Brief Report: Diurnal Salivary Cortisol in Youth—Clarifying the Nature of Posttraumatic Stress Dysregulation
Objective The purpose of this study was to clarify the nature of diurnal salivary cortisol dysregulation in youth who experience posttraumatic stress (PTS). Method Diurnal trends in salivary cortisol secretion were examined in a sample of 41 youth aged 10–16 years (26 youth exposed to interpersonal...
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| Veröffentlicht in: | Journal of pediatric psychology 2009-05, Vol.34 (4), p.389-395 |
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| creator | Weems, Carl F. Carrión, Victor G. |
| description | Objective The purpose of this study was to clarify the nature of diurnal salivary cortisol dysregulation in youth who experience posttraumatic stress (PTS). Method Diurnal trends in salivary cortisol secretion were examined in a sample of 41 youth aged 10–16 years (26 youth exposed to interpersonal traumas and 15 control participants with no PTS) using hierarchical linear modeling. Results Cortisol levels were characterized by curvilinear trends in secretion (i.e., sharp declines from prebreakfast to prelunch followed by smaller decreases from prelunch to predinner with a leveling-off or slight increase from predinner to prebed assessment). Results further indicated that youth with PTS had sharper morning declines and relatively higher evening levels (i.e., a greater curve in the daily trend) than nontraumatized youth. Conclusions Findings help to elucidate the physiological basis for altered arousal patterns in youth with PTS. Traumatized youth showed wider daily fluctuations in cortisol levels when these trends were modeled in a curvilinear fashion. The findings help to describe the nature of stress dysregulation in trauma-exposed youth and may have implications for clarifying some of the apparent inconsistencies in the literature. |
| doi_str_mv | 10.1093/jpepsy/jsn087 |
| format | Article |
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Method Diurnal trends in salivary cortisol secretion were examined in a sample of 41 youth aged 10–16 years (26 youth exposed to interpersonal traumas and 15 control participants with no PTS) using hierarchical linear modeling. Results Cortisol levels were characterized by curvilinear trends in secretion (i.e., sharp declines from prebreakfast to prelunch followed by smaller decreases from prelunch to predinner with a leveling-off or slight increase from predinner to prebed assessment). Results further indicated that youth with PTS had sharper morning declines and relatively higher evening levels (i.e., a greater curve in the daily trend) than nontraumatized youth. Conclusions Findings help to elucidate the physiological basis for altered arousal patterns in youth with PTS. Traumatized youth showed wider daily fluctuations in cortisol levels when these trends were modeled in a curvilinear fashion. The findings help to describe the nature of stress dysregulation in trauma-exposed youth and may have implications for clarifying some of the apparent inconsistencies in the literature.</description><identifier>ISSN: 0146-8693</identifier><identifier>EISSN: 1465-735X</identifier><identifier>DOI: 10.1093/jpepsy/jsn087</identifier><identifier>PMID: 18689854</identifier><identifier>CODEN: JPPSDW</identifier><language>eng</language><publisher>Atlanta, GA: Oxford University Press</publisher><subject>Adolescent ; Adult and adolescent clinical studies ; Anxiety disorders. Neuroses ; Arousal ; Biological and medical sciences ; Child ; Child clinical studies ; Circadian Rhythm ; cortisol ; Female ; hierarchical linear modeling ; Humans ; Hydrocortisone - metabolism ; Linear Models ; Male ; Medical sciences ; Post-traumatic stress disorder ; posttraumatic stress ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Radioimmunoassay ; Reference Values ; Saliva - metabolism ; Series on Single Subject Studies ; Stress Disorders, Post-Traumatic - metabolism ; Stress Disorders, Post-Traumatic - psychology ; Stress, Psychological - complications ; Stress, Psychological - metabolism</subject><ispartof>Journal of pediatric psychology, 2009-05, Vol.34 (4), p.389-395</ispartof><rights>The Author 2008. