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Zhang B, Li X, Deng H, Tan P, He W, Huang S, Wang L, Xu H, Cao L, Nie G. The relationship of personality, alexithymia, anxiety symptoms, and odor awareness: a mediation analysis. BMC Psychiatry 2024; 24:185. [PMID: 38448836 PMCID: PMC10916267 DOI: 10.1186/s12888-024-05653-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2023] [Accepted: 03/01/2024] [Indexed: 03/08/2024] Open
Abstract
OBJECTIVE Personality, emotions, and olfaction exhibit partial anatomical overlap in the limbic system structure, establishing potential mechanisms between personality, affective disorders, and olfactory-related aspects. Thus, this study aims to investigate the associations among the Big Five personality traits, alexithymia, anxiety symptoms, and odor awareness. METHODS A total of 863 college participants were recruited for this study. All participants completed the Chinese Big Five Personality Inventory-15, the Odor Awareness Scale (OAS), the Toronto Alexithymia Scale-20, and the Generalized Anxiety Disorder Screener-7. Structural equation modeling was employed to examine the hypothesized mediated model. RESULTS The findings revealed the majority of significant intercorrelations among the dimensions of the Big Five personality traits, alexithymia, anxiety symptoms, and OAS (|r| = 0.072-0.567, p < 0.05). Alexithymia and anxiety symptoms exhibited a serial mediation effect between neuroticism and OAS (95%CI[0.001, 0.014]), conscientiousness and OAS (95%CI[-0.008, -0.001]), and extraversion and OAS (95%CI[-0.006, -0.001]). Anxiety symptoms mediated the relationship between agreeableness and OAS (95%CI[-0.023, -0.001]) and between openness and OAS (95%CI [0.004, 0.024]). CONCLUSION The mediating roles of alexithymia and anxiety symptoms between the Big Five personality traits and odor awareness support the idea of a certain level of association among personality, emotions, and olfaction, with the underlying role of the limbic system structure. This enhances our understanding of personality, emotions, and olfaction and provides insights for future intervention measures for affective disorders and olfactory dysfunctions.
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Affiliation(s)
- Binfeng Zhang
- Department of Psychology, Guangxi Medical University, Nanning, China
| | - Xiuxia Li
- Department of Psychology, Guangxi Medical University, Nanning, China
| | - Hongzhen Deng
- School of Health Management, Southern Medical University, Guangzhou, China
| | - Peixuan Tan
- Department of Psychology, Guangxi Medical University, Nanning, China
| | - Wanyong He
- Department of Psychology, Guangxi Medical University, Nanning, China
| | - Shuling Huang
- Department of Psychology, Guangxi Medical University, Nanning, China
| | - Lu Wang
- Department of Psychology, Guangxi Medical University, Nanning, China
| | - Hao Xu
- Department of Psychology, Guangxi Medical University, Nanning, China
| | - Lei Cao
- Department of Psychology, Guangxi Medical University, Nanning, China
| | - Guanghui Nie
- Department of Psychology, Guangxi Medical University, Nanning, China.
- School of Public Health, Guangxi Medical University, Shuangyong Road 22, 530021, Nanning, Guangxi, China.
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2
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Binkley KE. Multiple Chemical Sensitivity/Idiopathic Environmental Intolerance: A Practical Approach to Diagnosis and Management. THE JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY. IN PRACTICE 2023; 11:3645-3649. [PMID: 37660733 DOI: 10.1016/j.jaip.2023.08.039] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/24/2023] [Revised: 08/18/2023] [Accepted: 08/18/2023] [Indexed: 09/05/2023]
Abstract
Patients with multiple chemical sensitivity, now called idiopathic environmental intolerance, frequently present to clinical immunologists and allergists for diagnosis and treatment. Patients report a plethora of respiratory and multisystem problems attributed to a wide variety of unrelated, otherwise non-noxious, triggers. They may go to extreme, often seemingly bizarre lengths to avoid contact with everyday exposures and may become housebound, unable to work or function socially. Often beginning with exposure to odors, triggers can multiply to involve foods, clothing, medications, and even electromagnetic radiation. The condition cannot be explained by IgE-mediated or other immune processes, and clinical immunologists and allergists may feel unprepared to care for such patients. In this article, a paradigm to understand the probable mechanisms underlying this condition and a practical approach to diagnosis and management will be presented.
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Affiliation(s)
- Karen E Binkley
- Division of Clinical Immunology and Allergy, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
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3
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Dal Bò E, Natali L, Gentili C, Cecchetto C. Low odor awareness predicts reduced olfactory abilities in women with depressive symptoms, but not with anxiety symptoms. J Affect Disord 2023; 338:171-179. [PMID: 37290528 DOI: 10.1016/j.jad.2023.06.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Revised: 05/12/2023] [Accepted: 06/04/2023] [Indexed: 06/10/2023]
Abstract
BACKGROUND Olfactory disorders and affective symptoms are tightly related. However, the factors underlying this association are not yet understood. One candidate factor is "odor awareness": the degree of attention individuals pays to the odors. However, the association between odor awareness and olfactory abilities in individuals with affective symptoms has not been clarified yet. METHOD The present study examined whether odor awareness may moderate (a) the relation between olfactory dysfunctions and depressive and anxiety symptoms; (b) the relation between the perceptual ratings of the odors and depressive and anxiety symptoms in a sample of healthy women (n = 214). Self-report measures of depression and anxiety were collected, whereas the Sniffin' Stick test was employed to measure olfactory abilities. RESULTS Linear regression analysis revealed that individuals with higher depressive symptoms presented lower olfactory abilities and that odor awareness was a significant moderator of the association between depressive symptoms and olfactory abilities. Anxiety symptoms were not related to any of the olfactory abilities considered, and this relationship did not change according to odor awareness. The familiarity rating of the odor was significantly predicted by odor awareness. These results were confirmed by Bayesian statistics. LIMITATIONS The sample was composed only of women. CONCLUSIONS In a healthy population of women, only the presence of depressive symptoms is related to reduced olfactory performance. Odor awareness may be implicated in the development and maintenance of olfactory dysfunction; hence it could be used as a useful target for specific treatments in clinical settings.
