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Theses/Dissertations

2013

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Full-Text Articles in Biological Psychology

A Multi-Gene By Environment Perspective Of Adhd Symptomatology In Young Children, Amber L. Allison Dec 2013

A Multi-Gene By Environment Perspective Of Adhd Symptomatology In Young Children, Amber L. Allison

University of New Orleans Theses and Dissertations

Attention deficit hyperactivity disorder (ADHD) is a heritable disorder, which has detrimental effects on childhood development and is associated with maladaptive functioning in adulthood. Despite this, we are far from an understanding of the etiology and possible trajectories of ADHD, possibly due to investigations focusing on the contribution of single genes. In fact, single genes are likely not influential enough to alter behavior, but the additive effect of many genes may predispose an individual toward certain behaviors. Further, environmental input can activate or suppress genetic expression, thereby leading to vast individual differences in both normative behavior and psychopathological illness, including …


The Effects Of Chronic Simvastatin Treatment On The Expression Of Behavioral Symptoms In A Transgenic Mouse Model Of Huntington’S Disease, Ashley Whitmarsh Dec 2013

The Effects Of Chronic Simvastatin Treatment On The Expression Of Behavioral Symptoms In A Transgenic Mouse Model Of Huntington’S Disease, Ashley Whitmarsh

University of New Orleans Theses and Dissertations

Huntington’s disease (HD) is a heritable, neurodegenerative disorder characterized by motor, cognitive, and psychiatric disturbances. An unstable CAG expansion within the gene normally encoding for the Huntingtin protein is responsible. The expanded mutant form of Huntingtin and the putative protein co-factor Rhes interact and cause cell death within the striatum. We hypothesized chronic treatment with simvastatin, a cholesterol lowering drug, would disrupt the biosynthetical pathway which gives both Rhes and its target cells binding sites and render Rhes inactive. Healthy and HD mice were treated with simvastatin or a vehicle. Animals’ motor behavior was assessed with three separate tests over …


Coupling Of The Hpa And Hpg Axes, Andrew Dismukes Dec 2013

Coupling Of The Hpa And Hpg Axes, Andrew Dismukes

University of New Orleans Theses and Dissertations

The Hypothalamic-Pituitary-Adrenal (HPA) and –Gonadal (HPG) axes have been considered mutually inhibitory; however, emerging evidence supports the proposition that this might not necessarily be the case. This idea is termed “coupling,” in which the HPA-HPG axis are mutually activated or deactivated. Coupling is examined across three data sets with different time-courses of stress exposure, and results demonstrate HPA-HPG co-activation occurs. Furthermore, stress exposure influences this relationship. The discussion shows how it is physiologically possible to have positive coupling or co-activation between these axes according to complex regulatory feedback systems and overlapping neural structures. Findings are interpreted developmentally, because adolescence may …


Methylphenidate Conditioned Place Preference In Juvenile And Adolescent Male And Female Rats, Elizabeth D. Freeman Dec 2013

Methylphenidate Conditioned Place Preference In Juvenile And Adolescent Male And Female Rats, Elizabeth D. Freeman

Electronic Theses and Dissertations

This investigation was an analysis of the effects of methylphenidate (MPH; trade name: Ritalin) on drug reward using the conditioned place preference (CPP) behavioral paradigm in a rodent model and underlying mechanisms of this effect. Animals were conditioned in adolescence from postnatal day (P)33-39) or P44-49 with saline, 1 or 5 mg/kg MPH. Rats administered 5 mg/kg but not 1 mg/kg MPH, resulted in a significant preference that was more robust in younger male adolescent rats. The 5 mg/kg dose of MPH also resulted in a significant decrease of the dopamine transporter in both the nucleus accumbens and striatum, revealing …


Timing Of Developmental Stress And Phenotypic Plasticity: Effects Of Nutritional Stress At Different Developmental Periods On Physiological And Cognitive-Behavioral Traits In The Zebra Finch (Taeniopygia Guttata), Buddhamas Kriengwatana Aug 2013

Timing Of Developmental Stress And Phenotypic Plasticity: Effects Of Nutritional Stress At Different Developmental Periods On Physiological And Cognitive-Behavioral Traits In The Zebra Finch (Taeniopygia Guttata), Buddhamas Kriengwatana

