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Bjornson KJ, Vanderplow AM, Yang Y, Anderson DR, Kermath BA, Cahill ME. Stress-mediated dysregulation of the Rap1 small GTPase impairs hippocampal structure and function. iScience 2023; 26:107566. [PMID: 37664580 PMCID: PMC10470260 DOI: 10.1016/j.isci.2023.107566] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Revised: 05/15/2023] [Accepted: 08/02/2023] [Indexed: 09/05/2023] Open
Abstract
The effects of repeated stress on cognitive impairment are thought to be mediated, at least in part, by reductions in the stability of dendritic spines in brain regions critical for proper learning and memory, including the hippocampus. Small GTPases are particularly potent regulators of dendritic spine formation, stability, and morphology in hippocampal neurons. Through the use of small GTPase protein profiling in mice, we identify increased levels of synaptic Rap1 in the hippocampal CA3 region in response to escalating, intermittent stress. We then demonstrate that increased Rap1 in the CA3 is sufficient in and of itself to produce stress-relevant dendritic spine and cognitive phenotypes. Further, using super-resolution imaging, we investigate how the pattern of Rap1 trafficking to synapses likely underlies its effects on the stability of select dendritic spine subtypes. These findings illuminate the involvement of aberrant Rap1 regulation in the hippocampus in contributing to the psychobiological effects of stress.
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Affiliation(s)
- Kathryn J. Bjornson
- Department of Comparative Biosciences, University of Wisconsin-Madison, Madison, WI 53706, USA
| | - Amanda M. Vanderplow
- Department of Comparative Biosciences, University of Wisconsin-Madison, Madison, WI 53706, USA
| | - Yezi Yang
- Department of Comparative Biosciences, University of Wisconsin-Madison, Madison, WI 53706, USA
| | - Danielle R. Anderson
- Department of Comparative Biosciences, University of Wisconsin-Madison, Madison, WI 53706, USA
| | - Bailey A. Kermath
- Department of Comparative Biosciences, University of Wisconsin-Madison, Madison, WI 53706, USA
| | - Michael E. Cahill
- Department of Comparative Biosciences, University of Wisconsin-Madison, Madison, WI 53706, USA
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2
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McDonough IM, Cody SL, Harrell ER, Garrett SL, Popp TE. Cognitive differences across ethnoracial category, socioeconomic status across the Alzheimer's disease spectrum: Can an ability discrepancy score level the playing field? Mem Cognit 2023; 51:543-560. [PMID: 35338450 DOI: 10.3758/s13421-022-01304-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/12/2022] [Indexed: 12/29/2022]
Abstract
An ability discrepancy (crystallized minus fluid abilities) might be a personally relevant cognitive marker of risk for Alzheimer's disease (AD) and might help reduce measurement bias often present in traditional measures of cognition. In a large national sample of adults aged 60-104 years (N = 14,257), we investigated whether the intersectionality of group characteristics previously shown to pose a risk for AD including ethnoracial category, socioeconomic status, and sex (a) differed in ability discrepancy compared to traditional neuropsychological tests and (b) moderated the relationship between an ability discrepancy and AD symptom severity. In cognitively normal older adults, results indicated that across each decade, fluid and memory composite scores generally exhibited large group differences with sex, education, and ethnoracial category. In contrast, the ability discrepancy score showed much smaller group differences, thus removing much of the biases inherent in the tests. Women with higher education differed in discrepancy performance from other groups, suggesting a subgroup in which this score might reduce bias to a lesser extent. Importantly, a greater ability discrepancy was associated with greater AD symptom severity across the AD continuum. Subgroup analyses suggest that this relationship holds for all groups except for some subgroups of Hispanic Americans. These findings suggest that an ability discrepancy measure might be a better indicator of baseline cognition than traditional measures that show more egregious measurement bias across diverse groups of people.
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Affiliation(s)
- Ian M McDonough
- Department of Psychology, The University of Alabama, Box 870348, Tuscaloosa, AL, 35487, USA.
| | - Shameka L Cody
- College of Nursing, The University of Alabama, Tuscaloosa, AL, USA
| | - Erin R Harrell
- Department of Psychology, The University of Alabama, Box 870348, Tuscaloosa, AL, 35487, USA
| | | | - Taylor E Popp
- Department of Psychology, The University of Alabama, Box 870348, Tuscaloosa, AL, 35487, USA
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3
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Xhakaza NK, Nkomozepi P, Mbajiorgu EF. Boophone disticha attenuates five day repeated forced swim-induced stress and adult hippocampal neurogenesis impairment in male Balb/c mice. Anat Cell Biol 2023; 56:69-85. [PMID: 36267006 PMCID: PMC9989792 DOI: 10.5115/acb.22.120] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2022] [Revised: 08/30/2022] [Accepted: 09/06/2022] [Indexed: 11/27/2022] Open
Abstract
Depression is one of the most common neuropsychiatric disorders and is associated with dysfunction of the neuroendocrine system and alterations in specific brain proteins. Boophone disticha (BD) is an indigenous psychoactive bulb that belongs to the Amaryllidacae family, which is widely used in Southern Africa to treat depression, with scientific evidence of potent antidepressant-like effects. The present study examined the antidepressant effects of BD and its mechanisms of action by measuring some behavioural parameters in the elevated plus maze, brain content of corticosterone, brain derived neurotropic factor (BDNF), and neuroblast differentiation in the hippocampus of Balb/c mice exposed to the five day repeated forced swim stress (5d-RFSS). Male Balb/c mice were subjected to the 5d-RFSS protocol to induce depressive-like behaviour (decreased swimming, increased floating, decreased open arm entry, decreased time spent in the open arms and decreased head dips in the elevated plus maze test) and treated with distilled water, fluoxetine and BD. BD treatment (10 mg/kg/p.o for 3 weeks) significantly attenuated the 5d-RFSS-induced behavioural abnormalities and the elevated serum corticosterone levels observed in stressed mice. Additionally, 5d-RFSS exposure significantly decreased the number of neuroblasts in the hippocampus and BDNF levels in the brain of Balb/c mice, while fluoxetine and BD treatment attenuated these changes. The antidepressant effects of BD were comparable to those of fluoxetine, but unlike fluoxetine, BD did not show any anxiogenic effects, suggesting better pharmacological functions. In conclusion, our study shows that BD exerted antidepressant-like effects in 5d-RFSS mice, mediated in part by normalizing brain corticosterone and BDNF levels.
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Affiliation(s)
- Nkosiphendule Khuthazelani Xhakaza
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.,Department of Anatomy, School of Medicine, Sefako Magkatho Health Sciences University, Pretoria, South Africa
| | - Pilani Nkomozepi
- Department of Human Anatomy and Physiology, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa
| | - Ejekemi Felix Mbajiorgu
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
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4
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Matsuyama Y, Fujiwara T, Murayama H, Machida M, Inoue S, Shobugawa Y. Differences in Brain Volume by Tooth Loss and Cognitive Function in Older Japanese Adults. Am J Geriatr Psychiatry 2022; 30:1271-1279. [PMID: 35831211 DOI: 10.1016/j.jagp.2022.06.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Revised: 06/07/2022] [Accepted: 06/10/2022] [Indexed: 01/25/2023]
Abstract
BACKGROUND We investigated the association between tooth loss and structural brain volume and its mediating effect on the association between tooth loss and cognitive function in older Japanese. METHODS A cross-sectional study was conducted by using the data of 494 randomly sampled community-dwelling individuals aged 65-84 years living in Tokamachi City, Japan. Total brain volume (TBV), gray matter volume (GMV), white matter volume (WMV), and hippocampal volume (HV) were measured with magnetic resonance imaging. The association of self-reported number of teeth (≥20, 1-19, and 0) with cognitive function assessed with the Japanese version of the Quick Mild Cognitive Impairment screen and structural brain volume was examined. Causal mediation analysis was performed to evaluate the mediating effect of structural brain volume. Age, sex, socioeconomic status, health behavior, comorbid conditions, and total intracranial volume were adjusted. RESULTS Respondents with no teeth showed lower cognitive function (coefficient = -4.01; 95% confidence interval [CI]: -7.19, -0.82), lower TBV (coefficient = -10.34; 95% CI: -22.84, 2.17), and lower GMV (coefficient = -6.92; 95% CI: -14.84, 0.99) than those with ≥20 teeth (P for trends were 0.003, 0.035, and 0.047, respectively). The number of teeth was not significantly associated with WMV or HV. GMV showed a significant mediating effect on the association between the number of teeth and cognitive function (coefficient = -0.38; 95% CI: -1.14, -0.002, corresponding to 9.0% of the total effect), whereas TBV did not. CONCLUSIONS GMV was suggested to mediate the relationship between tooth loss and lower cognitive function.
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Affiliation(s)
- Yusuke Matsuyama
- Department of Global Health Promotion, Tokyo Medical and Dental University (YM, TF), Tokyo, Japan.
| | - Takeo Fujiwara
- Department of Global Health Promotion, Tokyo Medical and Dental University (YM, TF), Tokyo, Japan
| | - Hiroshi Murayama
- Research Team for Social participation and Community Health, Tokyo Metropolitan Institute of Gerontology (HM), Tokyo, Japan
| | - Masaki Machida
- Department of Preventive Medicine and Public Health, Tokyo Medical University (MM, SI), Tokyo, Japan; Department of Infection Prevention and Control, Tokyo Medical University Hospital (MM), Tokyo, Japan
| | - Shigeru Inoue
- Department of Preventive Medicine and Public Health, Tokyo Medical University (MM, SI), Tokyo, Japan
| | - Yugo Shobugawa
- Department of Active Ageing (donated by Tokamachi city, Niigata Japan), Niigata University Graduate School of Medical and Dental Sciences (YS), Niigata, Japan
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5
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McIntosh EC, Beam C, Spahr CM, Slavich GM, Thames AD. Prefrontal Cortex Volume Mediates the Relationship Between Lifetime Chronic Stressor Exposure and Cognition in People Living With and Without HIV. Psychosom Med 2022; 84:904-913. [PMID: 35980777 PMCID: PMC9553266 DOI: 10.1097/psy.0000000000001125] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Revised: 04/24/2022] [Indexed: 11/25/2022]
Abstract
OBJECTIVE Despite considerable research documenting how stress affects brain and neurobehavioral outcomes, few studies have assessed stressor exposure occurring over the entire life span, and no studies have investigated these associations in people living with HIV (PLWH), despite the high stress and disease burden experienced by this population. To address this issue, we examined how cumulative lifetime chronic stressor exposure related to cognition and brain integrity (i.e., gray matter volume) in White and African American PLWH and HIV-uninfected (HIV-) adults. METHOD Participants were 91 community-dwelling adults (47.3% PLWH) who completed a comprehensive interview assessing lifetime stressor exposure using the Stress and Adversity Inventory and underwent neuropsychological testing and structural magnetic resonance imaging. Regional brain volumes were derived from T1-weighted images processed through Freesurfer. RESULTS As hypothesized, greater lifetime chronic stressor exposure was related to worse global cognition ( b = -0.06, standard error [SE] = 0.03, p = .032), processing speed ( b = -0.04, SE = 0.14, p = .041), and executive functioning ( b = -0.06, SE = 0.02, p = .02), and smaller prefrontal cortex (PFC) volume ( b = -16.20, SE = 5.78, p = .007). HIV status did not moderate any of these associations. Moreover, results from mediation analyses demonstrated that the relationship between lifetime chronic stressor exposure and processing speed was fully mediated by PFC volume. CONCLUSIONS These results highlight the critical role of the PFC in the maintenance of processing speed abilities and its vulnerability to cumulative stressor exposure. Specifically, the negative impact of lifetime chronic stressor exposure on cognition-particularly functions reliant on frontal lobe integrity-may be partly driven by smaller volumes in the PFC.
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Grupe DW, Fitch D, Vack NJ, Davidson RJ. The effects of perceived stress and anhedonic depression on mnemonic similarity task performance. Neurobiol Learn Mem 2022; 193:107648. [PMID: 35679999 PMCID: PMC9378521 DOI: 10.1016/j.nlm.2022.107648] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Revised: 04/15/2022] [Accepted: 06/03/2022] [Indexed: 11/16/2022]
Abstract
Previous research has demonstrated hippocampal alterations in individuals experiencing elevated stress. The Mnemonic Similarity Task (MST) is a hippocampal-dependent task sensitive to age-related hippocampal decline, but it is unknown how performance on this task is related to one's experience of daily stress. We conducted separate discovery and replication analyses in 510 participants who completed the MST across four different Mechanical Turk studies. We hypothesized that higher scores on the Perceived Stress Scale would be associated with poorer discrimination of "lure" items from previously seen targets - a behavioral index of pattern separation - but not with recognition memory. The zero-order relationship between perceived stress and lure discrimination was not significant in the discovery or replication sample. Exploratory analyses involving anhedonic depression symptoms (from the Mood and Anxiety Symptoms Questionnaire) revealed a robust perceived stress*anhedonic depression interaction in the discovery sample that was confirmed in the replication sample. In both samples, individuals with low but not high anhedonic depression symptoms showed an inverse association between perceived stress and lure discrimination ability. Contrary to hypotheses, a similar interaction was observed for recognition memory. The novel association between perceived stress and behavioral pattern separation suggests a candidate behavioral process associated with stress-related hippocampal deficits. The specificity of this effect for individuals with low anhedonic depression symptoms - and the lack of behavioral specificity - highlight the need for additional research to unpack the clinical and neurobiological significance of these findings.
