Novel Approaches Toward a Physiological Stress Test Without Contrast Agent for CMR Imaging

2021 ◽  
Vol 14 (10) ◽  
pp. 1945-1947
Author(s):  
Niels Holm ◽  
Eike Nagel
Keyword(s):  
Contrast Agent ◽  
Physiological Stress ◽  
Stress Test ◽  
Novel Approaches ◽  
Cmr Imaging

An intervention study on the effectiveness of an anti-stress-app on psychophysiological acute and chronic stress (Preprint)

2018 ◽  
Author(s):  
Franziska Lautenbach
Keyword(s):  
Chronic Stress ◽  
Acute Stress ◽  
Physiological Stress ◽  
Stress Test ◽  
Experimental Studies ◽  
Trier Social Stress Test ◽  
Control Group ◽  
Subjective Perception ◽  
Face To Face ◽  
Acute And Chronic Stress

BACKGROUND Dealing with stress is of central importance. Lately, smartphone applications (apps) are deployed in stress interventions as they offer maximal flexibility for users. First results of experimental studies show that anti-stress apps effect subjective perception of stress positively (Ly et al., 2014). However, current literature lacks studies on physiological stress reactions (e.g., cortisol), although they are of special interest to health issues. OBJECTIVE Therefore, the aim of this study was to investigate the effectiveness of an anti-stress app in chronic and acute stress reduction on a physiological (cortisol) and psychological level (subjective perception of stress) in comparison to a face-to-face and a control group in a pre-post design, for the first time. METHODS Sixty-two participants took part in the pretesting procedure (drop-out of 53 %). Based on age, gender, physical activity and subjectively perceived acute stress due to the Trier Social Stress Test for groups (TSST-G; von Dawans et al., 2011) as well as based on subjectively chronic stress assessed during the pretest, participants were parallelized in three groups (anti-stress-app: n = 10, face-to-face: n = 11, control group: n = 9). RESULTS After six weeks of the cognitive-based resource-oriented intervention, participants were exposed to the TSST-G for post testing. Results did not show a change of cortisol secretion or cognitive appraisal of the acute stressor. Further, no changes were detected in the chronic physiological stress reaction. CONCLUSIONS Possible causes are discussed extensively. CLINICALTRIAL no

Psycho-Physiological-Stress-Test

2017 ◽  
Author(s):  
Elisabeth Neureiter ◽  
Loreen Hajfani ◽  
Anne Ahnis ◽  
Annett Mierke ◽  
Matthias Rose ◽  
...  
Keyword(s):  
Physiological Stress ◽  
Stress Test

Meta-analysis of the effectiveness of the Trier Social Stress Test in eliciting physiological stress responses in children and adolescents

2020 ◽  
Vol 116 ◽  
pp. 104582 ◽  
Author(s):  
Jessica A. Seddon ◽  
Violeta J. Rodriguez ◽  
Yannick Provencher ◽  
Jacquelyn Raftery-Helmer ◽  
Jacqueline Hersh ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Stress Responses ◽  
Social Stress ◽  
Physiological Stress ◽  
Meta Analysis ◽  
Stress Test ◽  
Trier Social Stress Test

Effects of Cable News Watching on Older Adults’ Physiological and Self-Reported Stress and Cognitive Function

2017 ◽  
Vol 87 (2) ◽  
pp. 111-123 ◽  
Author(s):  
Caroline Deal ◽  
Ryan Bogdan ◽  
J. Phil Miller ◽  
Tom Rodebaugh ◽  
Charlene Caburnay ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Social Stress ◽  
Physiological Stress ◽  
Stress Test ◽  
Trier Social Stress Test ◽  
Negative Consequences ◽  
Healthy Older Adults ◽  
Cable News ◽  
Fox News

Older adults are the largest consumer of cable news, which includes negative and politicized content and may constitute a daily stressor. As older adults are also vulnerable to the negative consequences of stress, we hypothesized that cable news watching could induce a stress reaction and impair cognitive function. We tested exposures to cable news (i.e., Fox News and MSNBC) in a within-subject randomized controlled design in 34 healthy older adults. We also included negative (Public Broadcasting Station) and positive (trier social stress test) controls. Cable news watching had no effect on psychological stress, physiological stress, or cognitive function. This remained true even if the news exposures were discordant with participants’ political affiliation. We conclude that brief cable news watching does not induce a physiological or subjective stress response or cognitive impairment among healthy older adults.