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Affiliation(s)
- Elisa Dal Bò
- Padova Neuroscience Center (PNC), University of Padua, Via Orus 2/B, 35131 Padua, Italy; Department of General Psychology, University of Padua, Via Venezia 8, 35131 Padua, Italy.
| | - Ludovica Natali
- Department of General Psychology, University of Padua, Via Venezia 8, 35131 Padua, Italy; Centro di Ateneo Servizi Clinici Universitari Psicologici (SCUP), Via Belzoni, 84, 35121 Padua, Italy
| | - Claudio Gentili
- Padova Neuroscience Center (PNC), University of Padua, Via Orus 2/B, 35131 Padua, Italy; Department of General Psychology, University of Padua, Via Venezia 8, 35131 Padua, Italy; Centro di Ateneo Servizi Clinici Universitari Psicologici (SCUP), Via Belzoni, 84, 35121 Padua, Italy
| | - Cinzia Cecchetto
- Padova Neuroscience Center (PNC), University of Padua, Via Orus 2/B, 35131 Padua, Italy
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4
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Zhang B, Li X, Tan P, Liu Y, He W, Wang L, Huang S, Nie G. Factor structure and psychometric properties of the Chinese version of the Odor Awareness Scale. Front Psychiatry 2023; 14:1228179. [PMID: 37575563 PMCID: PMC10415028 DOI: 10.3389/fpsyt.2023.1228179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Accepted: 07/13/2023] [Indexed: 08/15/2023] Open
Abstract
Background The Odor Awareness Scale (OAS) is a questionnaire that assesses individual differences in awareness of odors in the surrounding environment, which has been shown to be associated with affective symptoms in recent researches. To further research, A Chinese version of the OAS needs to be introduced. Objective To investigate the factor structure and validate the psychometric properties of the OAS. Methods A total of 978 participants from college were randomly allocated into two groups for exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), respectively. Additionally, the study entailed item analysis and scrutinized internal consistency reliability, test-retest reliability, and concurrent validity. Test-retest reliability was assessed by having 214 participants complete the OAS twice at a one-week interval. Concurrent validity was measured using the Body Odor Sniffing Questionnaire (BOSQ), the Generalized Anxiety Disorder Scale (GAD-7), and the Toronto Alexithymia Scale (TAS-20). Results EFA identified three factors that best fit the data: odor sensitivity, odor impact, and odor attention. CFA validated a second-order factor model, yielding good fit indices: χ 2 / Df = 2.326, RMSEA = 0.052, CFI = 0.911, TLI = 0.900, SRMR = 0.053. The final version of the OAS comprised 27 items and exhibited a commendable internal consistency reliability (Cronbach's α = 0.913), and a good test-retest reliability, as evidenced by the high Pearson correlation coefficient (r = 0.940) and intraclass correlation coefficient (ICC = 0.940). The OAS was significantly correlated with BOSQ (r = 0.416), GAD-7 (r = 0.155), and TAS-20 (r = -0.081). Conclusion The Chinese version of the OAS demonstrated robust reliability and validity, rendering it a valuable instrument for evaluating odor awareness in the Chinese population.
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Affiliation(s)
| | | | | | | | | | | | | | - Guanghui Nie
- Department of Psychology, Guangxi Medical University, Nanning, China
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5
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Marin C, Alobid I, Fuentes M, López-Chacón M, Mullol J. Olfactory Dysfunction in Mental Illness. Curr Allergy Asthma Rep 2023; 23:153-164. [PMID: 36696016 PMCID: PMC9875195 DOI: 10.1007/s11882-023-01068-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/13/2023] [Indexed: 01/26/2023]
Abstract
PURPOSE OF REVIEW Olfactory dysfunction contributes to the psychopathology of mental illness. In this review, we describe the neurobiology of olfaction, and the most common olfactory alterations in several mental illnesses. We also highlight the role, hitherto underestimated, that the olfactory pathways play in the regulation of higher brain functions and its involvement in the pathophysiology of psychiatric disorders, as well as the effect of inflammation on neurogenesis as a possible mechanism involved in olfactory dysfunction in psychiatric conditions. RECENT FINDINGS The olfactory deficits present in anxiety, depression, schizophrenia or bipolar disorder consist of specific alterations of different components of the sense of smell, mainly the identification of odours, as well as the qualifications of their hedonic valence (pleasant or unpleasant). Epidemiological findings have shown that both environmental factors, such as air pollutants, and inflammatory disease of the upper respiratory tract, can contribute to an increased risk of mental illness, at least in part, due to peripheral inflammatory mechanisms of the olfactory system. In this review, we describe the neurobiology of olfaction, and the most common olfactory function alterations in several psychiatric conditions and its role as a useful symptom for the differential diagnosis. We also highlight the effect of inflammation on neurogenesis as a possible mechanism involved in olfactory dysfunction in these psychiatric conditions.
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Affiliation(s)
- Concepció Marin
- INGENIO, IRCE, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), CELLEX, Department 2B, Villarroel 170, 08036, Barcelona, Catalonia, Spain. .,Centre for Biomedical Investigation in Respiratory Diseases (CIBERES), Health Institute Carlos III, Madrid, Spain.
| | - Isam Alobid
- INGENIO, IRCE, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), CELLEX, Department 2B, Villarroel 170, 08036, Barcelona, Catalonia, Spain.,Centre for Biomedical Investigation in Respiratory Diseases (CIBERES), Health Institute Carlos III, Madrid, Spain.,Rhinology Unit and Smell Clinic, ENT Department, Hospital Clínic, Universitat de Barcelona, Barcelona, Catalonia, Spain
| | - Mireya Fuentes
- INGENIO, IRCE, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), CELLEX, Department 2B, Villarroel 170, 08036, Barcelona, Catalonia, Spain.,Centre for Biomedical Investigation in Respiratory Diseases (CIBERES), Health Institute Carlos III, Madrid, Spain
| | - Mauricio López-Chacón
- INGENIO, IRCE, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), CELLEX, Department 2B, Villarroel 170, 08036, Barcelona, Catalonia, Spain.,Centre for Biomedical Investigation in Respiratory Diseases (CIBERES), Health Institute Carlos III, Madrid, Spain.,Rhinology Unit and Smell Clinic, ENT Department, Hospital Clínic, Universitat de Barcelona, Barcelona, Catalonia, Spain
| | - Joaquim Mullol
- INGENIO, IRCE, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), CELLEX, Department 2B, Villarroel 170, 08036, Barcelona, Catalonia, Spain. .,Centre for Biomedical Investigation in Respiratory Diseases (CIBERES), Health Institute Carlos III, Madrid, Spain. .,Rhinology Unit and Smell Clinic, ENT Department, Hospital Clínic, Universitat de Barcelona, Barcelona, Catalonia, Spain.
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6
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Olfactory-related quality of life impacts psychological distress in people with COVID-19: The affective implications of olfactory dysfunctions. J Affect Disord 2023; 323:741-747. [PMID: 36529409 PMCID: PMC9751003 DOI: 10.1016/j.jad.2022.12.049] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Revised: 05/10/2022] [Accepted: 12/12/2022] [Indexed: 12/23/2022]
Abstract
BACKGROUND Coronavirus disease 2019 (COVID-19) often causes chemosensory impairment, and olfactory dysfunctions may have negative consequences on psychological distress. This study aimed at assessing which dimension of perceived olfactory disfunctions (i.e., subjective olfactory capability, smell-related problems, or olfactory-related quality of life [QoL]) was most associated with psychological distress in people diagnosed with COVID-19. METHODS 364 participants (65 men and 299 women) diagnosed with COVID-19 on average 7 months prior to the beginning of the study were recruited between June 5 and 21, 2021, to take part in an online cross-sectional survey. Participants answered questions on demographics, clinical factors, perceived olfactory functioning, and psychological distress. Hierarchical multiple linear regression analysis was conducted, assessing the role of demographics, clinical factors, and perceived olfactory functioning dimensions on psychological distress. RESULTS More than half of the participants met the cut-off for all perceived olfactory dysfunctions scales and psychological distress. Being women, smoker, with comorbidities, and greater severity of COVID-19 symptoms were associated with higher scores on psychological distress. Among perceived olfactory functioning scales, only impairment in olfaction QoL was associated with psychological distress. LIMITATIONS Limitations concerned the cross-sectional nature of the study and the unbalanced sample in terms of gender. CONCLUSIONS The study confirmed the core intertwining between mood, perceived QoL, and olfactory functioning, showing how impairments in olfactory processing are strongly correlated with psychological distress through the impact they have on the perceived QoL.
