Gender-specific association of alexithymia and norepinephrine/cortisol ratios. A preliminary report

Alexithymia and posttraumatic stress disorder (PTSD) might share a neuroendocrine pattern characterized by increased urinary norepinephrine (N) and decreased cortisol (C) levels, resulting in a high N/C ratio, at least among male alcoholics. We aimed to explore if this association can also be found...

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Veröffentlicht in:Journal of psychosomatic research 2005-08, Vol.59 (2), p.73-76
Hauptverfasser: Spitzer, Carsten, Brandl, Stephan, Rose, Hans-Joachim, Nauck, Matthias, Freyberger, Harald J.
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container_issue 2
container_start_page 73
container_title Journal of psychosomatic research
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creator Spitzer, Carsten
Brandl, Stephan
Rose, Hans-Joachim
Nauck, Matthias
Freyberger, Harald J.
description Alexithymia and posttraumatic stress disorder (PTSD) might share a neuroendocrine pattern characterized by increased urinary norepinephrine (N) and decreased cortisol (C) levels, resulting in a high N/C ratio, at least among male alcoholics. We aimed to explore if this association can also be found in other populations. Twenty-four-hour urine samples were obtained from 12 major depressive disorder (MDD) patients and 23 healthy controls (HC) and tested for N and free C. Participants completed the 20-item Toronto Alexithymia Scale (TAS) and the Symptom Check List (SCL). Controlling for depression, the neuroendocrine parameters did not differ between the MDD and HC participants nor between women and men. The TAS was not associated with N, C or the N/C ratio in the MDD and HC participants nor in females alone. However, in men, the N/C ratio correlated significantly with the TAS ( r=.80). Our preliminary findings indicate that alexithymia is associated with an increased noradrenergic activity and a decreased basal activity of the hypothalamic–pituitary–adrenal (HPA) axis among men. This gender difference may reflect divergent underlying neurobiological processes of alexithymia in men and women.
doi_str_mv 10.1016/j.jpsychores.2004.07.006
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Psychiatry</subject><subject>Sex Factors</subject><subject>Stress Disorders, Post-Traumatic - epidemiology</subject><subject>Stress Disorders, Post-Traumatic - physiopathology</subject><subject>Stress Disorders, Post-Traumatic - urine</subject><subject>Urinary norepinephrine and cortisol</subject><issn>0022-3999</issn><issn>1879-1360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqF0cFu3CAQBmBUtWq2SV6h4tLe7AwYY_uYRm0aKVIuzRnh8aBlZRsXvFX37cNqV9pjLnD5_hmYYYwLKAUIfbcrd0s64DZESqUEUCU0JYD-wDaibbpCVBo-sg2AlEXVdd0V-5LSDrLoZP2ZXQktWg0gNgwfaR4oFmkh9M4jtykF9Hb1YebBcTvSf79uD5O33M4Dn3PLxc-0bGM-7zDE1acw8nhMpJLf8yXS6Cc_23jg2WZwwz45Oya6Pd_X7PXXzz8Pv4vnl8enh_vnAlXbrEVNUoEQyoESTokOGtIKsW-10rLucUDCpuvQaS1l3_TOETgUGrVztRr66pp9P9VdYvi7p7SaySekcbQzhX0yutVVrq3ehXUjFFSVzLA9QYwhpUjOLNFP-WdGgDluwuzMZRPmuAkDjclzztGv5x77fqLhEjyPPoNvZ2AT2tFFO6NPF9fIrhIVZPfj5CiP7p-naBJ6mpEGHwlXMwT__mveAE9Krso</recordid><startdate>20050801</startdate><enddate>20050801</enddate><creator>Spitzer, Carsten</creator><creator>Brandl, Stephan</creator><creator>Rose, Hans-Joachim</creator><creator>Nauck, Matthias</creator><creator>Freyberger, Harald J.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20050801</creationdate><title>Gender-specific association of alexithymia and norepinephrine/cortisol ratios. 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subjects Adult
Adult and adolescent clinical studies
Affective Symptoms - epidemiology
Affective Symptoms - physiopathology
Affective Symptoms - urine
Alexithymia
Biological and medical sciences
Chromatography, High Pressure Liquid - methods
Cortisol
Depression
Depressive Disorder, Major - epidemiology
Depressive Disorder, Major - physiopathology
Depressive Disorder, Major - urine
Diagnostic and Statistical Manual of Mental Disorders
Female
Fundamental and applied biological sciences. Psychology
Humans
Hydrocortisone - urine
Hypothalamo-Hypophyseal System - physiopathology
Male
Medical sciences
Middle Aged
Mood disorders
N/C ratio
Norepinephrine - urine
Personality traits
Personality. Affectivity
Pituitary-Adrenal System - physiopathology
Posttraumatic Stress Disorder
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Psychopathology. Psychiatry
Sex Factors
Stress Disorders, Post-Traumatic - epidemiology
Stress Disorders, Post-Traumatic - physiopathology
Stress Disorders, Post-Traumatic - urine
Urinary norepinephrine and cortisol
title Gender-specific association of alexithymia and norepinephrine/cortisol ratios. A preliminary report
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