Endocrine Aspects of Post-traumatic Stress Disorder and Implications for Diagnosis and Treatment

Nikolaos P. Daskalakis, Amy Lehrner, Rachel Yehuda

Research output: Contribution to journalReview articlepeer-review

168 Scopus citations

Abstract

Post-traumatic stress disorder (PTSD) is a serious, multisystem disorder with multiple medical comorbidities. This article reviews the current literature on the endocrine aspects of PTSD, specifically hypothalamic-pituitary-adrenal axis alterations indicative of low cortisol and increased glucocorticoid sensitivity, and the proposed mechanisms whereby these alterations increase risk or reflect pathophysiology. Discussion includes novel treatment innovations and directions for future research.

Original languageEnglish
Pages (from-to)503-513
Number of pages11
JournalEndocrinology and Metabolism Clinics of North America
Volume42
Issue number3
DOIs
StatePublished - Sep 2013

Keywords

  • Cortisol
  • Hypothalamic-pituitary-adrenal axis
  • Post-traumatic stress disorder
  • Stress
  • Sympathetic

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