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Background: Hyperhidrosis (excessive sweating, OMIM %114110) is a complex disorder with multifactorial causes. Emotional strains and social stress increase symptoms and lead to a vicious circle. Previously, we showed significantly higher depression scores, and normal cortisol awakening responses in patients with primary focal hyperhidrosis (PFH). Stress reactivity in response to a (virtual) Trier Social Stress Test (TSST-VR) has not been studied so far. Therefore, we measured sweat secretion, salivary cortisol and alpha amylase (sAA) concentrations, and subjective stress ratings in affected and non-affected subjects in response to a TSST-VR.
Method: In this pilot study, we conducted TSST-VRs and performed general linear models with repeated measurements for salivary cortisol and sAA levels, heart rate, axillary sweat and subjective stress ratings for two groups (diagnosed PFH (n = 11), healthy controls (n = 16)).
Results: PFH patients showed significantly heightened sweat secretion over time compared to controls (p = 0.006), with highest quantities during the TSST-VR. In both groups, sweating (p < 0.001), maximum cortisol levels (p = 0.002), feelings of stress (p < 0.001), and heart rate (p < 0.001) but not sAA (p = 0.068) increased significantly in response to the TSST-VR. However, no differences were detected in subjective ratings, cortisol concentrations and heart rate between PFH patients and controls (pall > 0.131).
Conclusion: Patients with diagnosed PFH showed stress-induced higher sweat secretion compared to healthy controls but did not differ in the stress reactivity with regard to endocrine or subjective markers. This pilot study is in need of replication to elucidate the role of the sympathetic nervous system as a potential pathway involved in the stress-induced emotional sweating of PFH patients.
Stress gilt als zentrales Gesundheitsrisiko des 21. Jahrhunderts und wird in der Forschung als multidimensionales Konstrukt auf psychologischer und biologischer Ebene untersucht. Wäh-rend die subjektive Wahrnehmung von Stress nicht mit der biologischen Stressreaktivität zu-sammenhängen muss, ist der negative Einfluss stressassoziierter biologischer Prozesse auf Wohlbefinden und Gesundheit gut belegt. Bereits im Grundschulalter zeigen Kinder eine mit Erwachsenen vergleichbare Stressbelastung und gesundheitliche Folgen, Bewältigungsstrategien sind in diesem Alter allerdings noch nicht vollständig entwickelt. Präventionsprogramme im Grundschulalter sollen Kinder in ihren sich entwickelnden Stressbewältigungsfähigkeiten fördern, wobei sowohl emotionsfokussierte und problemorientierte Ansätze als auch soziale Unterstützung wichtige Faktoren darstellen könnten.
Das einleitende Literatur-Review evaluiert bisherige Stresspräventionsstudien und verdeutlicht, dass zwar die Wirksamkeit und Anwendbarkeit von mehrfaktoriellen Stresspräventionsprogrammen im Rahmen psychometrischer Erhebungen gezeigt werden konnten, biologische Prozesse in der Forschung bisher allerdings nicht erhoben und außer Acht gelassen wurden.
Die empirische Untersuchung in Studie 1 zeigt, dass eine multidimensionale psychobiologische Betrachtungsweise sinnvoll ist, indem sowohl die Psychometrie, als auch psychobiologische Prozesse der Stressreaktion miteinbezogen und die Auswirkungen von Stressprävention auf den verschiedenen Ebenen untersucht wurden. Zwei Kurzinterventionen wurden dazu miteinander verglichen und ihre Wirkung auf psychophysiologischen Ebenen (z.B. Kortisol, α-Amylase und Herzrate) in einem Prä-Post Design geprüft. Eine statistisch signifikante Abnahme psychophysiologischer Stressreaktivität, sowie stressassoziierter psychologischer Symptome verdeutlichte die multidimensionale Wirksamkeit von Stressmanagementtrainings.
