Psychosomatic Medicine Tips for Better Browsing
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS

This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Lemieux, A. M.
Right arrow Articles by Coe, C. L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Lemieux, A. M.
Right arrow Articles by Coe, C. L.

Psychosomatic Medicine, Vol 57, Issue 2 105-115, Copyright © 1995 by American Psychosomatic Society


ORIGINAL ARTICLES

Abuse-related posttraumatic stress disorder: evidence for chronic neuroendocrine activation in women

AM Lemieux and CL Coe
Department of Psychology, University of Wisconsin-Madison 53706, USA.

The following study tested the hypothesis that women with post-traumatic stress disorder (PTSD) related to childhood sexual abuse would display elevated norepinephrine-to-cortisol ratios similar to that found in male combat veterans diagnosed with PTSD. Twenty-four-hour urine samples were collected from 28 women: 11 women with PTSD who experienced childhood sexual abuse (PTSD+), 8 women who experienced childhood sexual abuse without PTSD (PTSD-), and 9 nonabused controls. All urine samples were tested for creatinine, total catecholamines, free-cortisol, and 17-ketosteroid levels. Psychological testing validated that the PTSD+ group was significantly elevated on all three subscales of the Impact of Events Scale. Both abused groups (PTSD+ and PTSD-) showed a tendency for polyuria, and the PTSD+ group showed a tendency towards obesity. Thus, neuroendocrine values (micrograms/day) were adjusted by creatinine clearance rates (creatinine mg/day/kg body weight). The corrected values indicated that the PTSD+ group had significantly elevated daily levels of norepinephrine, epinephrine, dopamine, and cortisol. However, because of the parallel elevation in cortisol, the norepinephrine-to-cortisol ratio was not significantly elevated in the PTSD+ diagnosed women in contrast to the findings reported for male PTSD patients. This discrepancy may reflect an important gender difference, an interaction between gender and age at onset of the traumatic experience (childhood abuse in females vs. combat experience in young adult males), or physiological variation related to phase of the disorder.


This article has been cited by other articles:


Home page
J Am Psychiatr Nurses AssocHome page
A. P. King, J. N. Leichtman, J. L. Abelson, I. Liberzon, and J. S. Seng
Ecological Salivary Cortisol Analysis-- Part 2: Relative Impact of Trauma History, Posttraumatic Stress, Comorbidity, Chronic Stress, and Known Confounds on Hormone Levels
Journal of the American Psychiatric Nurses Association, August 1, 2008; 14(4): 285 - 296.
[Abstract] [PDF]


Home page
EndocrinologyHome page
A. H. Veenema, S. O. Reber, S. Selch, F. Obermeier, and I. D. Neumann
Early Life Stress Enhances the Vulnerability to Chronic Psychosocial Stress and Experimental Colitis in Adult Mice
Endocrinology, June 1, 2008; 149(6): 2727 - 2736.
[Abstract] [Full Text] [PDF]


Home page
Trauma Violence AbuseHome page
J. Leserman and D. A. Drossman
Relationship of Abuse History to Functional Gastrointestinal Disorders and Symptoms: Some Possible Mediating Mechanisms
Trauma Violence Abuse, July 1, 2007; 8(3): 331 - 343.
[Abstract] [PDF]


Home page
J. Clin. Endocrinol. Metab.Home page
G. H. T. Wheler, D. Brandon, A. Clemons, C. Riley, J. Kendall, D. L. Loriaux, and J. D. Kinzie
Cortisol Production Rate in Posttraumatic Stress Disorder
J. Clin. Endocrinol. Metab., September 1, 2006; 91(9): 3486 - 3489.
[Abstract] [Full Text] [PDF]


Home page
Psychosom. Med.Home page
J. Leserman
Sexual Abuse History: Prevalence, Health Effects, Mediators, and Psychological Treatment
Psychosom Med, November 1, 2005; 67(6): 906 - 915.
[Abstract] [Full Text] [PDF]


Home page
Biol Res NursHome page
J. M. Gill, S. L. Szanton, and G. G. Page
Biological Underpinnings of Health Alterations in Women With PTSD: A Sex Disparity
Biol Res Nurs, July 1, 2005; 7(1): 44 - 54.
[Abstract] [PDF]


Home page
Am. J. PsychiatryHome page
M. G. Griffin, P. A. Resick, and R. Yehuda
Enhanced Cortisol Suppression Following Dexamethasone Administration in Domestic Violence Survivors
Am J Psychiatry, June 1, 2005; 162(6): 1192 - 1199.
[Abstract] [Full Text] [PDF]


Home page
J. Epidemiol. Community HealthHome page
J. E Allsworth, S. Zierler, K. L Lapane, N. Krieger, J. W Hogan, and B. L Harlow
Longitudinal study of the inception of perimenopause in relation to lifetime history of sexual or physical violence
J. Epidemiol. Community Health, November 1, 2004; 58(11): 938 - 943.
[Abstract] [Full Text] [PDF]


