“…Recent work has shown that some subjects having experienced childhood abuse exhibit lower levels of cortisol, with marked differences depending on gender (79–82), time of cortisol sampling (79), source tissue (83), type of abuse (84, 85), and the presence of concurrent psychiatric (71, 78) or other health conditions (84). Importantly, decreased cortisol may not be exclusively linked to PTSD (83, 86), as has often been supposed (87, 88); rather, decreased cortisol production may reflect an adaptation to chronically stressful situations, whereas elevated cortisol production may prime individuals to react to unpredictable stressors, and these situations may both constitute ELA (81). Currently, it is difficult to draw conclusions on the overall impact of GR methylation variations on basal and reactive cortisol levels, as the majority of studies investigating GR promoter methylation did not measure cortisol levels.…”