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At least 19 recordsLinked to original sources
PubMed2026

The Impact of Baseline Negative Emotions on Postoperative Quality of Life in Adolescent Idiopathic Scoliosis Patients: A 2-Year Follow-Up Study.

OBJECTIVE: Adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity that develops during puberty without a clear etiology. Beyond physical manifestations, AIS severely impacts adolescents' psychological and social well-being, leading to anxiety, depression, and low self-esteem. While advancements in surgical techniques have enhanced objective outcomes, existing studies on AIS have primarily focused on objective indices, with limited attention to the long-term impact of preoperative negative emotions on patient-reported subjective quality of life. METHODS: This was a retrospective cohort study. A total of 112 eligible AIS patients who underwent posterior spinal correction surgery between April and August 2023 were enrolled. Inclusion criteria included confirmed AIS, completion of 2-year follow-up, and informed consent; exclusion criteria included missing imaging/questionnaire data, comorbid psychiatric/neurological diseases, or prior spinal surgery. Patients were grouped using the Hospital Anxiety and Depression Scale (HADS) administered on admission. Quality of life was assessed preoperatively and 2&#x2009;years postoperatively using the Scoliosis Research Society-22 (SRS-22, evaluating self-image, mental health, pain, function, treatment satisfaction) and Short Form 36 Health Survey (SF-36, assessing 8 physical and mental health dimensions). Statistical analysis was performed via SPSS, using independent t-tests, paired t-tests, Mann-Whitney U test, and chi-square test. p&#x2009;<&#x2009;0.05 was considered significant. RESULTS: There were no significant differences in baseline characteristics (age, gender, BMI, surgical parameters, scoliosis type, preoperative/postoperative Cobb angles) between the two groups (all p&#x2009;>&#x2009;0.05). Preoperatively, SRS-22 and SF-36 scores showed no inter-group differences (all p&#x2009;>&#x2009;0.05). Postoperatively, the Negative Emotion Group had significantly lower scores in SRS-22 mental health (3.9&#x2009;&#xb1;&#x2009;0.3 vs. 4.5&#x2009;&#xb1;&#x2009;0.2) and treatment satisfaction (4.0&#x2009;&#xb1;&#x2009;0.3 vs. 4.6&#x2009;&#xb1;&#x2009;0.7), as well as SF-36 general health (68.6&#x2009;&#xb1;&#x2009;6.4 vs. 79.7&#x2009;&#xb1;&#x2009;13.3), role-emotional (61.3&#x2009;&#xb1;&#x2009;9.3 vs. 70.8&#x2009;&#xb1;&#x2009;9.7), and mental health (61.8&#x2009;&#xb1;&#x2009;14.3 vs. 68.9&#x2009;&#xb1;&#x2009;10.7) (all p&#x2009;<&#x2009;0.05); no inter-group differences were observed in physical function-related dimensions. Both groups showed significant improvements in physical function-related dimensions postoperatively. The Non-Negative Emotion Group also exhibited significant improvements in SRS-22 self-image/pain and SF-36 bodily pain (all p&#x2009;<&#x2009;0.05), while the Negative Emotion Group showed no significant improvements in these dimensions. CONCLUSIONS: Preoperative anxiety and depression do not affect the recovery of physical function in AIS patients after spinal correction surgery but significantly impede improvements in subjective quality of life dimensions, including mental health and treatment satisfaction. These findings highlight the need to integrate psychological assessment and targeted interventions into the perioperative management of AIS. Such a patient-centered approach will help optimize both physical and psychological outcomes, ultimately achieving comprehensive rehabilitation for AIS adolescents.

Humans↗
PubMed2026

Effects of sub-anesthetic doses of esketamine on immune function and postoperative negative emotions in acoustic neuroma patients: a randomized clinical trial.