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7
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Li C, Hong L, Zou L, Zhu Y, Ye J, Wu F, Chen C. Variations in olfactory function among bipolar disorder patients with different episodes and subtypes. Front Psychiatry 2023; 14:1080622. [PMID: 37020734 PMCID: PMC10067908 DOI: 10.3389/fpsyt.2023.1080622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2022] [Accepted: 02/27/2023] [Indexed: 04/07/2023] Open
Abstract
Purpose Most studies on olfactory function in individuals with bipolar disorder (BD) have not distinguished between the different subtypes or between the acute phase (mania or depression) and euthymic state. In this study, we compared olfactory function among BD patients with different subtypes and episodes to explore the potential use of olfactory function as a biomarker for the early identification of BD. Patients and methods The study sample consisted of 117 BD patients who were hospitalized between April 2019 and June 2019, and 47 healthy volunteers as controls. The BD patients were divided into a bipolar I disorder (BD I) (n = 86) and bipolar II disorder (BD II) group (n = 31) according to the different subtypes, and divided into depressive BD (n = 36), manic BD (n = 44), or euthymic BD (n = 37) groups according to the types of episodes they experienced. We assessed olfactory sensitivity (OS) and olfactory identification (OI) via the Sniffin' Sticks test and used the Hamilton Depression Rating Scale (HAMD) and Young Manic Rating Scale (YMRS) to evaluate BD characteristics among all subjects. Results Compared with controls, the participants with BD showed decreased OS and OI. We found statistically significant differences in OS and OI between the BD I group and controls, as well as differences in OS between the BD I and BD II group. Least-significant difference multiple comparisons revealed statistically significant differences in OS between the depressive BD group, manic BD group and controls and also between the manic BD and euthymic BD group. OI was positively correlated with the YMRS score in the BD I group and OS was negatively correlated with the HAMD score in the BD II group. Conclusion This may be the first study to compare olfactory function in patients with BD I vs. BD II via pairwise comparisons. Our findings suggest that OS may have potential as a biomarker for distinguishing the different subtypes of BD and as a state-related biomarker for differentiating the acute phase from the euthymic state of BD. However, further prospective research is warranted.
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Affiliation(s)
- Chunyang Li
- Department of Psychiatry, Shunde Wu Zhongpei Hospital, Foshan, Guangdong, China
- *Correspondence: Chunyang Li,
| | - Liu Hong
- Department of Psychiatry, Shunde Wu Zhongpei Hospital, Foshan, Guangdong, China
| | - Laiquan Zou
- Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, China
| | - Yiping Zhu
- Department of Psychiatry, Shunde Wu Zhongpei Hospital, Foshan, Guangdong, China
| | - Jianfu Ye
- Department of Psychiatry, Shunde Wu Zhongpei Hospital, Foshan, Guangdong, China
| | - Fenlan Wu
- Department of Psychiatry, Shunde Wu Zhongpei Hospital, Foshan, Guangdong, China
| | - Chao Chen
- Department of Psychiatry, Shunde Wu Zhongpei Hospital, Foshan, Guangdong, China
- Chao Chen,
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Dal Bò E, Gentili C, Castellani A, Tripodi C, Fischmeister FPS, Cecchetto C. Olfactory meta-cognition in individuals with depressive and anxiety symptoms: The differential role of common and social odors. J Affect Disord 2022; 308:259-267. [PMID: 35429542 DOI: 10.1016/j.jad.2022.04.071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Revised: 02/21/2022] [Accepted: 04/10/2022] [Indexed: 10/18/2022]
Abstract
BACKGROUND Diminished olfactory functioning has been reported in depression, whereas evidence in anxiety disorders is still controversial. Olfactory meta-cognitive abilities (i.e., olfactory awareness, imagery and reactivity, and the importance of odors) are essential in shaping olfaction. Few studies examined these meta-cognitive abilities in relation to depressive, anxiety, and social anxiety symptoms, and none of them considered the awareness of social odors (i.e., body odors). METHODS This pre-registered study examined the relationship between olfactory meta-cognitive abilities and symptoms of depression, general anxiety, and social anxiety in 429 individuals. Self-report measures of symptoms of depression, general anxiety, and social anxiety, along with self-report olfactory meta-cognitive scales, were collected using an online survey. RESULTS Linear regression analyses revealed that olfactory awareness and importance of common odors were significantly directly predicted by symptoms of general anxiety, while affective importance to odors was negatively predicted by symptoms of depression. Regarding social odors, higher symptoms of depression and lower symptoms of social anxiety predicted increased awareness. LIMITATIONS Higher prevalence of women and narrow age range of the participants. Depressive and anxiety symptoms were assessed only with self-report questionnaires. CONCLUSIONS Symptoms of anxiety seem to be associated with higher levels of common odor awareness, corroborating the importance of olfactory functions in anxiety. In addition, results on social odors seem to reflect dysfunctional social behaviour that characterized symptoms of depression and social anxiety. Hence, the assessment of meta-cognitive abilities may represent a useful tool in the prevention and assessment of depressive, anxiety, and social anxiety symptoms.
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Affiliation(s)
- Elisa Dal Bò
- Padova Neuroscience Center (PNC), University of Padua, Via Orus 2/B, 35131 Padua, Italy; Department of General Psychology, University of Padua, Via Venezia 8, 35131 Padua, Italy
| | - Claudio Gentili
- Padova Neuroscience Center (PNC), University of Padua, Via Orus 2/B, 35131 Padua, Italy; Department of General Psychology, University of Padua, Via Venezia 8, 35131 Padua, Italy
| | - Andrea Castellani
- Department of General Psychology, University of Padua, Via Venezia 8, 35131 Padua, Italy
| | - Carmen Tripodi
- Department of General Psychology, University of Padua, Via Venezia 8, 35131 Padua, Italy
| | - Florian Ph S Fischmeister
- Institute of Psychology, University of Graz, Graz, Austria; BioTechMed, Graz, Austria; Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria
| | - Cinzia Cecchetto
- Department of General Psychology, University of Padua, Via Venezia 8, 35131 Padua, Italy.
