PMID- 25800148 OWN - NLM STAT- MEDLINE DCOM- 20160105 LR - 20150420 IS - 1873-3360 (Electronic) IS - 0306-4530 (Linking) VI - 56 DP - 2015 Jun TI - BDNF and cortisol levels in children with or without post-traumatic stress disorder after sustaining sexual abuse. PG - 45-51 LID - S0306-4530(15)00078-5 [pii] LID - 10.1016/j.psyneuen.2015.02.017 [doi] AB - OBJECTIVE: There are studies reporting that cortisol and brain-derived neurotropic factor (BDNF) play a role in the pathophysiology of post-traumatic stress disorder (PTSD). However, up-to-date no study evaluated the relationship between PTSD and the levels of cortisol and BDNF in children and adolescents who have sustained trauma. The aim of this study was to investigate whether BDNF, cortisol and adrenocorticotropine (ACTH) levels differ between individuals who developed PTSD or not following a sexual trauma. METHOD: The study included 55 children aged between 6 and 17 years who sustained sexual assault (M/F: 13/42). The patients were divided into two groups, with or without PTSD based on the results of a structured psychiatric interview (K-SADS-PL and CAPS-CA). Of the participants, 49% (n=27) were diagnosed with PTSD. Cortisol, ACTH, and BDNF levels were evaluated using the ELISA method. RESULTS: There were no significant differences between patients with or without PTSD in terms of cortisol, ACTH, BDNF levels. There were no correlations between CAPS-CA scores and cortisol, ACTH, and BDNF levels in patients with or without PTSD. In patients with PTSD, decreased cortisol levels were found with increasing time after trauma, and no significant correlation was found with the cortisol levels in patients without PTSD. CONCLUSION: Although no significant association was found between biochemical parameters and the presence or severity of PTSD; decreasing cortisol levels with increasing time after trauma in patients with PTSD suggest that cortisol might have played a role in the pathophysiology of this disorder. CI - Copyright (c) 2015 Elsevier Ltd. All rights reserved. FAU - Simsek, Seref AU - Simsek S AD - Dicle University, Medical School, Department of Child Psychiatry, Diyarbakir, Turkey. Electronic address: drserefsimsek@gmail.com. FAU - Uysal, Cem AU - Uysal C AD - Dicle University, Medical School, Department of Forensic Medicine, Diyarbakir, Turkey. Electronic address: drcemuysal@gmail.com. FAU - Kaplan, Ibrahim AU - Kaplan I AD - Dicle University, Medical School, Department of Biochemistry, Diyarbakir, Turkey. Electronic address: dribrahimkaplan@hotmail.com. FAU - Yuksel, Tugba AU - Yuksel T AD - Dicle University, Medical School, Department of Child Psychiatry, Diyarbakir, Turkey. Electronic address: tyuksel44@yahoo.com. FAU - Aktas, Huseyin AU - Aktas H AD - Dicle University, Medical School, Department of Child Psychiatry, Diyarbakir, Turkey. Electronic address: huseyinaktas04@gmail.com. LA - eng PT - Journal Article DEP - 20150310 PL - England TA - Psychoneuroendocrinology JT - Psychoneuroendocrinology JID - 7612148 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 9002-60-2 (Adrenocorticotropic Hormone) RN - WI4X0X7BPJ (Hydrocortisone) SB - IM MH - Adolescent MH - Adrenocorticotropic Hormone/blood MH - Brain-Derived Neurotrophic Factor/*blood MH - Child MH - Child Abuse, Sexual/*psychology MH - Depression/psychology MH - Female MH - Humans MH - Hydrocortisone/*blood MH - Interview, Psychological MH - Male MH - Mood Disorders/epidemiology/psychology MH - Schizophrenia/epidemiology MH - Schizophrenic Psychology MH - Socioeconomic Factors MH - Stress Disorders, Post-Traumatic/*blood/etiology/*psychology OTO - NOTNLM OT - BDNF OT - Cortisol OT - HPA axis OT - PTSD OT - Sexual abuse OT - Trauma EDAT- 2015/03/25 06:00 MHDA- 2016/01/06 06:00 CRDT- 2015/03/25 06:00 PHST- 2014/12/01 00:00 [received] PHST- 2015/02/12 00:00 [revised] PHST- 2015/02/23 00:00 [accepted] PHST- 2015/03/25 06:00 [entrez] PHST- 2015/03/25 06:00 [pubmed] PHST- 2016/01/06 06:00 [medline] AID - S0306-4530(15)00078-5 [pii] AID - 10.1016/j.psyneuen.2015.02.017 [doi] PST - ppublish SO - Psychoneuroendocrinology. 2015 Jun;56:45-51. doi: 10.1016/j.psyneuen.2015.02.017. Epub 2015 Mar 10.