Acute stress does not modulate selective attention in a composite letter task.

Acute stress has been demonstrated to affect a diverse array of attentional processes, one of which is selective attention. Selective attention refers to the cognitive process of deliberately allocating attentional resources to a specific stimulus, while ignoring other, distracting stimuli. While catecholamines have been shown to narrow attention, investigations on the influence of the stress hormone cortisol have yielded ambiguous results. We conducted two separate studies utilizing different laboratory stress induction paradigms to examine if cortisol influences the ability to selectively attend to local or global elements of a visual stimulus. In Study 1, 72 healthy young men took part either in the stressful Socially Evaluated Cold Pressor Test (SECPT) or a non-stressful (warm water) control, before being exposed to a composite letter task (CLT). Study 2 comprised a sample of 72 healthy young men and women and made use of a modified version of the Trier Social Stress Test (TSST) as well as a non-stressful control version, the friendly-TSST (f-TSST). Via endocrine, physiological, and subjective markers, we confirmed a successful stress induction. As verified with Bayesian statistics, stress did not affect selective attention in neither of the two studies. Furthermore, we were able to replicate the previously demonstrated absence of global precedence for composite figures composed of letters. Our results offer novel insights into the temporal dynamics of the effects of acute stress on attentional processes. Future studies should manipulate the timing of stress induction and investigate the effects of stress on letter vs. non-letter composite figures to shed further light on the underlying mechanisms.

Evidence for impaired extinction learning in humans after distal stress exposure.

Stressful or traumatic events can be risk factors for anxiety or trauma- and stressor-related disorders. In this regard, it has been shown that stress affects aversive learning and memory processes. In rodents, stress exposure 10 days prior to fear acquisition impairs fear extinction. However, in humans the effect of distal stress on fear conditioning is sparse. Therefore, we examined the influence of distal stress on fear memory in humans in two studies. In Study 1, participants underwent either socially evaluated cold-pressor test (SECPT) or sham procedure 10 days or 40 min before a fear conditioning paradigm (four groups, N = 78). In Study 2, context effects were examined by conducting SECPT and sham procedures 10 days prior conditioning either in the later fear conditioning context or in another context (three groups, N = 69). During acquisition phase, one geometrical shape (conditioned stimulus, CS+) was paired with painful electric shocks (unconditioned stimulus, US), but never a second shape (CS-). Extinction phase was identical to acquisition, but without US delivery. Importantly, for Study 1 these phases were conducted on one day, while for Study 2 on two separated days. Successful fear acquisition was indicated by aversive ratings and startle potentiation to CS+ versus CS- in both studies. Interestingly, participants stressed 10 days earlier showed impaired extinction on the implicit level (startle potentiation to CS+ vs. CS-) in Study 1 and only in the acquisition context on the explicit level (aversive ratings for CS+ vs. CS-) in Study 2. In sum, distal stress may strengthen later acquired fear memories and thereby impair fear extinction. This finding could have clinical implications, showing that prior stress exposure sensitizes later aversive processing and impairs therapy.

Interdependent self-construal modulates the adrenocortical stress response in the socially evaluated cold-pressor test.

Previous studies suggested that the Trier social stress test (TSST) induced a higher cortisol stress response in individuals with high interdependent self-construal (InterSC) as compared to those with low InterSC, and that participants' perception of social evaluative threat mediated the association between InterSC and cortisol stress response. To further examine if individuals with high InterSC exhibit a strong psychological stress response independent of the stress paradigm, the current study investigated the stress response of individuals with high InterSC in a socially evaluated cold-pressor test (SECPT) paradigm, which has also been shown to reliably increase hypothalamus-pituitary-adrenal (HPA) activity with a social evaluative element. Fifty-five healthy participants (29 females; mean age = 20.55 years) completed the Self-Construal Scale and their salivary cortisol samples were collected at 0, 30, 45, and 60 minutes after waking up on a weekday morning. Participants' cardiovascular and adrenocortical stress responses in the SECPT were also measured while they immersed their hand in ice water, and they were observed by the experimenter and videotaped during this task. Our results indicated that participants with high InterSC showed a higher level of cortisol awakening response (CAR). Additionally, they perceived higher levels of social evaluative threat and exhibited higher saliva cortisol response to the SECPT. Taken together, the present findings and those obtained from previous studies suggest a significant and reliable role of InterSC in regulating biological and psychological stress responses.

