Table 1.
Studies showing a role for glucocorticoids during acute stress in behavioral resilience.
| Study | Organism | Challenge | Measurement/intervention | Follow-up | Findings |
|---|---|---|---|---|---|
| Delahanty et al. 2000 | Human | Motor vehicle accident | Post-trauma urinary cortisol (15 hours) | 1 month | Lower urinary cortisol predicted higher PTSD symptoms |
| Schelling et al. 2001 | Human | Septic shock | Hydrocortisone during illness (observational) | 31 months (mean) | Hydrocortisone was associated with lower PTSD incidence |
| Schelling et al. 2004 | Human | Cardiac surgery | Perioperative hydrocortisone (randomized) | 6 months | Hydrocortisone decreased PTSD symptoms |
| Weis et al. 2006 | Human | Cardiac surgery | Hydrocortisone after surgery | 6 months | Hydrocortisone decreased PTSD symptoms and increased HRQoL |
| Zohar it el. 2011 | Human | Traumatic event | Hydrocortisone or placebo injection after trauma | Up to 3 months | Hydrocortisone decreased all symptoms |
| Bienvenu et al. 2013 | Human | ARDS | ICU corticosteroid treatment days | 2 years | More steroid days predicted fewer PTSD symptoms |
| Spencer-Segal et al. 2017 | Human | ARDS | ICU corticosteroid treatment days | 6 months | More steroid days predicted lower anxiety |
| Zohar et al. 2011 | Rat | Predator scent | Corticosterone injection 1 hour after exposure | 7 days | Corticosterone decreased anxiety and startle, and prevented dentate dendritic retraction |
| Cohen et al. 2006 | Rat | Predator scent | Corticosterone response to predator scent/Preexposure corticosterone injection | 7 days | Lower corticosterone predicted greater anxiety and startle, prevented with corticosterone |
| Cohen et al. 2008 | Rat | Predator scent | Corticosterone injection 1 hour after exposure | 30 days | High dose corticosterone decreased anxiety, startle, and freezing |
| Rao et al. 2012 | Rat | Acute restraint | ADX/corticosterone treatment prerestraint | 10 days | ADX exacerbated and corticosterone prevented anxiety and BLA dendritic spine increase |
Abbreviations: PTSD, Post-traumatic stress disorder; ARDS, Acute Respiratory Distress Syndrome; HRQoL, Health-related quality of life; BLA, basolateral amygdala; ASD, acute stress disorder