Altered cortisol awakening response in posttraumatic stress disorder
- Publikationstyp:
- Zeitschriftenaufsatz
- Metadaten:
-
- Autoren
- M Wessa
- N Rohleder
- C Kirschbaum
- H Flor
- Autoren-URL
- https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=fis-test-1&SrcAuth=WosAPI&KeyUT=WOS:000234881500005&DestLinkType=FullRecord&DestApp=WOS_CPL
- DOI
- 10.1016/j.psyneuen.2005.06.010
- Externe Identifier
- Clarivate Analytics Document Solution ID: 006FL
- PubMed Identifier: 16154709
- ISSN
- 0306-4530
- Ausgabe der Veröffentlichung
- 2
- Zeitschrift
- PSYCHONEUROENDOCRINOLOGY
- Schlüsselwörter
- posttraumatic stress disorder
- salivary cortisol
- awakening response
- Paginierung
- 209 - 215
- Datum der Veröffentlichung
- 2006
- Status
- Published
- Titel
- Altered cortisol awakening response in posttraumatic stress disorder
- Sub types
- Article
- Ausgabe der Zeitschrift
- 31
Datenquelle: Web of Science (Lite)
- Andere Metadatenquellen:
-
- Autoren
- M WESSA
- N ROHLEDER
- C KIRSCHBAUM
- H FLOR
- DOI
- 10.1016/j.psyneuen.2005.06.010
- ISSN
- 0306-4530
- Ausgabe der Veröffentlichung
- 2
- Zeitschrift
- Psychoneuroendocrinology
- Sprache
- en
- Paginierung
- 209 - 215
- Datum der Veröffentlichung
- 2006
- Status
- Published
- Herausgeber
- Elsevier BV
- Herausgeber URL
- http://dx.doi.org/10.1016/j.psyneuen.2005.06.010
- Datum der Datenerfassung
- 2019
- Titel
- Altered cortisol awakening response in posttraumatic stress disorder
- Ausgabe der Zeitschrift
- 31
Datenquelle: Crossref
- Abstract
- An altered function of the hypothalamic-pituitary-adrenal axis is assumed to be characteristic for Posttraumatic Stress Disorder (PTSD), although there is inconsistent empirical evidence. Only few studies examined the awakening cortisol response and a daytime profile in PTSD. Salivary cortisol levels were measured at seven intervals from awakening until 8 PM in trauma-exposed subjects with (N=29) and without PTSD (N=19) and in 15 non-exposed controls. While the three groups did not differ with respect to their first cortisol level immediately after awakening, the expected cortisol increase to awakening 15-60 min later was significantly lower in PTSD patients compared to non-PTSD subjects and healthy controls. This effect remained stable when trauma-exposed subjects with comorbid major depression were excluded from the analysis. A significant negative correlation between the overall cortisol secretion (AUC(G)) and overall PTSD symptomatology and hyper-arousal symptoms was found. The findings are discussed in light of the hypothesis of a counterregulation of hyper-arousal symptoms and chronic stress in PTSD.
- Addresses
- Department of Clinical and Cognitive Neuroscience, Central Institute of Mental Health, University of Heidelberg, J 5, 68159 Mannheim, Germany. wessa@zi-mannheim.de
- Autoren
- Michèle Wessa
- Nicolas Rohleder
- Clemens Kirschbaum
- Herta Flor
- DOI
- 10.1016/j.psyneuen.2005.06.010
- eISSN
- 1873-3360
- Externe Identifier
- PubMed Identifier: 16154709
- Open access
- false
- ISSN
- 0306-4530
- Ausgabe der Veröffentlichung
- 2
- Zeitschrift
- Psychoneuroendocrinology
- Schlüsselwörter
- Pituitary-Adrenal System
- Hypothalamo-Hypophyseal System
- Saliva
- Humans
- Hydrocortisone
- Analysis of Variance
- Area Under Curve
- Statistics, Nonparametric
- Depression
- Wakefulness
- Stress Disorders, Post-Traumatic
- Circadian Rhythm
- Reference Values
- Adult
- Aged
- Middle Aged
- Female
- Male
- Sprache
- eng
- Medium
- Print-Electronic
- Online publication date
- 2005
- Paginierung
- 209 - 215
- Datum der Veröffentlichung
- 2006
- Status
- Published
- Datum der Datenerfassung
- 2005
- Titel
- Altered cortisol awakening response in posttraumatic stress disorder.
- Sub types
- Controlled Clinical Trial
- Research Support, Non-U.S. Gov't
- Journal Article
- Ausgabe der Zeitschrift
- 31
Datenquelle: Europe PubMed Central
- Abstract
- An altered function of the hypothalamic-pituitary-adrenal axis is assumed to be characteristic for Posttraumatic Stress Disorder (PTSD), although there is inconsistent empirical evidence. Only few studies examined the awakening cortisol response and a daytime profile in PTSD. Salivary cortisol levels were measured at seven intervals from awakening until 8 PM in trauma-exposed subjects with (N=29) and without PTSD (N=19) and in 15 non-exposed controls. While the three groups did not differ with respect to their first cortisol level immediately after awakening, the expected cortisol increase to awakening 15-60 min later was significantly lower in PTSD patients compared to non-PTSD subjects and healthy controls. This effect remained stable when trauma-exposed subjects with comorbid major depression were excluded from the analysis. A significant negative correlation between the overall cortisol secretion (AUC(G)) and overall PTSD symptomatology and hyper-arousal symptoms was found. The findings are discussed in light of the hypothesis of a counterregulation of hyper-arousal symptoms and chronic stress in PTSD.
- Date of acceptance
- 2005
- Autoren
- Michèle Wessa
- Nicolas Rohleder
- Clemens Kirschbaum
- Herta Flor
- Autoren-URL
- https://www.ncbi.nlm.nih.gov/pubmed/16154709
- DOI
- 10.1016/j.psyneuen.2005.06.010
- ISSN
- 0306-4530
- Ausgabe der Veröffentlichung
- 2
- Zeitschrift
- Psychoneuroendocrinology
- Schlüsselwörter
- Adult
- Aged
- Analysis of Variance
- Area Under Curve
- Circadian Rhythm
- Depression
- Female
- Humans
- Hydrocortisone
- Hypothalamo-Hypophyseal System
- Male
- Middle Aged
- Pituitary-Adrenal System
- Reference Values
- Saliva
- Statistics, Nonparametric
- Stress Disorders, Post-Traumatic
- Wakefulness
- Sprache
- eng
- Country
- England
- Paginierung
- 209 - 215
- PII
- S0306-4530(05)00170-8
- Datum der Veröffentlichung
- 2006
- Status
- Published
- Datum, an dem der Datensatz öffentlich gemacht wurde
- 2006
- Titel
- Altered cortisol awakening response in posttraumatic stress disorder.
- Sub types
- Controlled Clinical Trial
- Journal Article
- Research Support, Non-U.S. Gov't
- Ausgabe der Zeitschrift
- 31
Datenquelle: PubMed
- Beziehungen:
- Eigentum von