The BREATH Lab is an integrative research laboratory centrally located at the Cox Neuroscience Annex. Here are a few of the prevailing questions which guide our program of research
How does aging and its biobehavioral correlates impact brain structure and functioning? • Dillon, K., Goodman, Z. T., Kaur, S. S., Levin, B., & McIntosh, R. (2023). Neutrophil-to-lymphocyte ratio amplifies the effects of aging on decrements in grip strength and its functional neural underpinnings. The Journals of Gerontology: Series A, 78(6), 882-889. How do traumatic events shape brain structure and functioning? • McIntosh, R., Lobo, J. D., Carvalho, N., & Ironson, G. (2022). Learning to forget: Hippocampal–amygdala connectivity partially mediates the effect of sexual trauma severity on verbal recall in older women undiagnosed with posttraumatic stress disorder. Journal of Traumatic Stress, 35(2), 631-643. https://doi.org/10.1002/jts.22778 How does HIV make the brain more succceptible to age-related decline? • McIntosh, R. C., Clark, U. S., Cherner, M., Cysique, L. A., Heaton, R. K., Levin, J., ... & Rubin, L. H. (2023). The evolution of assessing central nervous system complications in human immunodeficiency virus: where do we go from here?. The Journal of infectious diseases, 227(Supplement_1), S30-S37. What are the neural correlates of successful cognitive and cardiovascular aging? • McIntosh, R.C., Yang, A., Lobo, J.D., Schneiderman, N. (2021). Intrinsic Connectivity of Insula with Midbrain Cerebellar Network Predicts Blood Pressure Regulation in Postmenopausal Women. Journal of Human Hypertension. https://doi.org/10.1038/s41371-020-00476-2 How do religious and spiritual behaviors buffer stress allostasis? • McIntosh, R.C., Ironson, G., & Krause, N. (2021). Keeping hope alive: Racial-ethnic disparities in distress tolerance are mitigated by religious/spiritual but not secular hope in Black Americans. Journal of Psychosomatic Research. https://doi.org/10.1016/j.jpsychores.2021.110403 Is vagal-mediated HRV a general protective health factor in immunocompromised populations? •McIntosh, R. C., Lobo, J. D., & Hurwitz, B. E. (2017). Current assessment of heart rate variability and QTc interval length in HIV/AIDS. Current Opinion in HIV and AIDS, 12(6), 528-533. DOI: 10.1097/COH.0000000000000408 The role of cardiac and respiratory interoceptive awareness in shaping affective experiences. • McIntosh, R. C., Lobo, J. D., Reed, M., & Britton, J. C. (2022). Anterior insula activation during cardiac interoception relates to depressive symptom severity in HIV-positive and HIV-negative postmenopausal women. Psychosomatic Medicine, 84(8), 863-873. DOI: 10.1097/PSY.0000000000001136 Do difficulties identifying, describing and feeling emotions impact health and health behaviors • McIntosh, R. C., Ironson, G., Antoni, M., Lai, B., Kumar, M., Fletcher, M. A., & Schneiderman, N. (2017). Psychological Distress Mediates the Effect of Alexithymia on 2-Year Change in HIV Viral Load. International Journal of Behavioral Medicine, 1-11. DOI: 10.1007/s12529-016-9602-7 Neurovsiceral integration and how inflammation subjugates the brain and alters behaviors. • McIntosh, R. C., Hoshi, R., Nomi, J. S., Di Bello, M., Goodman, Z. T., Kornfeld, S., ... & Ottaviani, C. (2020). Neurovisceral integration in the executive control network: A resting state analysis. Biological Psychology, 157, 107986. https://doi.org/10.1016/j.biopsycho.2020.107986 Are mood disorders the result of a fundamental breakdown in emotion regulation circuits in persons living with HIV? • Kremer, H., Lutz, F. P., McIntosh, R. C., Dévieux, J. G., & Ironson, G. (2016). Interhemispheric Asymmetries and Theta Activity in the Rostral Anterior Cingulate Cortex as EEG Signature of HIV Related Depression Gender Matters. Clinical EEG and Neuroscience. 47(2), 96-104. DOI: 10.1177/1550059414563306. How does altered neural circuitry lead to blunted affect, i.e., apathy and are persons living with HIV more succeptible? • McIntosh, R. C., Rosselli, M., Uddin, L. Q., & Antoni, M. (2015). Neuropathological Sequelae of Human Immunodeficiency Virus and Apathy: A review of neuropsychological and neuroimaging studies. Neuroscience & Biobehavioral Reviews, 55, 147-164. DOI: 10.1016/j.neubiorev.2015.04.008 The experience of anger and downstream effects on health. • McIntosh R. C., Antoni, M., Carrico, A, Duran, R., Hurwitz, B., Ironson, G., Fletcher, M.A., Klimas, N., Kumar, M., Schneiderman, N. (2017). Change in urinary cortisol excretion mediates the effect of angry/hostile mood on 9-month diastolic blood pressure in HIV+ adults. Journal of Behavioral Medicine, 1-11. DOI:10.1007/s10865-017-9827-1 Potential therapeutic role of acetylcholineric anti-inflammatory pathway in buffering stress-relaed inflammation in HIV disease. • Howard, K., Sharma R., McIntosh. R. Impact of HIV, Acute & Chronic Stress Exposure on the Suppression of Monocyte Chemoattractant Protein-1 Ecpression in LPS-stimulated Monocytes. Poster presented at the 2023 Annual Meeting for the Psychoneuroimmunological Research Society Culturally-tailored stress assessment and management in HIV disease. • McIntosh, R. et al., A 4-Session Written Emotional Disclosure Intervention Lowers 6-Month Sympathoadrenal Urinary Output in Persons Living with HIV. (In press) Plasticity of the gut-brain axis and its relevance to mood disrubance. • Carrico, A. W., Cherenack, E. M., Rubin, L. H., McIntosh, R., Ghanooni, D., Chavez, J. V., ... & Paul, R. H. (2022). Through the looking-glass: psychoneuroimmunology and the microbiome-gut-brain axis in the modern antiretroviral therapy era. Psychosomatic medicine, 84(8), 984-994. DOI: 10.1097/PSY.0000000000001133 Brain
• Lobo J. D., Goodman Z. T., Shmaus J., Uddin L.Q, McIntosh, R. C. (2021). Association of Health Factors with Age-Related Executive Function and Episodic Memory. Aging, Neuropsychology and Cognition https://doi.org/10.1080/13825585.2021.191594
• McIntosh, R., Hidalgo, M., Lobo, J., Dillon, K., Szeto, A., & Hurwitz, B. E. (2022). Circulating endothelial and angiogenic cells predict hippocampal volume as a function of HIV status. Journal of NeuroVirology, 1-13.