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Affiliation(s)
- Daniel W Grupe
- Center for Healthy Minds, University of Wisconsin-Madison, USA.
| | - Dan Fitch
- Center for Healthy Minds, University of Wisconsin-Madison, USA
| | - Nathan J Vack
- Center for Healthy Minds, University of Wisconsin-Madison, USA
| | - Richard J Davidson
- Center for Healthy Minds, University of Wisconsin-Madison, USA; Department of Psychology, University of Wisconsin-Madison, USA; Department of Psychiatry, University of Wisconsin-Madison, USA
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7
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Neuroanatomical Correlates of Perceived Stress Controllability in Adolescents and Emerging Adults. COGNITIVE, AFFECTIVE & BEHAVIORAL NEUROSCIENCE 2022; 22:655-671. [PMID: 35091987 PMCID: PMC9308625 DOI: 10.3758/s13415-022-00985-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/06/2022] [Indexed: 11/08/2022]
Abstract
Stressful life events predict changes in brain structure and increases in psychopathology, but not everyone is equally affected by life stress. The learned helplessness theory posits that perceiving life stressors as uncontrollable leads to depression. Evidence supports this theory for youth, but the impact of perceived control diverges based on stressor type: perceived lack of control over dependent (self-generated) stressors is associated with greater depression symptoms when controlling for the frequency of stress exposure, but perceived control over independent (non-self-generated) stressors is not. However, it is unknown how perceived control over these stressor types is associated with brain structure. We tested whether perceived lack of control over dependent and independent life stressors, controlling for stressor exposure, is associated with gray matter (GM) in a priori regions of interest (ROIs; mPFC, hippocampus, amygdala) and across the cortex in a sample of 108 adolescents and emerging adults ages 14-22. There were no associations across the full sample between perceived control over either stressor type and GM in the ROIs. However, less perceived control over dependent stressors was associated with greater amygdala gray matter volume in female youth and greater medial prefrontal cortex thickness in male youth. Furthermore, whole-cortex analyses revealed less perceived control over dependent stressors was associated with greater GM thickness in cortical regions involved in cognitive and emotional regulation. Thus, appraisals of control have distinct associations with brain morphology while controlling for stressor frequency, highlighting the importance of differentiating between these aspects of the stress experience in future research.
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8
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Grupe DW, Barnes AL, Gresham L, Kirvin-Quamme A, Nord E, Alexander AL, Abercrombie HC, Schaefer SM, Davidson RJ. Perceived stress associations with hippocampal-dependent behavior and hippocampal subfield volume. Neurobiol Stress 2022; 19:100469. [PMID: 35859546 PMCID: PMC9289864 DOI: 10.1016/j.ynstr.2022.100469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 06/13/2022] [Accepted: 07/05/2022] [Indexed: 12/04/2022] Open
Abstract
Background Individual differences in stress appraisals influence trajectories of risk and resilience following exposure to chronic and acute stressors. Smaller hippocampal volume may contribute to elevated stress appraisals via deficient pattern separation, a process depending on dentate gyrus (DG)/CA3 hippocampal subfields. Here, we investigated links between perceived stress, DG/CA3 volume, and behavioral pattern separation to test hypothesized mechanisms underlying stress-related psychopathology. Methods We collected the Perceived Stress Scale (PSS) and ratings of subjective stress reactivity during the Trier Social Stress Test (TSST) from 71 adult community participants. We obtained high-resolution T2 MRI scans and used Automatic Segmentation of Hippocampal Subfields to estimate DG/CA3 volume in 56 of these participants. Participants completed the mnemonic similarity task, which provides a behavioral index of pattern separation. Analyses investigated associations between perceived stress, DG/CA3 volume, and behavioral pattern separation, controlling for age, gender, hemisphere, and intracranial volume. Results Greater PSS scores and TSST subjective stress reactivity were each independently related to poorer behavioral pattern separation, together accounting for 15% of variance in behavioral performance in a simultaneous regression. Contrary to hypotheses, DG/CA3 volume was not associated with either stress measure, although exploratory analyses suggested a link between hippocampal volume asymmetry and PSS scores. Conclusions We observed novel associations between laboratory and questionnaire measures of perceived stress and a behavioral assay of pattern separation. Additional work is needed to clarify the involvement of the hippocampus in this stress-behavior relationship and determine the relevance of behavioral pattern separation for stress-related disorders.
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Affiliation(s)
- Daniel W Grupe
- University of Wisconsin-Madison Center for Healthy Minds, 625 W Washington Ave, Madison, WI, 53703, USA.,University of Wisconsin-Madison Waisman Laboratory for Brain Imaging and Behavior, 1500 Highland Ave, Madison, WI, 53705, USA
| | - Alexandra L Barnes
- University of Wisconsin-Madison Center for Healthy Minds, 625 W Washington Ave, Madison, WI, 53703, USA
| | - Lauren Gresham
- University of Wisconsin-Madison Center for Healthy Minds, 625 W Washington Ave, Madison, WI, 53703, USA
| | - Andrew Kirvin-Quamme
- University of Wisconsin-Madison Center for Healthy Minds, 625 W Washington Ave, Madison, WI, 53703, USA
| | - Elizabeth Nord
- University of Wisconsin-Madison Center for Healthy Minds, 625 W Washington Ave, Madison, WI, 53703, USA
| | - Andrew L Alexander
- University of Wisconsin-Madison Waisman Laboratory for Brain Imaging and Behavior, 1500 Highland Ave, Madison, WI, 53705, USA.,University of Wisconsin-Madison Department of Medical Physics, 1111 Highland Ave, Madison, WI, 53705, USA.,University of Wisconsin-Madison Department of Psychiatry, 6001 Research Park Blvd, Madison, WI, 53719, USA
| | - Heather C Abercrombie
- University of Wisconsin-Madison Center for Healthy Minds, 625 W Washington Ave, Madison, WI, 53703, USA.,University of Wisconsin-Madison Waisman Laboratory for Brain Imaging and Behavior, 1500 Highland Ave, Madison, WI, 53705, USA
| | - Stacey M Schaefer
- University of Wisconsin-Madison Center for Healthy Minds, 625 W Washington Ave, Madison, WI, 53703, USA.,University of Wisconsin-Madison Waisman Laboratory for Brain Imaging and Behavior, 1500 Highland Ave, Madison, WI, 53705, USA
| | - Richard J Davidson
- University of Wisconsin-Madison Center for Healthy Minds, 625 W Washington Ave, Madison, WI, 53703, USA.,University of Wisconsin-Madison Waisman Laboratory for Brain Imaging and Behavior, 1500 Highland Ave, Madison, WI, 53705, USA.,University of Wisconsin-Madison Department of Psychiatry, 6001 Research Park Blvd, Madison, WI, 53719, USA.,University of Wisconsin-Madison Department of Psychology, 1202 W Johnson St, Madison, WI, 53706, USA
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9
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Johnson AC, Uhlig F, Einwag Z, Cataldo N, Erdos B. The neuroendocrine stress response impairs hippocampal vascular function and memory in male and female rats. Neurobiol Dis 2022; 168:105717. [PMID: 35385769 PMCID: PMC9018625 DOI: 10.1016/j.nbd.2022.105717] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Revised: 03/23/2022] [Accepted: 03/29/2022] [Indexed: 11/24/2022] Open
Abstract
Chronic psychological stress affects brain regions involved in memory such as the hippocampus and accelerates age-related cognitive decline, including in Alzheimer's disease and vascular dementia. However, little is known about how chronic stress impacts hippocampal vascular function that is critically involved in maintaining neurocognitive health that could contribute to stress-related memory dysfunction. Here, we used a novel experimental rat model that mimics the neuroendocrine and cardiovascular aspects of chronic stress to determine how the neuroendocrine components of the stress response affect hippocampal function. We studied both male and female rats to determine potential sex differences in the susceptibility of the hippocampus and its vasculature to neuroendocrine stress-induced dysfunction. We show that activation of neuroendocrine stress pathways impaired the vasoreactivity of hippocampal arterioles to mediators involved in coupling neuronal activity with local blood flow that was associated with impaired memory function. Interestingly, we found more hippocampal arteriolar dysfunction and scarcer hippocampal microvasculature in male compared to female rats that was associated with greater memory impairment, suggesting the male sex may be at increased risk of neuroendocrine-derived hippocampal dysfunction during chronic stress. Overall, this study revealed the therapeutic potential of targeting hippocampal arterioles to prevent or slow memory decline in the setting of prolonged and/or unavoidable stress.
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Affiliation(s)
- Abbie C Johnson
- Department of Neurological Sciences, University of Vermont Larner College of Medicine, Burlington, VT, 05405, USA.
| | - Friederike Uhlig
- Department of Pharmacology, University of Vermont Larner College of Medicine, Burlington, VT, 05405, USA
| | - Zachary Einwag
- Department of Pharmacology, University of Vermont Larner College of Medicine, Burlington, VT, 05405, USA
| | - Noelle Cataldo
- Department of Pharmacology, University of Vermont Larner College of Medicine, Burlington, VT, 05405, USA
| | - Benedek Erdos
- Department of Pharmacology, University of Vermont Larner College of Medicine, Burlington, VT, 05405, USA
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10
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Harrell ER, Bui C, Newman SD. A Mixed-Effects Model of Associations between Interleukin-6 and Hippocampal Volume. J Gerontol A Biol Sci Med Sci 2021; 77:683-688. [PMID: 34637514 DOI: 10.1093/gerona/glab313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Indexed: 11/12/2022] Open
Abstract
Previous studies report hippocampal volume loss can help predict conversion from normative aging to mild cognitive impairment (MCI) to dementia. Additionally, a growing literature indicates that stress-related allostatic load may increase disease vulnerability. The current study examined the relationship between stress related cytokines (i.e., interleukin-6 - IL-6), cognition as measured by Mini Mental Status scores (MMSE), and hippocampal volume. Mixed-models were employed to examine both within (across time) and between subjects effects of IL-6 and hippocampal volume on MMSE score among 566 participants from the Alzheimer's Disease Neuroimaging Initiative (ADNI). The within subjects analysis found left hippocampal volume significantly (p= .009) predicted MMSE score. Between subjects analysis found the effect of IL-6 on MMSE was moderated by right hippocampal volume (p = .001). These results replicate previous findings and also extend prior work demonstrating stress-related cytokines may play a role in Alzheimer's disease (AD) progression.
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Affiliation(s)
- Erin R Harrell
- Department of Psychology, University of Alabama, Tuscaloosa, United States of America
| | - Chuong Bui
- Alabama Life Research Institute, University of Alabama, Tuscaloosa, United States of America
| | - Sharlene D Newman
- Department of Psychology, University of Alabama, Tuscaloosa, United States of America.,Alabama Life Research Institute, University of Alabama, Tuscaloosa, United States of America
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11
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Mediators and Moderators of the Association Between Perceived Stress and Episodic Memory in Diverse Older Adults. J Int Neuropsychol Soc 2021; 27:883-895. [PMID: 33292897 PMCID: PMC8187476 DOI: 10.1017/s1355617720001253] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
OBJECTIVE Stress is a risk factor for numerous negative health outcomes, including cognitive impairment in late-life. The negative association between stress and cognition may be mediated by depressive symptoms, which separate studies have identified as both a consequence of perceived stress and a risk factor for cognitive decline. Pathways linking perceived stress, depressive symptoms, and cognition may be moderated by sociodemographics and psychosocial resources. The goal of this cross-sectional study was to identify modifying factors and enhance understanding of the mechanisms underlying the stress-cognition association in a racially and ethnically diverse sample of older adults. METHOD A linear regression estimated the association between perceived stress and episodic memory in 578 older adults (Mage = 74.58) in the Washington Heights-Inwood Columbia Aging Project. Subsequent models tested whether depressive symptoms mediated the stress-memory relationship and whether sociodemographics (gender, race, and ethnicity) or perceived control moderated these pathways. RESULTS Independent of sociodemographics and chronic diseases, greater perceived stress was associated with worse episodic memory. This relationship was mediated by more depressive symptoms. Higher perceived control buffered the association between stress and depressive symptoms. There was no significant moderation by gender, race, or ethnicity. CONCLUSION Depressive symptoms may play a role in the negative association between perceived stress and cognition among older adults; however, longitudinal analyses and studies using experimental designs are needed. Perceived control is a modifiable psychological resource that may offset the negative impact of stress.