Promoter haplotypes of the corticotropin-releasing hormone encoding gene modulate the physiological stress response in vitro and in vivo.

The corticotropin-releasing hormone (CRH) is a neuropeptide mediating stress responses. CRH exerts effects via the hypothalamus pituitary adrenal axis as well as immediate effects on the sympathetic-adrenal-medullary system. Genetic variants of the CRH promoter were previously found to be associated with altered CRH promoter activity and physiological reactions. Functional characterization of three CRH promoter haplotypes have been performed in vitro using a reporter gene assay under different stimulation conditions. Furthermore, 232 healthy subjects were genotyped and the influence of CRH haplotypes on basal parameters such as post-awakening cortisol and blood pressure as well as on stress reactivity measured after socially evaluated cold pressor test (SeCPT) was investigated. In vitro, CRH haplotype 2 showed the highest promoter activity under baseline conditions and after forskolin stimulation compared with other haplotypes. Forskolin treatment resulted in a two fold increase of haplotype 2 promoter activity compared with the baseline condition. Cell line-dependent promoter activation was found after hydrocortisone treatment. In vivo, CRH haplotype 2 carriers showed significant higher baseline blood pressure (p = .002) and blood pressure after SeCPT (p < .001), but did not differ in cortisol levels. This study provides converging evidence for the importance of CRH promoter variants on physiological stress response parameters.

Memory retrieval of everyday information under stress.

Psychosocial stress is known to crucially influence learning and memory processes. Several studies have already shown an impairing effect of elevated cortisol concentrations on memory retrieval. These studies mainly used learning material consisting of stimuli with a limited ecological validity. When using material with a social contextual component or with educational relevant material both impairing and enhancing stress effects on memory retrieval could be observed. In line with these latter studies, the present experiment also used material with a higher ecological validity (a coherent text consisting of daily relevant numeric, figural and verbal information). After encoding, retrieval took place 24 h later after exposure to psychosocial stress or a control procedure (20 healthy men per group). The stress group was further subdivided into cortisol responders and non-responders. Results showed a significantly impaired retrieval of everyday information in non-responders compared to responders and controls. Altogether, the present findings indicate the need of an appropriate cortisol response for the successful memory retrieval of everyday information. Thus, the present findings suggest that cortisol increases - contrary to a stressful experience per se - seem to play a protective role for retrieving everyday information. Additionally, it could be speculated that the previously reported impairing stress effects on memory retrieval might depend on the used learning material.

Acute social stress before the planning phase improves memory performance in a complex real life-related prospective memory task.

Successful execution of intentions, but also the failure to recall are common phenomena in everyday life. The planning, retention, and realization of intentions are often framed as the scientific concept of prospective memory. The current study aimed to examine the influence of acute stress on key dimensions of complex "real life" prospective memory. To this end, we applied a prospective memory task that involved the planning, retention, and performance of intentions during a fictional holiday week. Forty healthy males participated in the study. Half of the subjects were stressed with the Socially Evaluated Cold Pressor Test (SECPT) before the planning of intentions, and the other half of the participants underwent a control procedure at the same time. Salivary cortisol was used to measure the effectiveness of the SECPT stress induction. Stressed participants did not differ from controls in planning accuracy. However, when we compared stressed participants with controls during prospective memory retrieval, we found statistically significant differences in PM across the performance phase. Participants treated with the SECPT procedure before the planning phase showed improved prospective memory retrieval over time, while performance of controls declined. Particularly, there was a significant difference between the stress and control group for the last two days of the holiday week. Interestingly, control participants showed significantly better performance for early than later learned items, which could be an indicator of a primacy effect. This differential effect of stress on performance was also found in time- and event-dependent prospective memory. Our results demonstrate for the first time, that acute stress induced before the planning phase may improve prospective memory over the time course of the performance phase in time- and event-dependent prospective memory. Our data thus indicate that prospective memory can be enhanced by acute stress.

The impact of psychosocial stress on conceptual knowledge retrieval.

