Minireview: Stress-related psychiatric disorders with low cortisol levels: a metabolic hypothesis

Rachel Yehuda, Jonathan Seckl

Several stress-associated neuropsychiatric disorders, notably posttraumatic stress disorder and chronic pain and fatigue syndromes, paradoxically exhibit somewhat low plasma levels of the stress hormone cortisol. The effects appear greatest in those initially traumatized in early life, implying a degree of developmental programming, perhaps of both lower cortisol and vulnerability to psychopathology. In these conditions, lowered cortisol is not due to any adrenal or pituitary insufficiency.

Key wordsTransgenerational Trauma

CountriesGlobal

CategoryPublication