Hair cortisol in newly diagnosed bipolar disorder and unaffected first-degree relatives
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Hair cortisol in newly diagnosed bipolar disorder and unaffected first-degree relatives. / Coello, Klara; Munkholm, Klaus; Nielsen, Flemming; Vinberg, Maj; Kessing, Lars Vedel.
I: Psychoneuroendocrinology, Bind 99, 2019, s. 183-190.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Hair cortisol in newly diagnosed bipolar disorder and unaffected first-degree relatives
AU - Coello, Klara
AU - Munkholm, Klaus
AU - Nielsen, Flemming
AU - Vinberg, Maj
AU - Kessing, Lars Vedel
N1 - Copyright © 2018 Elsevier Ltd. All rights reserved.
PY - 2019
Y1 - 2019
N2 - OBJECTIVE: Hair cortisol is a promising new biomarker of retrospective systemic cortisol concentration. In this study, we compared hair cortisol concentrations in patients with newly diagnosed bipolar disorder (BD), their unaffected first-degree relatives and healthy individuals and identified potential predictors of hair cortisol concentrations in patients with BD.METHOD: In a cross-sectional design, we compared hair cortisol concentrations in 181 patients with newly diagnosed/first episode BD, 42 of their unaffected first-degree relatives and 101 healthy age- and sex-matched individuals with no personal or first-degree family history of affective disorder. In patients with BD, we further investigated whether medication- and illness related variables, as well as measures of stressful life events in the preceding 12 months and childhood trauma, were associated with hair cortisol concentrations.RESULTS: Hair cortisol concentrations were 35.1% (95%CI: 13.0-61.5) higher in patients with BD (P = 0.001) compared with healthy individuals in models adjusted for age and sex. Hair cortisol concentrations in unaffected first-degree relatives did not differ from healthy individuals (P = 0.8). In patients, neither medication, illness duration nor stress related variables were associated with hair cortisol concentrations.CONCLUSION: We found elevated hair cortisol concentrations in patients newly diagnosed with BD indicating the presence of physiological stress in early stages of BD.
AB - OBJECTIVE: Hair cortisol is a promising new biomarker of retrospective systemic cortisol concentration. In this study, we compared hair cortisol concentrations in patients with newly diagnosed bipolar disorder (BD), their unaffected first-degree relatives and healthy individuals and identified potential predictors of hair cortisol concentrations in patients with BD.METHOD: In a cross-sectional design, we compared hair cortisol concentrations in 181 patients with newly diagnosed/first episode BD, 42 of their unaffected first-degree relatives and 101 healthy age- and sex-matched individuals with no personal or first-degree family history of affective disorder. In patients with BD, we further investigated whether medication- and illness related variables, as well as measures of stressful life events in the preceding 12 months and childhood trauma, were associated with hair cortisol concentrations.RESULTS: Hair cortisol concentrations were 35.1% (95%CI: 13.0-61.5) higher in patients with BD (P = 0.001) compared with healthy individuals in models adjusted for age and sex. Hair cortisol concentrations in unaffected first-degree relatives did not differ from healthy individuals (P = 0.8). In patients, neither medication, illness duration nor stress related variables were associated with hair cortisol concentrations.CONCLUSION: We found elevated hair cortisol concentrations in patients newly diagnosed with BD indicating the presence of physiological stress in early stages of BD.
KW - Adult
KW - Biomarkers
KW - Bipolar Disorder/metabolism
KW - Case-Control Studies
KW - Cross-Sectional Studies
KW - Family/psychology
KW - Female
KW - Hair/chemistry
KW - Humans
KW - Hydrocortisone/analysis
KW - Male
KW - Retrospective Studies
KW - Stress, Physiological/physiology
KW - Young Adult
U2 - 10.1016/j.psyneuen.2018.09.020
DO - 10.1016/j.psyneuen.2018.09.020
M3 - Journal article
C2 - 30248494
VL - 99
SP - 183
EP - 190
JO - Psychoneuroendocrinology
JF - Psychoneuroendocrinology
SN - 0306-4530
ER -
ID: 224599892