scholarly journals Subjective Arousal and Perceived Control Clarify Heterogeneity in Inflammatory and Affective Outcomes

Author(s):  
Merage Ghane ◽  
Holly Sullivan-Toole ◽  
Amanda C. DelGiacco ◽  
John A. Richey
2019 ◽  
Author(s):  
Merage Ghane ◽  
Holly Sullivan-Toole ◽  
Amanda C. DelGiacco ◽  
John Richey

Overactivation of proinflammatory pathways in response to stress may play an important role in the pathophysiology of psychiatric disorders such as major depressive disorder. Autonomic arousal in response to chronic stress has been mechanistically linked to the activation of proinflammatory pathways. However, not all individuals who experience chronic stress or increased inflammation develop pathological elevations in symptoms of mood and anxiety disorders. This heterogeneity poses a challenge in using inflammation as a marker of individual risk or vulnerability for related psychiatric conditions. Rodent models of pathological stress suggest that the outcomes of chronic stress may largely depend on individual differences in perceived control. In the current study, we used this theoretical framework to disambiguate the influence of autonomic arousal and perceived control on inflammatory and psychological outcomes in a large sample of adults from the Midlife in the United States dataset (wave 2; MIDUS-2) (Final N=1030), and further replicated our approach in a second (MIDUS-Refresher) cohort (Final N=728). Using k-means clustering we created subgroups systematically differing in subjective arousal (high/low) and perceived control (low/high) and compared these subgroups on inflammatory markers and psychological outcomes. Overall results showed that high subjective arousal uniquely and reliably predicted higher levels of Interleukin-6, C-Reactive Protein, and Fibrinogen. However, domain specific heterogeneity in pathological and adaptive affective outcomes, depended on both subjective arousal and perceived control. These results further extend and expand upon basic work in rodent models of stressor controllability and illustrate a useful way to probe mechanistic phenotypes in humans.


2017 ◽  
Vol 31 (4) ◽  
pp. 145-157 ◽  
Author(s):  
Laina E. Rosebrock ◽  
Denada Hoxha ◽  
Catherine Norris ◽  
John T. Cacioppo ◽  
Jackie K. Gollan

Abstract. Skin conductance (SC), an autonomic arousal measure of the sympathetic nervous system, is a sensitive and useful index of physiological arousal. However, SC data does not always align with self-reports of arousal. SC, self-reported arousal, and their association, known as emotion coherence, may be altered with the presence of major psychiatric illness. This study investigated group differences on SC reactivity and self-reported arousal while viewing positive, negative, neutral, and threat images between participants diagnosed with major depression with and without anxiety disorders relative to a healthy comparison group. Additionally, the strength and direction of association between SC reactivity and arousal ratings (emotion coherence) was examined within groups. Unmedicated participants were recruited via online and paper advertisements around Chicago and categorized into one of four groups (Depressed: n = 35, Anxious: n = 44, Comorbid: n = 38, Healthy: n = 29). SC and affect ratings were collected during and after a standardized emotional picture viewing task. SC reactivity was significantly higher during threat images, regardless of group. During threat image presentation, increased SC reactivity occurred during the last few seconds before picture offset; for all other stimulus types, SC reactivity decreased significantly after picture offset. Anxious and comorbid participants rated emotional images as more arousing than healthy participants; there were no observed differences in arousal ratings between depressed and healthy participants. Heightened reactivity in anxiety may manifest in arousal ratings without corresponding increased SC reactivity to emotional images. Results do not suggest underlying altered psychophysiology in this sample of depressed or anxious participants.


2017 ◽  
Vol 64 (6) ◽  
pp. 672-683 ◽  
Author(s):  
Viann N. Nguyen-Feng ◽  
Majel R. Baker ◽  
Addie N. Merians ◽  
Patricia A. Frazier

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