The acquisition of conceptual knowledge in scientific domains is among the central aims of school instruction because this semantic declarative knowledge helps individuals make interferences and explain complex phenomena. Recent research shows that naïve concepts acquired during childhood persist in long-term memory long after learning the scientifically correct concepts in school. In this study, we investigated the effects of stress on the retrieval of these conceptual representations. To this end, 40 healthy men were randomly assigned to either psychosocial stress or a control condition and evaluated, as quickly and accurately as possible, statements that were compatible with scientific concepts or incompatible with those concepts. Some of these statements were true and some were false. Incompatible statements in this case are statements which are in line with adults' scientific concepts, but not with children's naïve theories. In contrast, compatible statements are in line with both. Stress induction was successful as evidenced by increases in blood pressure and cortisol concentrations in the stress group compared to the control group. Responses were delayed and less accurate for incompatible compared to compatible statements. Psychosocial stress had no main effect on retrieval, but abolished reaction time differences on false- vs. true-incompatible statements. This effect was mirrored in correlations between individuals' cortisol increases and reaction times. These results suggest that stress, as embodied by increases in cortisol concentrations, interferes with the retrieval of conceptual knowledge. They help to better understand conceptual knowledge retrieval in real-life situations such as examinations or problem solving in the workplace.

The influence of a glucose administration on stress responsivity and memory after a socially evaluated cold pressor test.

The nutritional state of participants prior to stress induction via a laboratory stressor has been demonstrated to influence reactivity of the Hypothalamus-Pituitary-Adrenal axis. So far, either primarily psychosocial or primarily physiological stressors have been utilized investigating this effect. In the present study, we aimed to fill this gap in the existing literature by utilizing a stressor that combines both elements, namely the Socially Evaluated Cold Pressor Test. Furthermore, we investigated how glucose consumption and subsequent stress induction influence long-term memory retrieval as well as working memory. In a 2 × 2 design, half of the 72 participants (36 women, 36 men) participated in the laboratory stressor while the other half participated in a control condition after having fasted for at least six hours. Thirty minutes prior to stress or control treatment, fasted participants consumed either 75 g of glucose or stevia-sweetened water. Salivary cortisol levels, systolic and diastolic blood pressure, as well as affect did not significantly differ between participants consuming glucose or the placebo beverage. Acute stress impaired working memory but had no effect on long-term memory retrieval. Glucose consumption did not significantly influence memory. Our results suggest that the intensity of a stressor might be important when determining the effects of a glucose administration on stress reactivity. The nutritional state of participants taking part in studies investigating the effects of acute stress on memory might be less decisive than previously assumed.

Exposure to acute stress affects the retrieval of out-group related bias in healthy men.

Individuals have a tendency to show enhanced vigilance to groups of which they themselves are not a member. Stress can up-regulate hypervigilance towards threatening stimuli and was shown to promote the reinstatement of out-group related biases in a previous study conducted in women only. The current study examines how exposure to acute stress affects the retrieval of out-group related extinction biases in male participants. Results showed that men exerted a specific out-group related bias at the beginning of extinction training indexed by higher skin conductance responses (SCRs) towards out-group faces, while stress led to a return of this extinguished out-group bias. Specifically, the stress group showed higher SCRs towards out-group faces during retrieval compared to the control group and the bias index was negatively related to post-stress cardiovascular recovery. These results indicate the important interaction between stress and intergroup bias in fear conditioning, along with a potential modulation of sex.

Insights from a laboratory and naturalistic investigation on stress, rumination and frontal brain functioning in MDD: An fNIRS study.

Recent research has emphasized rumination as an important maintaining factor in various mental disorders. However, operationalization and therefore induction of rumination in experimental settings poses a major challenge in terms of ecological validity. As stress seems to play a key role in everyday situations eliciting rumination, we conducted two stress paradigms while assessing behavioral and neurophysiological measures. Aiming to replicate previous findings on induced rumination by means of the Trier Social Stress Test (TSST) and comparing them to physiological (pain) stress, a clinical sample of patients with Major Depressive Disorder (MDD; n = 22) and healthy controls (HC; n = 23) was recruited. Cortical blood oxygenation was assessed during the stress paradigms using functional near-infrared spectroscopy (fNIRS). Further, we used ecological momentary assessment (EMA) of stress, rumination and mood to be able to correlate ruminative responses during induced stress and everyday rumination. Our results showed that social stress but not physiological stress induced depressive rumination in MDD but not in HC. Further, rumination reactivity in response to social stress but not to physiological stress was significantly associated with rumination reactivity in everyday life as assessed with EMA. With respect to cortical oxygenation, MDD subjects showed hypoactivity in the Cognitive Control Network during the TSST, which mediated the differences between MDD and HC in post-stress rumination. Our findings emphasize the role of negative social triggers in depressive rumination and validate the TSST as an induction method for depressive rumination. The results inform future developments in psychotherapeutic treatment for depressive rumination.