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12
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De Looze C, Feeney JC, Scarlett S, Hirst R, Knight SP, Carey D, Meaney JF, Kenny RA. Sleep duration, sleep problems and perceived stress are associated with hippocampal subfield volumes in later life: Findings from The Irish Longitudinal Study on Ageing (TILDA). Sleep 2021; 45:6374891. [PMID: 34558630 DOI: 10.1093/sleep/zsab241] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Revised: 09/15/2021] [Indexed: 02/07/2023] Open
Abstract
STUDY OBJECTIVES This study examines the cross-sectional and two-year follow-up relationships between sleep and stress and total hippocampal volume and hippocampal subfield volumes among older adults. METHODS 417 adults (aged 68.8±7.3; 54% women) from the Irish Longitudinal Study on Ageing completed an interview, a questionnaire and multiparametric brain MRI. The relationships between self-reported sleep duration, sleep problems, perceived stress and total hippocampal volume were examined by using ordinary least squares regressions. Linear mixed-effects models were used to investigate the relationships between sleep duration, sleep problems, perceived stress, changes in these measures over two-years and hippocampal subfield volumes. RESULTS No cross-sectional and follow-up associations between sleep and total hippocampal volume and between stress and total hippocampal volume were found. By contrast, Long sleep (≥9-10 hours / night) was associated with smaller volumes of molecular layer, hippocampal tail, presubiculum and subiculum. The co-occurrence of Short sleep (≤6 hours) and perceived stress was associated with smaller cornu ammonis 1, molecular layer, subiculum and tail. Sleep problems independently and in conjunction with higher stress, and increase in sleep problems over 2 years were associated with smaller volumes of these same subfields. CONCLUSION Our study highlights the importance of concurrently assessing sub-optimal sleep and stress for phenotyping individuals at risk of hippocampal subfield atrophy.
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Affiliation(s)
- Céline De Looze
- The Irish Longitudinal Study on Ageing, Trinity College Dublin, Ireland
| | - Joanne C Feeney
- The Irish Longitudinal Study on Ageing, Trinity College Dublin, Ireland
| | - Siobhan Scarlett
- The Irish Longitudinal Study on Ageing, Trinity College Dublin, Ireland
| | - Rebecca Hirst
- The Irish Longitudinal Study on Ageing, Trinity College Dublin, Ireland
| | - Silvin P Knight
- The Irish Longitudinal Study on Ageing, Trinity College Dublin, Ireland
| | - Daniel Carey
- The Irish Longitudinal Study on Ageing, Trinity College Dublin, Ireland
| | - James F Meaney
- The National Centre for Advanced Medical Imaging (CAMI), St. James's Hospital, Dublin, Ireland
| | - Rose Anne Kenny
- The Irish Longitudinal Study on Ageing, Trinity College Dublin, Ireland.,Mercer's Institute for Successful Ageing (MISA), St James's Hospital, Dublin, Ireland
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Weis CN, Webb EK, Huggins AA, Kallenbach M, Miskovich TA, Fitzgerald JM, Bennett KP, Krukowski JL, deRoon-Cassini TA, Larson CL. Stability of hippocampal subfield volumes after trauma and relationship to development of PTSD symptoms. Neuroimage 2021; 236:118076. [PMID: 33878374 PMCID: PMC8284190 DOI: 10.1016/j.neuroimage.2021.118076] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Revised: 03/01/2021] [Accepted: 04/08/2021] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND The hippocampus plays a central role in post-traumatic stress disorder (PTSD) pathogenesis, and the majority of neuroimaging research on PTSD has studied the hippocampus in its entirety. Although extensive literature demonstrates changes in hippocampal volume are associated with PTSD, fewer studies have probed the relationship between symptoms and the hippocampus' functionally and structurally distinct subfields. We utilized data from a longitudinal study examining post-trauma outcomes to determine whether hippocampal subfield volumes change post-trauma and whether specific subfields are significantly associated with, or prospectively related to, PTSD symptom severity. As a secondary aim, we leveraged our unique study design sample to also investigate reliability of hippocampal subfield volumes using both cross-sectional and longitudinal pipelines available in FreeSurfer v6.0. METHODS Two-hundred and fifteen traumatically injured individuals were recruited from an urban Emergency Department. Two-weeks post-injury, participants underwent two consecutive days of neuroimaging (time 1: T1, and time 2: T2) with magnetic resonance imaging (MRI) and completed self-report assessments. Six-months later (time 3: T3), participants underwent an additional scan and were administered a structured interview assessing PTSD symptoms. First, we calculated reliability of hippocampal measurements at T1 and T2 (automatically segmented with FreeSurfer v6.0). We then examined the prospective (T1 subfields) and cross-sectional (T3 subfields) relationship between volumes and PTSD. Finally, we tested whether change in subfield volumes between T1 and T3 explained PTSD symptom variability. RESULTS After controlling for sex, age, and total brain volume, none of the subfield volumes (T1) were prospectively related to T3 PTSD symptoms nor were subfield volumes (T3) associated with current PTSD symptoms (T3). Tl - T2 reliability of all hippocampal subfields ranged from good to excellent (intraclass correlation coefficient (ICC) values > 0.83), with poorer reliability in the hippocampal fissure. CONCLUSION Our study was a novel examination of the prospective relationship between hippocampal subfield volumes in relation to PTSD in a large trauma-exposed urban sample. There was no significant relationship between subfield volumes and PTSD symptoms, however, we confirmed FreeSurfer v6.0 hippocampal subfield segmentation is reliable when applied to a traumatically-injured sample, using both cross-sectional and longitudinal analysis pipelines. Although hippocampal subfield volumes may be an important marker of individual variability in PTSD, findings are likely conditional on the timing of the measurements (e.g. acute or chronic post-trauma periods) and analysis strategy (e.g. cross-sectional or prospective).
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Affiliation(s)
- C N Weis
- University of Wisconsin Milwaukee, Psychology, Department of Psychology, 334 Garland Hall, 2441 E. Hartford Ave, Milwaukee, WI 53211, United States.
| | - E K Webb
- University of Wisconsin Milwaukee, Psychology, Department of Psychology, 334 Garland Hall, 2441 E. Hartford Ave, Milwaukee, WI 53211, United States
| | - A A Huggins
- University of Wisconsin Milwaukee, Psychology, Department of Psychology, 334 Garland Hall, 2441 E. Hartford Ave, Milwaukee, WI 53211, United States
| | - M Kallenbach
- University of Wisconsin Milwaukee, Psychology, Department of Psychology, 334 Garland Hall, 2441 E. Hartford Ave, Milwaukee, WI 53211, United States
| | - T A Miskovich
- University of Wisconsin Milwaukee, Psychology, Department of Psychology, 334 Garland Hall, 2441 E. Hartford Ave, Milwaukee, WI 53211, United States
| | - J M Fitzgerald
- University of Wisconsin Milwaukee, Psychology, Department of Psychology, 334 Garland Hall, 2441 E. Hartford Ave, Milwaukee, WI 53211, United States
| | - K P Bennett
- University of Wisconsin Milwaukee, Psychology, Department of Psychology, 334 Garland Hall, 2441 E. Hartford Ave, Milwaukee, WI 53211, United States
| | - J L Krukowski
- University of Wisconsin Milwaukee, Psychology, Department of Psychology, 334 Garland Hall, 2441 E. Hartford Ave, Milwaukee, WI 53211, United States
| | - T A deRoon-Cassini
- University of Wisconsin Milwaukee, Psychology, Department of Psychology, 334 Garland Hall, 2441 E. Hartford Ave, Milwaukee, WI 53211, United States
| | - C L Larson
- University of Wisconsin Milwaukee, Psychology, Department of Psychology, 334 Garland Hall, 2441 E. Hartford Ave, Milwaukee, WI 53211, United States
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14
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Khaspekov LG. Current Views on the Role of Stress in the Pathogenesis of Chronic Neurodegenerative Diseases. BIOCHEMISTRY (MOSCOW) 2021; 86:737-745. [PMID: 34225596 DOI: 10.1134/s0006297921060110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The review summarizes the results of studies on the cellular and molecular mechanisms mediating the impact of stress on the pathogenesis of neurodegenerative brain pathologies (Alzheimer's disease, Parkinson's disease, etc.) and presents current information on the role of stress in the hyperphosphorylation of tau protein, aggregation of beta-amyloid, and hyperactivation of the hypothalamic-pituitary-adrenal axis involved in the hyperproduction of factors that contribute to the pathogenetic role of stress in neurodegeneration. The data on the participation of microglia in the effects of stress on the pathogenesis of neurodegenerative diseases are presented.
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15
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Meza E, Peterson R, Gilsanz P, George KM, Miles SJ, Eng CW, Mungas DM, Mayeda ER, Glymour MM, Whitmer RA. Perceived Discrimination, Nativity, and Cognitive Performance in a Multi-ethnic Study of Older Adults: Findings from the Kaiser Healthy Aging and Diverse Life Experiences (KHANDLE) Study. J Gerontol A Biol Sci Med Sci 2021; 77:e65-e73. [PMID: 34125189 PMCID: PMC8824601 DOI: 10.1093/gerona/glab170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2020] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Despite growing research on the association between discrimination and disparities in cognitive aging, an evidence gap remains on how the association varies by racial/ethnic group. This study evaluates the associations of experiences of discrimination with cognitive function and whether these associations varied by race/ethnicity and nativity. METHODS Using the Kaiser Healthy Aging and Diverse Life Experiences (KHANDLE) cohort (N=1,712) with approximately equal groups of Black, White, Latino, and Asian community-dwelling older adults aged 65 years and older, we evaluated the associations between self-reported experiences of everyday and major lifetime discrimination with overall cognitive performance and domain-specific cognition (verbal episodic memory, semantic memory and executive functioning) across race/ethnicity and nativity. Linear regression models examined the cross-sectional association between self-reported experiences of everyday and major lifetime discrimination with z-standardized coefficients for cognition. We tested for effect modification by race and nativity. All models controlled for age, sex and education. RESULTS Among KHANDLE participants (mean age: 76 years; standard deviation: 6.8), everyday discrimination was not associated with cognitive scores. Major lifetime discrimination was associated with better average cognitive scores among Black participants but not among other racial/ethnic groups. Major lifetime discrimination was associated with better average cognitive scores among US-born but not among non-US born individuals. CONCLUSION Our findings do not imply that discrimination improves cognition, but rather suggest that future research should include more detailed measures on discrimination and unfair treatment that could help disentangle the extent to which relationships are causal or reflect some other underlying factor.
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Affiliation(s)
- Erika Meza
- Department of Epidemiology and Biostatistics University of California, San Francisco San Francisco, CA
| | - Rachel Peterson
- Department of Public Health Sciences, University of California, Davis, Davis, CA
| | - Paola Gilsanz
- Division of Research, Kaiser Permanente Northern California, Oakland, CA
| | - Kristen M George
- Department of Public Health Sciences, University of California, Davis, Davis, CA
| | - Sunita J Miles
- Division of Research, Kaiser Permanente Northern California, Oakland, CA
| | - Chloe W Eng
- Department of Epidemiology and Biostatistics University of California, San Francisco San Francisco, CA.,Division of Research, Kaiser Permanente Northern California, Oakland, CA
| | - Dan M Mungas
- Department of Neurology, University of California, Davis, Davis, CA
| | - Elizabeth Rose Mayeda
- Department of Epidemiology, University of California, Los Angeles Fielding School of Public Health, Los Angeles, CA
| | - M Maria Glymour
- Department of Epidemiology and Biostatistics University of California, San Francisco San Francisco, CA
| | - Rachel A Whitmer
- Department of Public Health Sciences, University of California, Davis, Davis, CA.,Division of Research, Kaiser Permanente Northern California, Oakland, CA
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16
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Bygrave DC, Gerassimakis CS, Mwendwa DT, Erus G, Davatzikos C, Wright RS. The Role of Race in Relations of Social Support to Hippocampal Volumes Among Older Adults. Res Aging 2021; 44:205-214. [PMID: 33977830 DOI: 10.1177/01640275211017268] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Evidence suggests social support may buffer brain pathology. However, neither its association with hippocampal volume, a marker of Alzheimer's disease risk, nor the role of race in this association has been fully investigated. Multiple regression analyses examined relations of total social support to magnetic resonance imaging-assessed gray matter (GM) hippocampal volumes in the total sample (n = 165; mean age = 68.48 year), and in race-stratified models of African American and White older adults, adjusting for select covariates. Results showed greater social support was associated with greater GM hippocampal volumes among African American older adults only (p < .01). Our findings suggest greater total social support may play a role in supporting the hippocampus, particularly among African American older adults, who had lower hippocampal volumes than their White counterparts. Further research is needed to test these questions longitudinally and examine which aspects of social support may promote hippocampal integrity, specifically.
