1. IMPAIRED SERUM CORTISOL STRESS RESPONSE IS A PREDICTOR OF EARLY RELAPSE
- Author
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Wolfgang Lange, J. Bernzen, T. Wetterling, Lothar Rink, Klaus Junghanns, U. Tietz, Jutta Backhaus, and Martin Driessen
- Subjects
Adult ,Male ,medicine.medical_specialty ,Hydrocortisone ,Temperance ,Early Relapse ,Fight-or-flight response ,Predictive Value of Tests ,Recurrence ,Internal medicine ,medicine ,Humans ,Psychiatry ,Analysis of Variance ,Chi-Square Distribution ,General Medicine ,Anxiety Disorders ,Alcoholism ,Predictive value of tests ,Area Under Curve ,Anxiety ,Analysis of variance ,medicine.symptom ,Psychology ,Chi-squared distribution ,Serum cortisol ,Stress, Psychological ,medicine.drug - Abstract
— Aims: to investigate a possible association of cortisol stress response during early abstention with relapse. Methods: Thirty-six alcohol-dependent males, half of them with a comorbid anxiety disorder, and 15 healthy controls were exposed to a standardized psychosocial stress test. Thirty-one of the patients were assessed for relapse 6 weeks after discharge. Results: The relapsers showed almost no cortisol responses in the stress test. Comorbid anxiety disorder influenced neither stress response nor relapse. Conclusions: During early abstention from alcohol, reduced stress-responsivity of the hypothalamo–pituitary–adrenocortical axis seems to be connected to early relapse.
- Published
- 2003