Antenatal Psychobiological Predictors of Psychological Response to Childbirth

2011 ◽  
Vol 17 (6) ◽  
pp. 417-425 ◽  
Author(s):  
Judith Alder ◽  
Gertrud Breitinger ◽  
Cristina Granado ◽  
Isabel Fornaro ◽  
Johannes Bitzer ◽  
...  
Keyword(s):  
Social Stress ◽  
Physiological Stress ◽  
Stress Test ◽  
Trier Social Stress Test ◽  
Obstetric Outcomes ◽  
Cortisol Awakening Response ◽  
Psychological Response ◽  
Childbirth Experience ◽  
Traumatic Birth ◽  
A Prospective Study

Background: Several psychological and obstetric predictors of a negative childbirth experience and traumatic response to delivery have been identified. However, the influence of antepartum physiological stress parameters has not been elucidated. Objective: The study includes an exploratory analysis of the associations of fear of delivery, antenatal basal and reactive activity of the hypothalamic–pituitary–adrenal axis, and obstetric outcomes, with childbirth experience and posttraumatic avoidance in the postpartum period. Design: This was a prospective study with two antenatal measurements and a final assessment during the first week postpartum. An experimental condition with a standardized stressor (Trier Social Stress Test) was included in the design to study psychobiological stress response as a predictor of traumatic birth and posttraumatic avoidance. Results: Linear regression analyses show independent associations of fear of delivery and more pronounced antenatal cortisol awakening response with a more negative childbirth experience. Fear of delivery was mediated by state anxiety after stress exposure, which, together with cortisol awakening response, explained 16% of the variance in the outcome of a more negative childbirth experience. Finally, antenatal fear of delivery and a negative childbirth experience both predicted higher avoidance scores during the first week postpartum. Conclusions: The associations found in this study can improve identification during pregnancy of women at risk for negative psychological response to childbirth. For these women, the provision of supportive care during pregnancy should be evaluated.

scholarly journals Obstructive Form of Hypertrophic Cardiomyopathy-Left Ventricular Outflow Tract Gradient: Novel Methods of Provocation, Monitoring of Biomarkers, and Recent Advances in the Treatment

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Pawel Petkow Dimitrow ◽  
Renata Rajtar-Salwa
Keyword(s):  
Hypertrophic Cardiomyopathy ◽  
Physiological Stress ◽  
Stress Test ◽  
Provocation Test ◽  
Ventricular Outflow Tract ◽  
Left Ventricular ◽  
Area Of Interest ◽  
Recent Advances ◽  
Left Ventricular Outflow ◽  
Novel Methods

Dynamic (latent or/and labile) obstruction of left ventricular outflow (LVOT) was recognized from the earliest clinical descriptions of hypertrophic cardiomyopathy (HCM) and has proved to be a complex phenomenon, as well as arguably the most audible (“visible”) pathophysiological hallmark of this heterogeneous disease. The aim of the current review is focused on two novel issues in a subgroup of obstructive HCM. Firstly, the important methodological problem in HCM is the examination of a subgroup of patients with nonobstructive hypertrophy in resting conditions and hard, but possible provoking obstruction. Recently, investigators have proposed physiological stress test (with double combined stimuli) to disclose such type of patients. The upright exercise is described in the ESC guideline on hypertrophic cardiomyopathy from 2014 and may appear as a candidate for gold standard provocation test. The second novel area of interest is associated with elevated level of signaling biomarkers: hypercoagulation, hemolysis, acquired von Willebrand 2A disease, and enhanced oxidative stress. The accelerated and turbulent flow within narrow LVOT may be responsible for these biochemical disturbances. The most recent advances in the treatment of obstructive HCM are related to nonpharmacological methods of LVOT gradient reduction. This report extensively discusses novel methods.

scholarly journals Worldview Under Stress: Preliminary Findings on Cardiovascular and Cortisol Stress Responses Predicted by Secularity, Religiosity, Spirituality, and Existential Search

2020 ◽  
Vol 59 (6) ◽  
pp. 2969-2989 ◽  
Author(s):  
Tatjana Schnell ◽  
Dietmar Fuchs ◽  
René Hefti
Keyword(s):  
Stress Responses ◽  
Social Stress ◽  
Physiological Stress ◽  
Stress Test ◽  
Recovery Period ◽  
Trier Social Stress Test ◽  
Stress Resilience ◽  
Cardiovascular Stress ◽  
Cortisol Responses ◽  
Positive Correlations