BACKGROUND: Patients undergoing acoustic neuroma (AN) surgery often experience&#xa0;postoperative negative emotions, including anxiety, depression, and immune function suppression. This trial evaluated whether perioperative sub-anesthetic esketamine improves early postoperative negative emotions and immune function. METHODS: In this single-center, double-blind, randomized trial, 84 patients scheduled for AN surgery were assigned to esketamine (n = 42) or placebo (n = 42). The esketamine cohort received a continuous intravenous infusion of esketamine at 0.2&#x2009;mg&#xb7;kg-1&#xb7;h-1 during anesthesia, followed by 1&#x2009;mg&#xb7;kg-1 esketamine as an adjuvant in patient-controlled intravenous analgesia (PCIA). The placebo group received saline. The primary outcome was the incidence of depression on postoperative day (POD1), defined as a Hospital Anxiety and Depression Scale-Depression subscale (HADS-D) score > 7. RESULTS: Seventy-seven patients completed the study (39 in the esketamine group, 38 in the placebo group). Esketamine significantly reduced the incidence of depression at POD1 (7.7% versus 31.6%; relative risk 0.24, 95% CI: 0.08-0.80, p&#x2009;=&#x2009;0.008) and POD3 (0.0% versus 15.8%, relative risk 0.00, 95% CI: 0.00-0.47, p&#x2009;=&#x2009;0.031) compared with placebo. The incidences of anxiety on POD1 and 3 and sleep disturbances on POD1 were also significantly reduced (p&#x2009;<&#x2009;0.05). Notably, no significant differences were observed between the two groups in terms of immune function, postoperative pain scores, or intraoperative morphine equivalent. Adverse events did not differ between the groups. CONCLUSION: Perioperative sub-anesthetic esketamine reduced postoperative depression and anxiety, and improve sleep quality after AN surgery, without significant effects on early immune function or acute postoperative analgesia. TRIAL REGISTRATION: Chinese Clinical Trial Registry, ChiCTR2400084537.

Humans↗
PubMed2026

Neurovascular coupling in the basolateral amygdala modulates negative emotions.

Emotion induces changes in regional cerebral blood flow, a manifestation of neurovascular coupling (NVC). However, whether NVC provides feedback to actively modulate emotion remains unexplored. Here, we demonstrate that NVC actively and bidirectionally modulates stress-induced negative emotions. We established bidirectional manipulations of NVC in freely moving mice by employing integrated pharmacological, genetic, and arteriolar optogenetic approaches. Our results showed that both systemic and region-specific NVC deficiencies in the basolateral amygdala (BLA) heightened emotional responses when mice transitioned from a safe, familiar environment to anxiogenic environments and that local restoration of NVC in the BLA normalized these responses. Mechanistically, NVC dysfunction impaired the capacity of BLA neuronal scaling during state transitions, manifesting as a characteristic biphasic pattern of c-Fos topology. NVC-deficient animals aberrantly adopted high-stress configurations under mild stress but regressed to low-stress templates during high-demand survival threats, thereby compromising defensive sustainability. Notably, the genetic NVC-enhancement model counteracted NVC impairments caused by chronic stress, thereby alleviating stress-driven emotional distress. These findings establish NVC in the BLA as an allostatic program that fine-tunes neural circuit activity during emotional responses, with implications for understanding and treating emotional disorders.

Animals↗
PubMed2026

Acute effects of AT1 receptor blockade on approach-avoidance of negative emotional faces.

Recent evidence implicates the renin angiotensin system (RAS) in various cognitive markers of depression, including dysfunctional reward processing. Yet, it remains unknown whether these effects extend to other markers implicated in depression and its treatment, such as approach-avoidance motivations that reflect innate drives to approach reward and evade harm. We sought to examine the impact of acute losartan, an angiotensin type 1 (AT1) receptor blocker, on the implicit approach-avoidance of facial expressions and checkerboard controls in healthy adults. In a randomized controlled trial, N&#x2009;=&#x2009;68 healthy adults aged 18-50 (49&#x2009;F/19&#x2009;M) were administered a single 50&#x2009;mg dose of losartan or placebo before completing an implicit Approach Avoidance Task (AAT) at drug-peak level. On the AAT, participants responded to color-filtered facial stimuli (happy, sad, angry, or neutral) and checkerboard controls using a joystick, and were instructed to pull all gray photos and push all brown photos as quickly as possible. Compared to placebo, losartan induced a significant avoidance bias for sad faces (p&#x2009;=&#x2009;0.027) and reduced avoidance of angry faces at trend level (p&#x2009;=&#x2009;0.085). This occurred without significant group differences on blood pressure, overall reaction time, accuracy, and approach-avoidance biases for other stimuli. The response pattern associated with AT1 receptor blockade may counteract previously observed depressive tendencies, suggesting effects possibly consistent with antidepressant treatments. Our findings further highlight the RAS as a mechanistically relevant target for psychiatry, suggesting that AT1 receptor antagonism may have relevance for treating depression and other emotional disorders characterized by aberrant motivational biases (Clincialtrials.gov ID: NCT06624904).

