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1.
Chronobiol Int ; 41(4): 567-576, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38602470

RESUMEN

Sleep and light education (SLE) combined with relaxation is a potential method of addressing sleep and affective problems in older people. 47 participants took part in a four-week sleep education program. SLE was conducted once a week for 60-90 minutes. Participants were instructed on sleep and light hygiene, sleep processes, and practiced relaxation techniques. Participants were wearing actigraphs for 6 weeks, completed daily sleep diaries, and wore blue light-blocking glasses 120 minutes before bedtime. Measures included scores of the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), Insomnia Severity Index (ISS), Beck Depression Inventory-II (BDI-II), State-Trait Anxiety Inventory (STAI) and actigraphy measurements of sleep latency, sleep efficiency, and sleep fragmentation. Sleep quality increased after SLE based on the subjective assessment and in the objective measurement with actigraphy. PSQI scores were statistically reduced indicating better sleep. Scores after the intervention significantly decreased in ESS and ISS. Sleep latency significantly decreased, whereas sleep efficiency and fragmentation index (%), did not improve. Mood significantly improved after SLE, with lower scores on the BDI-II and STAI. SLE combined with relaxation proved to be an effective method to reduce sleep problems and the incidence of depressive and anxiety symptoms.


Asunto(s)
Afecto , Sueño , Humanos , Masculino , Femenino , Anciano , Afecto/fisiología , Sueño/fisiología , Actigrafía , Terapia por Relajación/métodos , Persona de Mediana Edad , Ritmo Circadiano/fisiología , Calidad del Sueño , Luz , Relajación/fisiología , Anciano de 80 o más Años , Depresión , Ansiedad
2.
J Intellect Disabil Res ; 68(6): 620-638, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38504557

RESUMEN

BACKGROUND: Sleep-wake problems and depressive symptoms are common in people with intellectual disabilities (IDs) and are thought to be related to the unstable sleep-wake rhythm in this population. Previously, we showed that after increasing environmental light exposure, mid-sleep and sleep onset advanced, and mood improved over a period of 14 weeks after installing environmental dynamic light installations in the living room of people with IDs. We invited participants of that short-term study to take part in the current study on sleep-wake rhythm, mood and behaviour in older adults with IDs 1 year after installing environmental dynamic light installations in the common living rooms of six group homes. METHODS: A pre-post study was performed from October 2017 to February 2019. We included 45 participants (63.5 ± 8.5 years, 67% female) from six group home facilities who provided data at baseline (9, 4 and 1 weeks prior to installing light installations), short term (3, 7 and 14 weeks after installing light installations) and 1 year (54 weeks after installing light installations). Wrist activity was measured with actigraphy (GENEActiv) to derive the primary outcome of interdaily stability of sleep-wake rhythms as well as sleep estimates. Mood was measured with the Anxiety, Depression and Mood Scale. Behaviour was measured with the Aberrant Behaviour Checklist. RESULTS: One year after installing dynamic lighting, we did not find a change in interdaily stability. Total sleep time decreased (ß = -25.40 min; confidence interval: -10.99, -39.82), and sleep onset time was delayed (ß = 25.63 min; confidence interval: 11.18, 40.08). No effect on mood or behaviour was found. CONCLUSIONS: We did not find a change in sleep-wake rhythm, mood or behaviour in older persons with IDs living in care facilities 1 year after installing the light. We did find evidence for a long-term effect on sleep duration and sleep timing. The results have to be interpreted with care as the current study had a limited number of participants. The need for more research on the long-term effects of enhancing environmental light in ID settings is evident.


Asunto(s)
Afecto , Discapacidad Intelectual , Iluminación , Humanos , Femenino , Masculino , Persona de Mediana Edad , Discapacidad Intelectual/fisiopatología , Anciano , Afecto/fisiología , Actigrafía , Ritmo Circadiano/fisiología , Hogares para Grupos , Sueño/fisiología
3.
Anxiety Stress Coping ; 37(2): 278-292, 2024 03.
Artículo en Inglés | MEDLINE | ID: mdl-37695740

RESUMEN

BACKGROUND & OBJECTIVES: Basic attentional control, negative biases in attention and interpretation, and rumination are all cognitive processes associated with depression; however, less is known about their predictive role in depressive mood reactivity and -recovery in response to stress, and their relation to severity of depression. DESIGN & METHODS: We experimentally induced stress based on an autobiographical imagery script in a sample of 92 participants with Major Depressive Disorder with or without comorbid anxiety disorders. We used simple regression analysis for investigating the roles of state- and trait rumination, attentional networks, and attentional and interpretation biases for predicting stress-induced depressive mood reactivity and -recovery, respectively, and whether they in parallel mediated the association between cognitive processes and depression severity. RESULTS: Stress-induced depressive mood reactivity was predicted by better orienting ability and more state rumination. Better recovery was predicted by better orienting efficiency and lower negative interpretation bias. Furthermore, the relation between state rumination and depression severity was partially mediated by depressive mood reactivity, however limited by the lack of temporal precedence in the analysis. CONCLUSIONS: We characterized the relation between cognitive processes and mood malleability in response to stress. Findings could refine theoretical models of depression if causality is established. TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT04137367.