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Affiliation(s)
- Desirée C Bygrave
- Department of Criminal Justice Administration and Social Sciences, Benedict College, Columbia, SC, USA
| | | | - Denée T Mwendwa
- Department of Psychology, Howard University, Washington, DC, USA
| | - Guray Erus
- Center for Biomedical Image Computing and Analytics, University of Pennsylvania, Philadelphia, PA, USA
| | - Christos Davatzikos
- Center for Biomedical Image Computing and Analytics, University of Pennsylvania, Philadelphia, PA, USA
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17
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Caetano I, Amorim L, Soares JM, Ferreira S, Coelho A, Reis J, Santos NC, Moreira PS, Marques P, Magalhães R, Esteves M, Picó-Pérez M, Sousa N. Amygdala size varies with stress perception. Neurobiol Stress 2021; 14:100334. [PMID: 34013000 PMCID: PMC8114169 DOI: 10.1016/j.ynstr.2021.100334] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Revised: 04/26/2021] [Accepted: 04/27/2021] [Indexed: 12/28/2022] Open
Abstract
Stress is inevitably linked to life. It has many and complex facets. Notably, perception of stressful stimuli is an important factor when mounting stress responses and measuring its impact. Indeed, moved by the increasing number of stress-triggered pathologies, several groups drew on advanced neuroimaging techniques to explore stress effects on the brain. From that, several regions and circuits have been linked to stress, and a comprehensive integration of the distinct findings applied to common individuals is being pursued, but with conflicting results. Herein, we performed a volumetric regression analysis using participants' perceived stress as a variable of interest. Data shows that increased levels of perceived stress positively associate with the right amygdala and anterior hippocampal volumes.
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Key Words
- Amygdala
- FSL, FMRIB Software Library
- FWE-R, Family-wise error rate
- FreeSurfer
- GM, Gray matter
- Healthy subjects
- M, Mean
- PSS10, 10-items Perceived Stress Scale
- Perceived stress
- ROI, Region-of-interest
- SD, Standard deviation
- TFCE, Threshold-free cluster enhancement
- VBM, Voxel-based morphometry
- Voxel-based morphometry
- WM, White matter
- eTIV, Estimated total intracranial volume
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Affiliation(s)
- Inês Caetano
- Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, 4710-057, Braga, Portugal
- ICVS/3B's, PT Government Associate Laboratory, 4710-057, Braga/Guimarães, Portugal
- Clinical Academic Center – Braga, Braga, Portugal, 4710-057, Braga/Guimarães, Portugal
| | - Liliana Amorim
- Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, 4710-057, Braga, Portugal
- ICVS/3B's, PT Government Associate Laboratory, 4710-057, Braga/Guimarães, Portugal
- Clinical Academic Center – Braga, Braga, Portugal, 4710-057, Braga/Guimarães, Portugal
- Association P5 Digital Medical Center (ACMP5), 4710-057, Braga, Portugal
| | - José Miguel Soares
- Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, 4710-057, Braga, Portugal
- ICVS/3B's, PT Government Associate Laboratory, 4710-057, Braga/Guimarães, Portugal
- Clinical Academic Center – Braga, Braga, Portugal, 4710-057, Braga/Guimarães, Portugal
| | - Sónia Ferreira
- Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, 4710-057, Braga, Portugal
- ICVS/3B's, PT Government Associate Laboratory, 4710-057, Braga/Guimarães, Portugal
- Clinical Academic Center – Braga, Braga, Portugal, 4710-057, Braga/Guimarães, Portugal
| | - Ana Coelho
- Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, 4710-057, Braga, Portugal
- ICVS/3B's, PT Government Associate Laboratory, 4710-057, Braga/Guimarães, Portugal
- Clinical Academic Center – Braga, Braga, Portugal, 4710-057, Braga/Guimarães, Portugal
| | - Joana Reis
- Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, 4710-057, Braga, Portugal
- ICVS/3B's, PT Government Associate Laboratory, 4710-057, Braga/Guimarães, Portugal
- Clinical Academic Center – Braga, Braga, Portugal, 4710-057, Braga/Guimarães, Portugal
| | - Nadine Correia Santos
- Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, 4710-057, Braga, Portugal
- ICVS/3B's, PT Government Associate Laboratory, 4710-057, Braga/Guimarães, Portugal
- Clinical Academic Center – Braga, Braga, Portugal, 4710-057, Braga/Guimarães, Portugal
| | - Pedro Silva Moreira
- Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, 4710-057, Braga, Portugal
- ICVS/3B's, PT Government Associate Laboratory, 4710-057, Braga/Guimarães, Portugal
- Clinical Academic Center – Braga, Braga, Portugal, 4710-057, Braga/Guimarães, Portugal
| | - Paulo Marques
- Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, 4710-057, Braga, Portugal
- ICVS/3B's, PT Government Associate Laboratory, 4710-057, Braga/Guimarães, Portugal
- Clinical Academic Center – Braga, Braga, Portugal, 4710-057, Braga/Guimarães, Portugal
| | - Ricardo Magalhães
- Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, 4710-057, Braga, Portugal
- ICVS/3B's, PT Government Associate Laboratory, 4710-057, Braga/Guimarães, Portugal
- Clinical Academic Center – Braga, Braga, Portugal, 4710-057, Braga/Guimarães, Portugal
- NeuroSpin, Institut des Sciences du Vivant Frédéric Joliot, Commisariat à l’Énergie Atomique et aux Énergies Alternatives, 91191, Gif-Sur-Yvette, France
- Université Paris-Saclay, 91191, Gif-Sur-Yvette, France
| | - Madalena Esteves
- Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, 4710-057, Braga, Portugal
- ICVS/3B's, PT Government Associate Laboratory, 4710-057, Braga/Guimarães, Portugal
- Clinical Academic Center – Braga, Braga, Portugal, 4710-057, Braga/Guimarães, Portugal
| | - Maria Picó-Pérez
- Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, 4710-057, Braga, Portugal
- ICVS/3B's, PT Government Associate Laboratory, 4710-057, Braga/Guimarães, Portugal
- Clinical Academic Center – Braga, Braga, Portugal, 4710-057, Braga/Guimarães, Portugal
| | - Nuno Sousa
- Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, 4710-057, Braga, Portugal
- ICVS/3B's, PT Government Associate Laboratory, 4710-057, Braga/Guimarães, Portugal
- Clinical Academic Center – Braga, Braga, Portugal, 4710-057, Braga/Guimarães, Portugal
- Association P5 Digital Medical Center (ACMP5), 4710-057, Braga, Portugal
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18
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Falzarano F, Siedlecki KL. Differences in cognitive performance between informal caregivers and non-caregivers. NEUROPSYCHOLOGY, DEVELOPMENT, AND COGNITION. SECTION B, AGING, NEUROPSYCHOLOGY AND COGNITION 2021; 28:284-307. [PMID: 32270735 PMCID: PMC7544647 DOI: 10.1080/13825585.2020.1749228] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2019] [Accepted: 03/24/2020] [Indexed: 10/24/2022]
Abstract
Extensive literature exists documenting the relationship between stress and cognition. Caregiving for an individual with Alzheimer's disease can be aunique and chronic stress experience due to the increasing dependency of the care-recipient as the disease progresses. The current study examines the relationship between stress and cognitive performance in 47 dementia caregivers compared to 47 noncaregiver control participants matched on age, gender, and education. Participants completed measures assessing stress (measured via the Perceived Stress Scale) and seven domains of cognition including episodic memory, working memory, executive functioning, attention, visuospatial processing, processing speed, and implicit memory. Results showed that caregivers had poorer performance than non-caregivers on certain measures of episodic memory, working memory, and executive functioning; while no significant differences were observed on measures of attention, visuospatial processing, processing speed, or implicit memory. In addition, when controlling for general stress, caregiver performance on measures of processing speed and visuospatial processing was also poorer than non-caregivers. By controlling for levels of general stress that may not be related to caregiving, these results show that differences in cognitive performance are unlikely to be explained by general stress alone.
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Affiliation(s)
| | - Karen L Siedlecki
- Department of Psychology, Fordham University , Bronx, NY, United States
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19
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Sämann PG, Iglesias JE, Gutman B, Grotegerd D, Leenings R, Flint C, Dannlowski U, Clarke‐Rubright EK, Morey RA, Erp TG, Whelan CD, Han LKM, Velzen LS, Cao B, Augustinack JC, Thompson PM, Jahanshad N, Schmaal L. FreeSurfer
‐based segmentation of hippocampal subfields: A review of methods and applications, with a novel quality control procedure for
ENIGMA
studies and other collaborative efforts. Hum Brain Mapp 2020; 43:207-233. [PMID: 33368865 PMCID: PMC8805696 DOI: 10.1002/hbm.25326] [Citation(s) in RCA: 48] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2020] [Revised: 11/26/2020] [Accepted: 12/13/2020] [Indexed: 12/11/2022] Open
Abstract
Structural hippocampal abnormalities are common in many neurological and psychiatric disorders, and variation in hippocampal measures is related to cognitive performance and other complex phenotypes such as stress sensitivity. Hippocampal subregions are increasingly studied, as automated algorithms have become available for mapping and volume quantification. In the context of the Enhancing Neuro Imaging Genetics through Meta Analysis Consortium, several Disease Working Groups are using the FreeSurfer software to analyze hippocampal subregion (subfield) volumes in patients with neurological and psychiatric conditions along with data from matched controls. In this overview, we explain the algorithm's principles, summarize measurement reliability studies, and demonstrate two additional aspects (subfield autocorrelation and volume/reliability correlation) with illustrative data. We then explain the rationale for a standardized hippocampal subfield segmentation quality control (QC) procedure for improved pipeline harmonization. To guide researchers to make optimal use of the algorithm, we discuss how global size and age effects can be modeled, how QC steps can be incorporated and how subfields may be aggregated into composite volumes. This discussion is based on a synopsis of 162 published neuroimaging studies (01/2013–12/2019) that applied the FreeSurfer hippocampal subfield segmentation in a broad range of domains including cognition and healthy aging, brain development and neurodegeneration, affective disorders, psychosis, stress regulation, neurotoxicity, epilepsy, inflammatory disease, childhood adversity and posttraumatic stress disorder, and candidate and whole genome (epi‐)genetics. Finally, we highlight points where FreeSurfer‐based hippocampal subfield studies may be optimized.
