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Hair cortisol levels in posttraumatic stress disorder and metabolic syndrome.

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Abstract:

:Individuals with post-traumatic stress disorder (PTSD) evidence increased rates of metabolic syndrome (MetS), and both PTSD and MetS are associated with alterations in hypothalamic-pituitary-adrenal (HPA) axis function. Few investigations have examined the possible role of HPA-axis dysfunction in the co-occurrence of PTSD and MetS. In a case-control study, we aimed to determine whether hair cortisol concentrations (HCC) were associated with (i) PTSD caseness and severity and (ii) PTSD and MetS co-occurrence. We used the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) to determine PTSD diagnoses and severity scores in 216 females of mixed ancestry aged between 20 and 79 years (M = 43.8, SD =13.3). Hair samples, representing a three-month retrospective window of cortisol levels, were obtained and analyzed utilizing liquid chromatography-tandem mass spectrometry. We constructed multivariate linear regression models to evaluate whether PTSD diagnosis, PTSD severity, and MetS comorbidity were associated with HCC, controlling for potential confounders. HCC were significantly higher (adj β = 0.154, p = .033; Cohen's d = 0.44) in PTSD patients (n = 110) than trauma-exposed controls (n = 106) and CAPS severity scores (adj β = 0.207, p = .005) were significantly associated with HCC. MetS was not associated with HCC and there were no significant interactions between PTSD and MetS on HCC. This study provides evidence of a chronically dysregulated neuroendocrine mediated stress response in PTSD, with a clear dose-response relationship. HCC do not, however, appear to have specificity for the comorbidity of PTSD and MetS in this sample.LAY SUMMARYWe found that levels of the stress hormone, cortisol, measured in hair samples were significantly higher in South African women with post-traumatic stress disorder (PTSD) than in women who had also experienced trauma but did not have PTSD. Hair cortisol levels were, however, not associated with metabolic syndrome, a cluster of risk factors for heart disease, in the women studied. We thus show that South African women with PTSD have elevated long-term stress hormone levels and that this effect is related to PTSD and not solely due to trauma exposure.

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STRESS-THE INTERNATIONAL JOURNAL ON THE BIOLOGY OF STRESS

STRESS
最新影响因子:3.102 期刊ISSN:1025-3890 CiteScore:
出版周期:Quarterly 是否OA:YES 出版年份:1996

期刊官方网址:http://www.tandfonline.com/toc/ists20/current

期刊投稿地址:https://mc.manuscriptcentral.com/gstr

自引率:4.90% 研究方向:医学-行为科学
出版地区:NETHERLANDS

SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)

NCBI查询:PubMed Central (PMC)链接全文检索(pubmed central)

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STRESS-THE INTERNATIONAL JOURNAL ON THE BIOLOGY OF STRESS 期刊简介

英文简介:

The journal Stress aims to provide scientists involved in basic stress research with the possibility of reading a more integrated view of the field. Peer reviewed papers, invited reviews and short communications will deal with interdisciplinary aspects of stress in terms of: the mechanisms of stressful stimulation, including within and between individuals; the physiological and behavioural responses to stress, and their regulation, in both the short and long term; adaptive mechanisms, coping strategies and the pathological consequences of stress. Stress will publish the latest developments in physiology, neurobiology, molecular biology, genetics research, immunology, and behavioural studies as they impact on the understanding of stress and its adverse consequences and their amelioration. Specific approaches may include transgenic animals, developmental/programming studies, electrophysiology, histochemistry, neurochemistry, neuropharmacology, neuroanatomy, endocrinology, autonomic physiology, immunology, chronic pain, ethological and other behavioural studies and clinical measures.

中文简介:(来自Google、百度翻译)

《压力》杂志的目的是为从事基本压力研究的科学家提供阅读该领域更全面观点的可能性。同行评审的论文、受邀评审和简短的交流将涉及压力的跨学科方面:压力刺激的机制,包括个体内部和个体之间;对压力的生理和行为反应,以及它们在短期和长期的调节;适应机制,应对策略和压力的病理结果。《压力》将出版生理学、神经生物学、分子生物学、遗传学研究、免疫学和行为研究的最新进展,因为它们会影响对压力及其不良后果的理解和改善。具体方法可能包括转基因动物、发育/程序研究、电生理学、组织化学、神经化学、神经药理学、神经解剖学、内分泌学、自主生理学、免疫学、慢性疼痛、行为学和其他行为研究和临床措施。

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STRESS-THE INTERNATIONAL JOURNAL ON THE BIOLOGY OF STRESS 期刊中科院评价数据

最新中科院分区

大类(学科) 小类(学科) 学科排名
医学 BEHAVIORAL SCIENCES(行为科学) 3区
ENDOCRINOLOGY & METABOLISM(内分泌学和新陈代谢) 3区
NEUROSCIENCES(神经系统科学) 3区
17/51
71/142
131/261

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总被引频次:2538
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