Studie 2 wurde im Rahmen der Covid-19-Pandemie entworfen. Die in Studie 1 trainierten Kinder wurden mittels Online-Fragebogenerhebung mit einer Kontrollgruppe hinsichtlich ihrer Stressbelastung verglichen. Die Ergebnisse zeigten eine geringere Belastung und vermehrte günstige Bewältigungsstrategien trainierter Kinder im Vergleich zur Kontrollgruppe.
Diese Ergebnisse heben die Relevanz einer multidimensionalen Betrachtung kindlichen Stresses hervor. Es wurde gezeigt, dass Stresspräventionsprogramme auf den unterschiedlichen Ebenen der Stressreaktion wirken und sogar in gesamtgesellschaftlichen Krisensituationen stresspro-tektiv wirken können. Zukünftige Studien sollten Stresspräventionen im Grundschulalter psychophysiologisch evaluieren und deren Wirkung in Längsschnittstudien beurteilen, um das Verständnis der zugrundeliegenden Mechanismen zu verbessern.
Die Effekte diverser Hormone auf das Sozialverhalten von Männern und Frauen sind nicht vollständig geklärt, da eine genaue Messung dieser, sowie eine Ableitung kausaler Zusammenhänge, die Forschung seither vor Herausforderungen stellt. Umso wichtiger sind Studien, welche versuchen für konfundierende Aspekte zu kontrollieren und die hormonellen oder endokrinen Effekte auf das Sozialverhalten und die soziale Kognition zu untersuchen. Während Studien bereits Effekte von akutem Stress auf Sozialverhalten zeigten, sind die zugrundeliegenden neurobiologischen Mechanismen nicht vollständig bekannt, da hierfür ein rein pharmakologischer Ansatz von Nöten wäre. Die wenigen Studien, die einen solchen wählten, zeigen konträre Befunde. Bisherige Untersuchungen mit psychosozialen Stressoren lassen jedoch prosoziale Tendenzen nach Stress sowohl für Männer als auch für Frauen vermuten. Darüber hinaus sind auch Untersuchungen zu weiblichen Geschlechtshormonen und ihrem Einfluss auf Sozialverhalten sowie die soziale Kognition bei Frauen besonders herausfordernd durch die hormonellen Schwankungen während des Menstruationszyklus oder auch Veränderungen durch die Einnahme oraler Kontrazeptiva. Studien die sowohl Zyklusphasen als auch die Effekte von oralen Kontrazeptiva untersuchten, deuten aber bereits auf Unterschiede zwischen den verschiedenen Phasen, sowie Frauen mit natürlichem Zyklus und Einnahme oraler Kontrazeptiva hin.
Der theoretische Teil beschreibt die Grundlagen zur Stressreaktion des Menschen und die hormonellen Veränderungen weiblicher Geschlechtshormone. Folgend, soll ein Kapitel zur aktuellen Forschungslage zu Effekten von akutem Stress auf Sozialverhalten und die soziale Kognition einen Überblick über die bisherige Befundlage schaffen. Die erste empirische Studie, welche die Effekte von Hydrocortison auf das Sozialverhalten und die Emotionserkennung untersucht, soll anschließend in diese aktuelle Befundlage eingeordnet werden und zu der weniger erforschten Sparte der pharmakologischen Studien beitragen. Die zweite empirische Studie befasst sich folgend mit den Effekten weiblicher Geschlechtshormone auf Sozialverhalten und Empathie, genauer wie auch Zyklusphasen und orale Kontrazeptiva (über Hormone vermittelt) einen Einfluss bei Frauen nehmen. Abschließend sollen die Effekte von Stresshormonen bei Männern, und modulierende Eigenschaften weiblicher Geschlechtshormone, Zyklusphasen und oraler Kontrazeptiva bei Frauen, jeweils in Hinblick auf Sozialverhalten und die soziale Kognition diskutiert werden.
