Cortisol Awakening Response and Acute Stress Reactivity in First Nations People

Sci Rep. 2017 Jan 31:7:41760. doi: 10.1038/srep41760.

Abstract

First Nations people globally have a higher incidence of mental disorders and non-communicable diseases. These health inequalities are partially attributed to a complex network of social and environmental factors which likely converge on chronic psychosocial stress. We hypothesized that alterations in stress processing and the regulation of the hypothalamic-pituitary-adrenal axis might underlie health disparities in First Nations people. We assessed the cortisol awakening response and the dynamic response to a laboratory induced psychosocial stress of young Indigenous tertiary students (n = 11, mean age 23.82 years) and non-Indigenous students (n = 11) matched for age and gender. Indigenous participants had a blunted cortisol awakening response (27.40 (SD 35.00) vs. 95.24 (SD 55.23), p = 0.002), which was differentially associated with chronic experience of stress in Indigenous (r = -0.641, p = 0.046) and non-Indigenous (r = 0.652, p = 0.03) participants. The cortisol response to the laboratory induced psychosocial stress did not differ between groups. Self-reported racial discrimination was strongly associated with flattened cortisol response to stress (r = -0676, p = 0.022) and with heart rate variability (r = 0.654, p = 0.040). Our findings provide insight into potential biological factors underlying health discrepancies in ethnic minority groups.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Circadian Rhythm / drug effects
  • Female
  • Heart Rate
  • Humans
  • Hydrocortisone / pharmacology*
  • Male
  • Neuroendocrine Cells / metabolism
  • Psychology
  • Psychometrics / methods
  • Stress, Psychological / drug therapy*
  • Wakefulness / drug effects*

Substances

  • Hydrocortisone