• Banerjee, N., McIntosh, R. C., & Ironson, G. (2019). Impaired Neurocognitive Performance and Mortality in HIV: Assessing the Prognostic Value of the HIV-Dementia Scale. AIDS and Behavior, 23(12), 3482-3492. DOI: 10.1007/s10461-019-02423-w
Resilience
• J. D., Goodman Z. T., Shmaus J., Uddin L.Q, McIntosh, R. C. (2021). Association of Cardiometabolic Health Factors with Age-Related Executive Function and Episodic Memory. Aging, Neuropsychology and Cognition https://doi.org/10.1080/13825585.2021.1915948
• McIntosh, R. C., Ironson, G., & Krause, N. (2017). Do religious and spiritual identity confer risk for hypertension via psychosocial and lifestyle factors? Journal of Health Psychology. DOI; https://doi.org/10.1177/1359105317748733
•McIntosh, R. C. (2016). A meta-analysis of HIV and heart rate variability in the era of antiretroviral therapy. Clinical Autonomic Research, 26(4), 287-294. DOI:10.1007/s10286-016-0366-6
Embodiment
• McIntosh, R.C., Hoshi, R.C., Timpano K.R. (2020). Take my breath away: Neural activation at breathholddifferentiates individuals with panic disorder from healthy controls. Respiratory Physiology and Neurobiology. 277. DOI: https://doi.org/10.1016/j.resp.2020.103427
• McIntosh, R. C., Ironson, G., Antoni, M., Fletcher, M. A., & Schneiderman, N. (2016). Alexithymia, Assertiveness and Psychosocial Functioning in HIV: Implications for Medication Adherence and Disease Severity. AIDS and Behavior, 20(2), 325-338. DOI: 10.1007/s10461-015-1126-7
• McIntosh, R.C., Ironson, G., Antoni, M., Kumar, M., Fletcher, M., Schneiderman, N. (2013). Alexithymia is Linked to Neurocognitive, Psychological, Neuroendocrine, and Immune Dysfunction in Persons Living with HIV. Brain Behavior and Immunity 36, 165-175. DOI: 10.1016/j.bbi.2013.10.024
• McIntosh, R. C., Paul, R., Ndhlovu, L. C., Hidalgo, M., Lobo, J. D., Walker, M., Shikuma, C.M., & Kallianpur, K.J. (2018). Resting-state connectivity and spontaneous activity of ventromedial prefrontal cortex predict depressive symptomology and peripheral inflammation in HIV. Journal of Neurovirology. 24(5), 616-628. DOI: https://doi.org/10.1007/s13365-018-0658-9
• McIntosh, R. C., Lobo, J., Paparozzi, J., Goodman, Z., Kornfeld, S., & Nomi, J. (2022). Neutrophil to lymphocyte ratio is a transdiagnostic biomarker of depression and structural and functional brain alterations in older adults. Journal of Neuroimmunology, 365, 577831.
Affect
• McIntosh, R. C., Tartar, J. L., Widmayer, S., & Rosselli, M. (2015). Negative Attention Bias and Processing Deficits During the Cognitive Reappraisal of Unpleasant Emotions in HIV+ Women. The Journal of Neuropsychiatry and Clinical Neurosciences. 27(1), e32-e39. DOI: 10.1176/appi.neuropsych.13090222
• Tartar, J. L., McIntosh, R. C., Rosselli, M., Widmayer, S. M., & Nash, A. J. (2014). HIV-positive females show blunted neurophysiological responses in an emotion–attention dual task paradigm. Clinical Neurophysiology, 125(6), 1164-1173 DOI: 10.1016/j.clinph.2013.09.048
• McIntosh, R. C., Hurwitz, B. E., Antoni, M., Gonzalez, A., Seay, J., & Schneiderman, N. (2014). The ABCs of Trait Anger, Psychological Distress, and Disease Severity in HIV. Annals of Behavioral Medicine, 49(3), 420-433. DOI:10.1007/s12160-014-9667-y
Translational Health
Psychoneuroendocrinology
• McIntosh, R., Antoni, M., Seay, J., Fletcher, M. A., Ironson, G., Klimas, N., Kumar, M. & Schneiderman, N. (2019). Associations Among Trajectories of Sleep Disturbance, Depressive Symptomology and 24-Hour Urinary Cortisol in HIV+ Women Following a Stress Management Intervention. 17(5), 605-620. Behavioral Sleep Medicine, 1-16. DOI: 10.1080/15402002.2018.1435545