scholarly journals Cortisol Reactivity to a Digital Version of Trier Social Stress Test and Eating Behavior in Non-Overweight and Overweight Adolescents: A Pilot Study

2021 ◽  
Vol 11 (20) ◽  
pp. 9683
Author(s):  
Ioan Gotca ◽  
Andrada Druica ◽  
Daniel V. Timofte ◽  
Cristina Preda ◽  
Dana-Teodora Anton-Paduraru ◽  
...  
Keyword(s):  
Pilot Study ◽  
Eating Behavior ◽  
Social Stress ◽  
Stress Test ◽  
The Body ◽  
Trier Social Stress Test ◽  
Cortisol Reactivity ◽  
Digital Version ◽  
Significant Difference ◽  
Overweight Adolescents

(1) Background: In the present pilot study, we examined the response of cortisol to a digital version of the Trier Social Stress Test (TSST) and corresponding eating preferences in non-overweight and overweight adolescents. (2) Methods: The experimental study group included 35 adolescents aged 15.7 ± 0.5 years (16 boys and 19 girls). The participants were split into two groups: non-overweight (N = 24) and overweight (N = 11), according to the Body Mass Index (BMI). We induced acute stress in all participants, using a digital version of the Trier Social Stress Test (TSST), with three different digital tasks. We measured salivary cortisol before the test (T0), during the stress induction by digital tasks (T5, T10, T15), and 25 min after the stress test (T40). The Health Behavior in School-Aged Children Questionnaire (HBSC) was administered to assess the influence of stress on eating behavior: the consumption of fruit, vegetables, sweets, and soft drinks and the frequency of snacks. (3) Results: Among the entire group of adolescents, we observed a significant difference between the sexes in terms of cortisol response, girls being predominantly hyperreactive (13 girls compared to 5 boys, p = 0.03). In overweight adolescents, the cortisol reactivity was lower in boys and higher in girls (p = 0.05). The overweight hyperreactive adolescents, as compared to the hyporeactive ones, had a higher frequency of daily consumption of sweets (25% vs. 0%) and soft drink (25% vs. 0). (4) Conclusions: The individual patterns of cortisol reactivity to laboratory-induced stress could be associated with an increased risk of unhealthy eating behavior in adolescents.

Cardiovascular and cortisol reactivity and habituation to a virtual reality version of the Trier Social Stress Test: A pilot study

2010 ◽  
Vol 35 (9) ◽  
pp. 1397-1403 ◽  
Author(s):  
Peter Jönsson ◽  
Mattias Wallergård ◽  
Kai Österberg ◽  
Åse Marie Hansen ◽  
Gerd Johansson ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Pilot Study ◽  
Social Stress ◽  
Stress Test ◽  
Trier Social Stress Test ◽  
Cortisol Reactivity

A Virtual Reality Version of the Trier Social Stress Test: A Pilot Study

2011 ◽  
Vol 20 (4) ◽  
pp. 325-336 ◽  
Author(s):  
Mattias Wallergård ◽  
Peter Jönsson ◽  
Gerd Johansson ◽  
Björn Karlson
Keyword(s):  
Virtual Reality ◽  
Stress Response ◽  
Pilot Study ◽  
Social Stress ◽  
Stress Test ◽  
Structured Interview ◽  
Trier Social Stress Test ◽  
Physiological Data ◽  
Virtual Humans ◽  
Arithmetic Task

One of the most common methods of inducing stress in the laboratory in order to examine the stress response in healthy and clinical populations is the Trier Social Stress Test (TSST). Briefly, the participant is asked to deliver a speech and to perform an arithmetic task in front of an evaluating committee. The committee, consisting of three trained actors, does not respond emotionally during the test, which makes the situation very stressful for the participant. One disadvantage of the TSST is that it can be difficult to hold the experimental conditions constant. In particular, it may be difficult for actors to hold their acting constant across all sessions. Furthermore, there are several practical problems and costs associated with hiring professional actors. A computerized version of the TSST using virtual humans could be a way to avoid these problems provided that it is able to induce a stress response similar to the one of the original TSST. The purpose of the present pilot study was therefore to investigate the stress response to a virtual reality (VR) version of the TSST visualized using an immersive VR system (VR-TSST). Seven healthy males with an average age of 24 years (range: 23–26 years) performed the VR-TSST. This included delivering a speech and performing an arithmetic task in front of an evaluating committee consisting of three virtual humans. The VR equipment was a CAVE equipped with stereoscopy and head tracking. ECG and respiration were recorded as well as the participant's behavior and comments. Afterward, a semi-structured interview was carried out. In general, the subjective and physiological data from the experiment indicated that the VR version of the TSST induced a stress response in the seven participants. In particular, the peak increase in heart rate was close to rates observed in studies using the traditional TSST with real actors. These results suggest that virtual humans visualized with an immersive VR system can be used to induce stress under laboratory conditions.