Asunto(s)
Depresión , Trastorno Depresivo Mayor , Humanos , Afecto/fisiología , Ansiedad , Cognición , Depresión/psicología , Trastorno Depresivo Mayor/psicología
4.
Medicina (Kaunas) ; 59(12)2023 Nov 21.
Artículo en Inglés | MEDLINE | ID: mdl-38138159

RESUMEN

In the last few years, vitamin D functions have been studied progressively, and along with their main role in regulating calcium homeostasis, the potential function in the nervous system and the link between different psychiatric disorders and vitamin D deficiency have been revealed. The discovery of vitamin D receptors in multiple brain structures, like the hippocampus, led to the hypothesis that vitamin D deficiency could be responsible for treatment resistance in psychiatric diseases. The aim of this study was to analyze the current knowledge in the literature regarding vitamin D deficiency among individuals afflicted with psychiatric disorders and assess the potential therapeutic benefits of vitamin D supplementation. A systematic search was conducted on the PubMed database for articles published in the last five years (2016-2022) in English, focusing on human subjects. Results show that vitamin D deficiency has implications for numerous psychiatric disorders, affecting mood and behavior through its influence on neurotransmitter release, neurotrophic factors, and neuroprotection. It also plays a role in modulating inflammation, which is often elevated in psychiatric disorders. In conclusion, vitamin D deficiency is prevalent and has far-reaching implications for mental health. This review underscores the importance of exploring the therapeutic potential of vitamin D supplementation in individuals with psychiatric disorders and highlights the need for further research in this complex field.


Asunto(s)
Trastornos Mentales , Deficiencia de Vitamina D , Humanos , Afecto/fisiología , Encéfalo , Trastornos Mentales/tratamiento farmacológico , Trastornos Mentales/etiología , Vitamina D/uso terapéutico , Deficiencia de Vitamina D/complicaciones , Deficiencia de Vitamina D/tratamiento farmacológico
5.
J Affect Disord ; 329: 460-469, 2023 05 15.
Artículo en Inglés | MEDLINE | ID: mdl-36813044

RESUMEN

Rumination is associated with increased risk for depression whereas distraction helps draw attention away from negative experiences, lowering risk. Many individuals who ruminate do so in the form of mental imagery and imagery-based rumination is more highly associated with depressive symptom severity than ruminating in the form of verbal thoughts. We do not yet understand why imagery-based rumination may be especially problematic nor how to intervene to reduce imagery-based rumination, however. Adolescents (N = 145) underwent a negative mood induction followed by experimental induction of rumination or distraction in the form of mental imagery or verbal thought while affective, high-frequency heart rate variability, and skin conductance response data were collected. Rumination was associated with similar affective, high-frequency heart rate variability, and skin conductance response regardless of whether adolescents were induced to ruminate in the form of mental imagery or verbal thought. Distraction led to greater affective improvement and greater increases in high-frequency heart rate variability, but similar skin conductance responses when adolescents were inducted to distract themselves in the form of mental imagery compared with verbal thought. Findings emphasize the importance of considering mental imagery in clinical contexts when assessing rumination and when intervening using distraction.


Asunto(s)
Afecto , Imágenes en Psicoterapia , Humanos , Adolescente , Afecto/fisiología , Depresión/psicología
6.
Nutr Neurosci ; 26(10): 1034-1044, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-36154930

RESUMEN

Objective: Stressed individuals tend to turn to calorie-rich food, also known as 'comfort food' for the temporary relief it provides. The emotional eating drive is highly variable among subjects. Using a rodent model, we explored the plasmatic and neurobiological differences between 'high and low emotional eaters' (HEE and LEE).Methods: 40 male mice were exposed for 5 weeks to a protocol of unpredictable chronic mild stress. Every 3 or 4 days, they were submitted to a 1-h restraint stress, immediately followed by a 3-h period during which a choice between chow and chocolate sweet cereals was proposed. The dietary intake was measured by weighing. Plasmatic and neurobiological characteristics were compared in mice displaying high vs low intakes.Results: Out of 40 mice, 8 were considered as HEE because of their high post-stress eating score, and 8 as LEE because of their consistent low intake. LEE displayed higher plasma corticosterone and lower levels of NPY than HEE, but acylated and total ghrelin were similar in both groups. In the brain, the abundance of NPY neurons in the arcuate nucleus of the hypothalamus was similar in both groups, but was higher in the ventral hippocampus and the basal lateral amygdala of LEE. The lateral hypothalamus LEE had also more orexin (OX) positive neurons. Both NPY and OX are orexigenic peptides and mood regulators.Discussion: Emotional eating difference was reflected in plasma and brain structures implicated in emotion and eating regulation. These results concur with the psychological side of food consumption.