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9
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Cengiz GF, Serin Hİ, Cengiz C. Evaluation of olfactory bulb volume and olfactory sulcus depth in patients with panic disorder and depressive disorder: An MRI study. Indian J Psychiatry 2022; 64:171-177. [PMID: 35494332 PMCID: PMC9045350 DOI: 10.4103/indianjpsychiatry.indianjpsychiatry_466_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Revised: 11/02/2021] [Accepted: 02/10/2022] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND Although some studies have shown decreases in the olfactory bulb (OB) volume and olfactory function in depressive disorder, there are no studies investigating OB volume in patients with panic disorder. AIM The aim of this study was to investigate whether there was a change in OB volume and olfactory sulcus (OS) depth in patients with panic and depressive disorder when compared with the control group, and which group was more affected by comparing the two disease groups. METHODS Data of 51 patients with panic disorder and 56 patients with depressive disorder were obtained by scanning the database of the hospital retrospectively. The control group consisted of 56 subjects without panic and depressive disorder. OB volume and OS depth measurements were performed on cranial magnetic resonance imaging (MRI). RESULTS Bilateral OB volume of the panic and depressive disorder groups were significantly lower than those of the control group. The lowest volume was found in depressive patients. There was no significant difference between the groups with respect to OS measurements. When OB volume and OS depth differences between the genders were evaluated, a statistically significant difference was not determined. CONCLUSION Reduced OB volume was determined in both panic and depressive disorder patients, and clarification of these preliminary findings may contribute to the pathophysiology of panic and depressive disorders.
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Affiliation(s)
- Gül Ferda Cengiz
- Department of Psychiatry, Nose and Throat, Bozok University School of Medicine, Yozgat, Turkey
| | - Halil İbrahim Serin
- Department of Radiology, Nose and Throat, Bozok University School of Medicine, Yozgat, Turkey
| | - Ceyhun Cengiz
- Department of Ear, Nose and Throat, Bozok University School of Medicine, Yozgat, Turkey
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10
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Jiang X, Yuan Y, Li Z, Ou Y, Li Z. First-episode olfactory hallucination in a patient with anxiety disorder: A case report. Front Psychiatry 2022; 13:990341. [PMID: 36203838 PMCID: PMC9530368 DOI: 10.3389/fpsyt.2022.990341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/09/2022] [Accepted: 09/02/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Olfactory hallucination refers to olfactory perception in the absence of chemical stimuli. Although it has been associated with many neurological and psychotic disorders, it has rarely been reported as the first and only symptom in patients with anxiety disorder, and its treatment remains inadequate. CASE SUMMARY A 66-year-old woman who had been experiencing gradually worsening olfactory hallucinations for almost 4 years was diagnosed with generalized anxiety disorder. Olfactory hallucination disappeared after treatment with anti-anxiety drugs. CONCLUSION Olfactory hallucination can be the first and only symptom in patients with anxiety disorder and may be effectively treated with anti-anxiety medication. In fact, it can precede the diagnosis of anxiety disorder by several years.
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Affiliation(s)
- Xingmei Jiang
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
| | - Yiwen Yuan
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, China.,Sichuan Clinical Medical Research Center for Mental Disorders, Chengdu, China
| | - Zhixiong Li
- The Third Department of Clinical Psychology, Karamay Municipal People's Hospital, Karamay, China
| | - Ying Ou
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, China.,Sichuan Clinical Medical Research Center for Mental Disorders, Chengdu, China
| | - Zhe Li
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, China.,Sichuan Clinical Medical Research Center for Mental Disorders, Chengdu, China
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11
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Bulbena-Cabré A, Baeza-Velasco C, Rosado-Figuerola S, Bulbena A. Updates on the psychological and psychiatric aspects of the Ehlers-Danlos syndromes and hypermobility spectrum disorders. AMERICAN JOURNAL OF MEDICAL GENETICS. PART C, SEMINARS IN MEDICAL GENETICS 2021; 187:482-490. [PMID: 34806831 DOI: 10.1002/ajmg.c.31955] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Revised: 10/26/2021] [Accepted: 11/09/2021] [Indexed: 12/17/2022]
Abstract
The field of the psychiatric and psychological aspects of Ehlers-Danlos syndromes (EDS) has been understudied and neglected for many years. People with EDS are often classified as "somatizers" by untrained clinicians. However, research on the biological basis of EDS is improving our understanding of the physiology and psychopathology of the disorder. In this article, we consider the literature on the psychopathological dimensions associated with EDS as well as the EDS symptoms in psychiatric conditions since our review in 2017. Literature confirms that psychological processes (i.e., fear, emotional distress, or negative emotions) in EDS have a significant impact on the outcomes of EDS. Common systemic associations are found between anxiety disorders and EDS as well as significant correlations with neurodevelopmental, eating, mood, and sleep disorders. There is limited but increasing evidence of an association between EDS and suicidal thoughts and behaviors, which should be further explored. The broad spectrum of human anxiety and associated somatic symptoms (beyond anxiety disorders) appears to be the core of the psychopathology in EDS and therefore, detecting and assessing EDS might be a new opportunity for psychiatric nosology to develop more inclusive phenotypes like the Neuroconnective Phenotype that include both somatic and psychological manifestations.
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Affiliation(s)
- Andrea Bulbena-Cabré
- Icahn School of Medicine at Mount Sinai, New York, New York, USA.,Metropolitan Hospital, New York City Health and Hospitals, New York, New York, USA
| | - Carolina Baeza-Velasco
- Laboratoire de Psychopathologie et Processus de Santé, Université de Paris, Paris, France.,Department of Emergency Psychiatry and Acute Care, CHU Montpellier, Montpellier, France.,Institute of Functional Genomics, University of Montpellier, CNRS, INSERM, Montpellier, France
| | | | - Antonio Bulbena
- Institut Neuropsychiatry and Addictions, Parc Salut Mar, Hospital del Mar, Barcelona, Spain.,Department of Psychiatry and Forensic Medicine, Universitat Autónoma Barcelona, Barcelona, Spain
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12
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Chen X, Guo W, Yu L, Luo D, Xie L, Xu J. Association Between Anxious Symptom Severity and Olfactory Impairment in Young Adults with Generalized Anxiety Disorder: A Case-Control Study. Neuropsychiatr Dis Treat 2021; 17:2877-2883. [PMID: 34522099 PMCID: PMC8434937 DOI: 10.2147/ndt.s314857] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Accepted: 08/24/2021] [Indexed: 02/05/2023] Open
Abstract
OBJECTIVE The findings of olfaction are inconsistent in anxiety disorders, and few studies have reported on the olfactory performance in generalized anxiety disorder (GAD). Therefore, we aim to investigate the olfactory function of patients with GAD and the association between olfactory function and anxiety symptoms. METHODS We conducted a case-control study by selecting 107 patients with GAD and 107 healthy controls matched for sex and age, to investigate olfaction deficits in GAD and the association between anxiety severity and olfaction. All patients were treatment-naïve prior to the inclusion. Anxiety severity and olfaction were assessed by the Hamilton anxiety rating scale (HAM-A) and the Sniffin' Sticks test (SST), respectively. Partial correlations were used to analyze the relationship between olfaction and anxiety severity. False discovery rate (FDR) correction was used in multi-correlation analyses. RESULTS Compared with healthy controls, patients in the GAD group demonstrated odor threshold, discrimination and identification deficits. In the moderate/severe anxiety subgroup, discrimination score was significantly and inversely correlated with the somatic anxiety score (γ=-0.44, q = 0.03), and identification score was significantly and inversely correlated with the HAM-A total score (γ=-0.42, q= 0.04). The TDI score (the sum of threshold, discrimination and identification scores) was significantly and inversely correlated with the somatic (γ=-0.44, q = 0.04) and psychic (γ=-0.45, q = 0.04) anxiety scores in the moderate/severe anxiety subgroup. CONCLUSION This study demonstrated the olfactory impairment in patients with GAD and that poorer odor discrimination was correlated with greater severity of somatic anxiety.