Journal Article↗
PubMedDate not supplied

[Dynamics of cardiovascular functions in rats in the presence of the emotional reactions of self stimulation and avoidance].

Dynamics of arterial pressure and heart-rate was compared during positive and negative emotional reactions caused by stimulation of emotiogenic areas of hypothalamus in unrestrained rats. It was shown that negative emotional reactions as a rule are accompanied by development of hypertensive dynamics in arterial pressure leading to arterial hypertension. During positive emotional reactions pressor-depressory effects are more common which decreases the probability of summation of single hypertensive reactions and the development of arterial hypertension.

Animals↗
PubMed1979

[Effect of small doses of alcohol on emotional stress in patients with late sequelae of cranio-cerebral injuries].

An experimental study of individuals with late sequelae of closed cerebrocranial trauma, demonstrated that diverse signs of CNS activity to a different extent may be under the influence of small doses of alcohol. For instance, the sensorial process does not change significantly, which may indicate a relative independence of specific sensorial pathways (including the cortical area) from small doses of alcohol. Changes in cortical electro-activity and the threshold of the orientation reflex, the mechanisms of which are connected with the function of the brain stem reticular formation, points to an inhibitory action of alcohol on it. Against the background of alcoholic influence the socially significant emotionally negative stimula intensify emotional stress, the action of which is related to the activity of the limbic system structures and a weakening of the function of associative cortical fields. The results of this study permit to assume that different functional-structural mechanisms may lie at the basis of an emotional background (mood) and emotional stress.

Adult↗
PubMed2026

Causal Relationships Between Modifiable Risk Factors and Gastroesophageal Reflux Disease: A Two-Sample Mendelian Randomization Study.

INTRODUCTION: Gastroesophageal reflux disease (GERD) is a prevalent digestive disorder, yet the causal roles of modifiable risk factors remain unclear. This study aims to investigate the causal relationships between 28 modifiable risk factors (including obesity traits, mental health disorders, sleep traits, metabolic comorbidities, and serum parameters) and GERD using two-sample Mendelian randomization (MR). Gastroesophageal reflux disease (GERD). Our findings aim to inform targeted prevention and treatment strategies for GERD. METHODS: This study obtained data from extensive genome-wide association studies (GWAS). Pooled data associated with gastroesophageal reflux associations were obtained from the 23andMe Research team's research, which included a total of 129,080 cases of gastroesophageal reflux and 473,524 controls of European ancestry. We conducted a univariable Mendelian randomization (MR) analysis to ascertain whether genetic evidence of exposure demonstrated a statistically significant association with the risk of GERD. Subsequently, a multivariable MR analysis was carried out to estimate the independent effects of the exposures on GERD. RESULTS: Univariable MR analysis utilizing extensive GWAS data suggested that genetic factors such as BMI, Waist circumference, Arm fat mass (left and right), Leg fat mass (left and right), Attention Deficit and Hyperactivity Disorder (ADHD), Major Depressive Disorder (MDD), Schizophrenia, Negative emotions (including nervousness, anxiety, tension, or depression), Insomnia, Sleep apnea syndrome, Sleep duration, and Snoring, as well as Total cholesterol levels and Apolipoprotein B levels, are associated with the development of GERD. Multivariate Mendelian randomization of BMI and Negative emotion as correction factors showed that Waist circumference, Arm fat mass (left and right), Leg fat mass (left and right), ADHD, Insomnia, Sleep apnea syndrome, and Snoring were associated with an increased risk of GERD (p< 0.05). Conversely, longer sleep duration was associated with a reduced risk of GERD (p< 0.05). DISCUSSION: This MR study reveals novel causal mechanisms in GERD pathogenesis: (1) Peripheral adiposity (arm/leg fat mass) exerts independent effects beyond central obesity, indicating site-specific fat distribution significance; (2) ADHD emerges as a distinct psychiatric risk factor independent of mental disorders; (3) Sleep apnea operates through BMI-independent pathways. Collectively, these findings redefine GERD pathophysiology, highlighting fat depot specificity and brain-gut interactions as critical mechanistic drivers. CONCLUSION: Overall, our findings suggest that multiple risk factors are associated with the risk of GERD. These results provide a theoretical basis for controlling body weight and plasticity, improving sleep habits, and preventing and timely seeking medical attention to reduce the occurrence of psychiatric disorders, which will be important strategies to prevent and alleviate GERD.

