A pulsatile pattern of secretion is a characteristic of many hormonal systems, including the glucocorticoid-producing hypothalamic–pituitary–adrenal (HPA) axis. Despite recent evidence supporting its importance for behavioral, neuroendocrine and transcriptional effects of glucocorticoids, there has been a paucity of information regarding the origin of glucocorticoid pulsatility. In this review ...

A pulsatile pattern of secretion is a characteristic of many hormonal systems, including the glucocorticoid-producing hypothalamic-pituitary-adrenal (HPA) axis. Despite recent evidence supporting its importance for behavioral, neuroendocrine and transcriptional effects of glucocorticoids, there has been a paucity of information regarding the origin of glucocorticoid pulsatility. In this review ...

PURPOSE OF REVIEW Adrenal insufficiency is being diagnosed with increasing frequency in critically ill patients. There exists, however, much controversy in the literature as to the nature of this entity, including its pathophysiology, epidemiology, diagnosis and treatment. The review summarizes our current understanding of the causes and consequences of adrenal insufficiency in critically ill p...

The association between cortisol and adult attachment style, an important indicator of social relationships, has been relatively unexplored. Previous research has examined adult attachment and acute cortisol responses to stress in the laboratory, but less is known about cortisol levels in everyday life. The present study examined adult romantic attachment style and cortisol responses across the...

This study investigated adrenocortical activity in response to different challenging and positive affect emotional contexts in child-mother dyads, as function of attachment security (children's secure base behaviors and mothers' attachment representations). Fifty-one children ranging in age from 18 to 26 months and their mothers participated in this study. Secure children showed significant inc...

Background: The role that stress plays in infertility remains controversial and despite medical advances a large percentage of infertility remains unexplained. Clinicians and researchers consistently report that infertile women view infertility and its treatment as extremely stressful. Basic science has elucidated the linkages between the hypothalamic-pituitary axis (HPA) and hypothalamic-pitui...

We read with interest the recent article reporting a very high rate of relative adrenal insufficiency (RAI) in patients cirrhosis admitted to hospital acute decompensation.1Piano S. et al.Clin Gastroenterol and Hepatol. 2020; 18: 1188-1196Abstract Full Text PDF PubMed Scopus (14) Google Scholar would like add their hypothesis that is caused by hypoperfusion impaired substrates for steroidogenes...