Hypothalamic-pituitary-adrenocortical axis activity: a target of pharmacological anticraving treatment?
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Hypothalamic-pituitary-adrenocortical axis activity: a target of pharmacological anticraving treatment? / Kiefer, Falk; Jahn, Holger; Otte, Christian; Naber, Dieter; Wiedemann, Klaus.
In: BIOL PSYCHIAT, Vol. 60, No. 1, 1, 2006, p. 74-76.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Hypothalamic-pituitary-adrenocortical axis activity: a target of pharmacological anticraving treatment?
AU - Kiefer, Falk
AU - Jahn, Holger
AU - Otte, Christian
AU - Naber, Dieter
AU - Wiedemann, Klaus
PY - 2006
Y1 - 2006
N2 - BACKGROUND: An association between the activity of the hypothalamic-pituitary-adrenocortical (HPA) axis and alcohol intake behavior is currently discussed. We examined the relationship between efficacy of pharmacological anticraving treatment and HPA axis activity in the relapse prevention treatment of alcoholism. METHODS: In 160 patients suffering from alcoholism, we measured plasma adrenocorticotropic hormone (ACTH) and cortisol during placebo-controlled relapse prevention treatment with naltrexone and/or acamprosate. RESULTS: In the placebo group, ACTH and cortisol decreased during early abstinence. Treatment with naltrexone and acamprosate prevented this course. Increased ACTH and cortisol during treatment was associated with a reduced risk of relapse. CONCLUSIONS: These findings suggest that heightened HPA responsiveness might contribute to relapse-preventing effects of anticraving compounds in alcoholism.
AB - BACKGROUND: An association between the activity of the hypothalamic-pituitary-adrenocortical (HPA) axis and alcohol intake behavior is currently discussed. We examined the relationship between efficacy of pharmacological anticraving treatment and HPA axis activity in the relapse prevention treatment of alcoholism. METHODS: In 160 patients suffering from alcoholism, we measured plasma adrenocorticotropic hormone (ACTH) and cortisol during placebo-controlled relapse prevention treatment with naltrexone and/or acamprosate. RESULTS: In the placebo group, ACTH and cortisol decreased during early abstinence. Treatment with naltrexone and acamprosate prevented this course. Increased ACTH and cortisol during treatment was associated with a reduced risk of relapse. CONCLUSIONS: These findings suggest that heightened HPA responsiveness might contribute to relapse-preventing effects of anticraving compounds in alcoholism.
M3 - SCORING: Zeitschriftenaufsatz
VL - 60
SP - 74
EP - 76
JO - BIOL PSYCHIAT
JF - BIOL PSYCHIAT
SN - 0006-3223
IS - 1
M1 - 1
ER -