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Affiliation(s)
| | - Juan Eugenio Iglesias
- Centre for Medical Image Computing University College London London UK
- The Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology Massachusetts General Hospital/Harvard Medical School Boston Massachusetts US
- Computer Science and AI Laboratory (CSAIL), Massachusetts Institute of Technology (MIT) Cambridge Massachusetts US
| | - Boris Gutman
- Department of Biomedical Engineering Illinois Institute of Technology Chicago USA
| | | | - Ramona Leenings
- Department of Psychiatry University of Münster Münster Germany
| | - Claas Flint
- Department of Psychiatry University of Münster Münster Germany
- Department of Mathematics and Computer Science University of Münster Germany
| | - Udo Dannlowski
- Department of Psychiatry University of Münster Münster Germany
| | - Emily K. Clarke‐Rubright
- Brain Imaging and Analysis Center, Duke University Durham North Carolina USA
- VISN 6 MIRECC, Durham VA Durham North Carolina USA
| | - Rajendra A. Morey
- Brain Imaging and Analysis Center, Duke University Durham North Carolina USA
- VISN 6 MIRECC, Durham VA Durham North Carolina USA
| | - Theo G.M. Erp
- Clinical Translational Neuroscience Laboratory, Department of Psychiatry and Human Behavior University of California Irvine California USA
- Center for the Neurobiology of Learning and Memory University of California Irvine Irvine California USA
| | - Christopher D. Whelan
- Imaging Genetics Center Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California Los Angeles California USA
| | - Laura K. M. Han
- Department of Psychiatry Amsterdam University Medical Centers, Vrije Universiteit and GGZ inGeest, Amsterdam Neuroscience Amsterdam The Netherlands
| | - Laura S. Velzen
- Orygen Parkville Australia
- Centre for Youth Mental Health The University of Melbourne Melbourne Australia
| | - Bo Cao
- Department of Psychiatry, Faculty of Medicine & Dentistry University of Alberta Edmonton Canada
| | - Jean C. Augustinack
- The Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology Massachusetts General Hospital/Harvard Medical School Boston Massachusetts US
| | - Paul M. Thompson
- Imaging Genetics Center Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California Los Angeles California USA
| | - Neda Jahanshad
- Imaging Genetics Center Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California Los Angeles California USA
| | - Lianne Schmaal
- Orygen Parkville Australia
- Centre for Youth Mental Health The University of Melbourne Melbourne Australia
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20
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Ávila-Villanueva M, Gómez-Ramírez J, Maestú F, Venero C, Ávila J, Fernández-Blázquez MA. The Role of Chronic Stress as a Trigger for the Alzheimer Disease Continuum. Front Aging Neurosci 2020; 12:561504. [PMID: 33192456 PMCID: PMC7642953 DOI: 10.3389/fnagi.2020.561504] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Accepted: 09/04/2020] [Indexed: 01/18/2023] Open
Affiliation(s)
- Marina Ávila-Villanueva
- Alzheimer Disease Research Unit, CIEN Foundation, Carlos III Institute of Health, Queen Sofía Foundation Alzheimer Center, Madrid, Spain
| | - Jaime Gómez-Ramírez
- Alzheimer Disease Research Unit, CIEN Foundation, Carlos III Institute of Health, Queen Sofía Foundation Alzheimer Center, Madrid, Spain
| | - Fernando Maestú
- Laboratory of Cognitive and Computational Neuroscience (UCM-UPM), Center for Biomedical Technology, Campus de Montegancedo, Madrid, Spain.,Department of Experimental Psychology, Complutense University of Madrid (UCM), Campus de Somosaguas, Madrid, Spain
| | - César Venero
- Department of Psychobiology, Universidad Nacional de Educación a Distancia (UNED), Madrid, Spain
| | - Jesús Ávila
- Center of Molecular Biology Severo Ochoa (CSIC-UAM), Campus de Cantoblanco, Madrid, Spain.,Network Center for Biomedical Research in Neurodegenerative Diseases (CIBERNED), Madrid, Spain
| | - Miguel A Fernández-Blázquez
- Alzheimer Disease Research Unit, CIEN Foundation, Carlos III Institute of Health, Queen Sofía Foundation Alzheimer Center, Madrid, Spain
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Wippold GM, Tucker CM, Roncoroni J, Henry MA. Impact of Stress and Loneliness on Health-Related Quality of Life Among Low Income Senior African Americans. J Racial Ethn Health Disparities 2020; 8:1089-1097. [PMID: 32940896 DOI: 10.1007/s40615-020-00865-w] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Revised: 08/31/2020] [Accepted: 09/07/2020] [Indexed: 01/24/2023]
Abstract
Low income senior African Americans are at risk for low health-related quality of life (HRQoL). Loneliness may exacerbate the effects of stress on health. The purpose of this study was to examine the impact of perceived stress and loneliness on the HRQoL of low income senior African Americans (N = 281). Results indicate that loneliness may exacerbate the inverse relationship of perceived stress with psychological HRQoL among this sample. Additionally, both loneliness and perceived stress were associated with poorer physical HRQoL. The present study has implications for interventions seeking to improve HRQoL among a similar sample of senior adults given that loneliness is a modifiable variable.
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Affiliation(s)
| | - Carolyn M Tucker
- Department of Psychology, University of Florida, Gainesville, FL, USA
| | - Julia Roncoroni
- Department of Counseling Psychology, University of Denver, Denver, CO, USA
| | - Meagan A Henry
- Department of Psychology, University of Florida, Gainesville, FL, USA
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22
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Coogan P, Schon K, Li S, Cozier Y, Bethea T, Rosenberg L. Experiences of racism and subjective cognitive function in African American women. ALZHEIMER'S & DEMENTIA (AMSTERDAM, NETHERLANDS) 2020; 12:e12067. [PMID: 32782921 PMCID: PMC7409101 DOI: 10.1002/dad2.12067] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/24/2020] [Revised: 06/05/2020] [Accepted: 06/17/2020] [Indexed: 12/27/2022]
Abstract
INTRODUCTION We hypothesized that frequent experiences of racism among African American women would adversely affect subjective cognitive function (SCF), based on the established association of psychological stress with memory decline. METHODS We used multinomial logistic regression to quantify the association between experiences of racism and SCF, based on six questions, among 17,320 participants in the prospective Black Women's Health Study. RESULTS The multivariable odds ratio (OR, 95% confidence interval [CI]) for poor compared to good SCF among women at the highest versus the lowest level of daily racism (eg, poorer service in stores) was 2.75 (2.34 to 3.23); for the same comparison among women at the highest level of institutional racism (eg, discriminated against in housing) relative to the lowest, the OR was 2.66 (2.24 to 3.15). The associations were mediated, in part, by depression and insomnia. DISCUSSION Experiences of racism, a highly prevalent psychosocial stressor among African Americans, were associated with lower SCF.
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Affiliation(s)
- Patricia Coogan
- Slone Epidemiology Center at Boston UniversityBostonMassachusettsUSA
| | - Karin Schon
- Department of Anatomy and NeurobiologyBoston University School of MedicineBostonMassachusettsUSA
| | - Shanshan Li
- Slone Epidemiology Center at Boston UniversityBostonMassachusettsUSA
| | - Yvette Cozier
- Slone Epidemiology Center at Boston UniversityBostonMassachusettsUSA
| | - Traci Bethea
- Department of Oncology, Office of Minority Health and Health Disparities ResearchGeorgetown University School of MedicineWashingtonDCUSA
| | - Lynn Rosenberg
- Slone Epidemiology Center at Boston UniversityBostonMassachusettsUSA
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Dauphinot V, Bouteloup V, Mangin J, Vellas B, Pasquier F, Blanc F, Hanon O, Gabelle A, Annweiler C, David R, Planche V, Godefroy O, Rivasseau‐Jonveaux T, Chupin M, Fischer C, Chêne G, Dufouil C, Krolak‐Salmon P. Subjective cognitive and non-cognitive complaints and brain MRI biomarkers in the MEMENTO cohort. ALZHEIMER'S & DEMENTIA (AMSTERDAM, NETHERLANDS) 2020; 12:e12051. [PMID: 32647745 PMCID: PMC7335902 DOI: 10.1002/dad2.12051] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/12/2020] [Revised: 05/23/2020] [Accepted: 05/26/2020] [Indexed: 12/05/2022]
Abstract
INTRODUCTION Subjective cognitive complaints may be a signature of preclinical stage Alzheimer's disease. However, the link between subjective cognitive and non-cognitive complaints and brain alterations remains unclear. METHODS The relationship between cognitive and non-cognitive complaints and brain biomarkers, measured by structural magnetic resonance imaging, was investigated in 2056 participants of the MEMENTO cohort of outpatients, who were dementia-free at baseline. We assessed whether the cognitive status at inclusion or the presence of the apolipoprotein E gene variant (APOE) ε4 could modulate the association between the intensity of complaints and brain lesions. RESULTS Smaller hippocampal volume was associated with higher memory complaints and discomfort in daily life. In APOE ε4 carriers, smaller whole-brain white matter and gray matter volumes and gyrification indices in several regions of interest of the parietal and temporal lobes, in the entorhinal and the para-hippocampal gyrus, were associated with higher memory complaint score. CONCLUSIONS The intensity of subjective complaints in not only memory but discomfort in daily life was associated with brain degeneration markers. The presence of APOE ε4 modulated the relationships between subjective memory complaints and brain alterations.
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Affiliation(s)
- Virginie Dauphinot
- Clinical and Research Memory Centre of LyonLyon Institute for ElderlyCharpennes HospitalUniversity Hospital of LyonLyonFrance
| | - Vincent Bouteloup
- InsermBordeaux Population Health Research CenterUMR 1219Bordeaux UniversityISPEDBordeaux UniversityBordeauxFrance
- University hospital of BordeauxPublic Health CenterBordeauxFrance
| | - Jean‐François Mangin
- CATI Multicenter Neuroimaging Platform (http://cati‐neuroimaging.com)Gif‐sur‐YvetteParisFrance
- NeurospinCEAParis‐Saclay UniversityGif‐sur‐YvetteFrance
| | - Bruno Vellas
- GérontopôleUniversity hospital of Toulouse (CHU Toulouse)ToulouseFrance
- Inserm UMR1027University of Toulouse III Paul SabatierToulouseFrance
| | - Florence Pasquier
- Univ LilleInserm 1171, CHUClinical and Research Memory Research Centre (CMRR) of DistalzLilleFrance
| | - Frédéric Blanc
- Clinical and Memory Research Centre of Strasbourg (CMRR)University hostpital of StrasbourgGeriatrics unitGeriatric Day HospitalStrasbourgFrance
| | - Olivier Hanon
- Geriatry unitParis Descartes UniversityBroca hospitalParisFrance
| | - Audrey Gabelle
- Clinical and Research Memory center of MontpellierDepartment of NeurologyGui de Chauliac HospitalUniversity of MontpellierMontpellierFrance
| | - Cédric Annweiler
- Department of Geriatric MedicineAngers University HospitalAngers University Memory Clinic; Research Center on Autonomy and Longevity; UPRES EA 4638University of AngersAngersFrance
- Robarts Research InstituteDepartment of Medical BiophysicsSchulich School of Medicine and Dentistrythe University of Western OntarioLondonOntarioCanada
| | - Renaud David
- Clinical and Research Memory Centre of Nice University hospital of NiceEA COBTeKCôte d'Azur UniversityNiceFrance
| | - Vincent Planche
- Clinical and Research Memory Centre of BordeauxClinical neurosciences centreUniversity hospital of BordeauxF‐33000 BordeauxFrance et 2. Univ. BordeauxCNRSgérontopole Institute of Neurodegenerative DiseasesBordeauxFrance
| | - Olivier Godefroy
- Departments of NeurologyAmiens University Hospital (CHU Amiens)and Laboratory of Functional Neurosciences (EA 4559)Jules Verne University of PicardieAmiensFrance
- Institute of the Brain and Spinal CordInsermU1127,3 CNRS, UMR 7225Sorbonne UniversityParisFrance
| | - Thérèse Rivasseau‐Jonveaux
- Clinical and Research Memory Centre of LorraineHospital of BraboisCognitive‐behavioral unitPaul Spillmann CentreCHRU de NancyFrance
- Communications Research GroupInterpsy EA4432 PsychologyUniversity of LorraineNancyFrance
| | - Marie Chupin
- CATI Multicenter Neuroimaging Platform (http://cati‐neuroimaging.com)Gif‐sur‐YvetteParisFrance
- NeurospinCEAParis‐Saclay UniversityGif‐sur‐YvetteFrance
| | - Clara Fischer
- CATI Multicenter Neuroimaging Platform (http://cati‐neuroimaging.com)Gif‐sur‐YvetteParisFrance
- NeurospinCEAParis‐Saclay UniversityGif‐sur‐YvetteFrance
| | - Geneviève Chêne
- InsermBordeaux Population Health Research CenterUMR 1219Bordeaux UniversityISPEDBordeaux UniversityBordeauxFrance
- University hospital of BordeauxPublic Health CenterBordeauxFrance
| | - Carole Dufouil
- InsermBordeaux Population Health Research CenterUMR 1219Bordeaux UniversityISPEDBordeaux UniversityBordeauxFrance
- University hospital of BordeauxPublic Health CenterBordeauxFrance
| | - Pierre Krolak‐Salmon
- Clinical and Research Memory Centre of LyonLyon Institute for ElderlyCharpennes HospitalUniversity Hospital of LyonLyonFrance
- Clinical and Research Memory Centre of LorraineHospital of BraboisCognitive‐behavioral unitPaul Spillmann CentreCHRU de NancyFrance
- Communications Research GroupInterpsy EA4432 PsychologyUniversity of LorraineNancyFrance
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Kida H, Nakajima S, Shikimoto R, Ochi R, Noda Y, Tsugawa S, Fujii S, Takayama M, Mimura M, Niimura H. Approach-oriented coping strategy level may be related to volume of the whole hippocampus in the elderly. Psychiatry Clin Neurosci 2020; 74:270-276. [PMID: 31943584 DOI: 10.1111/pcn.12981] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2019] [Revised: 11/28/2019] [Accepted: 01/08/2020] [Indexed: 12/29/2022]
Abstract
AIM Stress-related disorders and severe stress exposure can cause atrophy of the whole hippocampus and its subfields. However, the impact of stress coping strategies on the hippocampus remains unclear. Therefore, we aimed to examine the relation between approach- and avoidance-oriented coping strategies and hippocampal volume in elderly persons. METHODS A total of 1045 elderly persons living in Arakawa-ward, Tokyo (mean ± SD age: 72.8 ± 5.2 years; 569 females [54.4%]) were included in the study and completed several questionnaires and face-to-face interviews and underwent magnetic resonance imaging. Approach- or avoidance-oriented coping strategies were assessed with the Stress and Coping Inventory, while cognitive function and depressive symptoms were assessed with the Mini-Mental State Examination and Geriatric Depression Scale, respectively. The volume of the whole hippocampus on T1-weighted images was delineated and calculated using FreeSurfer 6.0. Multiple regression analyses were performed to examine the relation between Stress and Coping Inventory scores and whole hippocampal volume. RESULTS Approach-oriented coping strategy scores were positively correlated with whole hippocampal volume. Furthermore, these relations remained significant after controlling for the influence of cognitive function and depressive symptoms on these volumetric variables. In contrast, avoidance-oriented coping strategy scores were not correlated with whole hippocampal volume. CONCLUSION This study demonstrated that hippocampal volume may be associated with the approach-oriented coping strategy; therefore, this strategy may preserve hippocampal volume in the elderly.
