Effects of acute cortisol administration on perceptual priming of trauma-related material

PLoS One. 2014 Sep 5;9(9):e104864. doi: 10.1371/journal.pone.0104864. eCollection 2014.

Abstract

Intrusive memories are a hallmark symptom of posttraumatic stress disorder (PTSD). They reflect excessive and uncontrolled retrieval of the traumatic memory. Acute elevations of cortisol are known to impair the retrieval of already stored memory information. Thus, continuous cortisol administration might help in reducing intrusive memories in PTSD. Strong perceptual priming for neutral stimuli associated with a "traumatic" context has been shown to be one important learning mechanism that leads to intrusive memories. However, the memory modulating effects of cortisol have only been shown for explicit declarative memory processes. Thus, in our double blind, placebo controlled study we aimed to investigate whether cortisol influences perceptual priming of neutral stimuli that appeared in a "traumatic" context. Two groups of healthy volunteers (N = 160) watched either neutral or "traumatic" picture stories on a computer screen. Neutral objects were presented in between the pictures. Memory for these neutral objects was tested after 24 hours with a perceptual priming task and an explicit memory task. Prior to memory testing half of the participants in each group received 25 mg of cortisol, the other half received placebo. In the placebo group participants in the "traumatic" stories condition showed more perceptual priming for the neutral objects than participants in the neutral stories condition, indicating a strong perceptual priming effect for neutral stimuli presented in a "traumatic" context. In the cortisol group this effect was not present: Participants in the neutral stories and participants in the "traumatic" stories condition in the cortisol group showed comparable priming effects for the neutral objects. Our findings show that cortisol inhibits perceptual priming for neutral stimuli that appeared in a "traumatic" context. These findings indicate that cortisol influences PTSD-relevant memory processes and thus further support the idea that administration of cortisol might be an effective treatment strategy in reducing intrusive reexperiencing.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Healthy Volunteers
  • Humans
  • Hydrocortisone / administration & dosage*
  • Hydrocortisone / metabolism
  • Male
  • Memory / drug effects*
  • Mental Recall / drug effects
  • Perception / drug effects*
  • Photic Stimulation
  • Recognition, Psychology / drug effects
  • Saliva / metabolism
  • Stress Disorders, Traumatic / drug therapy
  • Stress Disorders, Traumatic / psychology
  • Stress, Psychological / drug therapy
  • Stress, Psychological / psychology*
  • Young Adult

Substances

  • Hydrocortisone

Grants and funding

This research was funded by the German Research Foundation (Deutsche Forschungsgemeinschaft, DFG) Grant number: MI 1537-1 (www.dfg.de). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.