Humans↗
PubMedDate not supplied

[Interrelationship between the neocortex and limbic system in emotional stress and epileptiform syndromes].

The paper describes bioelectrical correlates of negative emotional states on three models: 1) states caused by local, chronic electric stimulation of negative emotiogenic zones (in cats, rabbits); 2) by a neurogenic stress in rats resulting from a conflict of afferent excitations; 3) by an experimental syndrome--"expectation stress". The data attest that hypersynchronization of bioelectrical activity in limbic and cortical structures is a sufficiently significant correlate of an emotional stress. It is assumed that hypersynchronization reflects one of the general mechanisms of involvement of brain structures in a state of neurogenic stress and its manifestation.

Amygdala↗
PubMedDate not supplied

[Neuronal spike activity in the sensomotor region of the cerebral cortex upon direct stimulation of emotionally "positive" and "negative" zones of the hypothalamus].

The effect of electrical stimulation of emotionally positive and negative hypothalamic areas on the unit activity of the sensorimotor cortex in rats was studied in order to elucidate physiological mechanisms of emotions as an important factor organizing purposeful animal behaviour. It was found that such an effect is primarily of inhibitory nature and that it does not carry specific information on biological sign of emotion. It is suggested that the formation of adequate behavioural reactions in different emotional states occurs at earlier stages.

Animals↗
PubMedDate not supplied

[Periods of formation of the mechanisms of "reward" and "punishment" in rats during postnatal ontogenesis].

The manifestation of some signs of emotional reactions produced by stimulation of the hypothalamic zones through implanted electrodes was studied in chronic experiments on 8- to 40-day old rats. Beginning with the 12th day of the rats' development, the formation of the instrumental reaction of self-stimulation and avoidance was studied. It has been found that maturation of the negative emotion mechanism preceds that of the positive emotion mechanism. Proceeding from the results obtained, a hypothesis has been advanced on heterochronous maturation of the systems of positive and negative reinforcements. It has been assumed that beginning with certain stage of the animals' development, behaviour is being controlled with the participation of a non-specific "reward" mechanism.

Animals↗
PubMed1977

Comprehensive community mental health center- business community relationship: a reexamination.

In this paper the belief that nonprofit service organizations and profit-motivated organizations should function separately from each other is questioned. Several of the advantages inherent from a cooperative relationship between comprehensive community mental health centers and the business community for the worker, mental health professional, comprehensive community mental health center, and business are discussed. Possible negative emotional responses against this new alliance are presented and dispelled. A joint effort between comprehensive community mental health centers and the business community is anticipated to develop with the common goal being the promotion of mental health.

Attitude of Health Personnel↗
PubMed1979

Positive behavioral contrast in 3-month-old infants on multiple conjugate reinforcement schedules.

Positive behavioral contrast was assessed in two experiments with young infants using multiple conjugate reinforcement schedules. Reinforcement was produced by footkicks which activated the objects of an overhead crib mobile in a manner proportional to the vigor and rate of responding. Distinctive color/pattern cues on the sides of the objects served as discriminative stimuli for components of the multiple schedule. In Experiment 1, infants were trained with one cue (S+) only before insertion of S+ into a multiple schedule with an extinction component. A control group received S+ throughout all sessions. In Experiment 2, a multiple schedule was introduced at the outset, and responses in both components were reinforced before the introduction of extinction in the second component. In a final phase, reinforcement was reintroduced into the second component. Positive behavioral contrast occurred in both experiments. Response reduction in the extinction component was seen only in individual relative response curves. In both experiments, negative emotional behaviors accompanied the extinction component, and in Experiment 1, cooing accompanied presentations of S+.

Child Behavior↗
PubMed1979

Burnout: job hazard for health workers.

Employees in health care settings face significant risk of burnout, which involves negative emotional, psychological, and physical reactions to continuous work-related stress.

Humans↗
PubMed1977

[Influence of psychotropic substances on elaboration of a defensive conditioned reflex in experimental neurosis].

Neurosis resulting in alteration of the motor-defense conditioned reflex development occurred in rats subjected to a long-term action of a negative-emotional factor--neighbour-rat's reaction to pain. Benactyzine, diazepam, chlordiazepoxide, and sodium hydroxybutyrate improved the formation of defense conditioned reflex during this form of neurosis. Trioxazin, trifluoperazine, and amphetamine produced no such effect. The proposed model of experimental neurosis can be used to reveal the tranquilizing activity of psychotropic drugs.

Animals↗