Electronic Thesis and Dissertation Repository

Developmentally plastic organisms can respond to stressful environmental conditions by altering multiple aspects of their phenotype, often in a permanent fashion. The timing of developmental stress influences these phenotypic alterations because the prioritization of resources to traits necessary to overcome the stressor may be costly for the development of other traits. Despite the importance of this timing, few studies in birds have accounted for it, and those that have usually examined the effect on a single or few variables. This dissertation addresses the outstanding issues regarding i) the effects of timing of developmental stress on developmental plasticity, and ii) the …


Perceived And Actual Emotional Control Among Youth: Are There Differential Relations With Anxiety And Aggression?, Brandon Scott Aug 2013

Perceived And Actual Emotional Control Among Youth: Are There Differential Relations With Anxiety And Aggression?, Brandon Scott

University of New Orleans Theses and Dissertations

The perception of and actual ability to control emotional responses during stressful, taxing situations are important to an individual’s well-being. Studies have shown that both low perceived control and a low actual ability for emotional control are related to internalizing and externalizing problems in youth. However, significant gaps in research exist in terms of testing theoretical predictions about how perceived and actual emotional control are associated with anxiety and aggressive behavior problems, particularly among adolescents. The first goal of this study was to examine two objective measures of actual control (i.e., vagal tone and vagal regulation) and their link with …


Exercise-Induced Hypoxia, Angiogenesis, And Behavioral Flexibility In The Adult Rat, Kiersten Lee Berggren Aug 2013

Exercise-Induced Hypoxia, Angiogenesis, And Behavioral Flexibility In The Adult Rat, Kiersten Lee Berggren

Theses and Dissertations

Exercise induces a myriad of effects on the brain from the growth of new capillaries and neurons, to improvements in cognitive performance. Additionally, recent research has shown that commencement of an exercise regimen also causes apoptosis. Therefore, it is possible that exercise-induced increases in oxygen demand cause the brain to transiently experience a state of hypoxia. To investigate this hypothesis, we measured protein levels of hypoxia inducible factor 1 alpha (HIF-1α), a transcription factor known to be upregulated in conditions of hypoxia or ischemia, in animals exposed to a single bout of treadmill exercise. After exercise animals were sacrificed at …


Dissociation Of Β1 And Β2 Adrenergic Receptor Subtypes In Retrieval And Reconsolidation Of A Cocaine Conditioned Place Preference, Michael Fitzgerald Aug 2013

Dissociation Of Β1 And Β2 Adrenergic Receptor Subtypes In Retrieval And Reconsolidation Of A Cocaine Conditioned Place Preference, Michael Fitzgerald

Theses and Dissertations

Drug-seeking behavior is maintained by encounters with drug-associated cues, and disrupting retrieval or reconsolidation of the drug-cue associations could reduce the risk of relapse. Previous work has shown beta-adrenergic receptor (beta-AR) antagonists can prevent retrieval or reconsolidation of a cocaine conditioned place preference (CPP) when administered either before or after test, respectively (Otis and Mueller, 2011; Otis et al., 2013). However, the specific beta-AR subtypes that mediate retrieval and reconsolidation of a cocaine CPP remain unknown. Here we used selective blockade of & beta-1 or beta-2-AR subtypes to determine the effects on retrieval and reconsolidation of a cocaine CPP. During …


Comparing Stress Responses In Generalized Anxiety Disorder Vs. Non-Clinical Populations: A Cortisol And Alpha-Amylase Study, Dominic Joseph Di Loreto Aug 2013

Comparing Stress Responses In Generalized Anxiety Disorder Vs. Non-Clinical Populations: A Cortisol And Alpha-Amylase Study, Dominic Joseph Di Loreto

Masters Theses

Debilitating anxiety affects 6.8 million Americans. Cortisol is an established measure of the stress response which reflects the hypothalamic-pituitary-adrenal (HPA) axis activity. However, salivary alpha-amylase (sAA) is a relatively new measure of the stress response, and it reflects the sympathetic-adrenal-medullary pathway (SAM pathway) activity. Our aim was to compare these two aspects of the stress response in a Generalized Anxiety Disorder (GAD) and a non-clinical population under a stressful stimulus (Knee replacement surgery video). To our knowledge this is the first time anyone has looked at both sAA and cortisol together with respect to GAD. We hypothesized that both cortisol …


