Australian & New Zealand Journal of Psychiatry · 1989 · 64 citations · 10 references
MedicineEndocrinologyPsychiatryNeuroendocrinologyPsychophysiologyStress PhysiologyAdrenal HormonesPost-traumatic Stress DisorderPsychological StressStress BiomarkersStress EndocrinologyStress-related DisordersEndocrine Biomarkers Of StressEndocrine Stress BiomarkersEndocrine Stress ResponseEndogenous Opioid SignalingSerum Cortisol MeasurementStress Hormone DysregulationStress HormonesStress-induced Neuroendocrine Responses
We compared serum cortisol, ACTH and plasma beta-endorphin in 21 Post-Traumatic Stress Disorder patients and 20 controls. Although we found no important disturbance in diurnal rhythms, the PTSD patients had significantly higher A.M. serum cortisols compared with controls. Both A.M. and P.M. plasma beta-endorphins in PTSD patients were significantly lower compared with controls. These data suggest that plasma beta-endorphin may be a marker for PTSD and that chronic endogenous opioid depletion may play a role in the pathogenesis and perpetuation of this disorder.
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