Lower cortisol level in response to a psychosocial stressor in young females with self-harm
Highlights • Blood cortisol levels during the Trier Social Stress Test were assessed in a group of female adolescents (n = 130), using larger sample sizes than in former trials. • Participants with self-harm (n = 21) showed lower cortisol levels. • This study adds to former work showing an altered H...
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| Published in: | Psychoneuroendocrinology Vol. 76; pp. 84 - 87 |
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| Main Authors: | , , , , , , |
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| Abstract | Highlights • Blood cortisol levels during the Trier Social Stress Test were assessed in a group of female adolescents (n = 130), using larger sample sizes than in former trials. • Participants with self-harm (n = 21) showed lower cortisol levels. • This study adds to former work showing an altered HPA-axis response to social stressors in individuals with self-harm. |
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| AbstractList | BACKGROUNDSelf-harm is highly prevalent in adolescence, often serving an emotion regulation function. Social stressors such as bullying are associated with self-harm. The neurobiological background of the relationship between social stressors and self-harm needs to be further understood to inform prevention and therapy.METHODSParticipants were members of an epidemiological cohort study. 130 female participants underwent the Trier Social Stress Test (TSST) at age 19. Of them, 21 reported a history of self-harm as assessed by the Youth Self Report. Psychiatric diagnoses were recorded.RESULTSParticipants with a history of self-harm showed significantly lower blood cortisol levels throughout the TSST. Early psychosocial adversity did not significantly differ between groups with and without self-harm, with self-harming participants reporting more childhood adversities.CONCLUSIONThese results add to the limited field of studies showing an altered HPA axis activity in females with self-harm. Future studies need to address the causal mechanisms behind this association. Self-harm is highly prevalent in adolescence, often serving an emotion regulation function. Social stressors such as bullying are associated with self-harm. The neurobiological background of the relationship between social stressors and self-harm needs to be further understood to inform prevention and therapy. Participants were members of an epidemiological cohort study. 130 female participants underwent the Trier Social Stress Test (TSST) at age 19. Of them, 21 reported a history of self-harm as assessed by the Youth Self Report. Psychiatric diagnoses were recorded. Participants with a history of self-harm showed significantly lower blood cortisol levels throughout the TSST. Early psychosocial adversity did not significantly differ between groups with and without self-harm, with self-harming participants reporting more childhood adversities. These results add to the limited field of studies showing an altered HPA axis activity in females with self-harm. Future studies need to address the causal mechanisms behind this association. •Blood cortisol levels during the Trier Social Stress Test were assessed in a group of female adolescents (n=130), using larger sample sizes than in former trials.•Participants with self-harm (n=21) showed lower cortisol levels.•This study adds to former work showing an altered HPA-axis response to social stressors in individuals with self-harm. Self-harm is highly prevalent in adolescence, often serving an emotion regulation function. Social stressors such as bullying are associated with self-harm. The neurobiological background of the relationship between social stressors and self-harm needs to be further understood to inform prevention and therapy. Participants were members of an epidemiological cohort study. 130 female participants underwent the Trier Social Stress Test (TSST) at age 19. Of them, 21 reported a history of self-harm as assessed by the Youth Self Report. Psychiatric diagnoses were recorded. Participants with a history of self-harm showed significantly lower blood cortisol levels throughout the TSST. Early psychosocial adversity did not significantly differ between groups with and without self-harm, with self-harming participants reporting more childhood adversities. These results add to the limited field of studies showing an altered HPA axis activity in females with self-harm. Future studies need to address the causal mechanisms behind this association. Highlights • Blood cortisol levels during the Trier Social Stress Test were assessed in a group of female adolescents (n = 130), using larger sample sizes than in former trials. • Participants with self-harm (n = 21) showed lower cortisol levels. • This study adds to former work showing an altered HPA-axis response to social stressors in individuals with self-harm. |
| Author | Banaschewski, T Zimmermann, Ulrich S Hohm, Erika Zohsel, Katrin Plener, Paul L Buchmann, Arlette F Laucht, Manfred |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27889466$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/j.psyneuen.2011.05.009 10.1016/j.psyneuen.2010.12.015 10.1159/000119004 10.1016/S2215-0366(15)00165-0 10.1007/s10802-014-9933-2 10.1016/j.psyneuen.2016.06.010 10.1016/j.psyneuen.2014.09.008 10.1016/j.neuroimage.2016.02.006 10.1038/npp.2015.309 10.1111/j.1469-7610.1997.tb01602.x 10.1016/j.psyneuen.2014.09.007 10.1111/jcpp.12166 10.1192/bjp.bp.114.153379 10.1016/S0140-6736(12)60322-5 10.1097/00004583-200010000-00009 10.1016/j.psyneuen.2016.09.011 |
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| Keywords | Trier Social Stress Test Cortisol Self-harm Nonsuicidal self-injury TSST |
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| SubjectTerms | Adolescent Adolescent Behavior Cortisol Endocrinology & Metabolism Female Humans Hydrocortisone - blood Nonsuicidal self-injury Psychiatry Self-harm Self-Injurious Behavior - blood Stress, Psychological - blood Trier Social Stress Test TSST |
| Title | Lower cortisol level in response to a psychosocial stressor in young females with self-harm |
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