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The Role of  Hypothalamic-Pituitary-Adrenocortical Axis Activity ,  Prefrontal Lobe Function , and  Impulsivity  in  Drinking Behavior Emma Alterman Krissy Lyon
Why Look At Drinking Behavior This Way? ,[object Object],Prefrontal  Lobe Impulsivity Drinking Behavior Personality/ Behavior Biological Brain
Talk Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prefrontal Lobe ,[object Object],[object Object],[object Object],[object Object],Executive Functioning Introduction   Procedure   Data Analysis  Anticipated Results
Executive Function and Alcohol ,[object Object],[object Object],[object Object],[object Object],Introduction  Procedure   Data Analysis  Anticipated Results
Impulsivity ,[object Object],[object Object],[object Object],[object Object],I should really have thought this through… Introduction   Procedure   Data Analysis  Anticipated Results
What is the  HPA  Axis? ,[object Object],[object Object],Introduction  Procedure   Data Analysis  Anticipated Results
HPA Axis Pathway Stress Alcohol Introduction  Procedure   Data Analysis  Anticipated Results
HPA Axis Pathway ,[object Object],[object Object],[object Object],Stress Alcohol Introduction   Procedure   Data Analysis  Anticipated Results
Cortisol ,[object Object],[object Object],Introduction   Procedure   Data Analysis  Anticipated Results
Cortisol Response to Stress ,[object Object],[object Object],[object Object],BASELINE RESPONSE Typical Atypical STRESS Introduction   Procedure   Data Analysis  Anticipated Results
Familial Influence ,[object Object],[object Object],[object Object],[object Object],Introduction   Procedure   Data Analysis  Anticipated Results
How do we measure these factors? ,[object Object],[object Object],[object Object],[object Object],[object Object],Introduction  Procedure   Data Analysis  Anticipated Results
Procedure BRIEF-A FHQ BIS-11 SAQ TSST ENTER LEAVE Baseline  Saliva Sample DD Hello! Post-Stress Saliva Sample Introduction  Procedure   Data Analysis  Anticipated Results
Procedure BRIEF-A FHQ BIS-11 SAQ TSST ENTER LEAVE Baseline  Saliva Sample DD Post-Stress Saliva Sample Introduction  Procedure   Data Analysis  Anticipated Results
Measuring Executive Functioning ,[object Object],Overall Executive Functioning ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Introduction  Procedure   Data Analysis  Anticipated Results
Procedure BRIEF-A FHQ BIS-11 SAQ TSST ENTER LEAVE Baseline  Saliva Sample DD Post-Stress Saliva Sample Introduction  Procedure   Data Analysis  Anticipated Results
Why Saliva Samples? ,[object Object],[object Object],[object Object],Cortisol can be measured in saliva Introduction  Procedure   Data Analysis  Anticipated Results
Procedure BRIEF-A FHQ BIS-11 SAQ TSST ENTER LEAVE Baseline  Saliva Sample DD Post-Stress Saliva Sample Introduction  Procedure   Data Analysis  Anticipated Results
How to cause a cortisol response in a lab setting? ,[object Object],Public Speech Introduction  Procedure   Data Analysis  Anticipated Results
Procedure BRIEF-A FHQ BIS-11 SAQ TSST ENTER LEAVE DD Change in Cortisol Post-Stress Saliva Sample Baseline  Saliva Sample Introduction  Procedure   Data Analysis  Anticipated Results
Determining Cortisol Level ,[object Object],[object Object],Introduction  Procedure   Data Analysis  Anticipated Results
Procedure BRIEF-A FHQ BIS-11 SAQ TSST ENTER LEAVE Baseline  Saliva Sample DD Post-Stress Saliva Sample Introduction  Procedure   Data Analysis  Anticipated Results
Measuring Impulsivity ,[object Object],[object Object],[object Object],Vs. NOW LATER More impulsive smaller, immediate rewards larger, delayed rewards Introduction  Procedure   Data Analysis  Anticipated Results
Procedure BRIEF-A FHQ BIS-11 SAQ TSST ENTER LEAVE Baseline  Saliva Sample DD Post-Stress Saliva Sample Introduction  Procedure   Data Analysis  Anticipated Results
Measuring Impulsivity Rarely/Never Occasionally Often Almost Always/Always B arratt  I mpulsiveness  S cale-11 ( BIS -11) ,[object Object],[object Object],Introduction  Procedure   Data Analysis  Anticipated Results 1  I plan tasks carefully. О   О   О   О 2  I do things without thinking. О   О   О   О 3  I make-up my mind quickly. О   О   О   О 4  I am happy-go-lucky. О   О   О   О 5  I don’t “pay attention.” О   О   О   О 6  I have “racing” thoughts. О   О   О   О 7  I plan trips well ahead of time. О   О   О   О 8  I am self controlled. О   О   О   О 9  I concentrate easily. О   О   О   О 10  I save regularly. О   О   О   О 11  I “squirm” at plays or lectures. О   О   О   О 12  I am a careful thinker. О   О   О   О 13  I plan for job security. О   О   О   О 14  I say things without thinking. О   О   О   О 15  I like to think about complex problems. О   О   О   О
Procedure BRIEF-A FHQ BIS-11 SAQ TSST ENTER LEAVE Baseline  Saliva Sample DD Post-Stress Saliva Sample Introduction  Procedure   Data Analysis  Anticipated Results
Drinking Behavior ,[object Object],[object Object],[object Object],Introduction  Procedure   Data Analysis  Anticipated Results ,[object Object]
Procedure BRIEF-A FHQ BIS-11 SAQ TSST ENTER LEAVE Baseline  Saliva Sample DD Post-Stress Saliva Sample Introduction  Procedure   Data Analysis  Anticipated Results
Family History of Alcoholism ,[object Object],This looked at:  Alcoholism in  parents  and  grandparents Introduction  Procedure   Data Analysis  Anticipated Results
Procedure BRIEF-A FHQ BIS-11 SAQ TSST ENTER LEAVE Baseline  Saliva Sample DD Post-Stress Saliva Sample Goodbye! : Introduction  Procedure   Data Analysis  Anticipated Results
How it all relates: Family History of  Alcoholism HPA axis & Cortisol BRIEF-A BIS-11 DD Self Assessment Questionnaire Family History  Questionnaire Stressful Situation ELISA Impulsivity Drinking  Behavior Introduction  Procedure   Data Analysis  Anticipated Results Prefrontal  Lobe  Function
Data Analysis Introduction  Procedure   Data   Analysis   Anticipated Results
What We Expect to Find… Prefrontal Lobe HPA  Axis Impulsivity Drinking Behavior Higher impulsivity correlates to more alcohol use ,[object Object],[object Object],[object Object],Lower executive functioning correlates to more alcohol use Lower executive function correlates with higher impulsivity Introduction  Procedure   Data Analysis  Anticipated   Results
Implications of Study ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Introduction  Procedure   Data Analysis  Anticipated   Results
Acknowledgements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Questions?
Saliva vs. Blood ,[object Object],[object Object]
Stress Question ,[object Object]
What does Cortisol do? ,[object Object],[object Object]
How does Cortisol Do it? ,[object Object],[object Object]
Cortisol Function ,[object Object],[object Object],[object Object]
 