This thesis focus on threats as an experience of stress. Threats are distinguished from challenges and hindrances as another dimension of stress in challenge-hindrance models (CHM) of work stress (Tuckey et al., 2015). Multiple disciplines of psychology (e.g. stereotype, Fingerhut & Abdou, 2017; identity, Petriglieri, 2011) provide a variety of possible events that can trigger threats (e.g., failure expe-riences, social devaluation; Leary et al., 2009). However, systematic consideration of triggers and thus, an overview of when does the danger of threats arises, has been lacking to date. The explanation why events are appraised as threats is related to frustrated needs (e.g., Quested et al., 2011; Semmer et al., 2007), but empirical evidence is rare and needs can cover a wide range of content (e.g., relatedness, competence, power), depending on need approaches (e.g., Deci & Ryan, 2000; McClelland, 1961). This thesis aims to shed light on triggers (when) and the need-based mechanism (why) of threats.
In the introduction, I introduce threats as a dimension of stress experience (cf. Tuckey et al., 2015) and give insights into the diverse field of threat triggers (the when of threats). Further, I explain threats in terms of a frustrated need for positive self-view, before presenting specific needs as possible deter-minants in the threat mechanism (the why of threats). Study 1 represents a literature review based on 122 papers from interdisciplinary threat research and provides a classification of five triggers and five needs identified in explanations and operationalizations of threats. In Study 2, the five triggers and needs are ecologically validated in interviews with police officers (n = 20), paramedics (n = 10), teach-ers (n = 10), and employees of the German federal employment agency (n = 8). The mediating role of needs in the relationship between triggers and threats is confirmed in a correlative survey design (N = 101 Leaders working part-time, Study 3) and in a controlled laboratory experiment (N = 60 two-person student teams, Study 4). The thesis ends with a general discussion of the results of the four studies, providing theoretical and practical implications.
Background
Identifying pain-related response patterns and understanding functional mechanisms of symptom formation and recovery are important for improving treatment.
Objectives
We aimed to replicate pain-related avoidance-endurance response patterns associated with the Fear-Avoidance Model, and its extension, the Avoidance-Endurance Model, and examined their differences in secondary measures of stress, action control (i.e., dispositional action vs. state orientation), coping, and health.
Methods
Latent profile analysis (LPA) was conducted on self-report data from 536 patients with chronic non-specific low back pain at the beginning of an inpatient rehabilitation program. Measures of stress (i.e., pain, life stress) and action control were analyzed as covariates regarding their influence on the formation of different pain response profiles. Measures of coping and health were examined as dependent variables.
Results
Partially in line with our assumptions, we found three pain response profiles of distress-avoidance, eustress-endurance, and low-endurance responses that are depending on the level of perceived stress and action control. Distress-avoidance responders emerged as the most burdened, dysfunctional patient group concerning measures of stress, action control, maladaptive coping, and health. Eustress-endurance responders showed one of the highest levels of action versus state orientation, as well as the highest levels of adaptive coping and physical activity. Low-endurance responders reported lower levels of stress as well as equal levels of action versus state orientation, maladaptive coping, and health compared to eustress-endurance responders; however, equally low levels of adaptive coping and physical activity compared to distress-avoidance responders.
Conclusions
Apart from the partially supported assumptions of the Fear-Avoidance and Avoidance-Endurance Model, perceived stress and dispositional action versus state orientation may play a crucial role in the formation of pain-related avoidance-endurance response patterns that vary in degree of adaptiveness. Results suggest tailoring interventions based on behavioral and functional analysis of pain responses in order to more effectively improve patients quality of life.
