Psychoneuroendocrinology
Volume 34, Supplement 1 , Pages S196-S207, December 2009

Neuropsychological functioning in health and mood disorder: Modulation by glucocorticoids and their receptors

  • Peter Gallagher

      Affiliations

    • Corresponding Author InformationCorresponding author at: Institute of Neuroscience, Newcastle University, Leazes Wing (Psychiatry), Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP, UK. Tel.: +44 0191 282 4065; fax: +44 0191 222 6162.
  • ,
  • Keith S. Reid
  • ,
  • I. Nicol Ferrier

Institute of Neuroscience, Newcastle University, UK

Received 17 April 2009; received in revised form 21 May 2009; accepted 26 May 2009.

Summary 

Numerous studies have shown that disturbances in hypothalamic–pituitary–adrenal (HPA) axis function and consequent hypercortisolaemia occur in a significant proportion of patients with mood disorders. This dysfunction has been proposed to be an exacerbating factor of depressive symptoms and may predict symptomatic relapse. Glucocorticoids are also known to have a specific role in learning and memory processes. In this review we present a brief overview of the relationship between HPA axis dysfunction and neuropsychological impairment in mood disorders and the specific links between glucocorticoids and cognition in health and illness states. Finally we examine the neuropsychological effects of drugs that specifically target glucocorticoid receptor function.

Keywords: Neuropsychology, Memory, Cortisol, Glucocorticoids, HPA axis, Mood disorders, Depression

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PII: S0306-4530(09)00188-7

doi:10.1016/j.psyneuen.2009.05.018

Psychoneuroendocrinology
Volume 34, Supplement 1 , Pages S196-S207, December 2009