Physical growth delays and stress dysregulation in stunted and non-stunted Ukrainian institution-reared children

To study the effect of institutional rearing on physical growth and stress regulation we examined 16 institution-reared children (3–6 years old) in Ukraine and compared them with 18 native family-reared children pair-matched on age and gender. Physical growth trajectories were examined on the basis of archival medical records and current measurements of height, weight, and head circumference. Stress regulation was studied on the basis of diurnal salivary cortisol sampled six times during 1 day. 31% of institution-reared children were stunted at 48 months whereas none of the family-reared children were. Substantial delays in physical growth were observed in institution-reared children especially during the first year of life. From 24 months onwards a tendency for improvement in physical growth was evident among the temporarily stunted institution-reared children, with complete catch-up in weight and partial catch-up in height by the time of assessment. Chronically stunted institution-reared children demonstrated persistent severe growth delays. Institution-reared and family-reared children showed similar patterns of diurnal cortisol production with decreases over the day. However, temporarily stunted institution-reared children had a significantly higher total daily cortisol production than both chronically stunted institution-reared children and family-reared children. These data confirm previous findings regarding physical growth delays and stress dysregulation associated with institutional care, but also point to differences in cortisol production between stunted and non-stunted institution-reared children.     

Severe Life Events and Chronic Adversities as Antecedents to Anxiety in Children: A Matched Control Study

The present study compared the number of severe life events and chronic adversities as reported retrospectively by mothers of children with an anxiety disorder (n = 39) prior to the onset of their most recent episode, with controls (n = 39) matched for age and sex. The parent version of the Psychosocial Assessment of Childhood Experiences (PACE) was used to assess chronic adversities (long-term experiences with negative impact on child) and severe life events (discrete life events with high long-term threat). A significantly greater number of severe life events and chronic adversities were assessed prior to onset for anxious children compared to controls. The finding for severe life events held regardless of whether impact ratings were assigned by mothers or a panel of independent raters, suggesting the findings reflect actual as opposed to perceived differences. Results suggest that both discrete and chronic stressors may constitute risk for future episodes of anxiety in children.

Anxiety and post-traumatic stress symptoms following wisdom tooth removal

The purpose of the present study was to determine the psychological impact of wisdom teeth removal and to identify the psychological risk factors for the development of dental anxiety and post-traumatic stress symptoms. Participants were 34 consecutive elective patients referred for surgical removal of a wisdom tooth under local anesthesia. Frequency of previous distressing dental events and general traumatic life events were assessed at baseline (t1), and emotional distress (pain, state anxiety and disturbance) immediately after treatment (t2). Post-traumatic stress responses were determined three days after treatment (t3), and at four weeks follow-up (t4), while severity of dental trait anxiety was assessed at t1 and at t4. Two patients (8%) met screening criteria for Post-Traumatic Stress Disorder (PTSD) at t4. Multivariate analysis revealed that previous exposure to distressing dental events and pre-operative anxiety level predicted anxiety level at t4, accounting for 71% of the variance. Severity of pain during treatment was a significant predictor variable of PTSD symptom severity at t4 (25% explained variance). The findings underline the importance of pain-free treatments and awareness of patients' individual predisposition to anxiety or trauma-related symptoms to reduce the risk of iatrogenic psychological harm.     

The self-concept of traumatized children and adolescents with or without PTSD

This study compared the Piers-Harris 2 scores of youth with PTSD (n=30) to the scores of traumatized youth without PTSD (n=60) and a non-traumatized comparison group (n=39). In the absence of major comorbid disorders, youth with PTSD evidenced significantly lower scores than the traumatized PTSD negatives and controls on five of six Piers-Harris 2 scales. With the exception of scores on an index of perceived parental acceptance of child behavior, trauma exposure in the absence of PTSD was not associated with lower Piers-Harris 2 scores.     

Workload Variability and Social Support: Effects on Stress and Performance

The current study investigated the effect of workload variability on performance and stress, as well as the role of social support as a potential intervention. Based on previous research it was predicted that a shift in workload from either high to low or low to high would lower performance and increase stress, while the provision of social support would result in higher performance and lower stress. Results revealed significant decrements in performance following workload shifts, though no increase in stress was perceived. Performance in both workload conditions significantly, but inconsistently, increased following the provision of social support and stress significantly decreased following the shift from high to low workload. Implications and future research steps are discussed further.     

Workload Variability and Social Support: Effects on Stress and Performance

The current study investigated the effect of workload variability on performance and stress, as well as the role of social support as a potential intervention. Based on previous research it was predicted that a shift in workload from either high to low or low to high would lower performance and increase stress, while the provision of social support would result in higher performance and lower stress. Results revealed significant decrements in performance following workload shifts, though no increase in stress was perceived. Performance in both workload conditions significantly, but inconsistently, increased following the provision of social support and stress significantly decreased following the shift from high to low workload. Implications and future research steps are discussed further.     

