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Elevated blood leve...
Elevated blood levels of dehydroepiandrosterone sulphate vary with symptom load in posttraumatic stress disorder: findings from a longitudinal study of refugees in Sweden
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- Sondergaard, HP (author)
- Karolinska Institutet
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Hansson, LO (author)
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- Theorell, T (author)
- Karolinska Institutet
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(creator_code:org_t)
- 2002-08-28
- 2002
- English.
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In: Psychotherapy and psychosomatics. - : S. Karger AG. - 0033-3190 .- 1423-0348. ; 71:5, s. 298-303
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Abstract
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- <i>Background:</i> The present study is part of a longitudinal study of recently resettled refugees with the aim of learning which factors in their daily life influence health as measured by self-report and stress-responsive hormones. <i>Methods:</i> In a group of recently resettled refugees with a high incidence of posttraumatic stress disorder (PTSD), diagnosed by structured interview, self-rated symptoms of PTSD were followed three times over a period of 9 months after inclusion in the study. Eighty-six individuals were included in the study and 58 subjects (67.4%) completed it. Blood samples were drawn at each examination for assessment of hormone levels. <i>Results:</i> After adjustment for age, dehydroepiandrosterone sulphate (DHEA-s) was observed to be higher in non-depressed PTSD cases than in non-PTSD without depression. There was an interaction between PTSD and depression regarding DHEA-s levels. DHEA-s correlated significantly with changes in self-rated symptoms of PTSD at last follow-up; the greater the increase in PTSD symptoms, the greater the increase in plasma DHEA-s. The variation of DHEA-s levels in relation to changes in self-rated health in non-PTSD showed the opposite pattern, although not reaching significance. <i>Conclusions:</i> The finding of changes in DHEA-s should encourage further studies of the role of altered steroid metabolism in PTSD.
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- ref (subject category)
- art (subject category)
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