Asunto(s)
Ingestión de Alimentos , Emociones , Ratones , Masculino , Animales , Ingestión de Alimentos/fisiología , Emociones/fisiología , Hipotálamo , Afecto/fisiología , Ingestión de Energía
7.
Nutrients ; 13(10)2021 Oct 18.
Artículo en Inglés | MEDLINE | ID: mdl-34684650

RESUMEN

The brain is approximately 75% water. Therefore, insufficient water intake may affect the cognitive performance of humans. The present study aimed to investigate the effects of water restriction and supplementation on cognitive performances and mood, and the optimum amount of water to alleviate the detrimental effects of dehydration, among young adults. A randomized controlled trial was conducted with 76 young, healthy adults aged 18-23 years old from Baoding, China. After fasting overnight for 12 h, at 8:00 a.m. of day 2, the osmolality of the first morning urine and blood, cognitive performance, and mood were measured as a baseline test. After water restriction for 24 h, at 8:00 a.m. of day 3, the same indexes were measured as a dehydration test. Participants were randomly assigned into four groups: water supplementation group (WS group) 1, 2, or 3 (given 1000, 500, or 200 mL purified water), and the no water supplementation group (NW group). Furthermore, participants were instructed to drink all the water within 10 min. Ninety minutes later, the same measurements were performed as a rehydration test. Compared with the baseline test, participants were all in dehydration and their scores on the portrait memory test, vigor, and self-esteem decreased (34 vs. 27, p < 0.001; 11.8 vs. 9.2, p < 0.001; 7.8 vs. 6.4, p < 0.001). Fatigue and TMD (total mood disturbance) increased (3.6 vs. 4.8, p = 0.004; 95.7 vs. 101.8, p < 0.001) in the dehydration test. Significant interactions between time and volume were found in hydration status, fatigue, vigor, TMD, symbol search test, and operation span test (F = 6.302, p = 0.001; F = 3.118, p = 0.029; F = 2.849, p = 0.043; F = 2.859, p = 0.043; F = 3.463, p = 0.021) when comparing the rehydration and dehydration test. Furthermore, the hydration status was better in WS group 1 compared to WS group 2; the fatigue and TMD scores decreased, and the symbol search test and operation span test scores increased, only in WS group 1 and WS group 2 (p < 0.05). There was no significant difference between them (p > 0.05). Dehydration impaired episodic memory and mood. Water supplementation improved processing speed, working memory, and mood, and 1000 mL was the optimum volume.


Asunto(s)
Afecto/fisiología , Cognición/fisiología , Suplementos Dietéticos , Agua/farmacología , Biomarcadores/sangre , Biomarcadores/orina , China , Deshidratación/fisiopatología , Conducta de Ingestión de Líquido , Femenino , Fluidoterapia , Humanos , Humedad , Masculino , Temperatura , Sed/fisiología , Adulto Joven
8.
JAMA Intern Med ; 181(10): 1369-1380, 2021 10 01.
Artículo en Inglés | MEDLINE | ID: mdl-34459842

RESUMEN

Importance: Depression is often comorbid in patients with heart failure (HF) and is associated with worse clinical outcomes. However, depression generally goes unrecognized and untreated in this population. Objective: To determine whether a blended collaborative care program for treating both HF and depression can improve clinical outcomes more than collaborative care for HF only and physicians' usual care (UC). Design, Setting, and Participants: This 3-arm, single-blind, randomized effectiveness trial recruited 756 participants with HF with reduced left ventricular ejection fraction (<45%) from 8 university-based and community hospitals in southwestern Pennsylvania between March 2014 and October 2017 and observed them until November 2018. Participants included 629 who screened positive for depression during hospitalization and 2 weeks postdischarge and 127 randomly sampled participants without depression to facilitate further comparisons. Key analyses were performed November 2018 to March 2019. Interventions: Separate physician-supervised nurse teams provided either 12 months of collaborative care for HF and depression ("blended" care) or collaborative care for HF only (enhanced UC [eUC]). Main Outcomes and Measures: The primary outcome was mental health-related quality of life (mHRQOL) as measured by the Mental Component Summary of the 12-item Short Form Health Survey (MCS-12). Secondary outcomes included mood, physical function, HF pharmacotherapy use, rehospitalizations, and mortality. Results: Of the 756 participants (mean [SD] age, 64.0 [13.0] years; 425 [56%] male), those with depression reported worse mHRQOL, mood, and physical function but were otherwise similar to those without depression (eg, mean left ventricular ejection fraction, 28%). At 12 months, blended care participants reported a 4.47-point improvement on the MCS-12 vs UC (95% CI, 1.65 to 7.28; P = .002), but similar scores as the eUC arm (1.12; 95% CI, -1.15 to 3.40; P = .33). Blended care participants also reported better mood than UC participants (Patient-Reported Outcomes Measurement Information System-Depression effect size, 0.47; 95% CI, 0.28 to 0.67) and eUC participants (0.24; 95% CI, 0.07 to 0.41), but physical function, HF pharmacotherapy use, rehospitalizations, and mortality were similar by both baseline depression and randomization status. Conclusions and Relevance: In this randomized clinical trial of patients with HF and depression, telephone-delivered blended collaborative care produced modest improvements in mHRQOL, the primary outcome, on the MCS-12 vs UC but not eUC. Although blended care did not differentially affect rehospitalization and mortality, it improved mood better than eUC and UC and thus may enable organized health care systems to provide effective first-line depression care to medically complex patients. Trial Registration: ClinicalTrials.gov Identifier: NCT02044211.


