The effects of acute stress on episodic memory: A meta-analysis and integrative review.
Open accessAbstract
A growing body of research has indicated that acute stress can critically impact memory. However, there are a number of inconsistencies in the literature, and important questions remain regarding the conditions under which stress effects emerge as well as basic questions about how stress impacts different phases of memory. In this meta-analysis, we examined 113 independent studies in humans with 6,216 participants that explored effects of stress on encoding, postencoding, retrieval, or postreactivation phases of episodic memory. The results indicated that when stress occurred prior to or during encoding it impaired memory, unless both the delay between the stressor and encoding was very short and the study materials were directly related to the stressor, in which case stress improved encoding. In contrast, postencoding stress improved memory unless the stressor occurred in a different physical context than the study materials. When stress occurred just prior to or during retrieval, memory was impaired, and these effects were larger for emotionally valenced materials than neutral materials. Although stress consistently increased cortisol, the magnitude of the cortisol response was not related to the effects of stress on memory. Nonetheless, the effects of stress on memory were generally reduced in magnitude for women taking hormonal contraceptives. These analyses indicate that stress disrupts some episodic memory processes while enhancing others, and that the effects of stress are modulated by a number of critical factors. These results provide important constraints on current theories of stress and memory, and point to new questions for future research. (PsycINFO Database Record
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Stress induced via laboratory protocols such as TSST leads to memory impairments.
“Namely, stress induced via protocols in laboratory settings such as TSST leads to memory impairments (Shields et al., 2017)”
From Does Retrieval Practice Protect Memory Against Stress? A Meta-Analysis (2025) · cites this paper as Shields et al., 2017
The paper identifies the TSST as a laboratory stress protocol and reports that stress generally impairs memory retrieval (Discussion, Encoding/Retrieval). But the claim is too broad: the Results (Primary Analyses) also report that post-encoding stress generally enhanced memory, so laboratory-induced stress does not invariably lead to impairment. Page numbers are unavailable in our copy. (LLM, conf=0.89)
Experimental — accuracy not yet measuredStress induction leads to a decline in memory performance if no specific strategies are used.
“Stress induction leads to a decline in memory performance if no specific strategies are used (Shields et al., 2017).”
From Does Retrieval Practice Protect Memory Against Stress? A Meta-Analysis (2025) · cites this paper as Shields et al., 2017
The Discussion (General Discussion and Theoretical Integration; page unavailable) reports that stress before or during retrieval impaired memory, but that post-encoding stress improved it. The paper does not establish that memory declines whenever stress is induced without specific strategies; its findings depend on when stress occurs, and the cited passages do not address strategy use. (LLM, conf=0.88)
Experimental — accuracy not yet measuredPrevious work has found differing effects for test format on memory (i.e., cued recall vs. recognition tests) during stress.
“Previous work has also found differing effects for test format on memory (i.e., cued recall vs. recognition tests) during stress (see Shields et al., 2017), opening doors for future studies to further investigate how different types of memory assessments interact with stress to influence memory performance.”
From Does Retrieval Practice Protect Memory Against Stress? A Meta-Analysis (2025) · cites this paper as Shields et al., 2017
In “Understanding Discrepancies in Stress Effects on Memory” (page unavailable), the review reports studies with different stress effects on recall and recognition, supporting the general point. It does not establish a difference specifically between cued recall and recognition; the General Discussion (page unavailable) also says there was little evidence for larger stress-related deficits in recall than recognition. (LLM, conf=0.82)
Experimental — accuracy not yet measuredAttentional narrowing due to extreme stress and strong emotions affects memory encoding and increases the occurrence of false memories.
“Attentional narrowing due to extreme stress and strong emotions affects the memory encoding process (Shields et al., 2017), increasing the occurrence of false memories (Kaplan et al., 2016; Van Damme et al., 2017).”
From Remembering what did not happen: the role of hypnosis in memory recall and false memories formation (2025) · cites this paper as Shields et al., 2017
The Current Theories of Stress and Memory section says stress can shift attention toward threat-related stimuli and away from unrelated material, affecting encoding. The paper supports this mechanism for acute stress, but the cited passages do not establish that strong emotions cause the narrowing or that the stress must be extreme. The false-memory clause is attributed to the other cited papers, not to Shields et al. (LLM, conf=0.82)
Experimental — accuracy not yet measuredA decrease in sympathetic activity during the hypnotic state helps reduce emotional distress that negatively affects memory functions.
“A decrease in sympathetic activity during the hypnotic state helps in reducing emotional distress that negatively affects memory functions (Shields et al., 2017).”