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Affiliation(s)
- Xiacan Chen
- Institute of Forensic Medicine, West China School of Basic Medical Sciences & Forensic Medicine, Sichuan University, Chengdu, People's Republic of China
| | - Wanjun Guo
- Mental Health Centre, West China Hospital, Sichuan University, Chengdu, People's Republic of China
| | - Liangming Yu
- Mental Health Centre, West China Hospital, Sichuan University, Chengdu, People's Republic of China
| | - Dan Luo
- Mental Health Centre, West China Hospital, Sichuan University, Chengdu, People's Republic of China
| | - Leling Xie
- Mental Health Centre, West China Hospital, Sichuan University, Chengdu, People's Republic of China
| | - Jiajun Xu
- Mental Health Centre, West China Hospital, Sichuan University, Chengdu, People's Republic of China
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Abstract
The elucidation of odour awareness in children with autism spectrum disorders (ASD) is important. We compared the odour awareness of young children with ASD with those of typical development (TD) children using the Children's Olfactory Behavior in Everyday Life (COBEL) questionnaire, which is a self-report measure that mainly assesses odour awareness. Forty-five young boys (aged 5-6 years), including 20 children with ASD and 25 TD children, participated in this study. The total COBEL score of the young children with ASD was lower than that of the TD children (p < 0.01). Moreover, the total COBEL score was significantly correlated with the total VABS II score (p < 0.05). Our results improve understanding of the odour awareness in children with ASD.
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14
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Barros F, Figueiredo C, Costa A, Soares SC. Sensory Processing in the Autism Spectrum: The Role of Attention to Detail and Somatic Trait Anxiety in the Olfactory Perception of the General Population. J Autism Dev Disord 2020; 51:2338-2353. [PMID: 32964357 DOI: 10.1007/s10803-020-04711-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Autism Spectrum Disorders, as well as autism traits (AT), have been associated with altered sensory processing. However, the role of AT in olfactory processing is still unclear. We analyzed the impact of AT and trait anxiety (TANX), relevant in the context of autism and olfactory perception, in the olfactory abilities of a nonclinical adult sample. Participants (N = 116) completed the Autism-Spectrum Quotient (AQ), the State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA) and the Sniffin' Sticks Extended Test to measure AT, TANX and olfactory abilities, respectively. A hierarchical multiple regression analysis suggested that women and higher scores on the Attention to Detail subscale of AQ were associated with better odor discrimination, and higher somatic TANX was related to poorer odor discrimination.
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Affiliation(s)
- Filipa Barros
- William James Center for Research (WJCR), Department of Education and Psychology, University of Aveiro, Campus Universitário de Santiago, 3810-193, Aveiro, Portugal.
- Center for Health Technology and Services Research (CINTESIS), Department of Education and Psychology, University of Aveiro, Campus Universitário de Santiago, 3810-193, Aveiro, Portugal.
| | - Cláudia Figueiredo
- Research Unit on Governance, Competitiveness and Public Policies (GOVCOPP), University of Aveiro, Campus Universitário de Santiago, 3810-193, Aveiro, Portugal
| | - Adriana Costa
- Institute of Health Sciences, Universidade Católica Portuguesa, Campus Palma de Cima, Palma de Cima, 1649-023, Lisboa, Portugal
| | - Sandra C Soares
- William James Center for Research (WJCR), Department of Education and Psychology, University of Aveiro, Campus Universitário de Santiago, 3810-193, Aveiro, Portugal
- Center for Health Technology and Services Research (CINTESIS), Department of Education and Psychology, University of Aveiro, Campus Universitário de Santiago, 3810-193, Aveiro, Portugal
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15
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Nardelli M, Valenza G, Greco A, Lanatá A, Scilingo EP, Bailón R. Quantifying the lagged Poincaré plot geometry of ultrashort heart rate variability series: automatic recognition of odor hedonic tone. Med Biol Eng Comput 2020; 58:1099-1112. [PMID: 32162243 DOI: 10.1007/s11517-019-02095-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2019] [Accepted: 12/06/2019] [Indexed: 10/24/2022]
Abstract
The application of Poincaré plot analysis to characterize inter-beat interval dynamics has been successfully proposed in the scientific literature for the assessment of humans' physiological states and related aberrations. In this study, we proposed novel descriptors to trace the evolution of Poincaré plot shape over the lags. Their reliability in ultra-short cardiovascular series analysis was validated on synthetic inter-beat series generated through a physiologically plausible integral pulse frequency modulation model. Furthermore, we used the proposed approach for the investigation of the direct relationship between autonomic nervous system (ANS) dynamics and hedonic olfactory elicitation, in a group of 30 healthy subjects. Participants with a similar olfactory threshold were selected, and were asked to score 5-s stimuli in terms of arousal and valence levels according to the Russell's circumflex model of affect. Their ANS response was investigated in 35-s windows after the elicitation. Experimental results showed a gender-specific, high discriminant power of the proposed approach, discerning between pleasant and unpleasant odorants with an accuracy of 83.33% and 73.33% for men and for women, respectively. Graphical Abstract Olfaction plays a crucial role in our life and is strictly related to the Autonomic Nervous System (ANS) activity, which can be monitored studying Heart Rate Variability. We used the Lagged Poincare Plot approach to recognize gender-specific ANS response in 35-second windows after the elicitation through pleasant/unpleasant odorants.
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Affiliation(s)
- M Nardelli
- Department of Information Engineering, Research Centre E. Piaggio, University of Pisa, Via G. Caruso 16, Pisa, Italy.
| | - G Valenza
- Department of Information Engineering, Research Centre E. Piaggio, University of Pisa, Via G. Caruso 16, Pisa, Italy
| | - A Greco
- Department of Information Engineering, Research Centre E. Piaggio, University of Pisa, Via G. Caruso 16, Pisa, Italy
| | - A Lanatá
- Department of Information Engineering, Research Centre E. Piaggio, University of Pisa, Via G. Caruso 16, Pisa, Italy
| | - E P Scilingo
- Department of Information Engineering, Research Centre E. Piaggio, University of Pisa, Via G. Caruso 16, Pisa, Italy
| | - R Bailón
- BSICoS Group, Aragón Institute of Engineering Research (I3A), IIS Aragón, University of Zaragoza, Zaragoza, Spain.,CIBER of Bioengineering, Biomaterials and Nanomedicine (CIBER - BBN), Madrid, Spain
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16
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Okumura T, Kumazaki H, Singh AK, Touhara K, Okamoto M. Individuals With Autism Spectrum Disorder Show Altered Event-Related Potentials in the Late Stages of Olfactory Processing. Chem Senses 2020; 45:37-44. [PMID: 31711116 DOI: 10.1093/chemse/bjz070] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Atypical sensory reactivities are pervasive among people with autism spectrum disorder (ASD). With respect to olfaction, most previous studies have used psychophysical or questionnaire-based methodologies; thus, the neural basis of olfactory processing in ASD remains unclear. This study aimed to determine the stages of olfactory processing that are altered in ASD. Fourteen young adults with high-functioning ASD (mean age, 21 years; 3 females) were compared with 19 age-matched typically developing (TD) controls (mean age, 21 years; 4 females). Olfactory event-related potentials (OERPs) for 2-phenylethyl alcohol-a rose-like odor-were measured with 64 scalp electrodes while participants performed a simple odor detection task. Significant group differences in OERPs were found in 3 time windows 542 ms after the stimulus onset. The cortical source activities in these time windows, estimated using standardized low-resolution brain electromagnetic tomography, were significantly higher in ASD than in TD in and around the posterior cingulate cortex, which is known to play a crucial role in modality-general cognitive processing. Supplemental Bayesian analysis provided substantial evidence for an alteration in the later stages of olfactory processing, whereas conclusive evidence was not provided for the earlier stages. These results suggest that olfactory processing in ASD is altered at least at the later, modality-general processing stage.