Asunto(s)
Afecto/fisiología , Cuidados Posteriores , Fármacos Cardiovasculares/uso terapéutico , Prestación Integrada de Atención de Salud/métodos , Depresión , Insuficiencia Cardíaca Sistólica , Calidad de Vida , Cuidados Posteriores/métodos , Cuidados Posteriores/psicología , Cuidados Posteriores/estadística & datos numéricos , Depresión/complicaciones , Depresión/diagnóstico , Depresión/fisiopatología , Depresión/terapia , Femenino , Insuficiencia Cardíaca Sistólica/complicaciones , Insuficiencia Cardíaca Sistólica/diagnóstico , Insuficiencia Cardíaca Sistólica/psicología , Insuficiencia Cardíaca Sistólica/terapia , Humanos , Masculino , Persona de Mediana Edad , Mortalidad , Readmisión del Paciente/estadística & datos numéricos , Medición de Resultados Informados por el Paciente , Rendimiento Físico Funcional , Método Simple Ciego , Telemedicina/métodos , Resultado del Tratamiento
9.
PLoS Genet ; 17(7): e1009625, 2021 07.
Artículo en Inglés | MEDLINE | ID: mdl-34237069

RESUMEN

Light at night has strong effects on physiology and behavior of mammals. It affects mood in humans, which is exploited as light therapy, and has been shown to reset the circadian clock in the suprachiasmatic nuclei (SCN). This resetting is paramount to align physiological and biochemical timing to the environmental light-dark cycle. Here we provide evidence that light at zeitgeber time (ZT) 22 affects mood-related behaviors also in mice by activating the clock gene Period1 (Per1) in the lateral habenula (LHb), a brain region known to modulate mood-related behaviors. We show that complete deletion of Per1 in mice led to depressive-like behavior and loss of the beneficial effects of light on this behavior. In contrast, specific deletion of Per1 in the region of the LHb did not affect mood-related behavior, but suppressed the beneficial effects of light. RNA sequence analysis in the mesolimbic dopaminergic system revealed profound changes of gene expression after a light pulse at ZT22. In the nucleus accumbens (NAc), sensory perception of smell and G-protein coupled receptor signaling were affected the most. Interestingly, most of these genes were not affected in Per1 knock-out animals, indicating that induction of Per1 by light serves as a filter for light-mediated gene expression in the brain. Taken together we show that light affects mood-related behavior in mice at least in part via induction of Per1 in the LHb with consequences on mood-related behavior and signaling mechanisms in the mesolimbic dopaminergic system.


Asunto(s)
Conducta Animal/fisiología , Habénula/fisiología , Proteínas Circadianas Period/genética , Afecto/fisiología , Animales , Depresión/genética , Femenino , Regulación de la Expresión Génica , Luz , Masculino , Ratones Endogámicos C57BL , Ratones Noqueados , Proteínas Circadianas Period/metabolismo
10.
Commun Biol ; 4(1): 634, 2021 06 10.
Artículo en Inglés | MEDLINE | ID: mdl-34112935

RESUMEN

Fatigue is a pervasive public health and safety issue. Common fatigue countermeasures include caffeine or other chemical stimulants. These can be effective in limited circumstances but other non-pharmacological fatigue countermeasures such as non-invasive electrical neuromodulation have shown promise. It is reasonable to suspect that other types of non-invasive neuromodulation may be similarly effective or perhaps even superior. The objective of this research was to evaluate the efficacy of cervical transcutaneous vagal nerve stimulation (ctVNS) to mitigate the negative effects of fatigue on cognition and mood. Two groups (active or sham stimulation) of twenty participants in each group completed 34 h of sustained wakefulness. The ctVNS group performed significantly better on arousal, multi-tasking, and reported significantly lower fatigue ratings compared to sham for the duration of the study. CtVNS could be a powerful fatigue countermeasure tool that is easy to administer, long-lasting, and has fewer side-effects compared to common pharmacological interventions.


