使其成为测量HPA轴活动的最优指标, 因此寻找到合适的唾液皮质醇标识来反映静息与应激条件下的HPA轴调节变化, 能促进理解HPA轴机能障碍与疾病间的神经内分泌通路。近来研究常用的是以皮质醇觉醒反应(cortisol -awakening response, CAR)与特里尔社会应激测试(Trier social stress test, TSST)来分别表示静息与应激条件下的HPA轴活动。未来研究将结合应激反应的生理、心理指标, 进一步考察HPA轴调节的脑网络, 为应激反应提供脑-神经内分泌通路的生物基础。     

中小学中欺负者、受欺负者与欺负-受欺负者的同伴关系

采用Olweus欺负问卷和同伴提名测验,以1089名小学和初中学生为被试,考察欺负者、受欺负者与欺负-受欺负者的同伴关系特点.研究发现:(1)小学生的欺负者/受欺负者显著高于初中生;(2)男生中的期负者显著多于女生;(3)欺负者的同伴拒绝水平高于受欺负者、欺负-受欺负者和未参与者,但同伴接纳水平与未参与者无显著差异;(4)受欺负者、欺负-受欺负者的同伴拒绝水平高于、同伴接纳水平低于未参与者.在男性受欺负者中被拒绝的比例显著高于男性非受欺负者,但女性受欺负者中被拒绝的比例与女性非受欺负者之间无显著差异.     

青少年应激下皮质醇应答与风险决策相关性的性别差异

本研究旨在探讨中国青少年应激下皮质醇应答和风险决策相关性的性别差异。本研究以健康初中生为被试者, 采用特里尔社会应激测试(Trier Social Stress Test, TSST)诱发机体应激反应, 测试唾液皮质醇在应激前后不同时间段的水平, 并要求被试者在应激状态下完成气球模拟风险决策任务(Balloon Analogue Risk Task, BART)。结果发现, 男性在TSST诱导下皮质醇反应度显著高于女性, 男性中高皮质醇应答者BART表现为更高程度的冒险行为和更低的总奖励金额, 而女性中高皮质醇应答者BART表现为更高的总奖励金额。研究结果提示,中国青少年应激条件下皮质醇应答与风险决策之间的联系存在性别差异, 尤其在男性, 高皮质醇应答者更具有冒险行为。     

儿童版特里尔社会应激测试对儿童唾液皮质醇、唾液α-淀粉酶和情绪的影响

研究以150名五、六年级的学生为被试,考察儿童版特里尔社会应激测试（TSST-C）对儿童客观生理反应（唾液皮质醇和唾液α-淀粉酶）和主观情绪反应的影响。结果发现,TSST-C引起了儿童显著的应激反应,包括皮质醇和唾液α-淀粉酶水平的升高,以及主观消极情绪（如焦虑和紧张）的增加,这表明TSST-C在中国儿童中的适用情况良好,能够有效诱发儿童的应激反应。同时,研究也发现,皮质醇反应和唾液α-淀粉酶反应不存在相关,生理反应和情绪反应之间也不存在相关。     

急性心理性应激诱发的神经内分泌反应及其影响因素

急性心理性应激源分别通过下丘脑-脑垂体-肾上腺轴(hypothalamus–pituitary–adrenal axis,HPAA)和交感神经-肾上腺髓质轴(sympathetic-adrenal medulla axis)诱发神经内分泌反应。唾液皮质醇被认为是检测急性心理性应激所诱发的HPA轴反应的稳定指标。以特里尔社会应激测试(Trier Social Stress Test,TSST)及其变式作为应激源, 以HPA轴的反应作为应激指标, 影响个体在急性心理性应激情境中发生特异性神经内分泌反应的因素主要包括人口统计学、环境和应激频率三大方面, 未来应加强急性心理性应激所诱发的神经内分泌反应的纵向研究。     

自尊与心理性应激的关系初探

自尊水平影响着个体在应激情境中的内分泌反应,在以人个人主义文化下的研究发现,由于低自尊具有较低的内部控制力,因此在应激情境中的唾液皮质醇反应更强烈。但是在中国集体主义文化中,由于集体性自我的评价是自尊的一个重要组成部分,高自尊更加期望集体或社会的积极性评价,因此假设在心理性应激情境下（即个体的能力被否定的时候）,高自尊的应激反应会比低自尊更加强烈。本研究以健康大学生为被试,分别以Rosenberg自尊量表和特里尔社会应激测试（TSST）为实验手段,以自尊量表得分、主观应激报告（5点量表）和客观应激参数（心率和唾液皮质醇）为指标,在中国文化背景下探讨自尊与心理性应激的关系。结果发现,在TSST开始时（20分钟）自尊与心率呈正相关,自尊水平越高,心率越快;在TSST结束后（60分钟）自尊与唾液皮质醇水平呈正相关,自尊水平越高,唾液皮质醇水平越高。总体来说,相对于低自尊被试而言,高自尊被试在心理性应激情境中的反应更为强烈。     

