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Psychosomatic Medicine

Natalie Hellman, Bethany L Kuhn, Edward W Lannon, Michael F Payne, Cassandra A Sturycz, Shreela Palit, Joanna O Shadlow, Jamie L Rhudy
OBJECTIVE: Sexual assault (SA) is associated with an increased risk for chronic pain and affective distress. Given that emotional processes modulate pain (e.g., negative emotions enhance pain, positive emotions inhibit pain), increased pain risk in SA survivors could stem from a disruption of emotional modulation processes. METHODS: A well-validated affective picture-viewing paradigm was used to study emotional modulation of pain in 33 healthy, pain-free SA survivors and a control group of 33 healthy, pain-free individuals with no reported history of SA (matched on age, sex, race, and number of non-SA traumas)...
February 9, 2018: Psychosomatic Medicine
Daniel A Hackman, Dora C-H Kuan, Stephen B Manuck, Peter J Gianaros
OBJECTIVE: Socioeconomic position (SEP) is associated with cerebrovascular health and brain function, particularly in prefrontal cortex (PFC) and medial temporal lobe regions that exhibit plasticity across the lifecourse. However, it is unknown if SEP associates with resting cerebral blood flow (CBF), an indicator of baseline brain function, in these regions in midlife, and if the association is (1) Period-specific, with independent associations for childhood and adulthood SEP, or driven by lifecourse SEP; and (2) Explained by a persistent disparity, widening disparity, or the leveling of disparities with age...
February 6, 2018: Psychosomatic Medicine
Angelo Compare, Agostino Brugnera, Marcantonio M Spada, Cristina Zarbo, Giorgio A Tasca, Sandra Sassaroli, Gabriele Caselli, Giovanni Maria Ruggiero, Ilan Wittstein
OBJECTIVE: The current study examined the role of emotional competences and depression in Tako-tsubo Cardiomyopathy (TTC). METHODS: We compared 37 TTC patients who experienced emotion triggers (TTC-t: mean age 66.4 ± 12.8 years, 33 women) with 37 TTC patients who did not experience emotion triggers (TTC-nt: mean age 65.8 ± 11.1 years, 33 women) and 37 patients with Acute Myocardial Infarction who experienced an emotion trigger (AMI-t: mean age 66.1 ± 10.1 years, 33 women)...
February 6, 2018: Psychosomatic Medicine
Patrick J O'Connor, Mèlanie S Poudevigne, Kristen E Johnson, Juliana Brito de Araujo, Christie L Ward-Ritacco
OBJECTIVE: To test if the adoption of twice weekly, low-to-moderate intensity resistance training during weeks 22-34 of pregnancy can improve quality of life and mood. METHODS: A parallel group trial was conducted. Second trimester women (n=134) were randomly assigned to 12-weeks of wait list, bi-monthly pregnancy education classes, or twice weekly low-to-moderate intensity resistance training. Resistance training involved one abdominal exercise with no external load and five exercises (leg extension, leg press, arm lat pull, leg curl, and lumbar extension) with an external load that gradually progressed and the total active exercise time during each exercise session was ~17 minutes...
February 1, 2018: Psychosomatic Medicine
Stacy Schantz Wilkins, Paula Bourke, Abdul Salam, Naveed Akhtar, Atlantic D'Souza, Saadat Kamran, Zain Bhutta, Ashfaq Shuaib
OBJECTIVE: Approximately 30% of acute stroke cases are found to be stroke mimics (SM); with functional/psychological stroke mimics (FSM) accounting for up to 6.4% of all stroke presentations. Middle Eastern countries may have higher rates of somatization of emotional distress. The aim of this study was to evaluate the incidence and characteristics of functional SM at a large general hospital in the Middle East. METHODS: All patients presenting with an initial diagnosis of stroke from June 2015 through September 2016 were eligible for this study...
February 1, 2018: Psychosomatic Medicine
Sander K R van Zon, Sijmen A Reijneveld, Peter J van der Most, Morris A Swertz, Ute Bültmann, Harold Snieder
OBJECTIVE: A strong genetic predisposition for type 2 diabetes mellitus (T2DM) may aggravate the negative effects of low socioeconomic position (SEP) in the etiology of the disorder. This study aimed to examine cross-sectional and longitudinal associations and interactions of a genetic risk score (GRS) and SEP with T2DM, and to investigate whether clinical and behavioral risk factors can explain these associations and interactions. METHODS: We used data from 13,027 genotyped participants from the Lifelines study...