Asunto(s)
Privación de Sueño/psicología , Privación de Sueño/terapia , Estimulación del Nervio Vago/métodos , Adulto , Afecto/fisiología , Cognición/fisiología , Fatiga/patología , Fatiga/psicología , Fatiga/terapia , Femenino , Humanos , Masculino , Privación de Sueño/patología , Estrés Fisiológico/fisiología , Estimulación Eléctrica Transcutánea del Nervio/métodos , Nervio Vago/metabolismo , Nervio Vago/fisiología , Vigilia/efectos de los fármacos
11.
Neuroimage ; 237: 118132, 2021 08 15.
Artículo en Inglés | MEDLINE | ID: mdl-33951510

RESUMEN

Meditation-based mental training interventions show physical and mental health benefits. However, it remains unclear how different types of mental practice affect emotion processing at both the neuronal and the behavioural level. In the context of the ReSource project, 332 participants underwent an fMRI scan while performing an emotion anticipation task before and after three 3-month training modules cultivating 1) attention and interoceptive awareness (Presence); 2) socio-affective skills, such as compassion (Affect); 3) socio-cognitive skills, such as theory of mind (Perspective). Only the Affect module led to a significant reduction of experienced negative affect when processing images depicting human suffering. In addition, after the Affect module, participants showed significant increased activation in the right supramarginal gyrus when confronted with negative stimuli. We conclude that socio-affective, but not attention- or meta-cognitive based mental training is specifically effective to improve emotion regulation capabilities when facing adversity.


Asunto(s)
Afecto/fisiología , Corteza Cerebral/fisiología , Regulación Emocional/fisiología , Empatía/fisiología , Meditación , Metacognición/fisiología , Atención Plena , Percepción Social , Teoría de la Mente/fisiología , Adulto , Atención/fisiología , Mapeo Encefálico , Corteza Cerebral/diagnóstico por imagen , Femenino , Humanos , Interocepción/fisiología , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Evaluación de Resultado en la Atención de Salud , Adulto Joven
12.
Mol Brain ; 14(1): 81, 2021 05 12.
Artículo en Inglés | MEDLINE | ID: mdl-33980291

RESUMEN

The neurotransmitter serotonin, involved in the regulation of pain and emotion, is critically regulated by the 5-HT1A autoreceptor and the serotonin transporter (5-HTT). Polymorphisms of these genes affect mood and endogenous pain modulation, both demonstrated to be altered in fibromyalgia subjects (FMS). Here, we tested the effects of genetic variants of the 5-HT1A receptor (CC/G-carriers) and 5-HTT (high/intermediate/low expression) on mood, pain sensitivity, cerebral processing of evoked pain (functional MRI) and concentrations of GABA and glutamate (MR spectroscopy) in rostral anterior cingulate cortex (rACC) and thalamus in FMS and healthy controls (HC). Interactions between serotonin-relevant genes were found in affective characteristics, with genetically inferred high serotonergic signalling (5-HT1A CC/5-HTThigh genotypes) being more favourable across groups. Additionally, 5-HT1A CC homozygotes displayed higher pain thresholds than G-carriers in HC but not in FMS. Cerebral processing of evoked pressure pain differed between groups in thalamus with HC showing more deactivation than FMS, but was not influenced by serotonin-relevant genotypes. In thalamus, we observed a 5-HT1A-by-5-HTT and group-by-5-HTT interaction in GABA concentrations, with the 5-HTT high expressing genotype differing between groups and 5-HT1A genotypes. No significant effects were seen for glutamate or in rACC. To our knowledge, this is the first report of this serotonergic gene-to-gene interaction associated with mood, both among FMS (depression) and across groups (anxiety). Additionally, our findings provide evidence of an association between the serotonergic system and thalamic GABA concentrations, with individuals possessing genetically inferred high serotonergic signalling exhibiting the highest GABA concentrations, possibly enhancing GABAergic inhibitory effects via 5-HT.


Asunto(s)
Afecto/fisiología , Epistasis Genética , Fibromialgia/genética , Dolor/genética , Serotonina/metabolismo , Ácido gamma-Aminobutírico/metabolismo , Análisis de Varianza , Ansiedad/complicaciones , Ansiedad/genética , Ansiedad/fisiopatología , Estudios de Casos y Controles , Fibromialgia/diagnóstico por imagen , Fibromialgia/fisiopatología , Fibromialgia/psicología , Ácido Glutámico/metabolismo , Humanos , Imagen por Resonancia Magnética , Persona de Mediana Edad , Oxígeno/sangre , Dolor/complicaciones , Dolor/diagnóstico por imagen , Dolor/fisiopatología , Umbral del Dolor , Tálamo/metabolismo
13.
Paediatr Drugs ; 23(4): 317-329, 2021 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-33997945

