stress & memory
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Stress and memory-implications for stress related effects on memoryTRANSCRIPT
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Stress & Memory
James M. DeCarli, PhD Candidate, MPH, MPA, CHES
Departments of Psychology & NeuroscienceUniversity of Southern California
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OverviewBackground on Stress
HistoryTypes & ClassificationsPhysiological Responses
Effects of Stress on MemoryAcute & Chronic StressDecreases & Increases of Memory
Effects of Stress on the Brain Function & StructureHippocampusStress HormonesNeuroplasticity
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Key Stress Physiologists
French physiologist, Claude BernardPrinciples of dynamic equilibrium
Internal bodily environmentExternal forces
External forces (examples)TemperatureOxygen concentration in the air,Expenditure of energyPresence of predatorsDiseases
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Key Stress Physiologists
Walter Cannon, Neurologist “Homeostasis“Stressors-Emotional“Fight or Flight" ResponseNor-epinephrine Neurotransmitter
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Key Stress Physiologists
The Father of StressHans Selye is regarded as the “father of stress.” He is also well known for a model of stress called the General Adaptation Syndrome. It has three phases:
Alarm: the individual becomes of aware of the stressorResistance: the individual attempts to fight off and/or adapt to the stressorExhaustion: the costs of fighting and/or adaptation are so high the individual wears out
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Stress Defined
No universal definition accepted“Any external stimulus that threatens homeostasis” (Hans Selye) “a perceived threat to homeostasis and as an event or stimulus that causes an often abrupt but always large change in autonomic activity and hormone secretion-particularly cortisol and prolactin” (Wolkowitz & Rothschild, 2003)
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Contributing Factors to Stress
Stress is a highly individualized experience (Wolkowitz 2003)
Not all stressful events are stressful to every personContributing Factors:
Genetic predispositionDevelopmental stageGenderPerception of the stressor
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External and Internal Stressors
External stressors:physical conditions (such as pain or hot or cold temperatures)stressful psychological environments (such as poor working conditions or abusive relationships).
Internal stressors:physical (infections, inflammation) Psychological (i.e. intense worry about a harmful event that may or may not occur)
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Classification of Stress
Acute Stress (short term fight or flight)Noise CrowdingImagining a threat or remembering a dangerous event
Chronic StressFinancial worriesLonelinessRelationship problemsOngoing highly pressured at work.
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Brain Structures Affected by Stress
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Brain Functions & Stress
BrainControls when & where stress hormones will be releasedDefines the perception on what is stressful
Determined by past experience (injury, abuse, etc.)Past experiences can affect neuroplascitiy
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Physiological Responses of Stress
Stressor
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Physiological Responses of Stress
AllostasisWhen stress persists for too long the protective physiological mechanisms become overburdened, leading to allostatic load (Sterling and Eyer, 1988)Affected by real or imagined event: Varies among individuals (Schulkin et al. 1994)
Allostatic LoadCauses a wear and tear effect from chronic stressorsCortisol (Glucocorticoid)
Negative health effects (Wolkowitz, 2003)
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Acute and Chronic Effects from Cortisol (Glucocorticoid)
Acute Stress Chronic Stress
Metabolism: Stimulation of gluconeogenesis Adult onset diabetes, obesity.
Increase heart pressure, heart rate Hypertension, heart disease
Sharpening of cognitive skills, memory Damage to memory system
Decrease growth functions Stunted growth
Decrease brain metabolism Neural degeneration
Loss of reproductive function Loss of reproductive function
Decrease immune response Decrease immune response
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Effects of Stress on MemoryAcute:
Memory Enhancement Occur in low stress emotional situations
Memory Decrease Declarative memory
Brain Metabolism DecreaseCG’s down regulates brain metabolism
Beneficial during energy crisisLong term effect:
1) Lower brain metabolism leads to inability of neurons to survive2) Resulting in severe neuronal atrophy or death
During enhancement of memoryCertain types of memory favored (i.e. emotional)Poor encoding Retrieval also affected negatively
Chronic:Memory decreaseHippocampal atrophyNeuroplasticity
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Acute Stress: Memory EnhancementHumans Animals/Rats
Emotional events (stressful-flashbulb effect) well remembered
Mc Gaugh and Cahill tested episodic memory of movies or slide shows that have stressful sections
They found: The amygdala is highly activeduring emotional portion of the movie and activation correlates with memory retention
Further, patients that had amygdala lesions did not show the effect
Stress enhanced delay and trace eye blink conditioning (Mc Gaugh and Cahill )
Spatial navigation among adrenalectomizedrats with no GC, were found impaired
“Systemic injection of norepinephrineincreases the retention of avoidance response”
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Acute Stress: Memory Decrease
Human Animals/RatsDeclarative memory retrieval found affected in men (and not women) after social stress (Mc Gaugh and Cahill)
Gender Differences (Shors, 2001)
Demonstrated:
1) Dendritic spines sensitive to acute stress
2) Respond in opposite directions to the same stimulus based on gender differences & hormonal changes
Rats: When exposed to a cat had reduced spatial learning (Mc Gaugh and Cahill )
This was strongly associated with a decrease (both in vitro and in vivo) of LTP in CA1
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Memory Decrease From Acute Stress in Humans