January 29, 2018: Psychosomatic Medicine
Ryan C Brindle, Katherine A Duggan, Matthew R Cribbet, Christopher E Kline, Robert T Krafty, Julian F Thayer, Suresh R Mulukutla, Martica H Hall
OBJECTIVE: Exaggerated cardiovascular reactivity to acute psychological stress has been associated with increased carotid intima-media thickness (IMT). However, inter-study variability in this relationship suggests the presence of moderating factors. The current study aimed to test the hypothesis that poor nocturnal sleep, defined as short total sleep time or low slow-wave sleep (SWS), would moderate the relationship between cardiovascular reactivity and IMT. METHODS: Participants (N=99, 65...
January 29, 2018: Psychosomatic Medicine
Jennifer Morozink Boylan, Jenny M Cundiff, Karen A Matthews
OBJECTIVE: Disparities in cardiovascular health by socioeconomic status (SES) are a pressing public health concern. Hypothesized mechanisms linking low SES to poor health are large cardiovascular responses to and delayed recovery from psychological stress. The current study presents a meta-analysis of the literature on the association of SES with blood pressure and heart rate reactivity to and recovery from acute stress tasks. METHODS: The PubMed database was searched, and 26 unique studies with relevant data were identified (k = 25 reactivity (n = 14,617), k = 6 recovery (n = 1,324))...
January 29, 2018: Psychosomatic Medicine
Marigny C Normann, Neal McNeal, Ashley Dagner, Elliott Ihm, Matthew Woodbury, Angela J Grippo
OBJECTIVE: Stress is linked to negative cardiovascular consequences and increases in depressive behaviors. Environmental enrichment (EE) involves exposure to novel items that provide physical and cognitive stimulation. EE has behavioral, cognitive, and neurobiological effects that may improve stress responses in humans and animal models. This study investigated the potential protective effects of EE on behavior and cardiovascular function in female prairie voles following a social stressor...
January 23, 2018: Psychosomatic Medicine
Christian H L Thio, Arie M van Roon, Joop D Lefrandt, Ron T Gansevoort, Harold Snieder
OBJECTIVE: In the general population, reduced heart rate variability (HRV) has been associated with cardiovascular disease. However, its relation to chronic kidney disease (CKD) is debated. We therefore investigated the relation between low HRV and renal outcomes. METHODS: In the population-based PREVEND Study, renal outcomes (CKD, eGFR, urinary albumin) were measured at baseline and three consecutive examinations. HRV measures (among which SDNN, standard deviation of normal-to-normal RR-intervals) were calculated from time-series of beat-to-beat pulse-wave recordings at baseline...
January 2, 2018: Psychosomatic Medicine
Kadri Haljas, Azmeraw T Amare, Behrooz Z Alizadeh, Yi-Hsiang Hsu, Thomas Mosley, Anne Newman, Joanne Murabito, Henning Tiemeier, Toshiko Tanaka, Cornelia van Duijn, Jingzhong Ding, David J Llewellyn, David A Bennett, Antonio Terracciano, Lenore Launer, Karl-Heinz Ladwig, Marylin C Cornelis, Alexander Teumer, Hans Grabe, Sharon L R Kardia, Erin B Ware, Jennifer A Smith, Harold Snieder, Johan G Eriksson, Leif Groop, Katri Räikkönen, Jari Lahti
OBJECTIVE: Shared genetic background may explain phenotypic associations between depression and Type-2-Diabetes (T2D). We aimed to study, on a genome-wide level, if genetic correlation and pleiotropic loci exist between depressive symptoms and T2D or glycemic traits. METHODS: We estimated SNP-based heritability and analyzed genetic correlation between depressive symptoms and T2D and glycemic traits with the LD Score Regression (LDSC) by combining summary statistics of previously conducted meta-analyses for depressive symptoms by CHARGE consortium (N = 51,258), T2D by Diagram consortium (N = 34,840 patients and 114,981 controls), fasting glucose, fasting insulin, HOMA-β, and HOMA-IR by MAGIC consortium (N = 58,074)...
December 27, 2017: Psychosomatic Medicine
Ling-Li Leng, Siu-Man Ng
No abstract text is available yet for this article.
December 13, 2017: Psychosomatic Medicine
Marina B Pinheiro, Jose J Morosoli, Manuela L Ferreira, Juan J Madrid-Valero, Kathryn Refshauge, Paulo H Ferreira, Juan R Ordoñana
OBJECTIVE: To estimate the extent to which the co-occurrence of poor sleep quality and low back pain is due to the same genetic and/or environmental risk factors or due to a causal association. METHODS: Cross-sectional data on sleep quality (Pittsburgh Sleep Quality index) and low back pain were collected in a population-based sample of adult twins (n=2,134) registered with the Murcia Twin Registry. Bivariate analysis and structural equation modelling were used...