RESUMEN

Pediatric-onset multiple sclerosis (POMS), representing approximately 5% of all MS cases, affects the central nervous system during its ongoing development. POMS is most commonly diagnosed during adolescence but can occur in younger children as well. For pediatric patients with MS, it is critical to manage the full impact of the disease and monitor for any effects on school and social functioning. Disease management includes not only disease-modifying therapies but also strategies to optimize wellbeing. We review the interventions with the highest evidence of ability to improve the disease course and quality of life in POMS. High levels of vitamin D and a diet low in saturated fat are associated with lower relapse rates. Exercise ameliorates fatigue and sleep. Behavioral strategies for sleep hygiene and mood regulation can also improve fatigue and perceived health. POMS management should be addressed holistically, including assessing overall symptom burden as well as the psychological and functional impact of the disease.


Asunto(s)
Afecto/fisiología , Cognición/fisiología , Esclerosis Múltiple/psicología , Esclerosis Múltiple/terapia , Calidad de Vida/psicología , Adolescente , Antioxidantes/administración & dosificación , Niño , Manejo de la Enfermedad , Ejercicio Físico/fisiología , Ejercicio Físico/psicología , Fatiga/etiología , Fatiga/psicología , Fatiga/terapia , Humanos , Estudios Longitudinales , Marihuana Medicinal/administración & dosificación , Esclerosis Múltiple/complicaciones , Vitamina D/administración & dosificación
14.
J Alzheimers Dis ; 83(4): 1521-1536, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33843675

RESUMEN

BACKGROUND: Given that there is no specific drug to treat Alzheimer's disease, non-pharmacologic interventions in people with subjective cognitive decline (SCD) and amnestic mild cognitive impairment (aMCI) are one of the most important treatment strategies. OBJECTIVE: To clarify the efficacy of blue-green (500 nm) light therapy on sleep, mood, and physiological parameters in patients with SCD and aMCI is an interesting avenue to explore. METHODS: This is a monocentric, randomized, and controlled trial that will last for 4 weeks. We will recruit 150 individuals aged 45 years or older from memory clinics and divide them into 5 groups: SCD treatment (n = 30), SCD control (n = 30), aMCI treatment (n = 30), aMCI control (n = 30), and a group of healthy adult subjects (n = 30) as a normal control (NC). RESULTS: The primary outcome is the change in subjective and objective cognitive performance between baseline and postintervention visits (4 weeks after baseline). Secondary outcomes include changes in performance assessing from baseline, postintervention to follow-up (3 months after the intervention), as well as sleep, mood, and physiological parameters (including blood, urine, electrophysiology, and neuroimaging biomarkers). CONCLUSION: This study aims to provide evidence of the impact of light therapy on subjective and objective cognitive performance in middle-aged and older adults with SCD or aMCI. In addition, we will identify possible neurophysiological mechanisms of action underlying light therapy. Overall, this trial will contribute to the establishment of light therapy in the prevention of Alzheimer's disease.


Asunto(s)
Biomarcadores , Cognición/efectos de la radiación , Disfunción Cognitiva/terapia , Terapia por Luz de Baja Intensidad , Afecto/fisiología , Anciano , Biomarcadores/sangre , Biomarcadores/orina , Femenino , Humanos , Masculino , Persona de Mediana Edad , Neuroimagen , Pruebas Neuropsicológicas , Sueño/fisiología
15.
Brain ; 144(9): 2837-2851, 2021 10 22.
Artículo en Inglés | MEDLINE | ID: mdl-33905474

RESUMEN

Because of its involvement in a wide variety of cardiovascular, metabolic and behavioural functions, the hypothalamus constitutes a potential target for neuromodulation in a number of treatment-refractory conditions. The precise neural substrates and circuitry subserving these responses, however, are poorly characterized to date. We sought to retrospectively explore the acute sequelae of hypothalamic region deep brain stimulation and characterize their neuroanatomical correlates. To this end we studied-at multiple international centres-58 patients (mean age: 68.5 ± 7.9 years, 26 females) suffering from mild Alzheimer's disease who underwent stimulation of the fornix region between 2007 and 2019. We catalogued the diverse spectrum of acutely induced clinical responses during electrical stimulation and interrogated their neural substrates using volume of tissue activated modelling, voxel-wise mapping, and supervised machine learning techniques. In total 627 acute clinical responses to stimulation-including tachycardia, hypertension, flushing, sweating, warmth, coldness, nausea, phosphenes, and fear-were recorded and catalogued across patients using standard descriptive methods. The most common manifestations during hypothalamic region stimulation were tachycardia (30.9%) and warmth (24.6%) followed by flushing (9.1%) and hypertension (6.9%). Voxel-wise mapping identified distinct, locally separable clusters for all sequelae that could be mapped to specific hypothalamic and extrahypothalamic grey and white matter structures. K-nearest neighbour classification further validated the clinico-anatomical correlates emphasizing the functional importance of identified neural substrates with area under the receiving operating characteristic curves between 0.67 and 0.91. Overall, we were able to localize acute effects of hypothalamic region stimulation to distinct tracts and nuclei within the hypothalamus and the wider diencephalon providing clinico-anatomical insights that may help to guide future neuromodulation work.


