Changes in cortisol and DHEA plasma levels after psychotherapy for PTSD

M Olff, GJ de Vries, Y Güzelcan, J Assies… - …, 2007 - Elsevier
M Olff, GJ de Vries, Y Güzelcan, J Assies, BPR Gersons
Psychoneuroendocrinology, 2007Elsevier
Post-traumatic stress disorder (PTSD) has been associated with dysregulation of the
neuroendocrine system. In this study we examine the effects of psychotherapy in 21 PTSD
patients, with and without coexisting depression, on the levels of six stress-related
hormones: cortisol, dehydroepiandrosterone (DHEA), and dehydroepiandrosterone-sulfate
(DHEA-S), prolactin, thyrotropin (TSH) and free thyroxin (fT4). The results show that after
brief eclectic psychotherapy (BEP) significant changes occurred in levels of cortisol and …
Post-traumatic stress disorder (PTSD) has been associated with dysregulation of the neuroendocrine system. In this study we examine the effects of psychotherapy in 21 PTSD patients, with and without coexisting depression, on the levels of six stress-related hormones: cortisol, dehydroepiandrosterone (DHEA), and dehydroepiandrosterone-sulfate (DHEA-S), prolactin, thyrotropin (TSH) and free thyroxin (fT4). The results show that after brief eclectic psychotherapy (BEP) significant changes occurred in levels of cortisol and DHEA. Responders showed an increase in cortisol and DHEA levels, while in non-responders both hormone levels decreased. Differences were only found after controlling for depressive symptoms. In conclusion, effective psychotherapy for PTSD may alter dysregulations in the Hypothalamus–pituitary–adrenal (HPA)-axis, but comorbid depressive symptoms should be taken into account.
Elsevier
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