“…Although the design precludes inferences about the direction of causal relationships, it is difficult to conceive of plausible reverse-directionality explanations for the findings. Moreover, covariance analyses ruled out a variety of potential demographic, behavioral, and biomedical confounders, and the results converge with experimental studies in animals, wherein the causal influence of stressors on sensitivity to glucocorticoid signaling has been established (19,44). Nonetheless, the findings need to be considered preliminary until they have been substantiated with larger samples, more rigorous prospective designs, additional functional indicators of glucocorticoid sensitivity, and assessments of other hormonal response systems (e.g., the sympathetic nervous system).…”