Etiologic specificity of waking Cortisol: Links with maternal history of depression and anxiety in adolescent girls

JOURNAL OF AFFECTIVE DISORDERS

卷:208

Article

Goldstein, Brandon L.¹  Perlman, Greg²  Kotov, Roman²  Broderick, Joan E.³  Liu, Keke⁴  Ruggero, Camilo⁴  Klein, Daniel N.¹ 

[1] SUNY Stony Brook, Dept Psychol, Stony Brook, NY 11794 USA

[2] SUNY Stony Brook, Dept Psychiat, Stony Brook, NY USA

[3] Univ Southern Calif, Ctr Econ & Social Res, Los Angeles, CA 90089 USA

[4] Univ North Texas, Dept Psychol, Denton, TX 76203 USA

关键词: Cortisol;    Cortisol awakening response;    Depression;    Anxiety;    Maternal;    Offspring;    Vulnerability;   

DOI  :  10.1016/j.jad.2016.08.079

来源: Elsevier

【 摘 要 】

Background: Many previous studies have indicated that individuals who are depressed or at risk for depression are characterized by increased levels of morning cortisol and a greater cortisol awakening response (CAR). However, despite the high comorbidity between depressive and anxiety disorders, fewer studies have examined whether these diurnal cortisol abnormalities are also characteristic of anxiety or risk for anxiety. Methods: In the present study we examined cortisol in a community sample of 476 female adolescents and related it to maternal history of depression and/or anxiety disorders. Salivary cortisol was collected at waking, 30 min post waking, and in the evening on three weekdays. Results: Contrary to prior results, offspring at risk for depression did not have increased morning cortisol or CAR. However, offspring at risk for anxiety disorders had elevated 30 min cortisol and total cortisol produced throughout the day; this effect was primarily driven by offspring of mothers with panic disorder or agoraphobia. Additionally, levels of cortisol were highest among offspring of mothers with multiple anxiety diagnoses. Limitations: The study is limited to female adolescents and maternal diagnostic history. Additionally, some diagnoses could not be examined as a result of too few cases (e.g. GAD). Conclusions: Overall, these results underscore the importance of considering anxiety when examining the association of diurnal cortisol abnormalities with risk for psychopathology, as it may have influenced prior observations of elevated morning cortisol in depression.

【 授权许可】

Free