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Affiliation(s)
- Toshiki Okumura
- Department of Applied Biological Chemistry, Graduate School of Agricultural and Life Sciences, University of Tokyo, Tokyo, Japan
| | - Hirokazu Kumazaki
- Department of Preventive Intervention for Psychiatric Disorders, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan
| | - Archana K Singh
- Department of Applied Biological Chemistry, Graduate School of Agricultural and Life Sciences, University of Tokyo, Tokyo, Japan.,ERATO Touhara Chemosensory Signal Project, JST, University of Tokyo, Tokyo, Japan
| | - Kazushige Touhara
- Department of Applied Biological Chemistry, Graduate School of Agricultural and Life Sciences, University of Tokyo, Tokyo, Japan.,ERATO Touhara Chemosensory Signal Project, JST, University of Tokyo, Tokyo, Japan.,WPI International Research Center for Neurointelligence, University of Tokyo Institutes for Advanced Study, Tokyo, Japan
| | - Masako Okamoto
- Department of Applied Biological Chemistry, Graduate School of Agricultural and Life Sciences, University of Tokyo, Tokyo, Japan.,ERATO Touhara Chemosensory Signal Project, JST, University of Tokyo, Tokyo, Japan
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17
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Stickel S, Weismann P, Kellermann T, Regenbogen C, Habel U, Freiherr J, Chechko N. Audio-visual and olfactory-visual integration in healthy participants and subjects with autism spectrum disorder. Hum Brain Mapp 2019; 40:4470-4486. [PMID: 31301203 PMCID: PMC6865810 DOI: 10.1002/hbm.24715] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2019] [Revised: 05/23/2019] [Accepted: 07/01/2019] [Indexed: 01/22/2023] Open
Abstract
The human capacity to integrate sensory signals has been investigated with respect to different sensory modalities. A common denominator of the neural network underlying the integration of sensory clues has yet to be identified. Additionally, brain imaging data from patients with autism spectrum disorder (ASD) do not cover disparities in neuronal sensory processing. In this fMRI study, we compared the underlying neural networks of both olfactory-visual and auditory-visual integration in patients with ASD and a group of matched healthy participants. The aim was to disentangle sensory-specific networks so as to derive a potential (amodal) common source of multisensory integration (MSI) and to investigate differences in brain networks with sensory processing in individuals with ASD. In both groups, similar neural networks were found to be involved in the olfactory-visual and auditory-visual integration processes, including the primary visual cortex, the inferior parietal sulcus (IPS), and the medial and inferior frontal cortices. Amygdala activation was observed specifically during olfactory-visual integration, with superior temporal activation having been seen during auditory-visual integration. A dynamic causal modeling analysis revealed a nonlinear top-down IPS modulation of the connection between the respective primary sensory regions in both experimental conditions and in both groups. Thus, we demonstrate that MSI has shared neural sources across olfactory-visual and audio-visual stimulation in patients and controls. The enhanced recruitment of the IPS to modulate changes between areas is relevant to sensory perception. Our results also indicate that, with respect to MSI processing, adults with ASD do not significantly differ from their healthy counterparts.
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Affiliation(s)
- Susanne Stickel
- Department of Psychiatry, Psychotherapy and PsychosomaticsFaculty of Medicine, RWTH AachenAachenGermany
- Institute of Neuroscience and Medicine: JARA‐Institute Brain Structure Function Relationship (INM 10)Research Center JülichJülichGermany
| | - Pauline Weismann
- Department of Psychiatry and PsychotherapyFriedrich‐Alexander‐Universität Erlangen‐NürnbergErlangenGermany
| | - Thilo Kellermann
- Department of Psychiatry, Psychotherapy and PsychosomaticsFaculty of Medicine, RWTH AachenAachenGermany
- Institute of Neuroscience and Medicine: JARA‐Institute Brain Structure Function Relationship (INM 10)Research Center JülichJülichGermany
| | - Christina Regenbogen
- Department of Psychiatry, Psychotherapy and PsychosomaticsFaculty of Medicine, RWTH AachenAachenGermany
- Institute of Neuroscience and Medicine: JARA‐Institute Brain Structure Function Relationship (INM 10)Research Center JülichJülichGermany
- Department of Clinical NeuroscienceKarolinska InstitutetStockholmSweden
| | - Ute Habel
- Department of Psychiatry, Psychotherapy and PsychosomaticsFaculty of Medicine, RWTH AachenAachenGermany
- Institute of Neuroscience and Medicine: JARA‐Institute Brain Structure Function Relationship (INM 10)Research Center JülichJülichGermany
| | - Jessica Freiherr
- Department of Psychiatry and PsychotherapyFriedrich‐Alexander‐Universität Erlangen‐NürnbergErlangenGermany
- Sensory AnalyticsFraunhofer Institute for Process Engineering and Packaging IVVFreisingGermany
| | - Natalya Chechko
- Department of Psychiatry, Psychotherapy and PsychosomaticsFaculty of Medicine, RWTH AachenAachenGermany
- Institute of Neuroscience and Medicine: JARA‐Institute Brain Structure Function Relationship (INM 10)Research Center JülichJülichGermany
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18
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Abstract
OBJECTIVE Enhanced odor sensitivity, particularly toward threat-related cues, may be adaptive during periods of danger. Research also suggests that chronic psychological distress may lead to functional changes in the olfactory system that cause heightened sensitivity to odors. Yet, the association between self-reported odor sensitivity, objective odor detection, and affective psychopathology is currently unclear, and research suggests that persons with affective problems may only be sensitive to specific, threat-related odors. METHODS The current study compared adults with self-reported odor sensitivity that was described as functionally impairing (OSI; n = 32) to those who reported odor sensitivity that was non-impairing (OS; n = 17) on affective variables as well as quantitative odor detection. RESULTS Increased anxiety sensitivity, trait anxiety, depression, and life stress, even while controlling for comorbid anxiety and depressive disorders, was found for OSI compared to OS. While OSI, compared to OS, demonstrated only a trend increase in objective odor detection of a smoke-like, but not rose-like, odor, further analysis revealed that increased detection of that smoke-like odor was positively correlated with anxiety sensitivity. CONCLUSION These findings suggest that persons with various forms of psychological distress may find themselves significantly impaired by an intolerance of odors, but that self-reported odor sensitivity does not necessarily relate to enhanced odor detection ability. However, increased sensitivity to a smoke-like odor appears to be associated with sensitivity to aversive anxiogenic stimuli. Implications for the pathophysiology of fear- and anxiety-related disorders are discussed.
