Absence of a normal cortisol awakening response (CAR) in adolescent males with Asperger syndrome (AS).

Abstract:

:In addition to abnormalities in social and communication development, a 'need for sameness' and 'resistance to change' are features of autistic spectrum disorders first identified by Kanner in 1943. Our ability to react to change is modulated by the hypothalamic-pituitary-adrenal (HPA) axis, a feature of which is a dramatic increase in cortisol upon waking, the Cortisol Awakening Response (CAR). This study examined whether the CAR was evident in 20 adolescent males with Asperger Syndrome (AS) and 18 age-matched typically developing (TD) controls (aged 11-16). Whilst a significant CAR was evidenced in the TD control group, this was not the case for those with AS. A normal diurnal decrease in cortisol, however, was evident in both groups. The implication that individuals with AS may have an impaired response to change in their environment due to a refractory HPA axis is discussed.

journal_title

Psychoneuroendocrinology

authors

Brosnan M,Turner-Cobb J,Munro-Naan Z,Jessop D

doi

10.1016/j.psyneuen.2009.02.011

subject

Has Abstract

pub_date

2009-08-01 00:00:00

pages

1095-100

issue

7

eissn

0306-4530

issn

1873-3360

pii

S0306-4530(09)00063-8

journal_volume

34

pub_type

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