 
ELISA ,[object Object]
Cortisol Circadian Rhythms
BRIEF-A Subscales ,[object Object],[object Object]

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HPA presentation

  • 1. The Role of Hypothalamic-Pituitary-Adrenocortical Axis Activity , Prefrontal Lobe Function , and Impulsivity in Drinking Behavior Emma Alterman Krissy Lyon
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8. HPA Axis Pathway Stress Alcohol Introduction Procedure Data Analysis Anticipated Results
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14. Procedure BRIEF-A FHQ BIS-11 SAQ TSST ENTER LEAVE Baseline Saliva Sample DD Hello! Post-Stress Saliva Sample Introduction Procedure Data Analysis Anticipated Results
  • 15. Procedure BRIEF-A FHQ BIS-11 SAQ TSST ENTER LEAVE Baseline Saliva Sample DD Post-Stress Saliva Sample Introduction Procedure Data Analysis Anticipated Results
  • 16.
  • 17. Procedure BRIEF-A FHQ BIS-11 SAQ TSST ENTER LEAVE Baseline Saliva Sample DD Post-Stress Saliva Sample Introduction Procedure Data Analysis Anticipated Results
  • 18.
  • 19. Procedure BRIEF-A FHQ BIS-11 SAQ TSST ENTER LEAVE Baseline Saliva Sample DD Post-Stress Saliva Sample Introduction Procedure Data Analysis Anticipated Results
  • 20.
  • 21. Procedure BRIEF-A FHQ BIS-11 SAQ TSST ENTER LEAVE DD Change in Cortisol Post-Stress Saliva Sample Baseline Saliva Sample Introduction Procedure Data Analysis Anticipated Results
  • 22.
  • 23. Procedure BRIEF-A FHQ BIS-11 SAQ TSST ENTER LEAVE Baseline Saliva Sample DD Post-Stress Saliva Sample Introduction Procedure Data Analysis Anticipated Results
  • 24.
  • 25. Procedure BRIEF-A FHQ BIS-11 SAQ TSST ENTER LEAVE Baseline Saliva Sample DD Post-Stress Saliva Sample Introduction Procedure Data Analysis Anticipated Results
  • 26.
  • 27. Procedure BRIEF-A FHQ BIS-11 SAQ TSST ENTER LEAVE Baseline Saliva Sample DD Post-Stress Saliva Sample Introduction Procedure Data Analysis Anticipated Results
  • 28.
  • 29. Procedure BRIEF-A FHQ BIS-11 SAQ TSST ENTER LEAVE Baseline Saliva Sample DD Post-Stress Saliva Sample Introduction Procedure Data Analysis Anticipated Results
  • 30.
  • 31. Procedure BRIEF-A FHQ BIS-11 SAQ TSST ENTER LEAVE Baseline Saliva Sample DD Post-Stress Saliva Sample Goodbye! : Introduction Procedure Data Analysis Anticipated Results
  • 32. How it all relates: Family History of Alcoholism HPA axis & Cortisol BRIEF-A BIS-11 DD Self Assessment Questionnaire Family History Questionnaire Stressful Situation ELISA Impulsivity Drinking Behavior Introduction Procedure Data Analysis Anticipated Results Prefrontal Lobe Function
  • 33. Data Analysis Introduction Procedure Data Analysis Anticipated Results
  • 34.
  • 35.
  • 36.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.  
  • 44.  
  • 45.
  • 47.

