关键词: Acute stress Attentional control Cognitive Flexibility Cortisol Executive functioning Heart rate Inhibition Meta-analysis Planning Subjective stress Systematic literature review Updating Working memory

来  源:   DOI:10.1016/j.neubiorev.2021.09.037

Abstract:
The goal of this systematic review and meta-analysis was to evaluate whether executive functioning predicts subsequent acute stress responses. A systematic search (conducted between May 22nd and 30th, 2019; updated on April 4th, 2020) on Cochrane, OpenGray, Proquest Dissertations and Thesis Global, PsycInfo, Pubmed, Scopus, and Web of Science revealed 27 correlational and five interventional studies. For quality appraisal, we used the BIOCROSS Tool, the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies, and the Revised Cochrane Risk-of-bias Tool for Randomized Trials. Attentional control was most consistently associated with acute stress. A robust variation estimation meta-analysis, conducted when sufficient data was available, revealed a small, significant, and negative correlation between higher working memory and subsequent lower cortisol reactivity (r = .09, p = .025, 95 % CI [0.15, 0.02]). These results highlight the role of executive functioning for acute stress responses, the scarcity of relevant data, and the need for both interventional designs and the consideration of mediators and moderators to understand underlying mechanisms.
摘要:
这项系统评价和荟萃分析的目的是评估执行功能是否可以预测随后的急性应激反应。系统搜索(在5月22日至30日之间进行,2019年4月4日更新,2020)在Cochrane上,OpenGray,全球论文和论文,PsycInfo,Pubmed,Scopus,WebofScience揭示了27项相关研究和5项干预研究。对于质量鉴定,我们使用了BIOCROSS工具,用于观察队列和横截面研究的质量评估工具,和修订后的Cochrane偏倚风险工具进行随机试验。注意控制与急性应激最相关。一种稳健的变异估计荟萃分析,在有足够数据的情况下进行,透露了一个小,重要的,较高的工作记忆与随后较低的皮质醇反应性之间呈负相关(r=.09,p=.025,95%CI[0.15,0.02])。这些结果突出了执行功能在急性应激反应中的作用,相关数据的匮乏,以及需要介入设计和考虑调解者和主持人来理解潜在的机制。
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