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Salivary cortisol and serum prolactin in relation to stress rating scales in a group of rescue workers

Aardal-Eriksson, Elisabeth (author)
Linköpings universitet,Klinisk kemi,Hälsouniversitetet
Eriksson, Thomas, 1954- (author)
Linköpings universitet,Psykiatri,Hälsouniversitetet
Holm, Ann-Charlotte (author)
Linköpings universitet,Klinisk kemi,Hälsouniversitetet
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Lundin, Tom (author)
Department of Psychiatry, Uppsala Academic Hospital, Uppsala University, Uppsala (TL), Sweden
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 (creator_code:org_t)
1999
1999
English.
In: Biological Psychiatry. - 0006-3223 .- 1873-2402. ; 46:6, s. 850-855
  • Journal article (peer-reviewed)
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  • Background: Rescue service personnel are often exposed to traumatic events as part of their occupation, and higher prevalence rates of psychiatric illness have been found among this group.Methods: In 65 rescue workers, salivary cortisol at 8 am and 10 pm and serum prolactin at 8 am were related to the psychiatric self-rating scale General Health Questionnaire (GHQ-28) measuring psychiatric health, and the Impact of Events Scale (IES) and Post Traumatic Symptom Scale (PTSS) measuring posttraumatic symptoms.Results: Seventeen percent of the study population scored above the GHQ-28 cut-off limit but none scored beyond the cut-off limit in the IES and PTSS questionnaires. Salivary cortisol concentration at 10 pm correlated with statistical significance to anxiety (p < .005) and depressive symptoms (p < .01) measured with GHQ-28, as well as to posttraumatic symptoms, with avoidance behavior measured with IES (p < .01) and PTSS (p < .005). Two of the rescue workers were followed over time with the same sampling procedure after a major rescue commission.Conclusions: The correlation between evening salivary cortisol and anxiety, depressiveness, and posttraumatic avoidance symptoms indicates that these parameters can be used in screening and follow-up after traumatic stress events.

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