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Affiliation(s)
- Hisashi Kida
- Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
| | - Shinichiro Nakajima
- Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
| | - Ryo Shikimoto
- Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
| | - Ryo Ochi
- Faculty of Environment and Information Studies, Keio University, Fujisawa, Japan
| | - Yoshihiro Noda
- Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
| | - Sakiko Tsugawa
- Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
| | - Shinya Fujii
- Faculty of Environment and Information Studies, Keio University, Fujisawa, Japan
| | - Midori Takayama
- Faculty of Science and Technology, Keio University, Yokohama, Japan
| | - Masaru Mimura
- Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
| | - Hidehito Niimura
- Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
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25
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Adult hippocampal neurogenesis and antidepressants effects. Curr Opin Pharmacol 2020; 50:88-95. [DOI: 10.1016/j.coph.2019.11.009] [Citation(s) in RCA: 33] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2019] [Accepted: 11/21/2019] [Indexed: 12/11/2022]
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26
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Planchez B, Surget A, Belzung C. WITHDRAWN: Adult hippocampal neurogenesis and antidepressants effects. Curr Opin Pharmacol 2020; 50:17-24. [DOI: 10.1016/j.coph.2019.10.006] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2019] [Revised: 09/27/2019] [Accepted: 10/18/2019] [Indexed: 12/22/2022]
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Li Y, Qin J, Yan J, Zhang N, Xu Y, Zhu Y, Sheng L, Zhu X, Ju S. Differences of physical vs. psychological stress: evidences from glucocorticoid receptor expression, hippocampal subfields injury, and behavioral abnormalities. Brain Imaging Behav 2019; 13:1780-1788. [PMID: 30229371 DOI: 10.1007/s11682-018-9956-3] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
The glucocorticoid receptor (GR) is the main effector of the activation of the hypothalamus-pituitary-adrenal (HPA) axis, which is caused by different types of stress that can be divided into two major categories: physical stress and psychological stress. Given the marked presence of GR in the hippocampus, GR-mediated hippocampal injury might be the core event under stress. The aim of this study was to investigate GR expression, hippocampal injury, and behaviors in rats to explore the differences between these types of stressors. Adult male rats were stressed using a classical model (electrical foot shock and a yoked psychologically stressful situation) to induce physical or psychological stress. The GR expression, injury of hippocampal subfields and behavioral abnormalities were dynamic, as demonstrated using immunofluorescence, 3D magnetic resonance imaging (MRI) and open field exploration (OFE), respectively. In addition, housing in a normal environment for 6 weeks was used to verify the recovery ability of rats. First, GR-mediated hippocampal atrophy and behavioral abnormalities were found in the second week under physical stress, but those changes did not appear until the fourth week under psychological stress. Second, the effects of stress were more pronounced after physical stressors than after psychological stressors in the fourth week, but this trend had reversed by the sixth week, especially in the DG (Dentate Gyrus) subfield. Except for the rats that had experienced 6 weeks of psychological stress, all rats showed significant recovery after 6 weeks of housing in a normal environment. The effects of physical stress appeared early but were relatively moderate, whereas the effects of psychological stress appeared late but were more severe. In addition, GR-mediated serious injury in the DG might be the cause of the DG volume loss and behaviors that could not be reversed.
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Affiliation(s)
- Yuefeng Li
- Department of Radiology, Affiliated Hospital of Jiangsu University, Zhenjiang, China
- Department of Radiology, Zhongda Affiliated Hospital of Southeast University, No.87, Dingjiaqiao Road, Nanjing, 210009, Jiangsu Province, China
| | - Jiasheng Qin
- Department of Radiology, Affiliated Hospital of Jiangsu University, Zhenjiang, China
| | - Jinchuan Yan
- Department of Radiology, Affiliated Hospital of Jiangsu University, Zhenjiang, China
| | - Ningning Zhang
- Department of Radiology, Affiliated Hospital of Jiangsu University, Zhenjiang, China
| | - Yuhao Xu
- Department of Radiology, Affiliated Hospital of Jiangsu University, Zhenjiang, China
| | - Yan Zhu
- Department of Radiology, Affiliated Hospital of Jiangsu University, Zhenjiang, China
| | - Liangju Sheng
- Medical College, Affiliated Hospital of Jiangsu University, Zhenjiang, China
| | - Xiaolan Zhu
- Department of Central Laboratory, The Fourth Affiliated Hospital of Jiangsu University, No.20, Zhengdong Road, Zhenjiang, 212001, Jiangsu Province, China.
| | - Shenghong Ju
- Department of Radiology, Zhongda Affiliated Hospital of Southeast University, No.87, Dingjiaqiao Road, Nanjing, 210009, Jiangsu Province, China.
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28
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Elevated perceived threat is associated with reduced hippocampal volume in combat veterans. Sci Rep 2019; 9:14888. [PMID: 31624305 PMCID: PMC6797706 DOI: 10.1038/s41598-019-51533-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2018] [Accepted: 09/29/2019] [Indexed: 12/31/2022] Open
Abstract
Reduced hippocampal volume is frequently observed in posttraumatic stress disorder (PTSD), but the psychological processes associated with these alterations remain unclear. Given hippocampal involvement in memory and contextual representations of threat, we investigated relationships between retrospectively reported combat exposure, perceived threat, and hippocampal volume in trauma-exposed veterans. T1-weighted anatomical MRI scans were obtained from 56 veterans (4 women, 52 men; 39 with elevated PTSD symptoms, “PTSS” group) and hippocampal volume was estimated using automatic segmentation tools in FreeSurfer. Hippocampal volume was regressed on self-reported perceived threat from the Deployment Risk and Resilience Inventory, and combat exposure from the Combat Exposure Scale. As a secondary analysis, hippocampal volume was regressed on Clinician-Administered PTSD Scale (CAPS) symptoms. In veterans with elevated PTSD symptoms, hippocampal volume was inversely related to perceived threat while deployed while controlling for self-reported combat exposure. Hippocampal volume was also inversely correlated with avoidance/numbing CAPS symptoms. Future research should clarify the temporal milieu of these effects and investigate whether individual differences in hippocampal structure and function contribute to heightened threat appraisal at the time of trauma vs. subsequently elevated appraisals of traumatic events.
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29
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Wang S, Zhao Y, Zhang L, Wang X, Wang X, Cheng B, Luo K, Gong Q. Stress and the brain: Perceived stress mediates the impact of the superior frontal gyrus spontaneous activity on depressive symptoms in late adolescence. Hum Brain Mapp 2019; 40:4982-4993. [PMID: 31397949 DOI: 10.1002/hbm.24752] [Citation(s) in RCA: 72] [Impact Index Per Article: 14.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2018] [Revised: 03/11/2019] [Accepted: 07/25/2019] [Indexed: 02/05/2023] Open
Abstract
Identifying factors for the prediction of depression is a long-standing research topic in psychiatry and psychology. Perceived stress, which reflects the tendency to appraise one's life situations as stressful and overwhelming, has emerged as a stable predictor for depressive symptoms. However, the neurobiological bases of perceived stress and how perceived stress influences depressive symptoms in the healthy brain remain largely unknown. Here, we investigated these issues in 217 healthy adolescents by estimating the fractional amplitude of low-frequency fluctuations (fALFFs) via resting-state functional magnetic resonance imaging. A whole-brain correlation analysis showed that higher levels of perceived stress were associated with greater fALFF in the left superior frontal gyrus (SFG), which is a core brain region for cognitive control and emotion regulation-related processes. Mediation analysis further indicated that perceived stress mediated the link between the fALFF in the left SFG and depressive symptoms. Importantly, our results remained significant even when excluding the influences of head motion, anxiety, SFG gray matter structure, and school environment. Altogether, our findings suggested that the fALFF in the left SFG is a neurofunctional marker of perceived stress in adolescents and revealed a potential indirect effect of perceived stress on the association between the SFG spontaneous activity and depressive symptoms.
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Affiliation(s)
- Song Wang
- Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, Chengdu, China.,Department of Psychoradiology, Chengdu Mental Health Center, Chengdu, China.,Psychoradiology Research Unit of Chinese Academy of Medical Sciences (2018RU011), West China Hospital of Sichuan University, Chengdu, China
| | - Yajun Zhao
- School of Sociology and Psychology, Southwest Minzu University, Chengdu, China
| | - Lei Zhang
- Psychoradiology Research Unit of Chinese Academy of Medical Sciences (2018RU011), West China Hospital of Sichuan University, Chengdu, China
| | - Xu Wang
- School of Life Sciences, Beijing University of Chinese Medicine, Beijing, China
| | - Xiuli Wang
- Department of Psychoradiology, Chengdu Mental Health Center, Chengdu, China
| | - Bochao Cheng
- Department of Radiology, West China Second University Hospital of Sichuan University, Chengdu, China
| | - Kui Luo
- Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, Chengdu, China
| | - Qiyong Gong
- Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, Chengdu, China.,Department of Psychoradiology, Chengdu Mental Health Center, Chengdu, China.,Psychoradiology Research Unit of Chinese Academy of Medical Sciences (2018RU011), West China Hospital of Sichuan University, Chengdu, China
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30
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Ezzati A, Zammit AR, Lipton ML, Lipton RB. The relationship between hippocampal volume, chronic pain, and depressive symptoms in older adults. Psychiatry Res Neuroimaging 2019; 289:10-12. [PMID: 31112826 PMCID: PMC6645699 DOI: 10.1016/j.pscychresns.2019.05.003] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/30/2019] [Revised: 05/12/2019] [Accepted: 05/14/2019] [Indexed: 12/16/2022]
Abstract
We aimed to test the hypothesis that the effect of chronic pain on depressive symptoms is mediated through hippocampal volume (HV). Participants were 131 non-demented adults over the age of 70 years from the Einstein Aging Study. Smaller right and left HV were both associated with higher depressive symptoms, but only smaller right HV was associated with chronic pain. In mediation models, right HV was a significant mediator for the effect of chronic pain on depression. Our findings suggest presence of a shared brain substrates between chronic pain and depression as reflected by right HV.
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Affiliation(s)
- Ali Ezzati
- Saul B. Korey Department of Neurology, Albert Einstein College of Medicine, Yeshiva University, Bronx, NY 10461, USA; Department of Neurology, Montefiore Medical Center, Bronx, NY 10467, USA; Department of Neurology, Albert Einstein College of Medicine and Montefiore medical center, Bronx, NY 10461 USA.
| | - Andrea R Zammit
- Saul B. Korey Department of Neurology, Albert Einstein College of Medicine, Yeshiva University, Bronx, NY 10461, USA; Department of Neurology, Albert Einstein College of Medicine and Montefiore medical center, Bronx, NY 10461 USA
| | - Michael L Lipton
- The Gruss Magnetic Resonance Research Center and Department of Radiology, Albert Einstein College of Medicine of Yeshiva University, Bronx, NY 10461, USA; The Department of Radiology, Montefiore Medical Center, Bronx, NY 10467, USA; Department of Neurology, Albert Einstein College of Medicine and Montefiore medical center, Bronx, NY 10461 USA
| | - Richard B Lipton
- Saul B. Korey Department of Neurology, Albert Einstein College of Medicine, Yeshiva University, Bronx, NY 10461, USA; Department of Neurology, Montefiore Medical Center, Bronx, NY 10467, USA; Department of Neurology, Albert Einstein College of Medicine and Montefiore medical center, Bronx, NY 10461 USA
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31
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McDermott K, Ren P, Lin F. The mediating role of hippocampal networks on stress regulation in amnestic mild cognitive impairment. Neurobiol Stress 2019; 10:100162. [PMID: 31193516 PMCID: PMC6535625 DOI: 10.1016/j.ynstr.2019.100162] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2018] [Revised: 01/18/2019] [Accepted: 04/03/2019] [Indexed: 12/27/2022] Open
Abstract
Objectives To examine the role of the hippocampus in stress regulation in older adults with amnestic mild cognitive impairment (aMCI). Methods This study combined resting-state functional MRI, structural MRI, self-reported chronic stress exposure, and an electrocardiography-based acute stress protocol to compare aMCI group (n = 17) to their cognitively healthy counterparts (HC, n = 22). Results For the entire sample, there was a positive correlation between chronic stress exposure and acute stress regulation. The aMCI group showed significantly smaller volumes in the right hippocampus than HC. The two groups did not differ in chronic stress exposure or acute stress regulation. In the HC group, the left hippocampal connectivity with inferior parietal lobe was significantly correlated with both the chronic stress and acute stress. In the aMCI group, the left hippocampal connectivity with both the right insula and the left precentral gyrus was significantly correlated to chronic stress exposure and acute stress regulation. Additionally, the left hippocampal connectivity with right insula significantly mediated the relationship between chronic stress exposure and acute stress regulation in aMCI group. Conclusions Extra hippocampal networks may be recruited as compensation to attend the maintenance of relatively normal stress regulation in aMCI by alleviating the detrimental effects of chronic stress exposure on acute stress regulation.
