Linking post-stress brain connectivity to acute cortisol reactivity using network-based inference and prediction

Authors

Serin, E., Emurla, E., Baertl, C., Giglberger, M., Konzok, J., Peter, H. L., Kreuzpointner, L., Kudielka, B. M., Wuest, S., Erk, S., Walter, H., Henze, G.-I.

Abstract

Background: Acute cortisol responses to psychosocial stress vary substantially across individuals, yet how this variability is reflected in post-stress resting-state functional connectivity (rsFC) remains unclear. Although prior work has linked stress-related endocrine responses to brain connectivity, studies have been limited by small samples, region-of-interest approaches, or a sole focus on group-level analyses. Here, we investigated whether acute cortisol increase is associated with, and can be predicted from, whole-brain post-stress rsFC. Methods: We analyzed 339 healthy participants from two ScanSTRESS datasets using complementary inferential and predictive approaches. First, we used the Network-Based Statistic (NBS) to identify connected rsFC networks associated with acute cortisol increase, controlling for age, site, and sex/hormonal status. Second, we predicted participants' acute cortisol increase from their connectivity patterns using NBS-Predict and Connectome-Based Predictive Modeling (CPM). Together, we examined the cortisol-rsFC relationship at the population and individual levels. Results: Greater cortisol responses were associated with lower post-stress rsFC within a significant distributed network comprising 258 connections among 78 regions, centered on thalamic nuclei and pallidal regions and extending to default-mode, limbic, orbitofrontal, and cerebellar regions. Sex-stratified analyses revealed a significant negative association only in females, but formal sex-difference contrasts were not significant. NBS-Predict and CPM yielded modest but significant out-of-sample prediction, with predictive networks converging on subcortical and posterior cingulate regions. Conclusions: Post-stress rsFC carries convergent inferential and predictive information about individual HPA-axis reactivity. Stronger cortisol responses were characterized by reduced connectivity within a distributed subcortical-cingulate network, supporting a network-level perspective on neural-endocrine coupling following acute stress.

Preprint server: bioRxiv
The authors list and abstract were imported from bioRxiv on 24 Aug 2026.

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