父子依恋、母子依恋与儿童应激下皮质醇反应的关系

本研究以北京115名五、六年级的学生为被试,采用儿童版特里尔社会应激测试(Trier Social Stress Test for Children,TSST-C),探究父子依恋、母子依恋与儿童应激下皮质醇反应的关系。研究分别在基线阶段、TSST-C开始前、TSST-C结束后、TSST-C结束后的10分钟、25分钟和50分钟收集儿童的唾液样本,并让儿童完成亲子依恋问卷。采用SPSS 20.0进行方差分析和回归分析。结果发现:(1)安全型父子依恋儿童的应激下皮质醇反应显著高于不安全型父子依恋儿童,反映在皮质醇值和皮质醇基于增加的曲线下面积(area under the curve with respect to increase,AUCI)两个指标上;(2)不同母子依恋类型儿童的应激下皮质醇反应(即皮质醇值和AUCI)不存在显著差异;(3)在控制了人口学变量之后,父子依恋依旧可以显著地正向预测儿童的皮质醇反应(皮质醇AUCI),但母子依恋对儿童皮质醇反应的预测作用不显著,且父子依恋对儿童皮质醇反应的预测作用边缘显著大于母子依恋对儿童皮质醇反应的预测作用。研究结果表明,安全型父子依恋与儿童应激下更高的皮质醇反应相关。     

中国与英国儿童对待欺负问题态度的比较研究

采用修订的Olweus欺负问卷,对中国和英国近万名(中国8937名,英国1035名)中小学儿童对待欺负的态度进行调查。结果发现:(1)中国儿童对待欺负的态度比英国儿童积极。(2)儿童对待欺负问题的态度存在性别和年龄差异。女孩比男孩对待欺负的态度较积极;小学儿童对待欺负的态度比初中儿童积极。(3)儿童在欺负/受欺负关系中的角色与其对待欺负问题的态度有联系。未参与者对欺负的态度最积极,其次是受欺负者、欺负/受欺负者,而欺负者对待欺负的态度最消极;(4)儿童对受欺负者的同情多,而去帮助受欺负者的行为倾向少。     

Parent support is less effective in buffering cortisol stress reactivity for adolescents compared to children

The goal of the present study was to investigate developmental differences in the effectiveness of parent support to alleviate hypothalamic‐pituitary‐adrenal (HPA) axis stress responses of children (ages 9–10, N = 40) and adolescents (ages 15–16, N = 41). We experimentally manipulated the provision of parent support during the speech preparation period before a modified Trier Social Stress Test (TSST) and examined its effect on levels of salivary cortisol secreted in response to this laboratory stressor. Analyses revealed a significant interaction of condition and age group such that social support from the parent (versus a stranger) significantly eliminated the cortisol stress response in children, but had no effect on the response among adolescents.     

Variation in hypothalamic-pituitary-adrenal axis activity among bullied and non-bullied children

We examined the relationship between being bullied during childhood and activity of the hypothalamic-pituitary-adrenal (HPA) axis as assessed through repeated measures of salivary cortisol. A non-clinical sample of 154 (74 boys) predominantly Caucasian middle-class 12-year-olds each provided detailed information about their experiences with bullying and six saliva samples were standardized across time and day. Children with a history of child maltreatment, diagnosed psychiatric illness, foster care placement, medication use (psychotropic and oral contraception) and aggression directed toward peers and/or family members were excluded. Using multilevel regression and applying orthogonal polynomial contrasts to model the observed circadian pattern in the data, we found that occasional and frequent verbal peer victimization was associated with hyposecretion of cortisol when controlling for sex, pubertal status, age, depression and anxiety. This relation, however, was moderated by sex. For boys, occasional exposure was associated with higher cortisol levels, whereas for girls exposure was associated with lower cortisol levels. The present study highlights the need to consider the plight of peer-victimized children seriously, as it is associated with alterations to the HPA axis that affect males and females differently, and likely diminishes a person's ability to cope with stress, possibly placing them at risk for psychopathology and ill health.     

Stress impairs acquisition of delay eyeblink conditioning in men and women

In rodents stress impairs delay as well as trace eyelid conditioning in females, but enhances it in males. The present study tested the effects of acute psychosocial stress exposure on classical delay eyeblink conditioning in healthy men and women. In a between subject design, participants were exposed to psychosocial stress using the Trier Social Stress Test (TSST) or a control condition which was followed by a delay eyeblink classical conditioning procedure. Stress exposure led to a significant increase in salivary cortisol and impaired acquisition of conditioned eyeblink responses (CRs). This was evident by a later first CR and an overall lower CR rate of the stress group. The stress-induced acquisition impairment was observed in both women and men. Subjects failing to show a stress-induced cortisol increase (cortisol non-responder) were not impaired in acquisition. Our findings indicate that acute stress, possibly via activation of the hypothalamus–pituitary–adrenal (HPA) axis, reduces the ability to acquire a simple conditioned motor response in humans.     

