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HPA Axis Activity Due To Early Traumatic Stress and Metabolic Symptoms (Cort-Metab)

Charité University Medicine Berlin logo

Charité University Medicine Berlin

Status

Completed

Conditions

Childhood Trauma
Major Depressive Disorder

Treatments

Other: stress

Study type

Interventional

Funder types

Other

Identifiers

NCT02398877
WI 3396/6-1

Details and patient eligibility

About

This study evaluates the association between early trauma, depression and metabolic symptoms.

Full description

Early traumatic stress is associated with alterations of the hypothalamic-pituitary-adrenal axis (HPA-axis) indicated by an increased response to stress, a diminished negative feedback and alterations in expression of glucocorticoid receptors. Patients with a history of childhood trauma are more likely to develop metabolic disorders such as diabetes mellitus type 2 or metabolic syndrome.

The investigators will examine participants with and without early life stress and with and without major depression. The investigators assume that traumatized study participants (1) show an increased endocrine stress reaction to psychosocial stress, (2) display an altered sensitivity of GR, and (3) therefore suffer from an adverse cardiovascular risk profile in comparison to not-traumatized participants.

The investigators study will increase current knowledge on possible sequel of early traumatic stress. The results will lead to a more comprehensive understanding of stress-related eating behaviour and its implications.

Enrollment

140 patients

Sex

Female

Ages

18 to 60 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • diagnosis of MDD and/or experience of early trauma

Exclusion criteria

  • severe illness,
  • control group: no diagnosis of MDD and experience of early trauma

Trial design

Primary purpose

Basic Science

Allocation

Non-Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

140 participants in 4 patient groups

Depression with early trauma
Experimental group
Description:
stress
Treatment:
Other: stress
Depression without early trauma
Experimental group
Description:
stress
Treatment:
Other: stress
Healthy with early trauma
Experimental group
Description:
stress
Treatment:
Other: stress
Healthy without early trauma
Experimental group
Description:
stress
Treatment:
Other: stress

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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