Hypothalamic-pituitary-adrenal axis activity in patients with pathological gambling and internet use disorder.

Abstract:

:Alterations in secretion of stress hormones within the hypothalamic-pituitary-adrenal (HPA) axis have repeatedly been found in substance-related addictive disorders. It has been suggested that glucocorticoids might contribute to the development and maintenance of substance use disorders by facilitatory effects on behavioral responses to substances of abuse. The objective of this pilot study was to investigate HPA axis activity in patients with non-substance-related addictive disorders, i.e. pathological gambling and internet use disorder. We measured plasma levels of copeptin, a vasopressin surrogate marker, adrenocorticotropic hormone (ACTH) and cortisol in male patients with pathological gambling (n=14), internet use disorder (n=11) and matched healthy controls for pathological gambling (n=13) and internet use disorder (n=10). Plasma levels of copeptin, ACTH and cortisol in patients with pathological gambling or internet use disorder did not differ among groups. However, cortisol plasma levels correlated negatively with the severity of pathological gambling as measured by the PG-YBOCS. Together with our findings of increased serum levels of brain-derived neurotrophic factor (BDNF) in pathological gambling but not internet use disorder, these results suggest that the pathophysiology of pathological gambling shares some characteristics with substance-related addictive disorders on a neuroendocrinological level, whereas those similarities could not be observed in internet use disorder.

journal_name

Psychiatry Res

journal_title

Psychiatry research

authors

Geisel O,Panneck P,Hellweg R,Wiedemann K,Müller CA

doi

10.1016/j.psychres.2014.11.078

subject

Has Abstract

pub_date

2015-03-30 00:00:00

pages

97-102

issue

1

eissn

0165-1781

issn

1872-7123

pii

S0165-1781(14)01005-1

journal_volume

226

pub_type

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