Early Life Stress, Drug Abuse, Exercise Effects On Bdnf And Sex-Influenced Excercise Differences, Karissa Dold May 2013

Early Life Stress, Drug Abuse, Exercise Effects On Bdnf And Sex-Influenced Excercise Differences, Karissa Dold

Honors College Theses

In 2011, the U.S. reported 3 million child maltreatment cases, an uncomfortably high but recurring figure each year. Research shows exposure to early life stress (ELS) increases an individual’s susceptibility to substance abuse, specifically of nicotine, alcohol, and cocaine. Increased susceptibility may result from dysregulation of the HPA axis sustaining activation into adulthood after ELS. Hyperactivation of the HPA axis significantly reduces hippocampal BDNF, a neurotrophin involved in neuronal growth and plasticity. Reduced hippocampal BDNF may be a factor in substance abuse vulnerability. Additionally, research shows exercise protects hippocampal BDNF from stress induced down-regulation. To explore these relationships, this study …


Accessing Learning In The Adult Zebrafish With A Novel Associative Learning Task, David Joseph Jouandot Ii May 2013

Accessing Learning In The Adult Zebrafish With A Novel Associative Learning Task, David Joseph Jouandot Ii

Dissertations

The zebrafish (Danio rerio) is accepted in the developmental and genomic communities as a model organism. However, the capacity for the zebrafish as a behavioral model has yet to be fully acknowledged. The research presented provides evidence validating the novel task, aids in gaining a better understanding of the learning processes, and identifies individual differences. The novel associative learning task differs from any present well established behavioral model and lends itself to future development. The task provides the zebrafish community with a high output behavioral task which is readily replicated and allows one researcher to test between eight …


Effects Of Food Dispersion On Dominance Related Behaviors In Garnett's Bushbaby (Otolemur Garnettii)?, Kyle Daniel Edens May 2013

Effects Of Food Dispersion On Dominance Related Behaviors In Garnett's Bushbaby (Otolemur Garnettii)?, Kyle Daniel Edens

Dissertations

Socio-ecological theorists tie primate social structure diversity to variations in habitats within which primate species reside. This premise permits laboratory researchers to investigate specific factors that influence or relate to social structure formation and maintenance. The focus of the current investigation was three fold. We first aimed to determine the relationships between traditional and non-traditional behavioral measures of dominance, then evidence for dominance hierarchy formation was examined, and various hypotheses were tested to discern if adjustments in the foraging context altered social behaviors in Garnett’s bushbaby (Otolemur garnettii). It was determined that animals likely to displace conspecifics were …


Do Dogs Increase Learning? The Effect Of Therapy Dogs On Academic Stress And Spanish Second Language Learning, Elaine Maralee Henry May 2013

Do Dogs Increase Learning? The Effect Of Therapy Dogs On Academic Stress And Spanish Second Language Learning, Elaine Maralee Henry

Masters Theses

Numerous physiological changes occur during periods of high stress and learning Spanish as a second language in a classroom setting may induce significant levels of academic stress. A possible solution is the use of therapy dogs in second language classes since therapy dogs are known to lower stress and improve physiological measures such as heart rate and blood pressure. Data were collected from 18 University of Tennessee-Knoxville juniors and seniors. A within subjects design required participants to listen to a short Spanish lesson during three conditions: baseline, therapy dog, and no therapy dog. In all conditions, saliva samples were collected …


Effects Of 5-Ht1a Receptors On The Development Of Stress-Induced Changes In Behavior, Lauren Renee Bader May 2013

Effects Of 5-Ht1a Receptors On The Development Of Stress-Induced Changes In Behavior, Lauren Renee Bader

Masters Theses

Social defeat leads to both increased anxiety-like behavior and the formation of a fear memory for a specific opponent. We have shown that serotonin (5-HT) signaling, particularly in the basolateral amygdala (BLA), alters the acquisition of the conditioned defeat response in Syrian hamsters. While activation of 5-HT1A receptors impairs the acquisition of conditioned defeat, it is unclear whether these receptors alter the development of anxiety-like behavior or formation of fear memories. One method for investigating the formation of defeat-induced fear memories is to measure avoidance of former opponents, and many researchers have reliably used the open field as a measure …


The Effects Of Mindfulness Meditation On Rumination In Depressed People, Rachel A. Sluder Apr 2013

