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Updated: May 26, 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
Cortisol has enhancing, rather than impairing effects on memory retrieval in PTSD
Katja Wingenfeld1, Martin Driessen, Kirsten Terfehr
1Department of Psychiatry, Charité University Berlin, Campus Benjamin Franklin, Berlin, Germany. katja.wingenfeld@charite.de
Cortisol impairs memory in healthy individuals but enhances memory retrieval in patients with posttraumatic stress disorder (PTSD). These findings suggest potential therapeutic benefits of cortisol in PTSD.
Area of Science:
- Neuroscience
- Psychology
- Endocrinology
Background:
- Exogenous cortisol effects on memory retrieval in posttraumatic stress disorder (PTSD) are understudied, with existing research yielding mixed results.
- Healthy individuals typically show impaired declarative memory retrieval after cortisol administration.
- Understanding cortisol's impact on memory in PTSD is crucial for potential therapeutic interventions.
Purpose of the Study:
- To compare the effects of exogenous cortisol on memory retrieval in PTSD patients versus healthy controls.
- To investigate cortisol's influence on both declarative and autobiographical memory in these groups.
Main Methods:
- A placebo-controlled crossover study design was employed.
- Participants included 44 patients with PTSD and 65 healthy controls.
- Participants received either placebo or 10mg of hydrocortisone orally before memory testing, including word list learning and autobiographical memory retrieval specificity.
Main Results:
- Opposing effects of cortisol on memory retrieval were observed between PTSD patients and controls.
- In healthy controls, cortisol administration impaired memory retrieval.
- In PTSD patients, cortisol administration enhanced memory retrieval in both declarative and autobiographical memory domains.
Conclusions:
- Acute cortisol elevations may have beneficial effects on hippocampal-mediated memory processes in PTSD.
- The findings suggest potential neurobiological mechanisms underlying memory modulation by cortisol in PTSD.
- Further research is warranted to explore the therapeutic implications of these findings.
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