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Key Words
- AD, Alzheimer's Disease
- ANS, Autonomic Nervous System
- Acute stress regulation
- Chronic stress exposure
- FC, functional connectivity
- GDS, Geriatric Depression Scale
- GLM, General Linear Model
- HC, healthy control
- HF-HRV, high frequency heart rate variability
- HPA, Hypothalamic Pituitary Adrenal
- Hippocampus
- LHIP, left hippocampus
- LIPL, left inferior parietal lobe
- LPG, left precentral gyrus
- MOCA, Montreal Cognitive Assessment
- Mild cognitive impairment
- PSS, Perceived stress scale
- RAVLT, Rey's Auditory Verbal Learning Test
- RHIP, right hippocampus
- Resting-state functional connectivity
- Rinsula, right insula
- aMCI, amnestic Mild Cognitive Impairment
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Affiliation(s)
- Kelsey McDermott
- School of Nursing, University of Rochester Medical Center, Rochester, NY, 14642, USA
| | - Ping Ren
- School of Nursing, University of Rochester Medical Center, Rochester, NY, 14642, USA
| | - Feng Lin
- School of Nursing, University of Rochester Medical Center, Rochester, NY, 14642, USA
- Department of Neuroscience, University of Rochester Medical Center, Rochester, NY, 14642, USA
- Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, 14642, USA
- Department of Neurology, University of Rochester Medical Center, Rochester, NY, 14642, USA
- Department of Brain and Cognitive Science, University of Rochester, Rochester, NY, 14627, USA
- Corresponding author. 601 Elmwood Ave, Rochester, NY, 14642
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32
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Humphreys KL, King LS, Sacchet MD, Camacho MC, Colich NL, Ordaz SJ, Ho TC, Gotlib IH. Evidence for a sensitive period in the effects of early life stress on hippocampal volume. Dev Sci 2019; 22:e12775. [PMID: 30471167 PMCID: PMC6469988 DOI: 10.1111/desc.12775] [Citation(s) in RCA: 63] [Impact Index Per Article: 12.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2017] [Revised: 10/28/2018] [Accepted: 11/14/2018] [Indexed: 12/18/2022]
Abstract
Exposure to stress has been causally linked to changes in hippocampal volume (HV). Given that the hippocampus undergoes rapid changes in the first years of life, stressful experiences during this period may be particularly important in understanding individual differences in the development of the hippocampus. One hundred seventy-eight early adolescents (ages 9-13 years; 43% male) were interviewed regarding exposure to and age of onset of experiences of stress; the severity of each stressful event was rated by an objective panel. All participants underwent structural magnetic resonance imaging, from which HVs were automatically segmented. Without considering the age of onset for stressful experiences, there was a small but statistically significant negative association of stress severity with bilateral HV. When considering the age of onset, there was a moderate and significant negative association between stress severity during early childhood (through 5 years of age) and HV; there was no association between stress severity during later childhood (age 6 years and older) and HV. We provide evidence of a sensitive period through 5 years of age for the effects of life stress on HV in adolescence. It will be important in future research to elucidate how reduced HV stemming from early life stress may contribute to stress-related health outcomes.
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33
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Nwobi UA, Eseadi C, Emeka O, Ekwealor N, Ogbonnaya KA, Oboegbulem AI, Chinweuba NH, Mbagwu F, Agundu UV, Okpoko C, Ololo KO, Ohia NC, Nwankwor PP, Osilike C, Okechukwu E, Umoke PC. A stress management intervention for adults living with HIV in Nigerian community settings: An effects study. Medicine (Baltimore) 2018; 97:e12801. [PMID: 30383633 PMCID: PMC6221701 DOI: 10.1097/md.0000000000012801] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/25/2018] [Accepted: 09/19/2018] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND This study evaluated the effectiveness of a group-based cognitive-behavioral stress management intervention among community-dwelling adults living with HIV in Southeastern Nigeria. METHOD A total of 28 HIV-positive adults meeting the criteria for high perceived stress, anxiety, and depression were randomized into 1 of 2 groups: treatment group (n = 14); and no-treatment control group (n = 14). Stress level was measured using the 10-item Perceived Stress Scale (PSS-10). Depression and anxiety symptoms were assessed using Hospital Anxiety and Depression Scale (HADS). Secondary outcome measure was Satisfaction with Life Scale (SWLS). The intervention was delivered over the course of 10 weeks, using an evidence-based cognitive-behavioral stress management manual. We employed repeated-measures between and within-subjects analysis of variance (ANOVA) and Eta squared in the analyses and interpretation of data collected from the study participants at 3 time points. RESULTS Our results showed that, after benefitting from the cognitive behavioral stress management intervention, the PSS-10 and HADS scores were lowered significantly in the treatment group participants than those in the no-treatment control group during evaluations of post-treatment and 3 months follow-up outcomes. Significant improvements were also recorded in the treatment group participants' SWLS scores at post-treatment and follow-up compared with participants in the no-treatment group. CONCLUSION The present results suggest the need for further implementation of group-based cognitive-behavioral stress management interventions for people living with HIV. Cognitive-behavioral stress management clinicians should make efforts toward identifying HIV-positive adults experiencing psychological distress and design cognitive-behavioral stress management interventions in order to better assist them.
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Affiliation(s)
- Uju A. Nwobi
- Department of Adult Education & Extra-Mural Studie
| | | | - Obetta Emeka
- Department of Adult Education & Extra-Mural Studie
| | | | | | | | | | | | | | - Chinwe Okpoko
- Department of Mass Communication, University of Nigeria Nsukka, Enugu State
| | - Kennedy Okechukwu Ololo
- Department of Sociology/Psychology/Criminology & Security Studies, Federal University Ndufu-Alike Ikwo, Ebonyi State
| | - Nkiru Christian Ohia
- Institute of African Studies, University of Nigeria Nsukka, Enugu State, Nigeria
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O'Shea DM, Dotson VM, Woods AJ, Porges EC, Williamson JB, O'Shea A, Cohen R. Depressive Symptom Dimensions and Their Association with Hippocampal and Entorhinal Cortex Volumes in Community Dwelling Older Adults. Front Aging Neurosci 2018. [PMID: 29515435 PMCID: PMC5826180 DOI: 10.3389/fnagi.2018.00040] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Abstract
Objective: Research has shown that depression is a risk factor for Alzheimer’s disease (AD) and subsequent cognitive decline. This is compounded by evidence showing an association between depression and reduced hippocampal volumes; a primary structure implicated in the pathogenesis of the disease. Less is known about the relationship between depression and other AD vulnerable regions such as the entorhinal cortex. Given the heterogeneity of depressive symptom presentation, we examined whether symptom dimensions were associated with hippocampal and entorhinal cortex volumes in community dwelling older adults. Methods: Eighty-one community dwelling adults completed the Beck Depression Inventory – second edition and underwent structural neuroimaging. Measures of hippocampal and entorhinal cortex volumes were obtained using FreeSurfer software. Linear regression models included regions of interest as dependent variables, with depressive symptom dimensions, as independent variables, controlling for total intracranial volumes, age, education, and gender. Results: Somatic symptoms were negatively associated with total, right, and left hippocampal volumes. Affective symptoms were negatively associated with total entorhinal cortex volumes, with a marginal main effect on left entorhinal cortex volumes. Conclusion: Our findings provide support for examining depressive symptoms and their association with AD vulnerable regions along subdimensions of affective, cognitive, and somatic symptoms to better understand profiles of symptoms most associated with these regions. Conceptualizing depressive symptoms in this way may also better inform treatment approaches in terms of targeting types of symptoms that may be more closely linked to poorer brain and cognitive health outcomes.
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Affiliation(s)
- Deirdre M O'Shea
- Department of Aging and Geriatric Research, Center for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, United States.,Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, United States.,Department of Neuroscience, University of Florida, Gainesville, FL, United States
| | - Vonetta M Dotson
- Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, United States.,Department of Neuroscience, University of Florida, Gainesville, FL, United States.,Department of Psychology, Georgia State University, Atlanta, GA, United States
| | - Adam J Woods
- Department of Aging and Geriatric Research, Center for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, United States.,Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, United States.,Department of Neuroscience, University of Florida, Gainesville, FL, United States
| | - Eric C Porges
- Department of Aging and Geriatric Research, Center for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, United States.,Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, United States.,Department of Neuroscience, University of Florida, Gainesville, FL, United States
| | - John B Williamson
- Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, United States.,Department of Neuroscience, University of Florida, Gainesville, FL, United States.,Brain Rehabilitation Research Center, Malcom Randall Veterans Affairs Medical Center, Gainesville, FL, United States
| | - Andrew O'Shea
- Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, United States.,Department of Neuroscience, University of Florida, Gainesville, FL, United States
| | - Ronald Cohen
- Department of Aging and Geriatric Research, Center for Cognitive Aging and Memory, McKnight Brain Institute, University of Florida, Gainesville, FL, United States.,Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, United States.,Department of Neuroscience, University of Florida, Gainesville, FL, United States
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Foong HF, Hamid TA, Ibrahim R, Haron SA. Information processing speed as a mediator between psychosocial stress and global cognition in older adults. Psychogeriatrics 2018; 18:21-29. [PMID: 29372603 DOI: 10.1111/psyg.12279] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/08/2016] [Revised: 03/20/2017] [Accepted: 04/30/2017] [Indexed: 01/09/2023]
Abstract
BACKGROUND The link between psychosocial stress and cognitive function is complex, and previous studies have indicated that it may be mediated by processing speed. Therefore, the main aim of this study was to examine whether processing speed mediates the association between psychosocial stress and global cognition in older adults. Moreover, the moderating role of gender in this model is examined as well. METHODS The study included 2322 community-dwelling older adults in Malaysia who were randomly selected through a multistage proportional cluster random sampling technique. Global cognition construct was measured by the Mini-Mental State Examination and Montreal Cognitive Assessment; psychosocial stress construct was measured by perceived stress, depression, loneliness, and neuroticism; and processing speed was assessed by the Digit Symbol Substitution Test. Structural equation modelling was used to analyze the mediation and moderation tests. RESULTS Processing speed was found to partially mediate the relationship between psychosocial stress and global cognition (β in the direct model = -0.15, P < 0.001; β in the full mediation model = -0.11, P < 0.001). Moreover, the relationship between psychosocial stress and global cognition was found to be significant in men only, whereas the association between processing speed and global cognition was significant in men and women. CONCLUSIONS Psychosocial stress may increase the likelihood that older adults will experience poor processing capacity, which could reduce their higher level cognition. Results indicate that there is a need to develop processing capacity intervention programmes for psychologically distressed older adults to prevent them from suffering cognitive decline.
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Affiliation(s)
- Hui F Foong
- Department of Malaysian Research Institute on Ageing (MyAgeing), Universiti Putra Malaysia, Serdang, Malaysia
| | - Tengku A Hamid
- Department of Malaysian Research Institute on Ageing (MyAgeing), Universiti Putra Malaysia, Serdang, Malaysia.,Department of Human Development and Family Studies, Faculty of Human Ecology, Universiti Putra Malaysia, Serdang, Malaysia
| | - Rahimah Ibrahim
- Department of Malaysian Research Institute on Ageing (MyAgeing), Universiti Putra Malaysia, Serdang, Malaysia.,Department of Human Development and Family Studies, Faculty of Human Ecology, Universiti Putra Malaysia, Serdang, Malaysia
| | - Sharifah A Haron
- Department of Malaysian Research Institute on Ageing (MyAgeing), Universiti Putra Malaysia, Serdang, Malaysia.,Department of Resource Management and Consumer Studies, Faculty of Human Ecology, Universiti Putra Malaysia, Serdang, Malaysia
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36
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Averill CL, Satodiya RM, Scott JC, Wrocklage KM, Schweinsburg B, Averill LA, Akiki TJ, Amoroso T, Southwick SM, Krystal JH, Abdallah CG. Posttraumatic Stress Disorder and Depression Symptom Severities Are Differentially Associated With Hippocampal Subfield Volume Loss in Combat Veterans. ACTA ACUST UNITED AC 2017. [PMID: 29520395 PMCID: PMC5839647 DOI: 10.1177/2470547017744538] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Background Two decades of human neuroimaging research have associated volume reductions
in the hippocampus with posttraumatic stress disorder. However, little is
known about the distribution of volume loss across hippocampal subfields.
