Cited by 176Neural and Behavioral Psychology StudiesStress Responses and CortisolNeurotransmitter Receptor Influence on Behavior

The DOI matches its Crossref record; 422 of the 425 references it cites were found in a registry or an index, and 3 are not checked yet; 14 of the 384 sources its claims cite were checked for support.

Prefrontal cortex executive processes affected by stress in health and disease

Open access
Girotti, Milena, Adler, Samantha M., Bulin, Sarah E., Fucich, Elizabeth A., Paredes, Denisse, Morilak, David A.·2018·Progress in Neuro-Psychopharmacology and Biological Psychiatry

Abstract

Prefrontal cortical executive functions comprise a number of cognitive capabilities necessary for goal directed behavior and adaptation to a changing environment. Executive dysfunction that leads to maladaptive behavior and is a symptom of psychiatric pathology can be instigated or exacerbated by stress. In this review we survey research addressing the impact of stress on executive function, with specific focus on working memory, attention, response inhibition, and cognitive flexibility. We then consider the neurochemical pathways underlying these cognitive capabilities and, where known, how stress alters them. Finally, we review work exploring potential pharmacological and non-pharmacological approaches that can ameliorate deficits in executive function. Both preclinical and clinical literature indicates that chronic stress negatively affects executive function. Although some of the circuitry and neurochemical processes underlying executive function have been characterized, a great deal is still unknown regarding how stress affects these processes. Additional work focusing on this question is needed in order to make progress on developing interventions that ameliorate executive dysfunction.

Verified 2026-10-05 · 3 references not checked yet

Overview

Integrity signals

Registry

Crossref · 10.1016/j.pnpbp.2017.07.004

Cites

422 of 425 references verified0 citation errors · 0 not checkable

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Nothing to recompute.

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Claims the paper makes

276 Not checked yet · 42 Own interpretation · 4 Partly supported · 3 Supported so far · 2 No basis given · 1 Supported · 1 Own method · accuracy not yet measured

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  • Probably not a substantial claim. 9
  • It may state two separate claims as one. 51
59 of 59
  • The paper relies on this without support.

    Findings from animal models of stress and executive function can be generalized to humans.

    “Paralleling human studies, chronic stress impairs working memory (Arnsten et al 2012, Barsegyan et al 2010, Mizoguchi et al 2000) as well as cognitive flexibility”
  • The paper relies on this without support.

    The stress manipulations used in the cited animal and human studies are valid models of chronic stress as it occurs in humans.

    “conditions that are the hallmarks of chronic stress”
  • The paper relies on this without support.

    Orbitofrontal cortex damage does not impair extradimensional shifting.

    “OFC damage does not impair ED shifting, and lateral or medial PFC damage does not impair reversal learning, suggesting a functional dissociation between those regions.”
  • The paper relies on this without support.

    Lateral or medial prefrontal cortex damage does not impair reversal learning.

    “OFC damage does not impair ED shifting, and lateral or medial PFC damage does not impair reversal learning, suggesting a functional dissociation between those regions.”
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Metadata

Authors
Girotti, M., Adler, S. M., Bulin, S. E., Fucich, E. A., Paredes, D., & Morilak, D. A.
Affiliations
The University of Texas at San Antonio Health Science Center (US)
Corresponding author
Girotti, Milena
Venue
Progress in Neuro-Psychopharmacology and Biological Psychiatry
Publisher
Elsevier BV
Published
2018-07
Volume
85
Pages
161-179
ISSN
0278-5846 (ISSN-L)
OpenAlex
W2725639589
Cited by
176
References
422
Citations by year
2026: 29 · 2025: 35 · 2024: 21 · 2023: 21 · 2022: 18 · 2021: 17 · 2020: 19 · 2019: 11 · 2018: 5
FWCI
1.07
Type
journal article
Language
en
Open access
Locations
  • Progress in Neuro-Psychopharmacology and Biological Psychiatry (acceptedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
NIH (MH072672, MH053851, MH100652)
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
  • Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
Keywords
prefrontal cortex, executive function, chronic stress, executive dysfunction, working memory, attention, response inhibition, cognitive flexibility, neurochemical pathways, stress-related psychiatric disorders, pharmacological interventions, non-pharmacological treatment
MeSH terms
Animals, Humans, Stress, Psychological, Prefrontal Cortex, Executive Function

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