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19
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Association Between Olfactory Performance and Affective Symptoms in Children. CHEMOSENS PERCEPT 2018. [DOI: 10.1007/s12078-018-9253-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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20
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Wilkerson AK, Uhde TW, Leslie K, Freeman WC, LaRowe SD, Schumann A, Cortese BM. Paradoxical olfactory function in combat veterans: The role of PTSD and odor factors. MILITARY PSYCHOLOGY 2018; 30:120-130. [PMID: 30220788 DOI: 10.1080/08995605.2018.1425063] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Stress- and trauma-related disorders, including posttraumatic stress disorder (PTSD), are characterized by an increased sensitivity to threat cues. Given that threat detection is a critical function of olfaction and that combat trauma is commonly associated with burning odors, we sought a better understanding of general olfactory function as well as response to specific trauma-related (i.e. burning) odors in combat-related PTSD. Trauma-exposed combat veterans with (N = 22) and without (N = 25) PTSD were assessed for general and specific odor sensitivities using a variety of tools. Both groups had similar general odor detection thresholds. However, the combat veterans with PTSD, compared to combat veterans with comparable trauma exposure, but without PTSD, had increased ratings of odor intensity, negative valence, and odor-triggered PTSD symptoms, along with a blunted heart rate in response to burning rubber odor. These findings are discussed within the context of healthy versus pathological changes in olfactory processing that occur over time after psychological trauma.
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Affiliation(s)
| | - Thomas W Uhde
- Department of Psychiatry and Behavioral Sciences, MUSC, Charleston, SC, US
| | - Kimberly Leslie
- Department of Psychiatry and Behavioral Sciences, MUSC, Charleston, SC, US
| | | | - Steven D LaRowe
- Department of Psychiatry and Behavioral Sciences, MUSC, Charleston, SC, US.,Ralph H. Johnson VAMC, Charleston, SC, US
| | - Aicko Schumann
- Department of Psychiatry and Behavioral Sciences, MUSC, Charleston, SC, US
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21
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Both anxiety and joint laxity determine the olfactory features in panic disorder. Psychiatry Res 2018; 262:420-426. [PMID: 28923431 DOI: 10.1016/j.psychres.2017.09.018] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2016] [Revised: 07/26/2017] [Accepted: 09/08/2017] [Indexed: 12/23/2022]
Abstract
Previous research showed a high sensitivity in sensorial modalities in panic disorder (PD). This disorder has been consistently associated to the joint hypermobility syndrome (JHS). In non-clinical samples, this collagen alteration has been also related to an enhanced sensitivity in some sensorial modalities. The main aim of this study is to explore the olfactory functioning in PD in relation to JHS. Sixty patients with PD and sixty healthy controls performed the Sniffin' Sticks Test (SST) (threshold subtest), and completed the Affective Impact of Odors scale (AIO), the Relational Scale of Olfaction (EROL), and the Odor Awareness Scale (OAS). Clinical symptom rating scales and JHS assessment were also obtained. PD patients showed enhanced odor acuity, greater reactivity to smells and also increased odor awareness compared to the healthy controls. Within the patients group, those suffering from JHS displayed higher functioning in all olfactory domains compared to the non-JHS ones. The JHS and anxiety measures emerged as predictor variables of the olfactory function. The present findings highlight the importance of the olfactory function in PD and underline that both, JHS and anxiety, determine the olfactory characteristics in this disorder.
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22
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Cortese BM, Schumann AY, Howell AN, McConnell PA, Yang QX, Uhde TW. Preliminary evidence for differential olfactory and trigeminal processing in combat veterans with and without PTSD. NEUROIMAGE-CLINICAL 2017; 17:378-387. [PMID: 29159050 PMCID: PMC5683811 DOI: 10.1016/j.nicl.2017.09.018] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/06/2017] [Revised: 09/01/2017] [Accepted: 09/25/2017] [Indexed: 12/16/2022]
Abstract
Structural and functional changes in the olfactory system are increasingly implicated in the expression of PTSD. Still, very little is known about the neurobiological networks of trauma-related odor sensitivity or how they relate to other objective and subjective measures of olfaction and PTSD. The purpose of this study was to replicate prior findings and further characterize olfactory function in trauma-exposed combat veterans with and without PTSD. We also sought to extend this area of research by exploring the effects of time since the combat-related index trauma (TST) on post-trauma olfactory function, as well as by correlating odor-elicited brain activity to general olfactory ability and odor-elicited PTSD symptoms. Participants included combat veterans with PTSD (CV+PTSD; n = 21) or without any psychiatric disorder (CV-PTSD; n = 27). TST was coded as greater (n = 24) or less (n = 24) than 5 years. There were main effects and/or interaction for PTSD-status and TST across several parameters of olfactory function: odor detection, odor identification, ratings for trauma-related odor intensity and triggered PTSD symptoms, and trauma odor-elicited brain activation. Overall, results suggest olfactory impairment in chronic PTSD, but not necessarily in the earlier stages of the disorder, although some early-stage olfactory findings may be predictive of later olfactory impairment. Results also suggest that trauma-exposed individuals who never develop PTSD may demonstrate olfactory resiliency. Finally, results highlight a potentially unique role of trigeminal odor properties in the olfactory-PTSD relationship.
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Affiliation(s)
| | - Aicko Y Schumann
- Department of Psychiatry and Behavioral Sciences, MUSC, Charleston, SC, USA
| | - Ashley N Howell
- Department of Psychiatry and Behavioral Sciences, MUSC, Charleston, SC, USA
| | | | - Qing X Yang
- Department of Radiology, Penn State Hershey Medical Center, Hershey, PA, USA
| | - Thomas W Uhde
- Department of Psychiatry and Behavioral Sciences, MUSC, Charleston, SC, USA
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23
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Ryo Y, Takeuchi M, Ueda N, Ohi K, Kihara H, Shimada T, Uehara T, Kawasaki Y. Olfactory function in neuropsychiatric disorders. Psychiatry Res 2017; 252:175-179. [PMID: 28282535 DOI: 10.1016/j.psychres.2017.02.058] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2016] [Revised: 01/30/2017] [Accepted: 02/25/2017] [Indexed: 11/28/2022]
Abstract
Recent clinical studies have identified olfactory dysfunction in patients with neuropsychiatric disorders. Although these studies showed differences in olfactory function between healthy individuals and neuropsychiatric patients, no studies have compared the differences in olfactory function among neuropsychiatric disorders. The aim of the present study was to investigate olfactory function among various neuropsychiatric disorders. Three-hundred and eighteen outpatients diagnosed according to the ICD-10 code participated in the study. Olfactory function was assessed using the Open Essence test. The differences in olfactory function among disorders were compared by analyses of (co-)variance. As expected, olfactory function was significantly affected by the age and marginally affected by the gender. We investigated the differences in olfactory function among patients with different neuropsychiatric disorders (F0-F9). Olfactory function significantly differed among the diagnostic groups. Post hoc analysis showed that patients with F0 had decreased olfactory function compared to patients from the other diagnostic groups. In particular, patients with Alzheimer's disease (AD) had significantly poorer olfactory function compared to patients with other neuropsychiatric disorders. There were no differences among the other groups. These findings suggest that patients with AD had poorer olfactory function compared not only to healthy subjects but also to patients with several other neuropsychiatric disorders.
