Literature DB >> 27908897

Cortisol as a predictor of psychological therapy response in depressive disorders: systematic review and meta-analysis.

Susanne Fischer1, Rebecca Strawbridge2, Andres Herane Vives2, Anthony J Cleare2.   

Abstract

BACKGROUND: Many patients with depressive disorders demonstrate resistance to psychological therapy. A frequent finding is hypothalamic-pituitary-adrenal (HPA) axis alterations. As cortisol is known to modulate cognitive processes, those patients may be less likely to profit from psychological therapy. AIMS: To conduct a systematic review and meta-analysis on cortisol as a predictor of psychological therapy response.
METHOD: The Cochrane Library, EMBASE, MEDLINE and PsycINFO databases were searched. Records were included if they looked at patients with any depressive disorder engaging in psychological therapy, with a pre-treatment cortisol and a post-treatment symptom measure.
RESULTS: Eight articles satisfied our selection criteria. The higher the cortisol levels before starting psychological therapy, the more symptoms patients with depression experienced at the end of treatment and/or the smaller their symptom change.
CONCLUSIONS: Our findings suggest that patients with depression with elevated HPA functioning are less responsive to psychological therapy. © The Royal College of Psychiatrists 2017.

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Year:  2016        PMID： 27908897     DOI： 10.1192/bjp.bp.115.180653

Source DB:  PubMed          Journal:  Br J Psychiatry        ISSN： 0007-1250            Impact factor:   9.319


  20 in total

1.  Early life adversity and depressive symptoms predict cortisol in pregnancy.

Authors:  Crystal Modde Epstein; Julia F Houfek; Michael J Rice; Sandra J Weiss; Jeffrey A French; Kevin A Kupzyk; Sharon J Hammer; Carol H Pullen
Journal:  Arch Womens Ment Health       Date:  2019-07-09       Impact factor: 3.633

Review 2.  Finding intestinal fortitude: Integrating the microbiome into a holistic view of depression mechanisms, treatment, and resilience.

Authors:  M C Flux; Christopher A Lowry
Journal:  Neurobiol Dis       Date:  2019-08-24       Impact factor: 5.996

3.  HPA Axis Genes, and Their Interaction with Childhood Maltreatment, are Related to Cortisol Levels and Stress-Related Phenotypes.

Authors:  Lotte Gerritsen; Yuri Milaneschi; Christiaan H Vinkers; Albert M van Hemert; Laura van Velzen; Lianne Schmaal; Brenda Wjh Penninx
Journal:  Neuropsychopharmacology       Date:  2017-06-07       Impact factor: 7.853

4.  A cluster analytic approach to examining the role of cortisol in the development of post-traumatic stress and dysphoria in adult traumatic injury survivors.

Authors:  Devi Jayan; Terri A deRoon-Cassini; Garrett Sauber; Cecilia J Hillard; Jacklynn M Fitzgerald
Journal:  Psychoneuroendocrinology       Date:  2021-10-15       Impact factor: 4.905

Review 5.  Why Does Psychotherapy Work and for Whom? Hormonal Answers.

Authors:  Susanne Fischer; Sigal Zilcha-Mano
Journal:  Biomedicines       Date:  2022-06-09

6.  Effects of Modified Electroconvulsive Therapy on Serum Cortisol, Nesfatin-1, and Pro-inflammatory Cytokine Levels in Elderly Patients With Treatment-Resistant Depression.

Authors:  Biao Dai; Xiaoping Wu; Fanfan Yan; Yang Chen; Yayun Xu; Qingrong Xia; Xulai Zhang; Xuefeng Xie
Journal:  Front Endocrinol (Lausanne)       Date:  2022-06-16       Impact factor: 6.055

7.  Cortisol trajectory, melancholia, and response to electroconvulsive therapy.

Authors:  Brian J Mickey; Yarden Ginsburg; Adam F Sitzmann; Clara Grayhack; Srijan Sen; Clemens Kirschbaum; Daniel F Maixner; James L Abelson
Journal:  J Psychiatr Res       Date:  2018-05-16       Impact factor: 4.791

8.  Cortisol, moderated by age, is associated with antidepressant treatment outcome and memory improvement in Major Depressive Disorder: A retrospective analysis.

Authors:  Felipe A Jain; Colm G Connolly; Victor I Reus; Dieter J Meyerhoff; Tony T Yang; Synthia H Mellon; Scott Mackin; Christina M Hough; Alexandra Morford; Owen M Wolkowitz
Journal:  Psychoneuroendocrinology       Date:  2019-07-26       Impact factor: 4.905

9.  Exercise Reduces Salivary Morning Cortisol Levels in Patients with Depression.

Authors:  Md Shafiqur Rahman; Xuan Zhao; Jia Jia Liu; Enid Quintana Torres; Babylonia Tibert; Parvin Kumar; Viktor Kaldo; Nils Lindefors; Yvonne Forsell; Catharina Lavebratt
Journal:  Mol Neuropsychiatry       Date:  2018-12-19

10.  Stress-induced cortisol reactivity as a predictor of success in treatment for affective dimensions.

Authors:  Andres D Roque; Michelle G Craske; Michael Treanor; David Rosenfield; Thomas Ritz; Alicia E Meuret
Journal:  Psychoneuroendocrinology       Date:  2020-03-07       Impact factor: 4.905
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