In order to investigate the psychobiological consequences of acute stress under laboratory conditions, a wide range of methods for socially evaluative stress induction have been developed. The present dissertation is concerned with evaluating a virtual reality (VR)-based adaptation of one of the most widely used of those methods, the Trier Social Stress Test (TSST). In the three empirical studies collected in this dissertation, we aimed to examine the efficacy and possible areas of application of the adaptation of this well-established psychosocial stressor in a virtual environment. We found that the TSST-VR reliably incites the activation of the major stress effector systems in the human body, albeit in a slightly less pronounced way than the original paradigm. Moreover, the experience of presence is discussed as one potential factor of influence in the origin of the psychophysiological stress response. Lastly, we present a use scenario for the TSST-VR in which we employed the method to investigate the effects of acute stress on emotion recognition performance. We conclude that, due to its advantages concerning versatility, standardization and economic administration, the paradigm harbors enormous potential not only for psychobiological research, but other applications such as clinical practice as well. Future studies should further explore the underlying effect mechanisms of stress in the virtual realm and the implementation of VR-based paradigms in different fields of application.
Academic achievement is a central outcome in educational research, both in and outside higher education, has direct effects on individual’s professional and financial prospects and a high individual and public return on investment. Theories comprise cognitive as well as non-cognitive influences on achievement. Two examples frequently investigated in empirical research are knowledge (as a cognitive determinant) and stress (as a non-cognitive determinant) of achievement. However, knowledge and stress are not stable, what raises questions as to how temporal dynamics in knowledge on the one hand and stress on the other contribute to achievement. To study these contributions in the present doctoral dissertation, I used meta-analysis, latent profile transition analysis, and latent state-trait analysis. The results support the idea of knowledge acquisition as a cumulative and long-term process that forms the basis for academic achievement and conceptual change as an important mechanism for the acquisition of knowledge in higher education. Moreover, the findings suggest that students’ stress experiences in higher education are subject to stable, trait-like influences, as well as situational and/or interactional, state-like influences which are differentially related to achievement and health. The results imply that investigating the causal networks between knowledge, stress, and academic achievement is a promising strategy for better understanding academic achievement in higher education. For this purpose, future studies should use longitudinal designs, randomized controlled trials, and meta-analytical techniques. Potential practical applications include taking account of students’ prior knowledge in higher education teaching and decreasing stress among higher education students.
Acute social and physical stress interact to influence social behavior: the role of social anxiety
(2018)
Stress is proven to have detrimental effects on physical and mental health. Due to different tasks and study designs, the direct consequences of acute stress have been found to be wide-reaching: while some studies report prosocial effects, others report increases in antisocial behavior, still others report no effect. To control for specific effects of different stressors and to consider the role of social anxiety in stress-related social behavior, we investigated the effects of social versus physical stress on behavior in male participants possessing different levels of social anxiety. In a randomized, controlled two by two design we investigated the impact of social and physical stress on behavior in healthy young men. We found significant influences on various subjective increases in stress by physical and social stress, but no interaction effect. Cortisol was significantly increased by physical stress, and the heart rate was modulated by physical and social stress as well as their combination. Social anxiety modulated the subjective stress response but not the cortisol or heart rate response. With respect to behavior, our results show that social and physical stress interacted to modulate trust, trustworthiness, and sharing. While social stress and physical stress alone reduced prosocial behavior, a combination of the two stressor modalities could restore prosociality. Social stress alone reduced nonsocial risk behavior regardless of physical stress. Social anxiety was associated with higher subjective stress responses and higher levels of trust. As a consequence, future studies will need to investigate further various stressors and clarify their effects on social behavior in health and social anxiety disorders.
