Increased cortisol in women with intimate partner violence-related posttraumatic stress disorder.

Abstract:

BACKGROUND:Alterations of hypothalamic-pituitary-adrenal (HPA) axis function and sympathetic-adrenal activity have been proposed as key factors in biological models of posttraumatic stress disorder (PTSD). METHODS:We examined neuroendocrine function in female survivors of intimate partner violence (IPV) with lifetime (current or remitted) PTSD (n=29) and in women who were exposed to IPV but never developed PTSD (n=20). Salivary cortisol was collected as a marker of HPA axis function at 1, 4, 9, and 11 h after awakening. Platelet epinephrine and norepinephrine were assayed as markers of sympathetic-adrenal activation. RESULTS:Women with lifetime PTSD had significantly higher cortisol levels across the day compared to abuse-exposed participants without PTSD, after controlling for age, depression, severity, and latency of abuse. There were no significant group differences in levels of platelet catecholamines. CONCLUSIONS:Elevated cortisol levels may be a biomarker of IPV-related lifetime PTSD, reflecting long-lasting changes associated with trauma-exposure or possibly a reflection of risk for PTSD in women.

journal_title

Psychoneuroendocrinology

authors

Inslicht SS,Marmar CR,Neylan TC,Metzler TJ,Hart SL,Otte C,McCaslin SE,Larkin GL,Hyman KB,Baum A

doi

10.1016/j.psyneuen.2006.03.007

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

825-38

issue

7

eissn

0306-4530

issn

1873-3360

pii

S0306-4530(06)00070-9

journal_volume

31

pub_type

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