Associations between Attention and Implicit Associative Learning in Healthy Adults: The Role of Cortisol and Salivary Alpha-Amylase Responses to an Acute Stressor.

In this study, we investigated the associations between implicit associative learning with the cortisol and salivary alpha-amylase (sAA) stress response to an acute stressor as well as their associations with attention. Eighty one healthy adults (25 male) participated and either performed the socially evaluated cold-pressor test (SECPT) or a warm-water control task (WWT). Either prior to or immediately after the SECPT/WWT, participants implicitly learned digit-symbol pairs. A not-previously announced recall test was conducted about 20 min after the SECPT/WWT. Attention was assessed by means of a Stroop task at nine time points over the course of the experiment. Memory recall performance was not significantly associated with the acquisition time point (pre or post stressor) and did not significantly differ between the responder groups (i.e., non-responders, sAA-and-cortisol responders, only sAA responders, and only cortisol responders). Attentional performance increased throughout the experiment (i.e., reaction times in the Stroop task decreased). No differences in the attentional time course were found between the responder groups. However, some associations were found (puncorrected < 0.05) that did not pass the multiple comparison adjusted alpha level of αadjusted = 0.002, indicating different associations between attention and implicit learning between the responder groups. We conclude that the associations of sAA and cortisol responses with implicit learning are complex and are related to each other. Further studies in which both (sAA and cortisol responses) are selectively (de-) activated are needed. Furthermore, different learning tasks and less-potentially stressful-attentional assessments should be used in future research. Moreover, field studies are needed in which the associations between acute stress and implicit associative learning are investigated in everyday life.

Evaluation of the socially evaluated cold-pressor group test (SECPT-G) in the general population.

BACKGROUND: In stress research, economic instruments for introducing acute stress responses are needed. In this study, we investigated whether the socially evaluated cold-pressor group test (SECPT-G) induces salivary alpha-amylase (sAA) and/or cortisol responses in the general population and whether this is associated with anthropometric, experimental, and lifestyle factors. METHODS: A sample of 91 participants from the general population was recruited. Salivary cortisol and sAA levels were assessed prior to (t 0), immediately after (t 1), and 10 min after the SECPT-G (t 2). RESULTS: A robust cortisol increase was found immediately after the SECPT-G, which further increased between t 1 and t 2. This was independent of most of the control variables. However, men showed a trend toward higher cortisol increases than women (p = 0.005). No sAA responses were found at all. However, sAA levels were dependent on measurement time point with highest levels between 9 pm and 9:30 pm. Participants who immersed their hands into the ice water for the maximally allowed time of 3 min showed higher sAA levels at all time points than participants who removed their hands from the water earlier. CONCLUSIONS: We conclude that the SECPT-G is a good means of an acute stress test when cortisol-but not necessarily sAA-responses are intended.

Ten years of research with the Socially Evaluated Cold Pressor Test: Data from the past and guidelines for the future.

Ten years ago, the Socially Evaluated Cold Pressor Test (SECPT) was introduced as a standardized protocol for the efficient experimental stress induction in humans. In short, the 3 min SECPT, which can be conducted by only a single experimenter, combines a physiological challenge (hand immersion into ice water) with socio-evaluative elements. The purpose of this article is twofold. First, we aim to evaluate the subjective and physiological responses elicited by the SECPT. To this end, we pooled data from 21 studies from our lab and systematically analyzed the response profile to the SECPT. Our analyses show that the SECPT leads, both in men and women, to striking increases in subjective stress levels, autonomic arousal, and cortisol, albeit the cortisol response is typically somewhat less pronounced than in the Trier Social Stress Test. Second, we aim to provide guidelines for conducting the SECPT, in order to foster homogenization of the SECPT procedure across (and within) labs. In sum, we argue that the SECPT is a highly efficient tool to induce stress and activate major stress systems in a laboratory context, in particular if the guidelines that we outline here are followed.

