Increased salivary cortisol after waking in depression.

Abstract:

RATIONALE:Cortisol hypersecretion is regarded as important in the pathophysiology of major depression. However, recent studies in community-based samples have been inconclusive. OBJECTIVE:To determine whether acutely depressed, medication-free subjects show an exaggerated release of cortisol in saliva in relation to awakening. METHODS:We studied the pattern of waking salivary cortisol in 20 unmedicated acutely depressed subjects and 40 healthy controls. RESULTS:In both groups, salivary cortisol increased rapidly after waking, peaking at 30 min. Overall, patients with acute depression secreted approximately 25% more cortisol than controls, though 60 min after waking, their cortisol levels were similar. CONCLUSIONS:Depressed patients in the community appear to have increased early morning cortisol secretion, but the demonstration of this effect requires control for time of waking.

journal_title

Psychopharmacology

authors

Bhagwagar Z,Hafizi S,Cowen PJ

doi

10.1007/s00213-005-0062-z

subject

Has Abstract

pub_date

2005-10-01 00:00:00

pages

54-7

issue

1

eissn

0033-3158

issn

1432-2072

journal_volume

182

pub_type

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