1. Severe PTSD is marked by reduced oxytocin and elevated vasopressin
- Author
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Alexander J. Horn, Steve Cole, Hans P. Nazarloo, Parmida Nazarloo, John M. Davis, David Carrier, Craig Bryan, and C. Sue Carter
- Subjects
Oxytocin ,Vasopressin ,Cortisol ,Stress ,PTSD ,Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 ,Psychology ,BF1-990 - Abstract
Neuroendocrine analyses of posttraumatic stress disorder (PTSD) have generally focused on hypothalamic-pituitary-adrenal (HPA) axis alterations. In the present analyses, we examine two additional neuroendocrine factors that have been previously implicated in biological stress responses: oxytocin (OT) and arginine vasopressin (AVP). Here we examined basal neuropeptide status in military veterans clinically diagnosed with PTSD (n = 29) and in two non-traumatized comparison groups with previous stress exposure (n = 11 SWAT trainees and n = 21 ultramarathon runners). PTSD patients showed low levels of plasma OT and high levels of AVP. The ratio of AVP/OT robustly related to PTSD status, and emerged as a statistically plausible mediator of relationships between the number of personal traumatic experiences and subsequent PTSD symptom burden. Over the course of behavioral therapy for PTSD, measures of OT showed a significant but modest normalization. Plasma cortisol levels were not statistically different among the three groups. This study suggests that AVP/OT ratios may represent a neuroendocrine predictor of severe PTSD, as well as a potential treatment response biomarker.
- Published
- 2024
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