Table 5.
Hypothalamic pituitary adrenal axis functioning and its correlations with psychopathology in generalized anxiety disordered patients
Author | Control group | Sample | Cortisol levels | DST | Correlations with psychopathology |
Mantella et al[114], 2008 | 42 HC | 71 GAD subjects | ↑ Morning basal and peak salivary cortisol | - | ↑ Psychopathology |
Steudte et al[118], 2011 | 15 HC | 15 GAD patients | ↓ Cortisol in the first and second 3-cm hair segments; = salivary diurnal cortisol profiles | - | - |
Schweizer et al[112], 1986 | - | 79 GAD subjects | - | 27% non-suppression | - |
Tiller et al[113], 1988 | 13 HC | 30 GAD patients | - | 27% non-suppression | Normalization of HPAA suppression after successful non drug behavioral treatment |
Tafet et al[115], 2005 | 8 non treated GAD outpatients | 17 treated GAD outpatients | = Morning plasma cortisol; ↑ evening plasma cortisol | - | ↓ Evening plasma cortisol level after cognitive treatment |
Pomara et al[116], 2005 | 90 HC | 41 GAD patients | ↑ Plasma cortisol levels | - | ↓ Plasma cortisol after acute and chronic treatment with diazepam |
Rosenbaum et al[117], 1983 | 22 HC | 22 GAD subjects | = 24 h urinary cortisol levels | - | - |
HC: Healthy controls; DST: Dexamethasone suppression test; GAD: Generalized anxiety disorder; HPAA: Hypothalamic pituitary adrenal axis.