FlashbulbMemories are enhanced from that time (Brown & Kulik, 1977)Enhancement of memory attributed rehearsal effect (Winograd & Neisser, 1992)
Repeated discussing event in later daysResults in distortions of memory (inaccurate recall)Rehearing of inaccurate memory becomes stronger
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Memory Decrease From Chronic Stress in Humans
Inhibit Laying Down of MemoryBiased memory towards threat
Experiments: Photographs resulted in viewers focusing on the threat and less memory of other portions (Christian, Loftus, Hoffman & Loftun, 1991)
Neurohormonal Modulation of MemoryFight-or-flight: Norepinephrine and epinephrine strengthen laying down of memory-hippocampusCortisol inhibits laying down of memories
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Chronic Stress Effect on Hippocampus
Elevated glucocorticoids results:Hippocampus damage (Sapolsky et al., 1990)
Impairing Memory & Long Term Potentiation (Luine, Villages, Martinex & McEwen, 1994)New Learning Memory (Arbel, Kadar, Silberman & Levy, 1994)Study: Found that monkey hippocampus sustained glucocorticoid related damage (Sapolsky et al., 1990)
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Chronic Stress Effect on Hippocampus, cont’d
NeuronsDecrease normal branching Results in death of neurons (Magarinos, Verdugo, & McEwen, 1997)
Atrophy Decrease in serotonin 5HT receptor binding within hippocampusAssociated with atrophy (CA3 Region of hippocampus and memory impairment (McEwen et al., 1997)
Brain-Derived Neurotrophic Factor (BDNF)Reduction in BDNF May be related to release of Glucocorticoid (Smith et al., 1995) orSerotonin 5HT receptor stimulation (Vaidya, Marek, Aghajanian & Duman, 1997)Smith (1995) also suggests that decreased levels of BDNF may cause hippocampus atrophy or cell death
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Atrophy of Hippocampus
Sapolsky (2000) reviewed 3-studies studying severe depression that used MRI technology to image the hippocampusDepression:
Found all subjects reported hippocampal atrophyAtrophy did not resolve over timeAppeared to be irreversible
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Hippocampal Atrophy from Depression
Range of Atrophy 8-19%
Laterality of Atrophy Trend toward left-sided atrophy>right-sided atrophy
Anatomical Specificity Volume loss reported in hippocampus; frontal cortical and cell loss reported
Functional Consequences
Evidence for deficits in explicit memory
When Atrophy Occurs No evidence for deficits in explicit memory
Likely Mechanisms Undergo Atrophy
Cell loss and inhibition of neurogenesis
Role for Glucocorticoids Indirectly implicated
Sapolsky (2000)
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Atrophy of Hippocampus from PTSD
PTSD (Post-traumatic stress disorder):Flashbulb memory of some images of the traumatic and unusually fragmented episodic memory of the entire event
Sapolsky (2000) reviewed 5-studies on PTSDFound all studies that researched changes in the hippocampus in PTSP reported atrophy in that region
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Hippocampal Atrophy from PTSDRange of Atrophy 5-26%
Laterality of Atrophy Conflicting data
Anatomical Specificity Volume loss reported in hippocampus
Functional Consequences Strong evidence deficits in explicit memory
When Atrophy Occurs Mixed evidence
Likely Mechanisms Undergo Atrophy
Cell loss and inhibition of neurogenesis
Role for Glucocorticoids No role if atrophy preceded trauma: indirectly implicated if atrophy arises from trauma, conflicting evidence if trauma arisisfrom PTSD
Sapolsky (2000)
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Atrophy of Hippocampus from Cushing Syndrome
Cushing Syndrome: Characterized by hypersecreation of cortisol, resulting in corticotrpin-releasing hormone secreting tumors that result in hypercortisolismPathologic studies suggest the effect is hippocampus atrophy Studies: Severe atrophy associated with severe hypercortisolism (Sapolsky, 2000)
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Hippocampal Atrophy from Cushing Syndrome
Range of Atrophy na
Laterality of Atrophy None
Anatomical Specificity Volume loss reported in hippocampus, caudate, and cortex: ventricles enlarged
Functional Consequences Strong evidence deficits in explicit memory
When Atrophy Occurs No evidence for atrophy prior to disease onset
Likely Mechanisms Undergo Atrophy
Tissue compression, regression of dendrites and inhibition of neurogenesis
Role for Glucocorticoids Highly likely
Sapolsky (2000)
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Effect of Cortisol on Memory
Randomized, double blind, placebo-controlled study, Newcomer et al., 1999 (N=51)
Methodology:Gp-1: High steriod group
160mg/d (dose similar to experiencing major abdominal surgery)
Gp-2: Low steriod group40mg/d (dose similar to experiencing minor procedures such as removal of stitches
Gp-3: Pladebo group
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Effect on Cortisol on Memory
Study Results (Newcomer et al., 1999)
0
20
40
60
80
100
120
Baseline Day-1 Day-4
Verb
al D
ecla
rativ
e M
emor
y Pe
rform
ance Gp-1: 160mg/d
Gp-2: 40mg/dGp-3: Placebo
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Neuroplasticity & Stress
Rainnie DG, et al (2004)Stress peptide-inducted behavior syndrome correlated with cellular mechanisms of neural plasticity
Cao J, et al (2004)Stress-facilitated Long-Term Depression (LTD) induces output plasticity through synchronized-spikes suggest stress-related plasticity plays a significant role in distribution, integration, and amplification of encoded information to other brain structures under stress
Kuipers SD, et al (2004)Confirmed that the damaging effect of stress on cortical activity, on a molecular lever suggest underlying cellular actions of stress in the brain.
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Conclusion
Physiological responses of stress:Necessary for adaptationBoth increases & decreases memory for survival
Chronic stress (excessive levels of cortisol):Impair successful adaptation due to glucocorticoid secretion (poor regulation of endocrine response to stress)Inhibits laying down of memory, LTP, & new learningHippocampal atrophy and death of neuronsNeuroplasticity
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Implications for Stress Related Effects on Memory
Improved TreatmentPTSD, depression, etc.
Research & Clinical ApplicationAlzheimer’s DiseaseDementiaIPVAdult Manifestation of Early Childhood Trauma (ECT)