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org 2008</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4017-828a244cce31c6c1d86544d9a06b75067f28c3d19c0f757ff525499ddfe659373</citedby><cites>FETCH-LOGICAL-c4017-828a244cce31c6c1d86544d9a06b75067f28c3d19c0f757ff525499ddfe659373</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,1583,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21420842$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18689854$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Weems, Carl F.</creatorcontrib><creatorcontrib>Carrión, Victor G.</creatorcontrib><title>Brief Report: Diurnal Salivary Cortisol in Youth—Clarifying the Nature of Posttraumatic Stress Dysregulation</title><title>Journal of pediatric psychology</title><addtitle>J Pediatr Psychol</addtitle><description>Objective The purpose of this study was to clarify the nature of diurnal salivary cortisol dysregulation in youth who experience posttraumatic stress (PTS). Method Diurnal trends in salivary cortisol secretion were examined in a sample of 41 youth aged 10–16 years (26 youth exposed to interpersonal traumas and 15 control participants with no PTS) using hierarchical linear modeling. Results Cortisol levels were characterized by curvilinear trends in secretion (i.e., sharp declines from prebreakfast to prelunch followed by smaller decreases from prelunch to predinner with a leveling-off or slight increase from predinner to prebed assessment). Results further indicated that youth with PTS had sharper morning declines and relatively higher evening levels (i.e., a greater curve in the daily trend) than nontraumatized youth. Conclusions Findings help to elucidate the physiological basis for altered arousal patterns in youth with PTS. Traumatized youth showed wider daily fluctuations in cortisol levels when these trends were modeled in a curvilinear fashion. The findings help to describe the nature of stress dysregulation in trauma-exposed youth and may have implications for clarifying some of the apparent inconsistencies in the literature.</description><subject>Adolescent</subject><subject>Adult and adolescent clinical studies</subject><subject>Anxiety disorders. Neuroses</subject><subject>Arousal</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child clinical studies</subject><subject>Circadian Rhythm</subject><subject>cortisol</subject><subject>Female</subject><subject>hierarchical linear modeling</subject><subject>Humans</subject><subject>Hydrocortisone - metabolism</subject><subject>Linear Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Post-traumatic stress disorder</subject><subject>posttraumatic stress</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Radioimmunoassay</subject><subject>Reference Values</subject><subject>Saliva - metabolism</subject><subject>Series on Single Subject Studies</subject><subject>Stress Disorders, Post-Traumatic - metabolism</subject><subject>Stress Disorders, Post-Traumatic - psychology</subject><subject>Stress, Psychological - complications</subject><subject>Stress, Psychological - metabolism</subject><issn>0146-8693</issn><issn>1465-735X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU-P1CAYxonRuOPq0avhovFSFwqU1sMm2lXXuFn_zJqsXghLYYaRgQrtxrn5IfyEfhIxbUY9eSK8_PK8z8MDwH2MnmDUkKNNr_u0O9okj2p-AywwrVjBCbu8CRYoX4q6asgBuJPSBiFEKalugwNcV3VTM7oA_nm02sAPug9xeApP7Bi9dHApnb2WcQfbPLYpOGg9_BTGYf3z-4_WyWjNzvoVHNYansthjBoGA9-FNAxRjls5WAWXQ9QpwZNdino1ujwL_i64ZaRL-t58HoKPL19ctKfF2dtXr9tnZ4WiCPOiLmtZUqqUJlhVCnd1xSjtGomqK85QxU1ZK9LhRiHDGTeGlYw2TdcZXbGGcHIIjifdfrza6k5pn3050Ue7zalEkFb8--LtWqzCtSh5WWKCssCjWSCGr6NOg9japLRz0uswJlFxzJr8hxksJlDFkHJSs1-CkfjdkJgaElNDmX_wt7M_9FxJBh7OgExKOhOlVzbtuRLTEtW0zNzjiQtj_9-ds0ebBv1tD8v4JecgnInTy8-i5Rfvl2_OW7EkvwAI-rzp</recordid><startdate>200905</startdate><enddate>200905</enddate><creator>Weems, Carl F.</creator><creator>Carrión, Victor G.