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Updated: Jul 16, 2026

Assessment of Stress Effects on Cognitive Flexibility using an Operant Strategy Shifting Paradigm
Published on: May 4, 2020
Beta-adrenergic modulation of cognitive flexibility during stress
Jessica K Alexander1, Ashleigh Hillier, Ryan M Smith
1The Ohio State University, Columbus, OH 43210, USA.
Psychological stress negatively impacts cognitive flexibility by activating the locus ceruleus-norepinephrine system. However, propranolol, a beta-adrenergic antagonist, reversed these stress-induced impairments in healthy adults.
Area of Science:
- Neuroscience
- Psychology
- Pharmacology
Background:
- The locus ceruleus-norepinephrine (LC-NE) system is activated by stress, influencing arousal and attention.
- While beneficial for some cognitive functions, LC-NE system hyperactivity can impair cognitive flexibility.
Purpose of the Study:
- To investigate the effect of modulating the LC-NE system on stress-induced cognitive flexibility deficits.
- To determine if beta-adrenergic antagonism can mitigate stress-related impairments in cognitive flexibility.
Main Methods:
- 16 healthy adults underwent four test sessions: stress and no-stress, with propranolol or placebo administration.
- The Trier Social Stress Test (public speaking, mental arithmetic) was used as the stressor.
- Cognitive flexibility was assessed using problem-solving tasks; visuo-spatial memory and processing speed served as controls.
Main Results:
- Stress significantly impaired performance on cognitive flexibility tasks, but not control tasks.
- Propranolol administration during stress improved cognitive flexibility compared to placebo.
- Stress-induced deficits in cognitive flexibility were reversed by beta-adrenergic antagonism.
Conclusions:
- Psychological stress, exemplified by public speaking, impairs cognitive flexibility in healthy individuals.
- The noradrenergic system is implicated in stress-related cognitive flexibility impairments.
- Pharmacological blockade of beta-adrenergic receptors may counteract stress-induced cognitive inflexibility.
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