Differences in hair cortisol to cortisone ratio between depressed and non-depressed adolescent women

Research on stress has demonstrated that the hypothalamic-pituitary-adrenal (HPA) axis contributes to major depressive disorder in youth. Hair glucocorticoids are key biological markers of chronic stress. We assessed group differences in hair cortisol and cortisone concentrations, and the cortisol/c...

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Main Authors: Yasmine Zerroug, Marie-France Marin, Elyse Porter-Vignola, Patricia Garel, Catherine M. Herba
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Stress
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/10253890.2025.2459726
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author Yasmine Zerroug
Marie-France Marin
Elyse Porter-Vignola
Patricia Garel
Catherine M. Herba
author_facet Yasmine Zerroug
Marie-France Marin
Elyse Porter-Vignola
Patricia Garel
Catherine M. Herba
author_sort Yasmine Zerroug
collection DOAJ
description Research on stress has demonstrated that the hypothalamic-pituitary-adrenal (HPA) axis contributes to major depressive disorder in youth. Hair glucocorticoids are key biological markers of chronic stress. We assessed group differences in hair cortisol and cortisone concentrations, and the cortisol/cortisone ratio between depressed adolescent women and a non-depressed comparison group. Further, within the depression group, we explored the contribution of symptom severity and clinical correlates of depression in relation to glucocorticoid concentrations. Hair samples of three centimeters for 74 adolescent women (41 in the depression group and 33 in the comparison group), aged between 12 and 19 years old, were analyzed. Depressive and anxiety symptoms were measured using the Beck Youth Inventory II and clinical correlates of depression were measured using the Childhood Trauma Questionnaire–Short Form and the Borderline Personality Features Scale for Children. No significant differences emerged between the depression group and the comparison group on hair cortisol or hair cortisone concentrations. However, groups differed significantly on the cortisol/cortisone ratio, a proposed proxy of 11-beta-hydroxysteroid dehydrogenase activity, with a higher ratio for the depression group. Within the depression group, neither symptom severity nor clinical correlates were associated with glucocorticoid concentrations. Although cross-sectional, our findings highlight the importance of future studies to test whether the group difference found in cortisol/cortisone ratio is the result of alterations in 11-beta-hydroxysteroid dehydrogenase enzymes (type 1 or 2) activity. Further research is thus needed to clarify the role of these enzymes in major depressive disorder in youth and to develop more targeted intervention strategies.
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spelling doaj-art-bf146abb60b5441f9ebafe8a9222e1932025-02-03T07:33:51ZengTaylor & Francis GroupStress1025-38901607-88882025-12-0128110.1080/10253890.2025.2459726Differences in hair cortisol to cortisone ratio between depressed and non-depressed adolescent womenYasmine Zerroug0Marie-France Marin1Elyse Porter-Vignola2Patricia Garel3Catherine M. Herba4Department of Psychology, Université du Québec à Montréal, Montreal, CanadaDepartment of Psychology, Université du Québec à Montréal, Montreal, CanadaDepartment of Psychology, Université du Québec à Montréal, Montreal, CanadaAzrieli Research Center of the CHU Sainte-Justine, Montreal, CanadaDepartment of Psychology, Université du Québec à Montréal, Montreal, CanadaResearch on stress has demonstrated that the hypothalamic-pituitary-adrenal (HPA) axis contributes to major depressive disorder in youth. Hair glucocorticoids are key biological markers of chronic stress. We assessed group differences in hair cortisol and cortisone concentrations, and the cortisol/cortisone ratio between depressed adolescent women and a non-depressed comparison group. Further, within the depression group, we explored the contribution of symptom severity and clinical correlates of depression in relation to glucocorticoid concentrations. Hair samples of three centimeters for 74 adolescent women (41 in the depression group and 33 in the comparison group), aged between 12 and 19 years old, were analyzed. Depressive and anxiety symptoms were measured using the Beck Youth Inventory II and clinical correlates of depression were measured using the Childhood Trauma Questionnaire–Short Form and the Borderline Personality Features Scale for Children. No significant differences emerged between the depression group and the comparison group on hair cortisol or hair cortisone concentrations. However, groups differed significantly on the cortisol/cortisone ratio, a proposed proxy of 11-beta-hydroxysteroid dehydrogenase activity, with a higher ratio for the depression group. Within the depression group, neither symptom severity nor clinical correlates were associated with glucocorticoid concentrations. Although cross-sectional, our findings highlight the importance of future studies to test whether the group difference found in cortisol/cortisone ratio is the result of alterations in 11-beta-hydroxysteroid dehydrogenase enzymes (type 1 or 2) activity. Further research is thus needed to clarify the role of these enzymes in major depressive disorder in youth and to develop more targeted intervention strategies.https://www.tandfonline.com/doi/10.1080/10253890.2025.2459726Depressionhair cortisolhair cortisonecortisol to cortisone ratioadolescencesymptom severity
spellingShingle Yasmine Zerroug
Marie-France Marin
Elyse Porter-Vignola
Patricia Garel
Catherine M. Herba
Differences in hair cortisol to cortisone ratio between depressed and non-depressed adolescent women
Stress
Depression
hair cortisol
hair cortisone
cortisol to cortisone ratio
adolescence
symptom severity
title Differences in hair cortisol to cortisone ratio between depressed and non-depressed adolescent women
title_full Differences in hair cortisol to cortisone ratio between depressed and non-depressed adolescent women
title_fullStr Differences in hair cortisol to cortisone ratio between depressed and non-depressed adolescent women
title_full_unstemmed Differences in hair cortisol to cortisone ratio between depressed and non-depressed adolescent women
title_short Differences in hair cortisol to cortisone ratio between depressed and non-depressed adolescent women
title_sort differences in hair cortisol to cortisone ratio between depressed and non depressed adolescent women
topic Depression
hair cortisol
hair cortisone
cortisol to cortisone ratio
adolescence
symptom severity
url https://www.tandfonline.com/doi/10.1080/10253890.2025.2459726
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