The Effects Of Mindfulness Meditation On Rumination In Depressed People, Rachel A. Sluder

Honors Theses and Capstones

Mindfulness meditation is a practice of focus, awareness, and non-judgmental acceptance of one's thoughts (Deyo et al., 2009; Kenny et al., 2007). Rumination is a maladaptive pattern of thought that is common in people with depression and other mood disorders. It can lead to further episodes of depression, and can be very destructive in that way (Nolen-Hoeksema, 2008). This paper reviews several studies on mindfulness meditation, depression, and rumination, with a focus on certain areas and phenomena such as alpha asymmetry (Keune et al 2013) and gamma band activity (Berkovich-Ohana et al., 2012). Modalities such as fMRI and EEG are …


Stress, Anxiety, And Somatic Symptoms: A Comparison Of Biomarkers In A Clinical Sample, David J. Finitsis Mar 2013

Stress, Anxiety, And Somatic Symptoms: A Comparison Of Biomarkers In A Clinical Sample, David J. Finitsis

Master's Theses

Anxiety disorders are the most prevalent class of mental disorders, often characterized by a chronic course and comorbid psychopathology. The anxiety-stress literature utilizing cortisol as a biomarker of the hypothalamus pituitary adrenal (HPA) axis has been inconsistent. The establishment of salivary alpha-amylase (sAA) as a biomarker of sympathetic nervous system (SNS) activation allows researchers an opportunity to examine the stress response more fully. This study sought to explore relationships between trait anxiety and salivary stress biomarkers in an outpatient sample attending a specialized anxiety treatment center. Multiple regression and moderator analyses were conducted to examine associations between psychosocial and physiological …


Stress And Social Relationships: The Role Of Corticosterone In The Formation And Maintenance Of Pair Bonds In The Monogamous Zebra Finch (Taeniopygia Guttata), Kimberly Anne Laplante Jan 2013

Stress And Social Relationships: The Role Of Corticosterone In The Formation And Maintenance Of Pair Bonds In The Monogamous Zebra Finch (Taeniopygia Guttata), Kimberly Anne Laplante

Wayne State University Dissertations

Stress and affiliative social relationships are bi-directionally related. It is well understood that social relationships can buffer the physiological response to a stressor. Conversely, there is some evidence to suggest that stress can affect the propensity to form a pair bond. Data from humans and prairie voles, monogamous rodents, suggest that activation of the hypothalamic-pituitary-adrenal axis (HPA) in males increases attraction for females. Across species, females are understudied, but evidence from the prairie vole suggests HPA activation impairs formation of partner preference, the first step in establishing a pair bond. Across taxa there is evidence that formation and maintenance of …


Traumatic Brain Injury: The Relationship Of Psychosocial Variables And Location Of Injury To Post-Injury Depression, Alicia L. Smith Jan 2013

Traumatic Brain Injury: The Relationship Of Psychosocial Variables And Location Of Injury To Post-Injury Depression, Alicia L. Smith

Theses, Dissertations and Capstones

Traumatic Brain Injury (TBI) affects nearly 1.4 million people in the United States annually, and of these, 10% to 77% will experience post-injury depression. Psychosocial variables such as previous substance and alcohol abuse, prior mental illness, low educational attainment, and poverty have been identified as possible risk factors. Additionally, the location of injury appears to play a key role particularly if the injury occurs in the left hemisphere. This study examined archival data from brain-injured patients in an effort to better understand the factors related to post-TBI depression. Past medical records of brain-injured adults (N = 52) were reviewed …


Preweanling Exposure To Selective Catecholamine Transporter Inhibitors Differentially Effects Morphine-Induced Antinociception In Adulthood, Joseph Marco Valentine Jan 2013

Preweanling Exposure To Selective Catecholamine Transporter Inhibitors Differentially Effects Morphine-Induced Antinociception In Adulthood, Joseph Marco Valentine

Theses Digitization Project

The purpose of this project is to determine how early methylphenidate exposure alters opioid receptor functioning in adulthood. To this end, we will administer selective monoamine transporter inhibitors for dopamine and norepinephrine (GBR-12904 and atomoxetine) during preweanling period and assess opioid function in adult rats by testing morphine-induced antinociception using the hot-plate and tail-flick tasks. In order to assess the effects of methylphenidate use on brain functions during development, investigations have been conducted in rats using ages roughly analogous to early and late childhood.


