Salivary Aldosterone, Cortisol, and Their Morning to Evening Slopes in Patients with Depressive Disorder and Healthy Subjects: Acute Episode and Follow-Up 6 Months after Reaching Remission
| Autor: | Daniela Jezova, V. Segeda, Lubomira Izakova, Daniela Kapsdorfer, Eva Morovicsova, Natasa Hlavacova |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Cortisol awakening response Evening Bipolar Disorder Hydrocortisone Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism Anxiety 030218 nuclear medicine & medical imaging 03 medical and health sciences Cellular and Molecular Neuroscience chemistry.chemical_compound Young Adult 0302 clinical medicine Endocrinology Internal medicine medicine Humans In patient Saliva Aldosterone Depression (differential diagnoses) Morning Depressive Disorder Major Endocrine and Autonomic Systems business.industry Depression Remission Induction Middle Aged Pathophysiology Circadian Rhythm chemistry Acute Disease Female business Hormone Follow-Up Studies Personality |
| Zdroj: | Neuroendocrinology. 110(11-12) |
| ISSN: | 1423-0194 |
| Popis: | Background/Objective: Cortisol is thought to be involved in the pathophysiology of affective disorders. Less attention has been given to other neuroendocrine factors. The aim of the present study was to test the hypothesis that adrenocortical steroids aldosterone and cortisol show different dynamic changes in the course of clinical depression with the assumption that aldosterone is a state marker of depression. Methods: A total of 78 adult subjects (39 patients with depressive disorder and 39 healthy controls) participated in a prospective non-interventional clinical study. Patients were investigated at the time of an acute episode and 6 months after reaching remission. The clinical and personal characteristics, and morning and evening salivary concentrations of aldosterone and cortisol were evaluated. Results: Patients with an acute depressive episode exhibited higher evening aldosterone and lower morning cortisol concentrations compared to healthy subjects. In these patients, both hormone concentrations showed flatter morning to evening slopes. Salivary aldosterone, but not cortisol concentrations, were lower in patients 6 months after reaching remission compared to those in the acute state. Similarly, 6 months of remission resulted in a steeper morning to evening slope of salivary aldosterone compared to the acute state. The cortisol rhythm remained dysregulated. A significant negative correlation between trait anxiety scores and morning cortisol concentrations in patients at 6 months of clinical remission was observed. Conclusion: Diurnal changes in salivary aldosterone concentrations appear to be a state marker, whilst those of cortisol a trait marker of depression. |
| Databáze: | OpenAIRE |
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