# Little evidence that posttraumatic stress is associated with diurnal hormone dysregulation in Turkana pastoralists

## TL;DR

A study of Turkana pastoralists found little evidence that PTSD is linked to disrupted daily hormone patterns, suggesting this may not be a universal response.

## Contribution

The study provides novel evidence from a non-industrialized population on the relationship between PTSD and hormonal rhythms.

## Key findings

- Turkana warriors with high PTSD symptoms showed no significant differences in cortisol or testosterone profiles compared to those with low symptoms.
- The results challenge the assumption that PTSD universally causes hormonal dysregulation.
- The study highlights the need for cross-cultural research to understand trauma's physiological effects.

## Abstract

Research in industrialized populations suggests that posttraumatic stress disorder (PTSD) may be associated with decreased cortisol or testosterone sensitivity, resulting in a blunted diurnal rhythm. However, the evolutionary implications of this association are unclear. Studies have primarily been conducted in Western industrialized populations, so we do not know whether hormonal blunting is a reliable physiological response to PTSD or stems from factors unique to industrialized settings. Furthermore, existing studies combine PTSD from diverse types of traumas, and comparison groups with and without PTSD differ along multiple dimensions, making it hard to know if PTSD or other life factors drive the blunted cortisol response. We conducted a study among n = 60 male Turkana pastoralists, aged between about 18–65 years in Kenya, exposed to high levels of lethal inter-ethnic cattle raiding. 28% of men in this area have PTSD symptom severity that would qualify them for a provisional PTSD diagnosis. Saliva samples were collected at three points to compare the cortisol and testosterone profiles of Turkana warriors with and without PTSD. Contrary to existing work, our preregistered analysis found little evidence for a difference in the hormonal profiles of warriors with high versus low PTSD symptom severity. Our results imply that the relationship between PTSD and hormonal diurnal variation may vary across populations and ecologies or that the association documented in Western populations stems from other correlated life factors. Studies in a wider range of populations and ecological contexts are needed to understand the evolutionary underpinnings of hormonal responses to trauma.