Central and peripheral dynamics of acute stress: evidence from functional cortical gradients

Stress involves coordinated central and peripheral processes that unfold dynamically and can be assessed through brain, autonomic, endocrine, and subjective measures. Centrally, acute stress has been linked to altered functional connectivity, particularly in the salience (SN), frontoparietal networks (FPN), and default mode networks (DMN). Here, we used cortical gradients to characterize stress-related reconfiguration in macroscale functional space and assessed their relation to peripheral stress measures. We performed secondary analyses on data from 67 young males completing the Trier Social Stress Test or a control task with resting-state fMRI before and after, concurrent peripheral (autonomic, endocrine) and subjective measures. To assess region- and network-specific changes in functional organization, we derived eccentricity and within- and between-network dispersion for the first three cortical gradients. Acute stress was associated with selective gradient reconfigurations in the right ventral prefrontal cortex and left insula and with increased SN-DMN and SN-FPN dispersion, indicating DMN and FPN decoupling from the SN. Although no associations with peripheral or subjective stress measures survived multiple-comparison correction, nominal effects suggested partly distinct links of saliva cortisol with local gradient changes and HRV with network-level reconfiguration. Together, these findings show that acute stress selectively reconfigures macroscale cortical organization.