Altered circadian patterns of salivary cortisol in individuals with schizophrenia: A critical literature review
Abstract
This article focuses on stress vulnerability in schizophrenia through an integrated clinical and biological approach. The objective of this article is to better understand the relationships between vulnerability, stress and schizophrenia. First, the concept of vulnerability is defined and several models of vulnerability in schizophrenia are reviewed. Second, a section is developed on the biology of stress, and more specifically on the stress responses of the hypothalamo-pitutary adrenal (HPA) axis. Then, studies of cortisol circadian rhythms are summarized, suggesting hyper-reactivity of the HPA axis in patients with schizophrenia and high risk individuals for schizophrenia. The results support the models of stress vulnerability in schizophrenia and the hypothesis of high cortisol levels as an endophenotype in this disorder. In conclusion, this article highlights the interest of studying the cortisol circadian rhythms in schizophrenia and opens the perspective to identify high risk individuals for schizophrenia by measuring circadian patterns of salivary cortisol.
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Hyper-reactivity of the HPA axis is observed in both individuals with schizophrenia and individuals at high genetic risk for schizophrenia, which may support the model of stress vulnerability in schizophrenia.
“Interestingly, hyper-reactivity of the HPA axis is observed in both individuals with SZ and individuals at high genetic risk for SZ, which may support the model of stress vulnerability in SZ158.”
From Circadian rhythm disruption and mental health (2020) · cites this paper as [158]
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Circadian rhythm disruption and mental health
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- Authors
- Coulon, N., Brailly-Tabard, S., Walter, M., & Tordjman, S.
- Affiliations
- Centre National de la Recherche Scientifique (FR)
- Centre Hospitalier Régional Universitaire de Brest (FR)
- Corresponding author
- Coulon, Nathalie
- Venue
- Journal of Physiology-Paris
- Publisher
- Elsevier BV
- Published
- 2016-11
- Volume
- 110
- Issue
- 4
- Pages
- 439-447
- ISSN
- 0928-4257 (ISSN-L)
- OpenAlex
- W2614875402
- Cited by
- 28
- References
- 104
- Citations by year
- 2025: 3 · 2024: 5 · 2023: 4 · 2022: 3 · 2021: 6 · 2020: 4 · 2019: 2 · 2018: 1
- FWCI
- 0.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Physiology-Paris (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Keywords
- schizophrenia, salivary cortisol, circadian rhythm, hypothalamic-pituitary-adrenal axis, stress vulnerability, endophenotypes, high-risk individuals, stress response
- MeSH terms
- Animals, Circadian Rhythm, Humans, Hydrocortisone, Saliva, Schizophrenia, Stress, Psychological, Biomarkers
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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