</creator><general>Oxford University Press</general><scope>BSCLL</scope><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>7X8</scope><scope>5PM</scope></search><sort><creationdate>200905</creationdate><title>Brief Report: Diurnal Salivary Cortisol in Youth—Clarifying the Nature of Posttraumatic Stress Dysregulation</title><author>Weems, Carl F. ; Carrión, Victor G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4017-828a244cce31c6c1d86544d9a06b75067f28c3d19c0f757ff525499ddfe659373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult and adolescent clinical studies</topic><topic>Anxiety disorders. Neuroses</topic><topic>Arousal</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child clinical studies</topic><topic>Circadian Rhythm</topic><topic>cortisol</topic><topic>Female</topic><topic>hierarchical linear modeling</topic><topic>Humans</topic><topic>Hydrocortisone - metabolism</topic><topic>Linear Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Post-traumatic stress disorder</topic><topic>posttraumatic stress</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Radioimmunoassay</topic><topic>Reference Values</topic><topic>Saliva - metabolism</topic><topic>Series on Single Subject Studies</topic><topic>Stress Disorders, Post-Traumatic - metabolism</topic><topic>Stress Disorders, Post-Traumatic - psychology</topic><topic>Stress, Psychological - complications</topic><topic>Stress, Psychological - metabolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Weems, Carl F.</creatorcontrib><creatorcontrib>Carrión, Victor G.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of pediatric psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Weems, Carl F.</au><au>Carrión, Victor G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Brief Report: Diurnal Salivary Cortisol in Youth—Clarifying the Nature of Posttraumatic Stress Dysregulation</atitle><jtitle>Journal of pediatric psychology</jtitle><addtitle>J Pediatr Psychol</addtitle><date>2009-05</date><risdate>2009</risdate><volume>34</volume><issue>4</issue><spage>389</spage><epage>395</epage><pages>389-395</pages><issn>0146-8693</issn><eissn>1465-735X</eissn><coden>JPPSDW</coden><abstract>Objective The purpose of this study was to clarify the nature of diurnal salivary cortisol dysregulation in youth who experience posttraumatic stress (PTS). Method Diurnal trends in salivary cortisol secretion were examined in a sample of 41 youth aged 10–16 years (26 youth exposed to interpersonal traumas and 15 control participants with no PTS) using hierarchical linear modeling. Results Cortisol levels were characterized by curvilinear trends in secretion (i.e., sharp declines from prebreakfast to prelunch followed by smaller decreases from prelunch to predinner with a leveling-off or slight increase from predinner to prebed assessment). Results further indicated that youth with PTS had sharper morning declines and relatively higher evening levels (i.e., a greater curve in the daily trend) than nontraumatized youth. Conclusions Findings help to elucidate the physiological basis for altered arousal patterns in youth with PTS. Traumatized youth showed wider daily fluctuations in cortisol levels when these trends were modeled in a curvilinear fashion. The findings help to describe the nature of stress dysregulation in trauma-exposed youth and may have implications for clarifying some of the apparent inconsistencies in the literature.</abstract><cop>Atlanta, GA</cop><pub>Oxford University Press</pub><pmid>18689854</pmid><doi>10.1093/jpepsy/jsn087</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult and adolescent clinical studies Anxiety disorders. Neuroses Arousal Biological and medical sciences Child Child clinical studies Circadian Rhythm cortisol Female hierarchical linear modeling Humans Hydrocortisone - metabolism Linear Models Male Medical sciences Post-traumatic stress disorder posttraumatic stress Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Radioimmunoassay Reference Values Saliva - metabolism Series on Single Subject Studies Stress Disorders, Post-Traumatic - metabolism Stress Disorders, Post-Traumatic - psychology Stress, Psychological - complications Stress, Psychological - metabolism |
| title | Brief Report: Diurnal Salivary Cortisol in Youth—Clarifying the Nature of Posttraumatic Stress Dysregulation |
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