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EPA-0427 – Specific Cortisol Response to Stress in Patients with Eating Disorders: A Sign of Disturbed Hypothalamic-pituitary-adrenal axis activity?

Published online by Cambridge University Press:  15 April 2020

F. Vaz Leal
Affiliation:
Psychiatry, Facultad de Medicina. Uex, Badajoz, Spain
L. Rodrìguez Santos
Affiliation:
Psychiatry, Facultad de Medicina. Uex, Badajoz, Spain
M.I. Ramos Fuentes
Affiliation:
Psychiatry, Facultad de Medicina. Uex, Badajoz, Spain
C.A. Chimpèn Lûpez
Affiliation:
Psychiatry, Facultad de Medicina. Uex, Badajoz, Spain
M. Casado Blanco
Affiliation:
Legal Medicine, Facultad de Medicina. Uex, Badajoz, Spain
B. Lûpez Vinuesa
Affiliation:
Psychiatry, Facultad de Medicina. Uex, Badajoz, Spain
D. Peral Pacheco
Affiliation:
History of Medicine, Facultad de Medicina. Uex, Badajoz, Spain
M.A. García Herráiz
Affiliation:
Psychiatry, Facultad de Medicina. Uex, Badajoz, Spain
I.S. Flores Mateos
Affiliation:
Psychiatry, Facultad de Medicina. Uex, Badajoz, Spain
N. Fernández Sánchez
Affiliation:
Psychiatry, Facultad de Medicina. Uex, Badajoz, Spain
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Abstract

Introduction:

There are some data that suggest the existence of a dysfunction of the Hypothalamic-Pituitary-Adrenal (HPA) Axis in patients with eating disorders (anorexia nervosa –AN- and bulimia nervosa -BN-). If such a dysfunction exists, it would result in an altered cortisol response to stress.

Objectives:

To compare the cortisol response to stress in a group of patients with AN, BN and a control group.

Methods:

Seventeen female AN patients, 17 female BN patients and 26 healthy female controls were compared. The Trier Social Stress Test (TSST) was used to induce stress. Throughout the test, seven samples of saliva were collected from each subject, and cortisol was investigated in each of the samples using radioimmunoassay (RIA).

Results:

Each group had a specific profile of cortisol release. Upon arrival at the laboratory, the AN patients had higher cortisol levels, but they quickly returned to normal values, becoming similar to those of controls. In contrast, in the BN patients the cortisol levels were at any time significantly lower than those of the AN patients and the controls, displaying a globally blunted response.

Conclusions:

The results support the hypothesis of a dysfunctional functioning of HPA axis in patients with eatings disorders, althoug suggest that it might be particularly important in BN patients.

Supported by grants PI060974 (Plan Nacional de Investigación Científica, Desarrollo e Innovación Tecnológica [I+D+I]. FIS. Instituto Salud Carlos III. Ministerio de Sanidad, Servicios Sociales e Igualdad) and GRU09173 (Plan de Investigación Regional de Extremadura. Gobierno de Extremadura y European Social Fund).

Type
EPW42 - Eating Disorders
Copyright
Copyright © European Psychiatric Association 2014

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