scholarly journals The impact of chronic stress and eating types on active ghrelin levels in response to acute stress

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Christine Fahrngruber ◽  
Kalina Duszka ◽  
Jürgen König
Keyword(s):  
Chronic Stress ◽  
Eating Behavior ◽  
Social Stress ◽  
Acute Stress ◽  
Stress Test ◽  
Primary Objective ◽  
Trier Social Stress Test ◽  
Relaxation Techniques ◽  
Stress Exposure ◽  
The Impact

AbstractChronic stress is associated with impacting eating behavior, namely food choice and energy intake, with a shift towards more palatable and energy dense foods. Additionally, eating behavior is influenced by other psychological factors like mood and emotions. The categorization of people into eating types such as restrained, emotional, and external eaters has gained attraction. Reported changes in eating behavior due to psychological stress are only occasionally accompanied by measures of physiological hunger through ghrelin. The primary objective of this study was to investigate how chronic stress and acute cortisol reactivity affect active ghrelin secretion and how these outcomes account for different eating types. 16 healthy, young males (age: 23 ± 3 years, BMI: 22.5 ± 1.3kg/m2) with low (n = 8) and average-to-high (n = 8) chronic stress level were subjected to the Trier Social Stress Test (TSST) and a control version on two separate days. Active ghrelin, cortisol, glucose, and heart rate were measured throughout the test. Subjects rated their hunger by means of visual analog scale and current mood was assessed with the Positive and Negative Affect Scale (PANAS). In addition, participants filled out the Dutch Eating Behavior Questionnaire (DEBQ) to account for their subjective eating behavior. Overall ghrelin values where higher on the test day compared to the control day. Ghrelin values were also higher during the time leading up to the stress or control test (TSST) than during the conclusion of said tests. On both days, mean values for active ghrelin where higher in individuals with low chronic stress exposure compare to those with average-to-high chronic stress exposure. While values from test to control day decreased for lower stressed participants, they slightly increased for higher stressed participants. Cortisol responders displayed higher ghrelin values on test day than cortisol non-responders, but this association inverted for the control day. Results indicate that chronic stress influences acute stress response and further alters active ghrelin production, which in turn can influence eating behavior. Replication in a greater group of participants of differing weight and sex could yield a greater understanding of stress induced eating. Factors such as relaxation techniques and coping mechanisms could further improve our knowledge and evaluate treatment possibilities.

(225) The safety and efficacy of the Trier Social Stress Test in individuals with fibromyalgia: a pilot study

2016 ◽  
Vol 17 (4) ◽  
pp. S32
Author(s):  
J. Kircher ◽  
A. Pucelli ◽  
R. Diab ◽  
C. Ramirez ◽  
B. Cherry ◽  
...  
Keyword(s):  
Pilot Study ◽  
Social Stress ◽  
Stress Test ◽  
Trier Social Stress Test ◽  
Safety And Efficacy

Clinical experimental stress studies: methods and assessment

2015 ◽  
Vol 26 (5) ◽  
pp. 555-579 ◽  
Author(s):  
Anjana Bali ◽  
Amteshwar Singh Jaggi
Keyword(s):  
Heart Rate ◽  
Social Stress ◽  
Stress Test ◽  
Challenge Test ◽  
Cold Pressor Test ◽  
The Body ◽  
Behavioral Changes ◽  
Trier Social Stress Test ◽  
Induce Stress ◽  
Stress Assessment