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Affiliation(s)
- Yusuke Ryo
- School of Medicine, Kanazawa Medical University, Ishikawa, Japan
| | - Mina Takeuchi
- School of Medicine, Kanazawa Medical University, Ishikawa, Japan
| | - Naoko Ueda
- School of Medicine, Kanazawa Medical University, Ishikawa, Japan
| | - Kazutaka Ohi
- Department of Neuropsychiatry, Kanazawa Medical University, Ishikawa, Japan.
| | - Hiroaki Kihara
- Department of Neuropsychiatry, Kanazawa Medical University, Ishikawa, Japan
| | - Takamitsu Shimada
- Department of Neuropsychiatry, Kanazawa Medical University, Ishikawa, Japan
| | - Takashi Uehara
- Department of Neuropsychiatry, Kanazawa Medical University, Ishikawa, Japan
| | - Yasuhiro Kawasaki
- Department of Neuropsychiatry, Kanazawa Medical University, Ishikawa, Japan
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25
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Odor-induced recall of emotional memories in PTSD–Review and new paradigm for research. Exp Neurol 2016; 284:168-180. [DOI: 10.1016/j.expneurol.2016.08.001] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2016] [Revised: 08/01/2016] [Accepted: 08/04/2016] [Indexed: 01/09/2023]
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26
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Hoffmann-Hensel SM, Freiherr J. Intramodal Olfactory Priming of Positive and Negative Odors in Humans Using Respiration-Triggered Olfactory Stimulation (RETROS). Chem Senses 2016; 41:567-78. [PMID: 27170666 DOI: 10.1093/chemse/bjw060] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Priming describes the principle of modified stimulus perception that occurs due to a previously presented stimulus. Although we have begun to understand the mechanisms of crossmodal priming, the concept of intramodal olfactory priming remains relatively unexplored. Therefore, we applied positive and negative odors using respiration-triggered olfactory stimulation (RETROS), enabling us to record the skin conductance response (SCR) and breathing data without a crossmodal cueing error and measure reaction times (RTs) for olfactory tasks. RT, SCR, and breathing data revealed that negative odors were perceived significantly more arousing than positive ones. In a second experiment, 2 odors were applied during consecutive respirations. Here, we observed intramodal olfactory priming effects: A negative odor preceded by a positive odor was rated as more pleasant than when the same odor was preceded by a negative odor. Additionally, a longer identification RT was found for the second compared with the first odor. We interpret this as increased "perceptual load" due to incomplete first odor processing while the second odor was presented. Furthermore, intramodal priming can be considered a possible reason for the increase of identification RT. The use of RETROS led to these novel insights into olfactory processing beyond crossmodal interaction by providing a noncued unimodal olfactory test, and therefore, RETROS can be used in the experimental design of future olfactory studies.
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Affiliation(s)
- Sonja Maria Hoffmann-Hensel
- Diagnostic and Interventional Neuroradiology, RWTH Aachen University, Pauwelsstraße 30, 52074 Aachen, Germany
| | - Jessica Freiherr
- Diagnostic and Interventional Neuroradiology, RWTH Aachen University, Pauwelsstraße 30, 52074 Aachen, Germany Fraunhofer Institute for Process Engineering and Packaging IVV, Giggenhauserstr. 35, 85354 Freising, Germany
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27
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Kim BH, Kim HN, Roh SJ, Lee MK, Yang S, Lee SK, Sung YA, Chung HW, Cho NH, Shin C, Sung J, Kim HL. GWA meta-analysis of personality in Korean cohorts. J Hum Genet 2015; 60:455-60. [PMID: 25994864 DOI: 10.1038/jhg.2015.52] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2014] [Revised: 03/06/2015] [Accepted: 04/08/2015] [Indexed: 12/11/2022]
Abstract
Personality is a determinant of behavior and lifestyle that is associated with health and human diseases. Despite the heritability of personality traits is well established, the understanding of the genetic contribution to personality trait variation is extremely limited. To identify genetic variants associated with each of the five dimensions of personality, we performed a genome-wide association (GWA) meta-analysis of three cohorts, followed by comparison of a family cohort. Personality traits were measured with the Revised NEO Personality Inventory for the five-factor model (FFM) of personality. We investigated the top five single-nucleotide polymorphisms (SNPs) for each trait, and revealed the most highly association with neuroticism and TACC2 (rs1010657, P=8.79 × 10(-7)), extraversion and PTPN12 (rs12537271, P=1.47 × 10(-7)), openness and IMPAD1 (rs16921695, P=5 × 10(-8)), agreeableness and RPS29 (rs8015351, P=1.27 × 10(-6)) and conscientiousness and LMO4 (rs912765, P=2.91 × 10(-6)). It had no SNP reached the GWA study threshold (P<5 × 10(-8)). When expanded the SNPs up to top 100, the correlation of PTPRD (rs1029089) and agreeableness was confirmed in Healthy Twin cohort with other 13 SNPs. This GWA meta-analysis on FFM personality traits is meaningful as it was the first on a non-Caucasian population targeted to FFM of personality traits.
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Affiliation(s)
- Bo-Hye Kim
- Department of Biochemistry, School of Medicine, Ewha Womans University, Seoul, Republic of Korea
| | - Han-Na Kim
- Department of Biochemistry, School of Medicine, Ewha Womans University, Seoul, Republic of Korea
| | - Seung-Ju Roh
- Department of Biochemistry, School of Medicine, Ewha Womans University, Seoul, Republic of Korea
| | - Mi Kyeong Lee
- Complex Disease and Genetic Epidemiology Branch, Department of Epidemiology and Institute of Environment and Health, School of Public Health, Seoul National University, Seoul, Republic of Korea
| | - Sarah Yang
- Complex Disease and Genetic Epidemiology Branch, Department of Epidemiology and Institute of Environment and Health, School of Public Health, Seoul National University, Seoul, Republic of Korea
| | - Seung Ku Lee
- Institute of Human Genomic Study, Korea University Ansan Hospital, Ansan, Republic of Korea
| | - Yeon-Ah Sung
- Department of Internal Medicine, School of Medicine, Ewha Womans University, Seoul, Republic of Korea
| | - Hye Won Chung
- Department of Obstetrics and Gynecology, School of Medicine, Ewha Womans University, Seoul, Republic of Korea
| | - Nam H Cho
- Department of Preventive Medicine, School of Medicine, Ajou University, Suwon, Republic of Korea
| | - Chol Shin
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Korea University Hospital, Ansan, Republic of Korea
| | - Joohon Sung
- Complex Disease and Genetic Epidemiology Branch, Department of Epidemiology and Institute of Environment and Health, School of Public Health, Seoul National University, Seoul, Republic of Korea
| | - Hyung-Lae Kim
- Department of Biochemistry, School of Medicine, Ewha Womans University, Seoul, Republic of Korea
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