Asunto(s)
Afecto/fisiología , Sistema Nervioso Autónomo/diagnóstico por imagen , Mapeo Encefálico/métodos , Cognición/fisiología , Estimulación Encefálica Profunda/métodos , Hipotálamo/diagnóstico por imagen , Anciano , Sistema Nervioso Autónomo/fisiología , Temperatura Corporal/fisiología , Electrodos Implantados , Femenino , Humanos , Hipotálamo/fisiología , Hipotálamo/cirugía , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Taquicardia/diagnóstico por imagen , Taquicardia/fisiopatología
16.
PLoS One ; 16(1): e0244840, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33411817

RESUMEN

Affective decoding is the inference of human emotional states using brain signal measurements. This approach is crucial to develop new therapeutic approaches for psychiatric rehabilitation, such as affective neurofeedback protocols. To reduce the training duration and optimize the clinical outputs, an ideal clinical neurofeedback could be trained using data from an independent group of volunteers before being used by new patients. Here, we investigated if this subject-independent design of affective decoding can be achieved using functional near-infrared spectroscopy (fNIRS) signals from frontal and occipital areas. For this purpose, a linear discriminant analysis classifier was first trained in a dataset (49 participants, 24.65±3.23 years) and then tested in a completely independent one (20 participants, 24.00±3.92 years). Significant balanced accuracies between classes were found for positive vs. negative (64.50 ± 12.03%, p<0.01) and negative vs. neutral (68.25 ± 12.97%, p<0.01) affective states discrimination during a reactive block consisting in viewing affective-loaded images. For an active block, in which volunteers were instructed to recollect personal affective experiences, significant accuracy was found for positive vs. neutral affect classification (71.25 ± 18.02%, p<0.01). In this last case, only three fNIRS channels were enough to discriminate between neutral and positive affective states. Although more research is needed, for example focusing on better combinations of features and classifiers, our results highlight fNIRS as a possible technique for subject-independent affective decoding, reaching significant classification accuracies of emotional states using only a few but biologically relevant features.


Asunto(s)
Afecto/fisiología , Neuroimagen Funcional/métodos , Espectroscopía Infrarroja Corta/métodos , Adulto , Encéfalo/diagnóstico por imagen , Interfaces Cerebro-Computador/psicología , Análisis Discriminante , Emociones/fisiología , Femenino , Lóbulo Frontal/diagnóstico por imagen , Humanos , Masculino , Neurorretroalimentación/métodos , Lóbulo Occipital/diagnóstico por imagen
17.
Behav Brain Res ; 401: 113063, 2021 03 05.
Artículo en Inglés | MEDLINE | ID: mdl-33316323

RESUMEN

Trait mindfulness pertains to one's ability to non-judgmentally attend to experiences. While attention regulation represents a core component of mindfulness, the relation between trait mindfulness and visual attention is unclear. Further, despite established associations between mindfulness and emotion regulation, few studies have examined whether trait mindfulness may be related to attention to emotionally valenced content. Thus, the present study used an eye-tracking paradigm to assess relations between trait mindfulness, emotion regulation and selective visual attention to valenced stimuli. Participants (N = 123; 75.6 % female; 87 % Caucasian; Mage = 19.14 years) completed measures of trait mindfulness, emotion regulation, and engaged in an eye-tracking paradigm in which they viewed sad, threatening, neutral, and happy images simultaneously. Dwell times on images (all categories combined), black space on screen, and each image category were calculated. Bivariate correlations were assessed to determine the relations among mindfulness, emotion regulation, and visual attention, controlling for mood. Trait mindfulness was associated with longer dwell time on images overall, but specifically longer dwell time on threatening and happy images. Although trait mindfulness and emotion regulation were positively associated, emotion regulation was not significantly associated with visual attention. These results suggest that trait mindfulness is associated with visual attention to valenced stimuli, particularly happy and threatening images, and emotion regulation does not account for these relations. These findings add to our understanding of the cognitive mechanisms underlying trait mindfulness.


