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Updated: Jun 28, 2026

Eye Tracking, Cortisol, and a Sleep vs. Wake Consolidation Delay: Combining Methods to Uncover an Interactive Effect of Sleep and Cortisol on Memory
Published on: June 18, 2014
Effect of cortisol levels on working memory performance in elderly subjects with Alzheimer's disease
Juliana Nery de Souza-Talarico1, Paulo Caramelli, Ricardo Nitrini
1Department of Medical-Surgical Nursing, School of Nursing, University of São Paulo, São Paulo, SP, Brazil.
Background:
Subjects with Alzheimer's disease (AD) have elevated cortisol levels as a result of hypothalamic-pituitary-adrenal (HPA) axis dysfunction. Acute administration of hydrocortisone has been associated with working memory (WM) performance in young adults.
Objective:
To investigate whether cortisol levels are associated with WM performance in subjects with AD.
Method:
Eighty subjects were included, comprising 40 patients with mild AD and 40 healthy elderly controls. WM was assessed using the Digit Span Backward test (DSB). Saliva samples were collected to determine cortisol levels.
Results:
AD subjects had poorer performance on the DSB than controls (p=0.002) and also presented higher levels of cortisol than control group (p=0.04). No significant correlation was observed between the DSB and cortisol levels in both groups (r= -0.29).
Conclusion:
In this study, elevated cortisol levels were not associated with poorer WM performance in patients with AD or in healthy elderly subjects.
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