AbstractStress is a state of threatened homeostasis during which a variety of adaptive processes are activated to produce physiological and behavioral changes. Stress induction methods are pivotal for understanding these physiological or pathophysiological changes in the body in response to stress. Furthermore, these methods are also important for the development of novel pharmacological agents for stress management. The well-described methods to induce stress in humans include the cold pressor test, Trier Social Stress Test, Montreal Imaging Stress Task, Maastricht Acute Stress Test, CO2 challenge test, Stroop test, Paced Auditory Serial Addition Task, noise stress, and Mannheim Multicomponent Stress Test. Stress assessment in humans is done by measuring biochemical markers such as cortisol, cortisol awakening response, dexamethasone suppression test, salivary α-amylase, plasma/urinary norepinephrine, norepinephrine spillover rate, and interleukins. Physiological and behavioral changes such as galvanic skin response, heart rate variability, pupil size, and muscle and/or skin sympathetic nerve activity (microneurography) and cardiovascular parameters such as heart rate, blood pressure, and self-reported anxiety are also monitored to assess stress response. This present review describes these commonly employed methods to induce stress in humans along with stress assessment methods.

scholarly journals Developmental changes in hypothalamus–pituitary–adrenal activity over the transition to adolescence: Normative changes and associations with puberty

2009 ◽  
Vol 21 (1) ◽  
pp. 69-85 ◽  
Author(s):  
Megan R. Gunnar ◽  
Sandi Wewerka ◽  
Kristin Frenn ◽  
Jeffrey D. Long ◽  
Christopher Griggs
Keyword(s):  
Social Stress ◽  
Stress Reactivity ◽  
Stress Test ◽  
Pubertal Development ◽  
Trier Social Stress Test ◽  
Cortisol Reactivity ◽  
Sympathetic Modulation ◽  
Pituitary Adrenal Axis ◽  
Depressed Symptoms ◽  
Child Depressive Symptoms

AbstractHome baseline and laboratory stressor (Trier Social Stress Test for Children) measures of salivary cortisol were obtained from 82 participants (40 girls) aged 9, 11, 13, and 15 years. Measures of pubertal development, self-reported stress, parent reports of child depressive symptoms and fearful temperament, and cardiac measures of sympathetic and parasympathetic activity were also obtained. Significant increases in the home cortisol baselines were found with age and pubertal development. Cortisol stress reactivity differed by age group with 11-year-olds and 13-year-old boys showing blunted reactivity and 9-year-olds, 13-year-old girls, and 15-year-olds showing significant cortisol reactions. Cortisol reactivity correlated marginally with sexual maturation. Measures of sympathetic activity revealed increased sympathetic modulation with age. Higher sympathetic tone was associated with more fearful temperament, whereas greater cortisol reactivity was associated with more anxious and depressed symptoms for girls. The importance of these findings for the hypothesis that puberty-associated increases in hypothalamic–pituitary–adrenal axis activity heightens the risk of psychopathology is discussed.

Genetic moderation of cortisol secretion in Holocaust survivors

2011 ◽  
Vol 36 (1) ◽  
pp. 79-84 ◽  
Author(s):  
Ayala Fridman ◽  
Marinus H. van IJzendoorn ◽  
Abraham Sagi-Schwartz ◽  
Marian J. Bakermans-Kranenburg
Keyword(s):  
Social Stress ◽  
Comparison Group ◽  
Holocaust Survivors ◽  
Stress Test ◽  
Trier Social Stress Test ◽  
Cortisol Secretion ◽  
Cortisol Reactivity ◽  
Diurnal Cortisol ◽  
Deletion Variant ◽  
Cortisol Levels

In the current study we tested whether ADRA2B moderates stress regulation of Holocaust survivors as indexed by their diurnal cortisol secretion and cortisol reactivity to a stressor. Salivary cortisol levels of 54 female Holocaust survivors and participants in the comparison group were assessed during a routine day and in response to a stress-evoking procedure (an adapted version of the Trier Social Stress Test [TSST]). ADRA2B did not moderate differences between Holocaust survivors and participants in the comparison group in terms of cortisol reactivity to the TSST. Holocaust survivors with the wildtype ADRA2B, however, displayed higher diurnal cortisol levels than did participants in the comparison group with the same genotype, whereas no difference was found between these groups in carriers of the deletion variant, previously associated with more reexperiencing of traumatic events. Carriers of the deletion variant might have been driven in the long run to resolve their vividly remembered experiences, and therefore currently show less stress dysregulation as evident from their cortisol levels.

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