Table 1. Summary of Meta-Analytic Findings across Studies and Cortisol Outcomes for TE, PTSD, and PTSD+MDD Groups versus NTC.
Cortisol Outcomes | d | k | SE | 95% CI | p | Q | p | I2 |
---|---|---|---|---|---|---|---|---|
Morning (a.m.) | ||||||||
TE | .01 | 18 | .03 | −.05, +.07 | .780 | 35.98 | .005 | 53 |
PTSD | −.28 | 23 | .08 | −.43, −.13 | < .001 | 58. 96 | < .001 | 6 3 |
PTSD+MDD | −.66 | 8 | .14 | −.94, −.39 | < .001 | 42.18 | < .001 | 83 |
Afternoon/Evening (p.m.) | ||||||||
TE | −.25 | 10 | .09 | −.44, −.07 | .007 | 31.36 | <.001 | 71 |
PTSD | −.27 | 12 | .12 | −.50, −.04 | .021 | 110.00 | < .001 | 90 |
PTSD+MDD | .49 | 4 | .24 | +.02, +.96 | .041 | 15.93 | < .001 | 81 |
Daily output | ||||||||
TE | −.13 | 6 | .15 | −.42, +.15 | .370 | 22.08 | <.001 | 73 |
PTSD | −.36 | 9 | .13 | −.62, −.10 | .008 | 84.68 | < .001 | 91 |
PTSD+MDD | −.65 | 4 | .25 | −1.13, −.17 | .008 | 23.39 | < .001 | 87 |
Post-DST | ||||||||
TE | −.53 | 8 | .14 | −.80, −.25 | <.001 | 11.49 | .119 | 39 |
PTSD | −.40 | 13 | .12 | −.63, −.17 | <.001 | 89.75 | < .001 | 87 |
PTSD+MDD | −.65 | 8 | .14 | −.93, −.38 | < .001 | 39.80 | < .001 | 82 |
Notes. PTSD = Post traumatic Stress Disorder; MDD = Major Depressive Disorder; TE = trauma-exposed without PTSD or MDD; NTC = never-traumatized controls; a.m. = morning (before 12 p.m.); p.m. = afternoon (after 12 p.m.); DST = dexamethasone suppression test; d = effect size; k = number of studies; SE = standard error; CI = confidence interval; Q = heterogeneity coefficient; I2 = percentage of total variation across studies due to heterogeneity