Background and rationale: Changing working conditions demand adaptation, resulting in higher stress levels in employees. In consequence, decreased productivity, increasing rates of sick leave, and cases of early retirement result in higher direct, indirect, and intangible costs. Aims of the Research Project: The aim of the study was to test the usefulness of a novel translational diagnostic tool, Neuropattern, for early detection, prevention, and personalized treatment of stress-related disorders. The trial was designed as a pilot study with a wait list control group. Materials and Methods: In this study, 70 employees of the Forestry Department Rhineland-Palatinate, Germany, were enrolled. Subjects were block-randomized according to the functional group of their career field, and either underwent Neuropattern diagnostics immediately, or after a waiting period of three months. After the diagnostic assessment, their physicians received the Neuropattern Medical Report, including the diagnostic results and treatment recommendations. Participants were informed by the Neuropattern Patient Report, and were eligible to an individualized Neuropattern Online Counseling account. Results: The application of Neuropattern diagnostics significantly improved mental health and health-related behavior, reduced perceived stress, emotional exhaustion, overcommitment and possibly, presenteeism. Additionally, Neuropattern sensitively detected functional changes in stress physiology at an early stage, thus allowing timely personalized interventions to prevent and treat stress pathology. Conclusion: The present study encouraged the application of Neuropattern diagnostics to early intervention in non-clinical populations. However, further research is required to determine the best operating conditions.
Water-deficit stress, usually shortened to water- or drought stress, is one of the most critical abiotic stressors limiting plant growth, crop yield and quality concerning food production. Today, agriculture consumes about 80-90% of the global freshwater used by humans and about two thirds are used for crop irrigation. An increasing world population and a predicted rise of 1.0-2.5-°C in the annual mean global temperature as a result of climate change will further increase the demand of water in agriculture. Therefore, one of the most challenging tasks of our generation is to reduce the amount water used per unit yield to satisfy the second UN Sustainable Development Goal and to ensure global food security. Precision agriculture offers new farming methods with the goal to improve the efficiency of crop production by a sustainable use of resources. Plant responses to water stress are complex and co-occur with other environmental stresses under natural conditions. In general, water stress causes plant physiological and biochemical changes that depend on the severity and the duration of the actual plant water deficit. Stomatal closure is one of the first responses to plant water stress causing a decrease in plant transpiration and thus an increase in plant temperature. Prolonged or severe water stress leads to irreversible damage to the photosynthetic machinery and is associated with decreasing chlorophyll content and leaf structural changes (e.g., leaf rolling). Since a crop can already be irreversibly damaged by only mild water deficit, a pre-visual detection of water stress symptoms is essential to avoid yield loss. Remote sensing offers a non-destructive and spatio-temporal method for measuring numerous physiological, biochemical and structural crop characteristics at different scales and thus is one of the key technologies used in precision agriculture. With respect to the detection of plant responses to water stress, the current state-of-the-art hyperspectral remote sensing imaging techniques are based on measurements of thermal infrared emission (TIR; 8-14 -µm), visible, near- and shortwave infrared reflectance (VNIR/SWIR; 0.4-2.5 -µm), and sun-induced fluorescence (SIF; 0.69 and 0.76 -µm). It is, however, still unclear how sensitive these techniques are with respect to water stress detection. Therefore, the overall aim of this dissertation was to provide a comparative assessment of remotely sensed measures from the TIR, SIF, and VNIR/SWIR domains for their ability to detect plant responses to water stress at ground- and airborne level. The main findings of this thesis are: (i) temperature-based indices (e.g., CWSI) were most sensitive for the detection of plant water stress in comparison to reflectance-based VNIR/SWIR indices (e.g., PRI) and SIF at both, ground- and airborne level, (ii) for the first time, spectral emissivity as measured by the new hyperspectral TIR instrument could be used to detect plant water stress at ground level. Based on these findings it can be stated that hyperspectral TIR remote sensing offers great potential for the detection of plant responses to water stress at ground- and airborne level based on both TIR key variables, surface temperature and spectral emissivity. However, the large-scale application of water stress detection based on hyperspectral TIR measures in precision agriculture will be challenged by several problems: (i) missing thresholds of temperature-based indices (e.g., CWSI) for the application in irrigation scheduling, (ii) lack of current TIR satellite missions with suitable spectral and spatial resolution, (iii) lack of appropriate data processing schemes (including atmosphere correction and temperature emissivity separation) for hyperspectral TIR remote sensing at airborne- and satellite level.