From Remembering what did not happen: the role of hypnosis in memory recall and false memories formation (2025) · cites this paper as Shields et al., 2017
The Results (Primary Analyses; page unavailable) report that stress before retrieval generally decreased memory, supporting the claim’s premise that stress can impair memory. The neural-substrates section describes stress-related sympathetic activity, but the paper does not say that hypnosis decreases that activity or that such a decrease reduces emotional distress. (LLM, conf=0.86)
Experimental — accuracy not yet measured
Because stress shows opposite effects for consolidation and retrieval phases, using a short retention interval is problematic for isolating the effects of encoding stress on memory.
“However, because stress shows opposite e ff ects for consolidation and retrieval phases (e.g., Shields et al., 2017; Wolf, 2017), this methodological decision is problematic for isolating the e ff ects of encoding stress on memory (see Sauerland et al., 2016; Thomas & Karanian, 2019).”
From The effects of acute stress on eyewitness memory: An integrative review for eyewitness researchers (2021) · cites this paper as Shields et al., 2017
Fundamental theory and research suggest that stressor relevance is an important moderator of the relationship between acute encoding stress and memory performance.
“Indeed, fundamental theory and research suggest that stressor relevance is an important moderator of the relationship between acute encoding stress and memory performance (e.g., Joëls et al., 2006; Shields et al., 2017).”
From The effects of acute stress on eyewitness memory: An integrative review for eyewitness researchers (2021) · cites this paper as Shields et al., 2017
Fundamental memory models suggest that encoding stress can benefit memory performance when acute stress occurs within the same context as encoding (same time and space).
“fundamental memory models suggest that encoding stress can bene fi t memory performance (de Kloet et al., 1999; Diamond et al., 2007; Joëls et al., 2006; Schwabe et al., 2012). These models suggest this should happen when acute stress occurs within the same context as the encoding, that is, in the same time and space (Joëls et al., 2006; Shields et al., 2017).”
From The effects of acute stress on eyewitness memory: An integrative review for eyewitness researchers (2021) · cites this paper as Shields et al., 2017
Stressor relevance moderates the relationship between acute encoding stress and memory performance.
“stressor relevance moderates the relationship between acute encoding stress and memory performance (Joëls et al., 2006; Shields et al., 2017).”
From The effects of acute stress on eyewitness memory: An integrative review for eyewitness researchers (2021) · cites this paper as Shields et al., 2017
Biological sex and time of day are important moderating factors of stress and memory.
“Other important moderating factors of stress and memory are biological sex and the time of day that testing takes place (e.g., Shields et al., 2017).”
From The effects of acute stress on eyewitness memory: An integrative review for eyewitness researchers (2021) · cites this paper as Shields et al., 2017
Stressors experienced at retrieval decrease memory and learning.
“Stressors like test anxiety are known to decrease memory retrieval”
From Does Retrieval Practice Protect Memory Against Stress? A Meta-Analysis (2025) · cites this paper as Shields et al., 2017
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- Yonelinas AP Ritchey M 2015 The slow forgetting of emotional episodic memories: An emotional binding account Trends in Cognitive Sciences 19 259 267 http://dx.doi.org/10.1016/j.tics.2015.02.009 25836045 PMC4414918 · DOI
- Yuen EY Liu W Karatsoreos IN Feng J McEwen BS Yan Z 2009 Acute stress enhances glutamatergic transmission in prefrontal cortex and facilitates working memory Proceedings of the National Academy of Sciences of the United States of America 106 14075 14079 http://dx.doi.org/10.1073/pnas.0906791106 19666502 PMC2729022 · DOI · Paper page
200 of 201 shown
- Authors
- Shields, G. S., Sazma, M. A., McCullough, A. M., & Yonelinas, A. P.
- Affiliations
- University of California, Davis (US)
- Venue
- Psychological Bulletin
- Published
- 2017-06
- Volume
- 143
- Issue
- 6
- Pages
- 636-675
- ISSN
- 0033-2909 (ISSN-L)
- 1939-1455
- PMC
- PMC5436944
- OpenAlex
- W2604384875
- Cited by
- 450
- References
- 218
- Citations by year
- 2026: 48 · 2025: 54 · 2024: 48 · 2023: 70 · 2022: 42 · 2021: 50 · 2020: 52 · 2019: 42 · 2018: 34 · 2017: 9 · 2016: 1
- FWCI
- 21.49
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Psychological Bulletin (publishedVersion, other-oa)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institutes of Health (MH059352)
- National Eye Institute (EY025999)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory Processes and Influences
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory and Neural Mechanisms
- Keywords
- acute stress, episodic memory, memory encoding, memory retrieval, cortisol, emotional valence, hormonal contraception, sex differences
- MeSH terms
- Emotions, Female, Humans, Hydrocortisone, Male, Memory, Mental Recall, Stress, Psychological, Memory, Episodic
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