Abstract:
OBJECTIVE:There is evidence that clinical depression and negative mood are associated with elevated basal cortisol levels. Recently, measuring the cortisol response during the first hour in the morning with strict reference to the time of awakening was established as a reliable marker of individual adrenocortical activity. In studies using this marker, a relationship with self-reported stress levels and psychosomatic symptoms has been found. The goal of the present study was to investigate the association of self-reported depressive symptomatology with early morning free cortisol levels and their relationship to measures of stress. METHODS:We assessed the severity of depressive symptoms using the Hamilton Depression Inventory and chronic and acute stress perception in 40 healthy young men. Once a week, for 4 consecutive weeks, subjects provided saliva samples collected at 0, 30, and 60 minutes after awakening. RESULTS:Higher levels of depressive symptomatology were associated with a greater cortisol response after awakening. This association seemed to be stronger when only subjects in the nonclinical range of depression were included. Furthermore, cortisol levels and depressive symptomatology were significantly positively correlated with measures of chronic and acute stress perception. CONCLUSIONS:The present study extends earlier findings of hypothalamus-pituitary-adrenal axis hyperactivity in clinical depression to healthy young men with mild levels of depressive symptomatology. Measuring the cortisol response to awakening is proposed as an economical alternative to traditional approaches for determining basal hypothalamus-pituitary-adrenal axis activity. Associations between depressive symptomatology and chronic stress, as well as implications for future studies, are discussed.
journal_name
Psychosom Medjournal_title
Psychosomatic medicineauthors
Pruessner M,Hellhammer DH,Pruessner JC,Lupien SJdoi
10.1097/01.psy.0000040950.22044.10subject
Has Abstractpub_date
2003-01-01 00:00:00pages
92-9issue
1eissn
0033-3174issn
1534-7796journal_volume
65pub_type
杂志文章abstract:OBJECTIVES:The objectives of this study were to examine the extent of clustering of smoking, high levels of television watching, overweight, and high blood pressure among adolescents and whether this clustering varies by socioeconomic position and cognitive function. METHODS:This study was a cross-sectional analysis o...
journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/01.psy.0000188576.54698.36
更新日期:2005-11-01 00:00:00
abstract:OBJECTIVE:Elevated body mass index (BMI) at midlife is associated with increased risk of cognitive decline in later life. The goal of the current study was to assess mechanisms of early brain vulnerability by examining if higher BMI at midlife affects current cognitive performance through alterations in cerebral neuroc...
journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/PSY.0b013e31825ff1de
更新日期:2012-09-01 00:00:00
abstract:OBJECTIVES:To examine ethnic differences in pain sensitivity and relationship of pain tolerance to blood pressure and neuroendocrine factors. METHODS:Fifty-one African Americans (24 men, 27 women) and 55 people from other ethnic groups (primarily Caucasian; 26 men, 29 women) were tested twice for pain sensitivity to t...
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pub_type: 杂志文章
doi:10.1097/01.psy.0000188466.14546.68
更新日期:2005-11-01 00:00:00
abstract:OBJECTIVES:The objectives of this study were to assess whether socioeconomic status (SES) is associated with dysregulation of the cortisol diurnal rhythm and whether this association is independent of race and occurs equally in whites and blacks; and to determine if an association between SES and cortisol can be explai...
journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/01.psy.0000195967.51768.ea
更新日期:2006-01-01 00:00:00
abstract::A meta-analysis published in this issue of Psychosomatic Medicine provides convincing evidence that certain psychiatric populations have shorter telomeres than nonpsychiatric controls, in accord with the strong evidence linking psychiatric disorders with premature mortality. After addressing the clinical significance ...
journal_title:Psychosomatic medicine
pub_type: 评论,社论
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更新日期:2016-09-01 00:00:00
abstract::The Monroe County Psychiatric Case Register and hospital records were used to investigate the incidence of anorexia nervosa in Monroe County, New York, during the periods 1960-1969 and 1979-1976 to determine whether the number of newly diagnosed cases has increased over time. The results support the general clinical i...
journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/00006842-198011000-00003
更新日期:1980-11-01 00:00:00
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doi:10.1097/00006842-198003000-00002
更新日期:1980-03-01 00:00:00
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/00006842-197802000-00008
更新日期:1978-02-01 00:00:00
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更新日期:2014-05-01 00:00:00
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doi:10.1097/PSY.0b013e3181a63b2e
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVE:Perceived discrimination has been associated with psychosocial distress and adverse health outcomes. We examined associations of perceived discrimination measures with changes in kidney function in a prospective cohort study, the Healthy Aging in Neighborhoods of Diversity across the Life Span. METHODS:Our s...
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pub_type: 杂志文章
doi:10.1097/00006842-199011000-00001
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pub_type: 杂志文章
doi:10.1097/PSY.0b013e3181835ca3
更新日期:2008-09-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2012-05-01 00:00:00
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更新日期:1976-03-01 00:00:00
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doi:10.1097/PSY.0b013e31822f991a
更新日期:2011-10-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00006842-199707000-00010
更新日期:1997-07-01 00:00:00
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更新日期:2015-02-01 00:00:00
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更新日期:1985-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1097/PSY.0b013e3181576118
更新日期:2007-11-01 00:00:00
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更新日期:2017-10-01 00:00:00
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pub_type: 杂志文章,随机对照试验
doi:10.1097/PSY.0b013e31823d38bc
更新日期:2012-01-01 00:00:00
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/00006842-198405000-00002
更新日期:1984-05-01 00:00:00
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journal_title:Psychosomatic medicine
pub_type: 杂志文章,随机对照试验
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更新日期:2008-05-01 00:00:00
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/PSY.0b013e3181e9f357
更新日期:2010-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2009-09-01 00:00:00