Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, Illinois 60637, USA.
Psychophysiology. 2010 May 1;47(3):550-9. doi: 10.1111/j.1469-8986.2009.00961.x. Epub 2010 Jan 11.
The prevalence of stress disorders differs between men and women. An understanding of how men and women vary in acute stress responses may help to understand these sex differences. We compared responses to the TSST and a control task in healthy men (N=28) and women tested in two phases (Follicular N=29, Luteal N=23) of the menstrual cycle. Men exhibited greater cortisol responses to stress than women in either phase. Luteal women exhibited the greatest subjective and allopregnanolone responses to stress, whereas follicular women exhibited blunted noradrenaline responses. Partial correlations controlling for group differences revealed that individuals who were most sensitive to the subjective effects of stress exhibited the largest salivary cortisol, noradrenaline, and allopregnanolone responses and the smallest progesterone responses to stress. We discuss our findings in the context of sex differences in the prevalence of stress-linked disorders.
应激障碍的患病率在男性和女性之间存在差异。了解男性和女性在急性应激反应中的差异可能有助于理解这些性别差异。我们比较了健康男性(N=28)和在月经周期两个阶段(卵泡期 N=29,黄体期 N=23)接受测试的女性对 TSST 和对照任务的反应。在任何阶段,男性的皮质醇对压力的反应都大于女性。黄体期女性对压力表现出最大的主观和异孕烷醇酮反应,而卵泡期女性表现出去甲肾上腺素反应迟钝。控制组间差异的偏相关分析显示,对压力的主观影响最敏感的个体对压力的唾液皮质醇、去甲肾上腺素和异孕烷醇酮反应最大,而孕激素反应最小。我们在与应激相关疾病患病率的性别差异的背景下讨论了我们的发现。