This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. We intend to study Gulf War veterans with PTSD, Vietnam veterans with PTSD, and age-comparable healthy veterans without PTSD using an expanded neuroendocrine battery. We propose to test four different models of HPA axis dysfunction that may explain low cortisol levels in PTSD: adrenal impairment, reduced pituitary sensitivity, reduced hypothalamic CRF release, or enhanced negative feedback inhibition. To discriminate among these possibilities we will measure basal activity of the HPA axis and the response to three challenge tests: the CRF stimulation test, low-dose ACTH test, and the low dose dexamethasone suppression (DST) test. Hypothesis: we will test the hypothesis that the neuroendocrine profile of Gulf War veterans with PTSD will suggest evidence of adrenal impairment as compared to healthy veterans and that the profile of Vietnam veterans with PTSD will be consistent with enhanced negative feedback inhi
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