Sex and Age-Related Differences in Neuroticism and Allostatic Load Index in Urban Patients with General Anxiety Disorder Treated with Alprazolam

Abstract

Introduction: Allostatic Load (AL) index proposes indicators for the functioningof the main potentially stress-affected systems. Sex differences instress response and stress-related diseases susceptibility have been describedfor the general population. In this observational study we describe the effectsof sex and age on allostatic load variables, in a cohort of patients with generalanxiety disorders and neuroticism treated with alprazolam during 12 weeks,before and after treatment. Methods: Patients with general (DSM IV) anxietydisorders with >6 in Hamilton scale, Allostatic load (>1 Crimmins and SeemanAL modified criteria) and neuroticism >18 (NEO-FFI inventory), wereincluded. All patients completed psychiatric assessment, allostatic load indexdetermination before (−1 week) and after 12 weeks of treatment with alprazolam(0.25 - 1 mg/t.i.d). Allostatic load parameters comprised cardiovascular,metabolic and inflammatory variables. Univariate analysis (two-wayANOVA), Student?s t-test (related variables) and Pearson correlations weredetermined. Results: Fifty-four patients, 35 females (48.6 ± 11.7 years) and 19males (44.2 ± 12.8 years) with general anxiety disorder were included; 28 patientswith