The Psychosocial Vulnerability Model of Hostility as a Predictor of Coronary Heart Disease in Low-income African Americans

The current study examined social support and stress as mediators of the hostility—coronary heart disease (CHD) relationship as suggested by the psychosocial vulnerability model in a sample of low-income African Americans. Among 95 CHD patients and 30 healthy controls, hostility was negatively correlated with social support, but was not related to minor stress. CHD patients endorsed higher levels of hostility; however, the relationship between hostility and CHD status was diminished once stress and social support were included in the model. This study lends partial support for the psychosocial vulnerability model of hostility in African Americans, but suggests that the relationship between hostility and stress may be impacted by socioeconomic status.     

Le voisinage orthographique influence la catégorisation de couleur des mots différemment selon l’âge et la vitesse de traitement

The objective of this research was to determine to what extent the effect of higher-frequency orthographic neighbourhood in a word colour-categorization task is changed during aging when processing speed is taken into account. In addition, the effect of the lexicality of the stimuli on colour categorization was examined, as well as its variation according to age and processing speed. Fifty-two young adults (M_age = 21.62) and 52 older adults (M_age = 66.04) participated in this study. For each age group, two sub-groups were created according to the processing speed of the participants as measured by the WAIS Coding subtest. Two conditions of words (written in red, yellow, green or blue) were presented in a colour-categorization task. Half of the words did not have any orthographic neighbours (e.g., pistil [pistil]), while the other half had a higher-frequency neighbour (e.g., tirade [tirade]/TIRAGE [draw]). A control condition with a series of Xs was added to test the influence of the effect of the lexicality of words on the colour-categorization times. As a whole, the results showed slower colour-categorization times for words compared to a series of Xs, which did not vary with age and processing speed. Importantly, the results showed that orthographic neighbourhood frequency interacted with age and processing speed, on colour categorization response times. More precisely, the neighbourhood frequency effect was found to vary differently according to processing speed in each age group. For the fastest young adults, the facilitatory effect of higher-frequency orthographic neighbourhood was obtained, whereas no such effect was found for the slowest young adults. The fastest older adults did not exhibit any effect of higher-frequency orthographic neighbourhood whereas a facilitatory effect was observed for the slowest older adults. Therefore, these data suggest that both aging and the processing speed of the participants influence the interference effect of reading on colour categorization. These findings are discussed in the context of cognitive aging theories and models of written word recognition.     

The effects of stress and stress hormones on human cognition: Implications for the field of brain and cognition

In this review, we report on studies that have assessed the effects of exogenous and endogenous increases in stress hormones on human cognitive performance. We first describe the history of the studies on the effects of using exogenous stress hormones such as glucocorticoids as anti-inflammatory medications on human cognition and mental health. Here, we summarize the cases that led to the diagnosis of glucocorticoid-induced 'steroid psychosis' in human populations and which demonstrated that these stress hormones could thus cross the blood-brain barrier and access the brain where they could influence cognition and mental health. We then summarize studies that assessed the effects of the exogenous administration of glucocorticoids on cognitive performance supported by the hippocampus, the frontal lobes and amygdala. In the second section of the paper, we summarize the effects of the endogenous release of glucocorticoids induced by exposure to a stressful situation on human cognition and we further dissociate the effects of emotion from those of stress on human learning and memory. Finally, in the last section of the paper, we discuss the potential impact that the environmental context to which we expose participants when assessing their memory could have on their reactivity to stress and subsequent cognitive performance. In order to make our point, we discuss the field of memory and aging and we suggest that some of the 'age-related memory impairments' observed in the literature could be partly due to increased stress reactivity in older adults to the environmental context of testing. We also discuss the inverse negative correlations reported between hippocampal volume and memory for young and older adults and suggest that these inverse correlations could be partly due to the effects of contextual stress in young and older adults, as a function of age-related differences in hippocampal volume.     

Neuropsychological effects of stress on social phobia with and without comorbid depression

BACKGROUND: The influence of stress on neuropsychological functioning was assessed in socially phobic (SP), comorbid socially phobic/major depression (CM), and asymptomatic control subjects (AC) under baseline and stressor conditions. METHODS: Subjects were 33 clinically diagnosed undergraduates aged 18 to 41 years. Neuropsychological measures included the Trail Making Test, Wisconsin Card Sorting Test (WCST), Spatial Span, and Digit Span administered during a baseline condition and a psychosocial stress condition (videotaping). RESULTS: Spatial Span scores were reduced for SP during stress, improved for AC, and showed no change for CM. TMT B times showed an interaction effect, with completion time improving significantly less for SP than for AC and CM during stress. Analyses of the normative data for WCST total errors indicated that AC and CM improved significantly during stress, while SP performance declined during stress. CONCLUSIONS: The present findings suggest that comorbid depressed versus non-depressed SP subjects respond uniquely to stress in terms of their neuropsychological functioning and self-reported mood and experiences; generalized social phobia may be associated with spatial working memory disturbance during social stress. Therefore, situations involving potential social and personal evaluation (e.g., examinations or presentations) may have a significant impact on the neuropsychological functioning of SP individuals.