Hair cortisol concentrations in pregnant women with bipolar, depressive, or schizophrenic spectrum disorders.
| Autor: | Nyström-Hansen, Maja, Andersen, Marianne Skovsager, Davidsen, Kirstine Agnete, Roehder, Katrine, Trier, Christopher, Nayberg, Emilie, Lyons-Ruth, Karlen, Harder, Susanne |
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| Předmět: |
BIPOLAR disorder
THIRD trimester of pregnancy CHILD health services MENTAL illness HYDROCORTISONE PREGNANT women SCHIZOPHRENIA HYPOTHALAMUS CLASSIFICATION of mental disorders DESCRIPTIVE statistics CASE-control method ENDOCRINE glands PSYCHOLOGY of mothers LIQUID chromatography MASS spectrometry HAIR PREGNANCY complications FETAL development COMPARATIVE studies MENTAL depression PSYCHOSOCIAL factors |
| Zdroj: | Archives of Women's Mental Health; Aug2024, Vol. 27 Issue 4, p577-584, 8p |
| Abstrakt: | Purpose: Maternal cortisol levels in pregnancy may support the growth of or adversely affect fetal organs, including the brain. While moderate cortisol levels are essential for fetal development, excessive or prolonged elevations may have negative health consequences for both the mother and the offspring. Little is known about predictors of altered hypothalamic–pituitary–adrenal (HPA) axis activity during pregnancy. This study examined maternal hair cortisol concentration (HCC) in the 3rd trimester of pregnancy in relation to severe psychopathology. Methods: Hair samples were collected from 69 women, 32 with a lifetime diagnosis of severe mental disorders (bipolar I or II disorder, moderate or severe depressive disorder, schizophrenic spectrum disorder), and 37 non-clinical controls. Hair samples were collected during the 3rd trimester, and liquid chromatography tandem mass spectrometry was used for cortisol assessment. Psychiatric diagnosis and current level of symptomatic functioning were assessed using the structured clinical interview from the DSM-5 and the global assessment of functioning scale. Results: Women with a lifetime diagnosis of severe mental illness had significantly elevated HCC compared to controls. Poorer current symptomatic functioning was also significantly associated with elevated HCC in pregnancy. Conclusions: The implications of alterations in HCC on both maternal and infant health need further study. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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