Home page
Psychosom. Med.Home page
M. I. Garcia-Linares, S. Sanchez-Lorente, C. L. Coe, and M. Martinez
Intimate Male Partner Violence Impairs Immune Control Over Herpes Simplex Virus Type 1 in Physically and Psychologically Abused Women
Psychosom Med, November 1, 2004; 66(6): 965 - 972.
[Abstract] [Full Text] [PDF]


Home page
FocusHome page
D. S. Charney
Psychobiological Mechanisms of Resilience and Vulnerability: Implications for Successful Adaptation to Extreme Stress
Focus, July 1, 2004; 2(3): 368 - 391.
[Abstract] [Full Text] [PDF]


Home page
Arch Gen PsychiatryHome page
E. A. Young and N. Breslau
Cortisol and Catecholamines in Posttraumatic Stress Disorder: An Epidemiologic Community Study
Arch Gen Psychiatry, April 1, 2004; 61(4): 394 - 401.
[Abstract] [Full Text] [PDF]


Home page
Am. J. PsychiatryHome page
D. S. Charney
Psychobiological Mechanisms of Resilience and Vulnerability: Implications for Successful Adaptation to Extreme Stress
Am J Psychiatry, February 1, 2004; 161(2): 195 - 216.
[Abstract] [Full Text] [PDF]


Home page
Psychosom. Med.Home page
S. S. Girdler, A. Sherwood, A. L. Hinderliter, J. Leserman, N. L. Costello, P. A. Straneva, C. A. Pedersen, and K. C. Light
Biological Correlates of Abuse in Women with Premenstrual Dysphoric Disorder and Healthy Controls
Psychosom Med, September 1, 2003; 65(5): 849 - 856.
[Abstract] [Full Text] [PDF]


Home page
FocusHome page
K. M. Connor and M. I. Butterfield
Posttraumatic Stress Disorder
Focus, July 1, 2003; 1(3): 247 - 262.
[Abstract] [Full Text] [PDF]


Home page
Trauma Violence AbuseHome page
J. A. COHEN, J. M. PEREL, M. D. DEBELLIS, M. J. FRIEDMAN, and F. W. PUTNAM
Treating Traumatized Children: Clinical Implications of the Psychobiology of Posttraumatic Stress Disorder
Trauma Violence Abuse, April 1, 2002; 3(2): 91 - 108.
[Abstract] [PDF]


Home page
Psychosom. Med.Home page
F. Lamprecht and M. Sack
Posttraumatic Stress Disorder Revisited
Psychosom Med, March 1, 2002; 64(2): 222 - 237.
[Abstract] [Full Text]


Home page
Am. J. PsychiatryHome page
T. D. Geracioti Jr., D. G. Baker, N. N. Ekhator, S. A. West, K. K. Hill, A. B. Bruce, D. Schmidt, B. Rounds-Kugler, R. Yehuda, P. E. Keck Jr., et al.
CSF Norepinephrine Concentrations in Posttraumatic Stress Disorder
Am J Psychiatry, August 1, 2001; 158(8): 1227 - 1230.
[Abstract] [Full Text] [PDF]


Home page
Arch Gen PsychiatryHome page
R. M. Sapolsky
Glucocorticoids and Hippocampal Atrophy in Neuropsychiatric Disorders
Arch Gen Psychiatry, October 1, 2000; 57(10): 925 - 935.
[Abstract] [Full Text] [PDF]


Home page
Psychosom. Med.Home page
L. W. Hawk, A. L. Dougall, R. J. Ursano, and A. Baum
Urinary Catecholamines and Cortisol in Recent-Onset Posttraumatic Stress Disorder After Motor Vehicle Accidents
Psychosom Med, May 1, 2000; 62(3): 423 - 434.
[Abstract] [Full Text] [PDF]


Home page
Toxicol Ind HealthHome page
I. R. Bell, C. M. Baldwin, M. Fernandez, and G. E.R. Schwartz
Neural sensitization model for multiple chemical sensitivity: overview of theory and empirical evidence
Toxicology and Industrial Health, April 1, 1999; 15(3-4): 295 - 304.
[Abstract] [PDF]


Home page
J. Neurosci.Home page
S. Kollack-Walker, S. J. Watson, and H. Akil
Social Stress in Hamsters: Defeat Activates Specific Neurocircuits within the Brain
J. Neurosci., November 15, 1997; 17(22): 8842 - 8855.
[Abstract] [Full Text] [PDF]


Home page
JWatch PsychiatryHome page
Neuroendocrine Activation in Abused Women with PTSD
Journal Watch Psychiatry, June 1, 1995; 1995(601): 1 - 1.
[Full Text]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1995 by the American Psychosomatic Society