Contribution of stress and sex hormones to memory encoding.

Distinct stages of the menstrual cycle and the intake of oral contraceptives (OC) affect sex hormone levels, stress responses, and memory processes critically involved in the pathogenesis of mental disorders. To characterize the interaction of sex and stress hormones on memory encoding, 30 men, 30 women in the early follicular phase of the menstrual cycle (FO), 30 women in the luteal phase (LU), and 30 OC women were exposed to either a stress (socially evaluated cold-pressor test) or a control condition prior to memory encoding and immediate recall of neutral, positive, and negative words. On the next day, delayed free and cued recall was tested. Sex hormone levels verified distinct estradiol, progesterone, and testosterone levels between groups. Stress increased blood pressure, cortisol concentrations, and ratings of stress appraisal in all four groups as well as cued recall performance of negative words in men. Stress exposure in OC women led to a blunted cortisol response and rather enhanced cued recall of neutral words. Thus, pre-encoding stress facilitated emotional cued recall performance in men only, but not women with different sex hormone statuses pointing to the pivotal role of circulating sex hormones in modulation of learning and memory processes.

Stress enhances reconsolidation of declarative memory.

Retrieval of negative emotional memories is often accompanied by the experience of stress. Upon retrieval, a memory trace can temporarily return into a labile state, where it is vulnerable to change. An unresolved question is whether post-retrieval stress may affect the strength of declarative memory in humans by modulating the reconsolidation process. Here, we tested in two experiments whether post-reactivation stress may affect the strength of declarative memory in humans. In both experiments, participants were instructed to learn neutral, positive and negative words. Approximately 24h later, participants received a reminder of the word list followed by exposure to the social evaluative cold pressor task (reactivation/stress group, nexp1=20; nexp2=18) or control task (reactivation/no-stress group, nexp1=23; nexp2=18). An additional control group was solely exposed to the stress task, without memory reactivation (no-reactivation/stress group, nexp1=23; nexp2=21). The next day, memory performance was tested using a free recall and a recognition task. In the first experiment we showed that participants in the reactivation/stress group recalled more words than participants in the reactivation/no-stress and no-reactivation/stress group, irrespective of valence of the word stimuli. Furthermore, participants in the reactivation/stress group made more false recognition errors. In the second experiment we replicated our observations on the free recall task for a new set of word stimuli, but we did not find any differences in false recognition. The current findings indicate that post-reactivation stress can improve declarative memory performance by modulating the process of reconsolidation. This finding contributes to our understanding why some memories are more persistent than others.

The socially evaluated cold-pressor test (SECPT) for groups: effects of repeated administration of a combined physiological and psychological stressor.

The combined administration of physiological (cold pressor) and psychological (social-evaluative threat) stressors, as in the socially evaluated cold pressor test (SECPT; Schwabe et al., 2008) activates the sympathetic nervous system (SNS) and the hypothalamic-pituitary-adrenal (HPA) axis. Thus far, the SECPT has been administered exclusively to individual participants, which requires substantial personal effort and time. Therefore, the aim of the present study was to investigate whether and to what extent cardiovascular parameters (SNS) and salivary cortisol concentrations (HPA axis) are affected over the course of repeated SECPT administration in a group design. The SECPT was conducted in groups of seven or more persons and repeated twice with a 24-h interval between each administration. During the stress test, the participants (n=61) were videotaped and observed continuously while they immersed their hands into ice-cold (1 °C, experimental group) or room-temperature (20 °C, control group) water. Blood pressure, heart rate, salivary cortisol concentration, and subjective stress perception were measured. All of these parameters increased significantly during each of the three stress exposures; in contrast, they remained constant in the control group. Moreover, the heart rate response towards the stressor decreased significantly over the course of the repeated stress exposures and salivary cortisol concentration of the experimental group was elevated before the third SECPT administration. Our results indicate that the group SECPT activates the SNS and the HPA, leading to increased blood pressure, heart rate, and cortisol concentration. Moreover, the repeated administration leads to habituation exclusively of heart rate.