December 13, 2017: Psychosomatic Medicine
Eline Coppens, Stefan Kempke, Peter Van Wambeke, Stephan Claes, Bart Morlion, Patrick Luyten, Lukas Van Oudenhove
OBJECTIVE: Hypothalamic-pituitary-adrenal (HPA) axis dysfunction may play a role in fibromyalgia (FM) pathogenesis, but remains understudied in this disorder. Furthermore, early childhood adversities (ECA) are common in FM, but whether they moderate stress reactivity is unknown. Hence, we investigated cortisol and subjective responses to acute psychosocial stress in FM and controls, while adjusting for ECA. METHODS: Twenty-seven female FM patients and 24 age-matched female controls were recruited in a tertiary care center and through advertisements, respectively...
December 11, 2017: Psychosomatic Medicine
Hendrika M Schenk, Bertus F Jeronimus, Lian van der Krieke, Elisabeth H Bos, Peter de Jonge, Judith G M Rosmalen
OBJECTIVE: Allostatic load (AL) reflects the deteriorating influences of stress on the body, and comprises a selection of biological markers. AL is associated with negative life events, stress, and negative affect (NA), as well as poor health outcomes. However, whether AL is also associated with positive affect (PA) is not clear. The present study therefore explores the association between PA and AL, accounting for age, sex, NA, and health behaviors. METHODS: Data of 45,225 individuals from the first wave of the multi-disciplinary prospective population-based cohort study Lifelines were used...
December 5, 2017: Psychosomatic Medicine
Félice Lê-Scherban, Allison B Brenner, Margaret T Hicken, Belinda L Needham, Teresa Seeman, Richard P Sloan, Xu Wang, Ana V Diez Roux
OBJECTIVE: A long-hypothesized pathway through which low socioeconomic status (SES) harms health is through dysregulation of the physiologic stress response systems. No previous studies have tested this hypothesis by investigating cortisol reactivity and recovery to acute stress in relation to SES at different times in the life course in adults. Alteration of the cortisol response to an acute stressor could signal dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis and has been associated with chronic illness...
December 5, 2017: Psychosomatic Medicine
Ryan C Brindle, Matthew R Cribbet, Laura B Samuelsson, Chenlu Gao, Ellen Frank, Robert T Krafty, Julian F Thayer, Daniel J Buysse, Martica H Hall
OBJECTIVE: Childhood trauma has been related to adverse behavioral, mental, and health outcomes later in life. Sleep may be a potential mechanism through which childhood trauma is related to adverse health. The current retrospective study aimed to characterize the relationship between childhood trauma exposure and sleep health, a novel multidimensional measure of sleep. METHODS: Participants (N = 161; Mean(SD) age = 59.85(9.06); 67.7% female) retrospectively reported trauma exposure using the Trauma History Questionnaire...
December 5, 2017: Psychosomatic Medicine
Rhonda M Merwin, Ashley A Moskovich, Lisa K Honeycutt, James D Lane, Mark Feinglos, Richard S Surwit, Nancy L Zucker, Natalia O Dmitrieva, Michael A Babyak, Heather Batchelder
OBJECTIVE: Restricting insulin to lose weight is a significant problem in the clinical management of type 1 diabetes (T1D). Little is known about this behavior or how to effectively intervene. Identifying when insulin restriction occurs could allow clinicians to target typical high-risk times, or formulate hypotheses regarding factors that influence this behavior. The current study investigated the frequency of insulin restriction by time of day. METHODS: Fifty-nine adults with T1D and eating disorder symptomatology completed 72 hours of real-time reporting of eating and insulin dosing with continuous glucose monitoring...
December 5, 2017: Psychosomatic Medicine
LaBarron K Hill, Andrew Sherwood, Maya McNeilly, Norman A Anderson, James A Blumenthal, Alan L Hinderliter
OBJECTIVE: Racial discrimination is increasingly recognized as a contributor to increased cardiovascular disease risk among African Americans. Previous research has shown significant overlap between racial discrimination and hostility, an established predictor of CVD risk including alterations in adrenergic receptor functioning. The present study examined the associations of racial discrimination and hostility with adrenergic receptor responsiveness. METHODS: In a sample (N=57) of young to middle-aged African American adults (51% female) with normal and mildly elevated blood pressure (BP), a standardized isoproterenol sensitivity test (CD25) was used to evaluate β-AR responsiveness, while the dose of phenylephrine required to increase mean arterial pressure (MAP) by 25 mmHg (PD25) was used to assess α1-AR responsiveness...
December 5, 2017: Psychosomatic Medicine
Martin Picard, Bruce S McEwen
OBJECTIVE: Mitochondria are multifunctional life-sustaining organelles that represent a potential intersection point between psychosocial experiences and biological stress responses. This article provides a systematic review of the effects of psychological stress on mitochondrial structure and function. METHODS: A systematic review of the literature investigating the effects of psychological stress on mitochondrial function was conducted. The review focused on experimentally controlled studies allowing us to draw causal inference about the effect of induced psychological stress on mitochondria...
February 2018: Psychosomatic Medicine
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