Recent advances in neuroimaging methods have made it possible to accurately
delineate 10 gray matter hippocampal subfields. Here, we apply a volumetric
analysis of hippocampal subfields to data from a group of combat-exposed
Veterans. Method Veterans (total, n = 68, posttraumatic stress disorder, n = 36; combat
control, n = 32) completed high-resolution structural magnetic resonance
imaging. Based on previously validated methods, hippocampal subfield volume
measurements were conducted using FreeSurfer 6.0. The Clinician-Administered
PTSD Scale assessed posttraumatic stress disorder symptom severity; Beck
Depression Inventory assessed depressive symptom severity. Controlling for
age and intracranial volume, partial correlation analysis examined the
relationship between hippocampal subfields and symptom severity. Correction
for multiple comparisons was performed using false discovery rate. Gender,
intelligence, combat severity, comorbid anxiety, alcohol/substance use
disorder, and medication status were investigated as potential
confounds. Results In the whole sample, total hippocampal volume
negatively correlated with Clinician-Administered PTSD Scale and Beck Depression Inventory scores. Of the 10
hippocampal subfields, Clinician-Administered PTSD Scale symptom severity
negatively correlated with the hippocampus–amygdala
transition area (HATA). Beck Depression Inventory scores
negatively correlated with dentate gyrus, cornu ammonis 4 (CA4), HATA,
CA2/3, molecular layer, and CA1. Follow-up analysis limited to the
posttraumatic stress disorder group showed a negative correlation between
Clinician-Administered PTSD Scale symptom severity and each of HATA, CA2/3,
molecular layer, and CA4. Conclusion This study provides the first evidence relating posttraumatic stress disorder
and depression symptoms to abnormalities in the HATA, an anterior
hippocampal region highly connected to prefrontal-amygdala circuitry.
Notably, dentate gyrus abnormalities were associated with depression
severity but not posttraumatic stress disorder symptoms. Future confirmatory
studies should determine the extent to which dentate gyrus volume can
differentiate between posttraumatic stress disorder- and depression-related
pathophysiology.
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Affiliation(s)
- Christopher L Averill
- National Center for PTSD, Clinical Neurosciences Division, US Department of Veterans Affairs, West Haven, CT, USA.,Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
| | - Ritvij M Satodiya
- National Center for PTSD, Clinical Neurosciences Division, US Department of Veterans Affairs, West Haven, CT, USA.,Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
| | - J Cobb Scott
- Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.,VISN4 Mental Illness Research, Education, and Clinical Center, Philadelphia VA Medical Center, Philadelphia, PA, USA
| | - Kristen M Wrocklage
- National Center for PTSD, Clinical Neurosciences Division, US Department of Veterans Affairs, West Haven, CT, USA.,Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.,Gaylord Specialty Healthcare, Department of Psychology, Wallingford, CT, USA
| | - Brian Schweinsburg
- National Center for PTSD, Clinical Neurosciences Division, US Department of Veterans Affairs, West Haven, CT, USA.,Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
| | - Lynnette A Averill
- National Center for PTSD, Clinical Neurosciences Division, US Department of Veterans Affairs, West Haven, CT, USA.,Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
| | - Teddy J Akiki
- National Center for PTSD, Clinical Neurosciences Division, US Department of Veterans Affairs, West Haven, CT, USA.,Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
| | - Timothy Amoroso
- National Center for PTSD, Clinical Neurosciences Division, US Department of Veterans Affairs, West Haven, CT, USA.,Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
| | - Steven M Southwick
- National Center for PTSD, Clinical Neurosciences Division, US Department of Veterans Affairs, West Haven, CT, USA.,Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
| | - John H Krystal
- National Center for PTSD, Clinical Neurosciences Division, US Department of Veterans Affairs, West Haven, CT, USA.,Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
| | - Chadi G Abdallah
- National Center for PTSD, Clinical Neurosciences Division, US Department of Veterans Affairs, West Haven, CT, USA.,Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
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Sindi S, Kåreholt I, Spulber G, Soininen H, Kivipelto M, Solomon A. Midlife Work-Related Stress is Associated with Late-Life Gray Matter Volume Atrophy. J Alzheimers Dis Rep 2017; 1:219-227. [PMID: 30480239 PMCID: PMC6159714 DOI: 10.3233/adr-170035] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Background: Work-related stress has been associated with an increased dementia risk. However, less is known about the mechanisms that underlie these associations. Objective: The goal is to examine associations between midlife work-related stress and late-life structural brain alterations. Methods: The Cardiovascular Risk Factors, Aging, and Dementia (CAIDE) study participants were randomly selected from independent population-based surveys (mean age 50) in Finland. MRI measurements included gray matter (GM) volume, white matter lesions (WML) and medial temporal atrophy (MTA) (1st re-examination, n = 102); and GM volume, hippocampal volume, WML volume, cortical thickness, and MTA (2nd re-examination, n = 64). Work-related stress comprised a score from two questions administered in midlife. Results: Higher levels of midlife work-related stress were associated with lower GM volume (β= –0.077, p = 0.033) at the first re-examination, even after adjusting for several confounders. No significant associations were found with MTA, WML, or MRI measurements at the second re-examination. Conclusion: Previously shown associations of midlife work-related stress with dementia risk may be at least partly explained by associations with lower GM volume in late-life. The lack of associations at the second re-examination may indicate a critical time window for the effects of midlife work-related stress, and/or selective survival/participation.
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Affiliation(s)
- Shireen Sindi
- Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm, Sweden.,Karolinska Institutet Center for Alzheimer Research, Stockholm, Sweden.,Neuroepidemiology and Ageing Research Unit, School of Public Health, Imperial College London, London, UK
| | - Ingemar Kåreholt
- Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm, Sweden.,Institute of Gerontology, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Gabriela Spulber
- Karolinska Institutet Center for Alzheimer Research, Stockholm, Sweden
| | - Hilkka Soininen
- Department of Neurology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.,Department of Neurology, University of Eastern Finland, and Kuopio University Hospital, Kuopio, Finland
| | - Miia Kivipelto
- Karolinska Institutet Center for Alzheimer Research, Stockholm, Sweden.,Neuroepidemiology and Ageing Research Unit, School of Public Health, Imperial College London, London, UK.,Department of Neurology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.,Department of Chronic Disease Prevention, National Institute for Health and Welfare, Helsinki, Finland.,Department of Geriatrics, Karolinska University Hospital, Stockholm, Sweden
| | - Alina Solomon
- Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm, Sweden.,Karolinska Institutet Center for Alzheimer Research, Stockholm, Sweden.,Department of Neurology, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.,Department of Geriatrics, Karolinska University Hospital, Stockholm, Sweden
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38
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Piccolo LR, Noble KG. Perceived stress is associated with smaller hippocampal volume in adolescence. Psychophysiology 2017; 55:e13025. [PMID: 29053191 DOI: 10.1111/psyp.13025] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2017] [Revised: 09/15/2017] [Accepted: 09/22/2017] [Indexed: 12/11/2022]
Abstract
Perceived stress has been associated with decreased hippocampal, amygdala, and prefrontal cortex volume, as well as decreased memory and executive functioning performance in adulthood. Parents' perceived stress has been linked to decreased hippocampal volume in young children. However, no studies have investigated the links between self-perceived stress and brain structure or function in adolescents. Additionally, findings from previous research with younger or older samples are inconsistent, likely in part due to inconsistencies in participants' age range. In this study, we investigated the associations among self-perceived stress, family socioeconomic factors (family income, parental education), subcortical (hippocampus, amygdala) volumes, prefrontal cortical thickness and surface area, and memory and executive functioning performance in adolescents. One hundred and forty-three participants (12-20 years old) were administered a cognitive battery, a questionnaire to assess perceived stress, and a structural MRI scan. Higher levels of perceived stress were associated with decreased adolescent hippocampal volume. This study provides empirical evidence of how experience may shape brain development in adolescence-a period of plasticity during which it may be possible to intervene and prevent negative developmental outcomes.
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Peng B, Lu J, Saxena A, Zhou Z, Zhang T, Wang S, Dai Y. Examining Brain Morphometry Associated with Self-Esteem in Young Adults Using Multilevel-ROI-Features-Based Classification Method. Front Comput Neurosci 2017; 11:37. [PMID: 28588470 PMCID: PMC5438414 DOI: 10.3389/fncom.2017.00037] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2016] [Accepted: 05/04/2017] [Indexed: 11/29/2022] Open
Abstract
Purpose: This study is to exam self-esteem related brain morphometry on brain magnetic resonance (MR) images using multilevel-features-based classification method. Method: The multilevel region of interest (ROI) features consist of two types of features: (i) ROI features, which include gray matter volume, white matter volume, cerebrospinal fluid volume, cortical thickness, and cortical surface area, and (ii) similarity features, which are based on similarity calculation of cortical thickness between ROIs. For each feature type, a hybrid feature selection method, comprising of filter-based and wrapper-based algorithms, is used to select the most discriminating features. ROI features and similarity features are integrated by using multi-kernel support vector machines (SVMs) with appropriate weighting factor. Results: The classification performance is improved by using multilevel ROI features with an accuracy of 96.66%, a specificity of 96.62%, and a sensitivity of 95.67%. The most discriminating ROI features that are related to self-esteem spread over occipital lobe, frontal lobe, parietal lobe, limbic lobe, temporal lobe, and central region, mainly involving white matter and cortical thickness. The most discriminating similarity features are distributed in both the right and left hemisphere, including frontal lobe, occipital lobe, limbic lobe, parietal lobe, and central region, which conveys information of structural connections between different brain regions. Conclusion: By using ROI features and similarity features to exam self-esteem related brain morphometry, this paper provides a pilot evidence that self-esteem is linked to specific ROIs and structural connections between different brain regions.
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Affiliation(s)
- Bo Peng
- Suzhou Institute of Biomedical Engineering and Technology, Chinese Academy of SciencesSuzhou, China.,University of Chinese Academy of SciencesBeijing, China.,Changchun Institute of Optics, Fine Mechanics and Physics, Chinese Academy of SciencesChangchun, China
| | - Jieru Lu
- School of Information Science and Engineering, Changzhou UniversityChangzhou, China
| | - Aditya Saxena
- Trauma Center, Khandwa District HospitalKhandwa, India
| | - Zhiyong Zhou
- Suzhou Institute of Biomedical Engineering and Technology, Chinese Academy of SciencesSuzhou, China
| | - Tao Zhang
- Changchun Institute of Optics, Fine Mechanics and Physics, Chinese Academy of SciencesChangchun, China
| | - Suhong Wang
- Department of Neuroscience, The Third Affiliated Hospital of Soochow UniversityChangzhou, China
| | - Yakang Dai
- Suzhou Institute of Biomedical Engineering and Technology, Chinese Academy of SciencesSuzhou, China
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40
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Pluzarić J, Ilakovac V, Železnik D. Comparison of self-esteem and quality of life between residents of old people's home and the elders living at home. OBZORNIK ZDRAVSTVENE NEGE 2016. [DOI: 10.14528/snr.2016.50.3.108] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
Introduction: Research on self-esteem and quality of life has been so far predominantly focused on younger age groups. The aim of this cross-sectional study was to examine the differences regarding self-esteem and quality of life between the residents of old people's home and the elders living at home. Methods: A questionnaire used in the survey inquired about socio-demographic data and the respondents' activities. It included the respondents' self-esteem assessment, based on the Rosenberg Self-esteem Scale (RSES), the assessment of quality of life, based on the Satisfaction With Life Scale (SWLS) and the assessment of their functional abilities. The purposive sample included 204 respondents. The research was conducted from November 2012 to March 2013. Results: The respondents in both groups expressed equal satisfaction with life (p = 0.846). The respondents who live in their own home demonstrate higher self-esteem than those who live in old people's home (difference in mean scores of the RSES was 3.4; 95 % CI for the difference from 1.0 to 5.8; t-test for independent samples, p = 0.005). Results of the study suggest that the respondents with higher self-esteem are more satisfied with their life (p = 0.537, p < 0.001). Discussion and conclusion: Self-esteem has to be recognised as a factor associated with the quality of life and should therefore be included in the care of the elderly. Timely and adequate interventions may prevent the decline in quality of life, which requires adequate training of health personnel and family members, and the public awareness.
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