AbstractThis study reports preliminary findings on the hypothesis that worldview can predict cardiovascular and cortisol responses to social stress. Based on theory and previous findings, we assumed that worldview security would provide a basis for stress resilience. Accordingly, religious and atheist individuals were expected to show higher stress resilience than spiritual and agnostic participants. Likewise, dimensional measures of religiosity and atheism were hypothesized to predict decreased, and existential search—indicating worldview insecurity—was hypothesized to predict increased physiological stress responses. Subjects included 50 university students who completed online questionnaires and took part in a standardized social stress test (Trier Social Stress Test). Systolic and diastolic blood pressure (SBP/DBP), heart rate (HR), and salivary cortisol (SC) were assessed at baseline, immediately after stress testing, and during a forty-minute recovery period. Worldview comparisons revealed lower cardiovascular stress responses among religious than among atheist and spiritual participants and particularly high baseline SC among spiritual participants. Across the entire sample, existential search showed substantial positive correlations with SBP, HR, and SC stress parameters. The findings suggest that worldview security might partly explain the health benefits often associated with religion.

scholarly journals Which Contextual Features Predict Physiological Stress Reactivity in Midlife to Late Life?

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 573-573
Author(s):  
Viktoryia Kalesnikava
Keyword(s):  
Perceived Stress ◽  
Social Stress ◽  
Stress Reactivity ◽  
Physiological Stress ◽  
Stress Test ◽  
Individual Characteristics ◽  
Self Report ◽  
Trier Social Stress Test ◽  
Targeted Interventions ◽  
Contextual Features

Abstract Chronic stress creates vulnerability to adverse mental and physical health outcomes in later life. While claims about the negative effects of stress on health are primarily based on self-report, it is unclear how subjective stress measures (chronic or perceived stress) and other environmental or individual characteristics (neighborhood, social and health behaviors) relate to physiological stress response. This study examines which contextual features contribute to differences in physiological stress reactivity among adults at risk of type II diabetes (Richmond Stress and Sugar Study, n=125, aged 40-70). Psycho-social stress was induced via Trier Social Stress Test. Using advanced selection methods, we simultaneously explore multiple predictors and illustrate how different sets of risk and protective factors contribute to normal or abnormal stress reactivity profiles. Preliminary results suggest that the top five important predictors are education, contact with friends, perceived stress, ruminative coping, and sedentary behavior. Implications for research and targeted interventions are discussed.

scholarly journals Cue-induced cocaine craving enhances psychosocial stress and vice versa in chronic cocaine users

2022 ◽  
Author(s):  
Ann-Kathrin Kexel ◽  
Bruno Kluwe-Schiavon ◽  
Markus R. Baumgartner ◽  
Etna J. E. Engeli ◽  
Monika Visentini ◽  
...  
Keyword(s):  
Stress Response ◽  
Psychosocial Stress ◽  
Social Stress ◽  
Acute Stress ◽  
Physiological Stress ◽  
Growth Models ◽  
Stress Test ◽  
Trier Social Stress Test ◽  
Chronic Cocaine ◽  
Cocaine Users

There is evidence that stress and craving contribute to the development, maintenance, and relapse in cocaine use disorder. Previous research has shown altered physiological responses to psychosocial stress as well as increased vegetative responding to substance-related cues in chronic cocaine users (CU). However, how psychosocial stress and cue-induced craving interact in relation to the physiological response of CU is largely unknown. Therefore, we investigated the interaction between acute psychosocial stress and cocaine-cue-related reactivity in 47 CU and 38 controls. Participants were randomly exposed first to a video-based cocaine-cue paradigm and second to the Trier Social Stress Test (TSST) or vice versa in a crossed and balanced design to investigate possible mutually augmenting effects of both stressors on the physiological stress response. Plasma cortisol, ACTH, and noradrenaline as well as subjective stress and craving were assessed repeatedly over the course of the experimental procedure. Growth models and discontinuous growth models were used to estimate the responses during the cocaine-cue paradigm and TSST. Overall, both groups did not differ in their endocrinological responses to the TSST but CU displayed lower ACTH levels at baseline. The TSST did not elevate craving in CU. However, if the cocaine-cue video was shown first, CU displayed an enhanced cortisol response to the subsequent TSST. Cocaine-cues robustly evoked craving in CU but no stress response, while cue-induced craving was intensified after the TSST. Taken together, CU did not show an altered acute stress response during the TSST but stress and craving together seem to have mutually augmenting effects on their stress response.

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