Related Experiment Video
Updated: Apr 20, 2026

A Modified Trier Social Stress Test for Vulnerable Mexican American Adolescents
Published on: July 10, 2017
Sexual orientation modulates endocrine stress reactivity
Robert-Paul Juster1, Mark L Hatzenbuehler2, Adrianna Mendrek3
1Centre for Studies on Human Stress, Fernand-Seguin Research Centre, Montreal, Quebec, Canada; Integrated Program in Neuroscience, McGill University, Montreal, Quebec, Canada.
Sexual orientation impacts endocrine stress responses. Lesbian/bisexual women showed higher cortisol reactivity, while gay/bisexual men had lower concentrations compared to heterosexual individuals.
Area of Science:
- Endocrinology
- Psychoneuroendocrinology
- Social Psychology
Background:
- Biological sex and gender diversity influence endocrine stress reactivity.
- Previous research indicates men often exhibit stronger stress responses than women.
- The impact of sexual orientation on stress reactivity remains underexplored, despite heightened distress reported by LGB individuals.
Purpose of the Study:
- To investigate differences in cortisol stress reactivity between lesbian, gay, and bisexual (LGB) individuals and heterosexual individuals.
- To examine how sexual orientation modulates endocrine stress responses beyond established sex differences.
Main Methods:
- Study included 87 healthy adults categorized by biological sex and sexual orientation (lesbian/bisexual women, heterosexual women, gay/bisexual men, heterosexual men).
- Salivary cortisol samples were collected over 2 hours during exposure to a modified Trier Social Stress Test.
- Data were analyzed adjusting for sex hormones, age, self-esteem, and disclosure status.
Main Results:
- Lesbian/bisexual women exhibited significantly higher cortisol stress reactivity compared to heterosexual women.
- Gay/bisexual men showed lower overall cortisol concentrations throughout the testing period than heterosexual men.
- These findings remained significant after controlling for relevant covariates.
Conclusions:
- Sexual orientation significantly modulates cortisol stress reactivity, independent of biological sex.
- This research provides novel insights into the physiological functioning of LGB populations.
- The study highlights the need for further research into gender diversity and physiological stress responses.
Related Concept Videos
Hypothalamic-Pituitary Axis
Introduction to Stress and Lifestyle
Physiological Foundation of Stress
Role of the Sympathetic Nervous System
Adrenaline triggers the...
Psychoneuroimmunology: Diabetes and Cancer
The Sympathetic Nervous System
Psychological Responses to Stress