Adolescent And Adult Nicotine Exposure On The Acquisition Of Methamphetamine Self-Administration And The Reinstatement Of Extinguished Methamphetamine-Seeking In Male Rats, Joseph Allan Pipkin Jan 2013

Adolescent And Adult Nicotine Exposure On The Acquisition Of Methamphetamine Self-Administration And The Reinstatement Of Extinguished Methamphetamine-Seeking In Male Rats, Joseph Allan Pipkin

Theses Digitization Project

This study sought to determine the individual and combined contribution of adolescent and adult nicotine exposure on METH self-administration and METH-seeking behavior in male rats. Nicotine is a commonly abused substance among adolescents and is believed to be a "gateway" to other drugs of abuse. In support of the gateway hypothesis, cigarette smoking during adolescence is related to increased methamphetamine (METH) use in adulthood.


Monoamine Modulation Of Separation-Induced Ultrasonic Vocalizations In Preweanling F344 And Sd Rats, Cynthia Elizabeth Britt Jan 2013

Monoamine Modulation Of Separation-Induced Ultrasonic Vocalizations In Preweanling F344 And Sd Rats, Cynthia Elizabeth Britt

Theses Digitization Project

The purpose of this study was to determine if Fischer 344 (F344) rats, a strain which naturally shows deficits in social communication during adolescence, could be used as a model of the social communication deficits observed in autism. Thus, the goal was to determine if F344 rats would also show fewer emissions of isolated-induced ultrasonic vocalizations (an early onset form of social interaction) as compared to SD rats. Subjects consisted of 142 F344 rat pups (67 male and 75 female). Subjects were treated according to the "Guide for the Care and Use of Mammals in Neuroscience and Behavioral Research" under …


The Effect Of Visual Wulst Lesions And Trigeminal Nerve Sectioning On The Discrimination Of Magnetic Inclination In The Homing Pigeon (Columba Livia), Merissa Acerbi Jan 2013

The Effect Of Visual Wulst Lesions And Trigeminal Nerve Sectioning On The Discrimination Of Magnetic Inclination In The Homing Pigeon (Columba Livia), Merissa Acerbi

Honors Projects

The ability of homing pigeons to return to their loft from unknown places has fascinated scientists for centuries. It is well established that homing pigeons, like migratory birds, posses an innate magnetic inclination compass to determine direction by measuring the angle between the magnetic field vector and the Earth's surface. Recent work has indicated that the avian magnetic compass is light mediated and appears to mediate magnetic information to the brain. This occurs via a visual pathway with processing in the visual Wulst area of the forebrain. There is, however, also evidence from other avian species that magnetic direction may …


Cognitive And Physiological Moderators Of Daily Smokers' Early Neural Attentional Biases To Smoking And Nonsmoking Cues, Patrick John Hammett Jan 2013

Cognitive And Physiological Moderators Of Daily Smokers' Early Neural Attentional Biases To Smoking And Nonsmoking Cues, Patrick John Hammett

Dissertations, Theses, and Masters Projects

No abstract provided.


Exploring The Impact Of Meditation On Attentional Allocation To Emotion, Sychopathology, And Acute Stress, In A Community Sample With Mixed Anxiety And Depression, Nicholas Thomas Van Dam Jan 2013

Exploring The Impact Of Meditation On Attentional Allocation To Emotion, Sychopathology, And Acute Stress, In A Community Sample With Mixed Anxiety And Depression, Nicholas Thomas Van Dam

Legacy Theses & Dissertations (2009 - 2024)

Attempts to define mindfulness in the clinical and psychological sciences have been marred by contradictions, inconsistencies, and controversies. In this wait-list (WL) controlled mindfulness meditation training (MMT) study, the efficacy and potential mechanisms of MMT was tested in a community sample with undiagnosed, but significant, symptoms of anxiety, depression, and stress. In a pre/post design, which also included 3 month follow-up, participants completed self-report measures, participated in a psychosocial stress task (before and after which they completed self-report mood questionnaires and had physiological and salivary neuroendocrine markers collected), and completed an emotional attentional blink paradigm. Compared to WL (n = …


Examining The Interaction Of Neonatal Alcohol And Hypoxia In Vitro, Megan L. Carter Jan 2013

Examining The Interaction Of Neonatal Alcohol And Hypoxia In Vitro, Megan L. Carter