Enhancing effects of acute psychosocial stress on priming of non-declarative memory in healthy young adults

Social stress affects cognitive processes in general, and memory performance in particular. However, the direction of these effects has not been clearly established, as it depends on several factors. Our aim was to determine the impact of the hypothalamus-pituitary-adrenal (HPA) axis and sympathetic nervous system (SNS) reactivity to psychosocial stress on short-term non-declarative memory and declarative memory performance. Fifty-two young participants (18 men, 34 women) were subjected to the Trier Social Stress Task (TSST) and a control condition in a crossover design. Implicit memory was assessed by a priming test, and explicit memory was assessed by the Rey Auditory Verbal Learning Test (RAVLT). The TSST provoked greater salivary cortisol and salivary alpha-amylase (sAA) responses than the control task. Men had a higher cortisol response to stress than women, but no sex differences were found for sAA release. Stress was associated with an enhancement of priming but did not affect declarative memory. Additionally, the enhancement on the priming test was higher in those whose sAA levels increased more in response to stress (r(48)?=?0.339, p?=?0.018). Our results confirm an effect of acute stress on priming, and that this effect is related to SNS activity. In addition, they suggest a different relationship between stress biomarkers and the different memory systems.     

Worse than sticks and stones? Bullying is associated with altered HPA axis functioning and poorer health

Adolescents (N = 107; M = 12.23 years, SD = 1.09 months) participated in a two-part study examining peer victimization, neuroendocrine functioning, and physical health. In phase 1, adolescents completed questionnaires assessing peer victimization and health. They returned for phase 2 which consisted of two sessions. In session 1, adolescents learned to collect salivary cortisol samples; they collected four samples over 2 non-sports school days. In session 2, adolescents completed the Trier Social Stress Test (TSST) in which they prepared and delivered a speech while cortisol was collected. Peer victimization predicted poor health outcomes and a flattened cortisol awakening response (CAR); this CAR was linked with health problems. During the TSST, victims reported more stress and exhibited altered cortisol levels. Higher cortisol immediately after the stressor and lower cortisol 30 min after the stressor were associated with more health problems. This study provides evidence that the relationship between peer victimization and poor physical health may be explained by differences in neuroendocrine functioning.     

Effects of soy lecithin phosphatidic acid and phosphatidylserine complex (PAS) on the endocrine and psychological responses to mental stress

Phosphatidylserine, derived from cow brains, has been shown previously to dampen the ACTH and cortisol response to physical stress. Further research investigated the influence of soy lecithin phosphatidylserine supplementation on mood and heart rate when faced with an acute stressor. In this study, we investigated the effects of soy lecithin phosphatidic acid and phosphatidylserine complex (PAS) supplementation on pituitary adrenal reactivity (ACTH, cortisol) and on the psychological response (Spielberger State Anxiety Inventory stress subscale) to a mental and emotional stressor. Four groups of 20 subjects were treated for three weeks with daily dosages of either 400 mg PAS, 600 mg PAS, 800 mg PAS, or placebo before exposure to the Trier Social Stress Test (TSST). Treatment with 400 mg PAS resulted in a pronounced blunting of both serum ACTH and cortisol, and salivary cortisol responses to the TSST, but did not affect heart rate. The effect was not seen with larger doses of PAS. With regard to the psychological response, 400 mg PAS seemed to exert a specific positive effect on emotional responses to the TSST. While the placebo group showed the expected increase in distress after the test, the group treated with 400 mg PAS showed decreased distress. These data provide initial evidence for a selective stress dampening effect of PAS on the pituitary-adrenal axis, suggesting the potential of PAS in the treatment of stress related disorders.     

Psychosocial stress and HPA functioning: no evidence for a reduced resilience in healthy elderly men

In order to investigate if HPA functioning is altered with age, the present study was conducted. Fifteen healthy elderly men (60-76 years; mean age 66.5 +/- 1.48 yrs.) and 12 younger adults (20-29 years; mean age 25.6 +/- 0.77 yrs.) collected salivary free cortisol profiles after awakening for basal HPA activity. Then, all subjects were exposed to the "Trier Social Stress Test" (TSST). This psychosocial stress protocol consists of a free speech and a mental arithmetic task of 13 minutes duration performed in front of an audience. Beside the assessment of endocrine and cardiovascular responses to the stressful task ratings of depression, mood and perceived stressfulness were obtained. Results show that younger and elderly men had similar morning cortisol profiles after awakening with both groups showing the expected rise after awakening (P=0.004). The TSST induced significant increases in ACTH, total plasma cortisol, saliva free cortisol, and heart rates (all P<0.0001). Regardless of age, both age groups showed comparable endocrine response patterns when confronted with the stressor. However, cardiovascular responses were significantly higher in younger men compared to elderly men (P=0.03). Catecholamine data revealed significant norepinephrine and epinephrine increases due to the stressor (both P<0.0001) with a trend toward elevated norepinephrine levels in elderly men (P=0.058). In sum, the investigated basal and response parameters of HPA functioning neither support the idea of a reduced resilience in healthy aged humans nor do they appear to strengthen assumptions derived from the so called "glucocorticoid cascade hypothesis".