Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The Mannheim Multicomponent Stress Test (MMST) is a validated laboratory stress test that combines cognitive, emotional, acoustic and motivational stress components. However the utility of the MMST as a viable alternative to the more commonly used Trier social stress test (TSST) to elicit HPA reactivity remains unclear as meaningful increases in saliva cortisol (> 2.5 nmol/l) have been shown to occur in <50% of participants yet the TSST typically elicits meaningful increases in saliva cortisol in >70% of participants; likely as a consequence of the greater social evaluative component in the TSST.
Using a randomised between groups design, this study aims to compare psychobiological responses to the MMST and TSST.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MMST | Experimental |
| |
| TSST | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MMST | Behavioral | Participants randomised to the MMST group will complete the computer based paced auditory serial addition task (PASAT-C) in the presence of one observer and is informed that incorrect answers result in reduced monetary compensation. Simultaneously, the participant is exposed to emotionally evocative images and white noise via headphones |
| Measure | Description | Time Frame |
|---|---|---|
| Change in saliva cortisol (pre-post stress) | Changes in the concentration of saliva free cortisol assessed by ELISA. | Change from 5 minutes pre to peak post stress test (MMST or TSST) |
| Measure | Description | Time Frame |
|---|---|---|
| State anxiety inventory (STAI-S) response to acute psychological stress | assessed using the state scale of the state trait anxiety inventory (STAI-S), consisting of a 20-item scale for measuring the intensity of anxiety as an emotional state (S-Anxiety). The range of possible scores for form Y of the STAI varies from a minimum score of 20 to a maximum score of 80. STAI scores are commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80) |
Not provided
Inclusion Criteria:
Participants who…
Exclusion Criteria:
Participants who…
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Neil P Walsh, PHD | Liverpool John Moores University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Science, Liverpool John Moores University | Liverpool | Merseyside | L3 3AF | United Kingdom |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D013315 | Stress, Psychological |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
Not provided
Not provided
Between subjects design to compare psychobiological responses in participants randomised to either the MMST or the TSST. Stratified block randomisation will be used to evenly distribute participants to the MMS or the TSST based upon sex (male or female) and trait anxiety (low STAI-T score <40 or high STAI-T score ≥40).
Not provided
Not provided
Participants will be unaware of the true nature of experimental trials until a final debrief scheduled after acute stress exposure.
|
| TSST | Behavioral | Participants randomly assigned to the TSST condition will be exposed to a traditional TSST protocol. The TSST consists of a preparation phase (5 min), followed by a mock job interview and a mental arithmetic task (5 min each) in front of a panel consisting of two observers and a video recording device. |
|
| Change from 5 minutes pre to after stress challenge (immediately after acute psychological stress and 60 minutes after the test) will be compared. |
| Heart rate | Continuous measurement of heart rate will be assessed using a telemetric chest strap. | Continuously assessed from 30 minutes before to 60 minutes after the stress tests and control tests |
| Salivary alpha amylase (sAA) | a biomarker for stress-induced activity of the sympathetic nervous system (SNS), assessed by ELISA. | Change from 5 minutes pre to immediately post stress test |