Editor's Notes

  1. Alcohol Abuse : 31% of college students met criteria for diagnosis Death : 1,700 college students die each year from alcohol-related unintentional injuries Unsafe Sex : 400,000 students had unprotected sex 100,000 students report having been too intoxicated to know if they consented to having sex Academic Problems : About 25% of college students report academic consequences of their drinking
  2. Well rounded view of the problem Looking at how they all interact
  3. destroyerbeat.files.wordpress.com/.../brain.jpg frontal lobe minus motor area
  4. Damaged and/or underdeveloped Prefrontal lobe damage can increase impulsiveness and susceptibility to alcohol abuse Alcohol can negatively affect prefrontal lobe development and function
  5. Glucocorticoid = group of steroid hormones Cortisol is the main one in humans Corticoid releasing hormone/factor Adrenocorticotropic hormone
  6. Studies have shown that acute intake causes a stress-like cortisol response. We know that stress and alcohol both activate the HPA axis, which explains some phenomena. In individuals who are trying to quit drinking, stress activates the HPA axis which then can lead to alcohol consumption and even relapse because of the shared system. There is also the idea of self-medication. This system is involved in self-medication in that individuals may drink before a stressful situation to eliminate stress. This works because the alcohol stimulates the system, preparing the body for the stressor in the same way the body would respond to stress. Stress activation can trigger relapse/drinking Alcohol--> prepare ahead of time to deal with stress HPA-Alcohol consumption/alcohol craving Acute intake causes a stress-like cortisol response
  7. E
  8. E
  9. K “ Blunted cortisol response to psychological stress has also been observed in individuals without current or prior alcohol use problems but who have a family history of alcoholism”
  10. E
  11. E
  12. E
  13. E Neuropsychological Test of prefrontal lobe Higher scores means lower executive functioning
  14. E
  15. E Circadian rhythms- Taken in the afternoon Better than blood
  16. E
  17. E Adapted TSST
  18. E
  19. E
  20. E
  21. E Higher score means more impulsive More sensitive to delay
  22. aspect of decision making in which smaller rewards with shorter delays are preferred to larger rewards with longer delays (Cite) BIS can look at personality DD in action/behavior Higher score, higher impulsivity WHY we use it? Most widely used Validity Fits what we are looking for Best Draft
  23. If needed, ALSO asked about drug use, cigarette use, caffeine use, exercise and sleeping disorders
  24. We debrief our participants
  25. E
  26. E
  27. People will have a blunted cortisol response to a stressful situation if: frequently drink large amounts Lower executive functioning correlates to more alcohol use Inhibition subscale of BRIEF-A was significantly correlated with number of drinks and number of days of drinking
  28. E “ The evidence now is strong that the brain does not cease to mature until the early 20s in those relevant parts that govern impulsivity, judgment, planning for the future, foresight of consequences, and other characteristics that make people morally culpable.... ” Ruben Gur, MD, PhD Director, University of Pennsylvania Medical Center Interactions of everything Genetic/family influence Gender difference