| Maternal cortisol in late pregnancy and hypothalamic-pituitary-adrenal reactivity to psychosocial stress postpartum in women. | |
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MedLine Citation:
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PMID: 20214437 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Hypothalamic-pituitary-adrenal (HPA) activity is altered postpartum and has been associated with several puerperal disorders. However, little is known about the association of maternal HPA activity during pregnancy with maternal HPA responsiveness to stress after parturition. Within a longitudinal study with an experimental component, we assessed in 22 women the salivary cortisol awakening response (CAR) at the 36th week of gestation and 6 weeks postpartum, as well as pituitary-adrenal and emotional responses to a psychosocial laboratory stressor at 8 weeks postpartum. CAR in late pregnancy negatively predicted maternal adrenocorticotropin (ACTH; ss = - 0.60; P = 0.003), plasma cortisol (ss = - 0.69, P < 0.001), and salivary cortisol (ss = - 0.66; P = 0.001) but not emotional stress reactivity (all P>0.05) at 8 weeks postpartum, whereas CAR at 6 weeks postpartum failed to predict hormonal (ACTH: ss = 0.02; P = 0.933, plasma cortisol: ss = - 0.23; P = 0.407, salivary cortisol: ss = - 0.15; P = 0.597) or emotional (all P>0.05) stress responses at 8 weeks postpartum. The activity of the HPA axis during pregnancy is associated with maternal HPA responsiveness to stress postpartum. Putative biological underpinnings warrant further attention. A better understanding of stress-related processes peripartum may pave the way for the prevention of associated puerperal disorders. |
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Authors:
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Gunther Meinlschmidt; Cyrill Martin; Inga D Neumann; Markus Heinrichs |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Stress (Amsterdam, Netherlands) Volume: 13 ISSN: 1607-8888 ISO Abbreviation: Stress Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-03-10 Completed Date: 2010-06-18 Revised Date: 2012-03-19 |
Medline Journal Info:
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Nlm Unique ID: 9617529 Medline TA: Stress Country: England |
Other Details:
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Languages: eng Pagination: 163-71 Citation Subset: IM |
Affiliation:
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Department of Clinical and Theoretical Psychobiology, University of Trier, Trier, Germany. gunther.meinlschmidt@unibas.ch |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adrenocorticotropic Hormone
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metabolism Adult Affect Depression, Postpartum / etiology Female Humans Hydrocortisone / blood, metabolism* Hypothalamo-Hypophyseal System / physiology Lactation Pituitary-Adrenal System / physiology Postpartum Period / physiology* Pregnancy Pregnancy Trimester, Third Saliva / chemistry Stress, Physiological Stress, Psychological / physiopathology* |
| Chemical | |
Reg. No./Substance:
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50-23-7/Hydrocortisone; 9002-60-2/Adrenocorticotropic Hormone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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