Theses and Dissertations--Psychology

Exposure to ethanol (ETOH) during fetal development results in a range of cognitive/behavioral deficits. There are differences in sensitivity to the effects of ETOH that could be explained by other factors, such as hypoxia. Similar mechanisms of damage underlie both ETOH, more specifically ETOH withdrawal, and hypoxia. Based on this overlap, it was hypothesized that sub threshold levels of these insults may interact to produce increased damage in sensitive brain regions. This study used a rodent organotypic hippocampal slice culture model to investigate the interaction of hypoxia and ETOH withdrawal and to determine possible developmental differences in the sensitivity to …


Expression Of Borderline Personality Disorder Symptoms Across The Ovulatory Cycle: A Multilevel Investigation, Tory A. Eisenlohr-Moul Jan 2013

Expression Of Borderline Personality Disorder Symptoms Across The Ovulatory Cycle: A Multilevel Investigation, Tory A. Eisenlohr-Moul

Theses and Dissertations--Psychology

Borderline Personality Disorder (BPD) is a disabling condition characterized by chronic emotion dysregulation and behavioral impulsivity. Prospective studies that test proposed mechanisms of within-person change in BPD hold the key to improving symptom predictability and control in this disorder. A small body of evidence suggests that fluctuations in estradiol such as those occurring naturally at ovulation during the monthly female reproductive cycle may increase symptoms in women with BPD (DeSoto et al., 2003). Furthermore, there is preliminary evidence that both self-esteem and feelings of social rejection are highest at ovulation, when estradiol peaks (Durante and Hill, 2009; Eisenlohr-Moul et al., …


Characterizing Consumption, Dependence, And The Role Of Glucocorticoids In An Animal Model Of Voluntary Ethanol Consumption, Lynda Sharrett-Field Jan 2013

Characterizing Consumption, Dependence, And The Role Of Glucocorticoids In An Animal Model Of Voluntary Ethanol Consumption, Lynda Sharrett-Field

Theses and Dissertations--Psychology

Alcohol abuse disorders (AUD) represent a serious worldwide health problem with far reaching social, financial, and interpersonal implications. One of the most devastating facets of these disorders is the propensity to relapse following periods of abstinence. Ethanol withdrawal (EWD) is believed to promote relapse by increasing anxiety and craving, and may contribute to the development of cognitive decline associated with long-term dependence. Clinical data suggest that stress also plays a main role in both the development of AUD as well as relapse to drinking. As a physiological stressor, EtOH elevates levels of stress hormones (cortisol in humans, corticosterone (CORT) in …


The Psychophysiology Of Novelty Processing: Do Brain Responses To Deviance Predict Recall, Recognition And Response Time?, Siri-Maria Kamp Jan 2013

The Psychophysiology Of Novelty Processing: Do Brain Responses To Deviance Predict Recall, Recognition And Response Time?, Siri-Maria Kamp

USF Tampa Graduate Theses and Dissertations

Events that violate expectations are biologically significant and accordingly elicit various physiological responses. We investigated the functional relationship between three of these responses: the P300, the Novelty P3 and the pupil dilation response (PDR), with a particular focus on their co-variance with reaction time and measures of subsequent memory. In a modified Novelty P3 oddball paradigm, participants semantically categorized a sequence of stimuli including (1) words of a frequent category, (2) words of an infrequent category (14% of the trials) and (3) pictures of the frequent category (14% of the trials). The Novelty P3 oddball task was followed by a …


Prenatal Stress, Depression, And Herpes Viral Titers, Pao-Chu Hsu Jan 2013

Prenatal Stress, Depression, And Herpes Viral Titers, Pao-Chu Hsu

USF Tampa Graduate Theses and Dissertations

Recent studies suggest that some cases of prenatal depression may be associated with reactivation of latent infections of the herpesvirus family. The possible relationships among stress, prenatal depression, and herpes viral reactivation in pregnancy are understudied and the molecular pathways such as the neuroimmune biogenic amine pathway are unidentified. Chronic stress shifts the T helper-1 cell (Th1) cytokine profile to a Th2 profile, which favors virus induced pathogenesis and survival. Pregnancy is also associated with a similar Th2 dominance. In non-pregnant individuals, exposure to psychological or physical stress may be associated with latent herpes viral reactivation and could result in …