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Implications of hypothalamic-pituitary-adrenal axis functioning in posttraumatic stress disorder
1Yale University School of Nursing, New Haven, CT 06539, USA. timothy.jones@yale.edu
Journal of the American Psychiatric Nurses Association
|December 7, 2011
Summary
Posttraumatic stress disorder (PTSD) is linked to hypothalamic-pituitary-adrenal (HPA) axis dysregulation, impacting stress response and memory. Treatments like SSRIs and psychotherapy may improve HPA axis function in PTSD.
Area of Science:
- Neuroendocrinology
- Psychiatry
Background:
- Cortisol secretions reflect hypothalamic-pituitary-adrenal (HPA) axis activity, crucial for stress response.
- Inconsistent findings exist regarding HPA axis function in posttraumatic stress disorder (PTSD).
Purpose of the Study:
- Examine HPA axis functioning in PTSD research.
- Elucidate neuroendocrine contributions to PTSD.
- Identify treatment impacts on the HPA axis and inform nursing care.
Main Methods:
- Review of current research on HPA axis functioning in PTSD.
- Analysis of neuroendocrine contributions and treatment effects.
Main Results:
- Evidence suggests HPA axis dysregulation in PTSD, affecting memory and stress reactivity.
- Allostatic load contributes to physical morbidity in PTSD.
- Dehydroepiandrosterone (DHEA) may offer neuroprotection and counteract glucocorticoid effects.
Conclusions:
- Selective serotonin reuptake inhibitors (SSRIs) and psychotherapy may positively impact the HPA axis in PTSD.
- Somatic therapies and DHEA/glucocorticoid treatments require further study regarding HPA axis effects.
- Future PTSD research should incorporate HPA axis measures as treatment outcomes.
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