Asunto(s)
Afecto/fisiología , Atención/fisiología , Regulación Emocional/fisiología , Atención Plena , Personalidad/fisiología , Percepción Visual/fisiología , Adolescente , Adulto , Tecnología de Seguimiento Ocular , Femenino , Humanos , Masculino , Reconocimiento Visual de Modelos/fisiología , Factores de Tiempo , Adulto Joven
18.
Exp Anim ; 70(1): 119-125, 2021 Feb 06.
Artículo en Inglés | MEDLINE | ID: mdl-33100276

RESUMEN

Apart from self and conspecific odors, odors from other species also influence the affective states in laboratory mice (Mus musculus musculus) in their home cages and during experimental procedures, possibly inducing confusion and inconsistency in experimental data. Thus, it is important to detect the types of animal odors associated with housing, husbandry, and laboratory practice that can arouse different types of affective changes in mice. Here, we aimed to test the effectiveness of the acoustic startle reflex (ASR) in detecting changes in the affective states of laboratory mice due to animal-derived-odor as it has a non-zero baseline, and can be enhanced or attenuated by positive or negative affective shifts, respectively. We used ASR to examine the affective changes in mice that were induced by bedding odors and an alarm pheromone. The odor of bedding obtained from the mice' home cages significantly attenuated the ASR, suggesting positive affective shifts in the test mice, whereas that from bedding obtained from rat cages significantly enhanced the ASR, suggesting negative affective shifts. No significant changes in ASR were observed in mice presented with the odor of bedding obtained from cages of unfamiliar conspecifics. In contrast, there was significant ASR enhancement in mice exposed to volatile components of alarm pheromones trapped in water, suggesting negative affective shifts. Thus, our findings show that ASR may be a valuable tool in assessing the effects of odors on the affective states in laboratory mice.


Asunto(s)
Estimulación Acústica , Afecto/fisiología , Animales de Laboratorio/fisiología , Animales de Laboratorio/psicología , Vivienda para Animales , Ratones Endogámicos/fisiología , Ratones Endogámicos/psicología , Odorantes , Reflejo de Sobresalto/fisiología , Olfato/fisiología , Crianza de Animales Domésticos , Animales , Masculino , Feromonas
19.
Psychophysiology ; 58(4): e13698, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33048361

RESUMEN

Stress Recovery Theory (SRT) suggests that time spent in nature reduces stress. While many studies have examined changes in stress physiology after exposure to nature imagery, nature virtual reality, or nature walks, this study is the first to examine changes in heart rate (HR) and vagally mediated HR variability, as assessed by Respiratory Sinus Arrythmia (RSA), after a longer duration of nature exposure. Consistent with SRT, we hypothesized that immersion in nature would promote stress recovery, as indexed by an increase in RSA and a decrease in HR. We also predicted that exposure to nature would improve self-reported mood. We used a within-subjects design (N = 67) to assess changes in peripheral physiology before, during, and after a 5-day nature trip. Results demonstrated a significant decrease in RSA and a significant increase in HR during the trip compared to before or after the trip, suggesting that immersion in nature is associated with a shift toward parasympathetic withdrawal and possible sympathetic activation. These results were contrary to our hypotheses and may suggest increased attentional intake or presence of emotions associated with an increase in sympathetic activation. We also found an improvement in self-reported measures of mood during the trip compared to before or after the trip, confirming our hypotheses and replicating previous research. Implications of this study are discussed in the context of SRT.


Asunto(s)
Afecto/fisiología , Sistema Nervioso Autónomo/fisiología , Frecuencia Cardíaca/fisiología , Recreación , Terapia por Relajación , Arritmia Sinusal Respiratoria/fisiología , Estrés Psicológico/rehabilitación , Adolescente , Adulto , Glucemia , Acampada , Electrocardiografía , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estrés Psicológico/sangre , Estrés Psicológico/fisiopatología , Adulto Joven
20.
Complement Ther Med ; 56: 102585, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33197660

RESUMEN

While the chronic effects of certain styles of yoga on cardiometabolic factors have been investigated, little is known about the acute effects of a single yoga session on these outcomes. Moreover, vinyasa yoga's potential to modulate cardiometabolic outcomes has not been established. The purpose of this study is to determine the acute effects of a vinyasa yoga session on arterial stiffness, wave reflection, lipid and glucose concentrations, and mood in adults with prior yoga experience. Thirty yoga practitioners with a minimum of 3 months of practice experience were enrolled into the study. Carotid-femoral pulse wave velocity (cf-PWV), augmentation index (AIx), lipid profile, glucose concentrations, and mood (Positive and Negative Affect Scale) were assessed at baseline and immediately following a 1 -h vinyasa yoga session. After the yoga session, participants had significantly lower AIx (p < 0.001), non-HDL cholesterol (p < 0.05), and negative affect (p < 0.01) compared to baseline. These results highlight the efficacy of a single bout of yoga in altering wave reflection while improving mood and lipid concentrations in healthy adults with a history of yoga practice.


Asunto(s)
Glucemia/fisiología , Lípidos/sangre , Rigidez Vascular/fisiología , Yoga , Adulto , Afecto/fisiología , Anciano , Humanos , Persona de Mediana Edad , Análisis de la Onda del Pulso , Adulto Joven
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