Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML)
Vol. 32 No. 3 (2026)

CORRELATION BETWEEN STRESS HORMONE, INFLAMMATORY MARKER, AND ANTIBODY LEVELS IN COVID-19 PATIENTS

Dwi Retnoningrum (Department of Clinical Pathology, Faculty of Medicine, Universitas Diponegoro, Semarang)
Meita Hendrianingtyas (Department of Clinical Pathology, Faculty of Medicine, Universitas Diponegoro, Semarang)
Rebriarina Hapsari (Department of Clinical Microbiology, Faculty of Medicine, Universitas Diponegoro, Semarang)
Setyo Gundi Pramudo (Department of Internal Medicine, Faculty of Medicine, Universitas Diponegoro, Semarang)
Edward Kurnia Setiawan Limijadi (Department of Clinical Pathology, Faculty of Medicine, Universitas Diponegoro, Semarang)



Article Info

Publish Date
27 Jul 2026

Abstract

Coronavirus disease-19 (COVID-19) is an infection that causes physical and psychological stress. Cortisol and prolactin are hormones that have been studied in association with infectious states. Viral infections trigger the production of acute-phase proteins and antibodies essential for viral elimination. This study aimed to prove the correlation between stress hormone levels and inflammatory markers and antibodies in COVID-19 patients. A cross-sectional approach was employed in this study, with a target population of patients with moderate-to-severe COVID-19. Cortisol, prolactin, and specific antibodies were quantified via ELISA, while CRP and procalcitonin levels were measured using immunoturbidimetric and immunofluorescence assays. Additionally, anti-SARS-CoV-2 antibodies were evaluated using the ECLIA principle. Statistical analysis was performed using the Spearman rank correlation test. Fifty-six subjects were included in this study. The study found correlations between cortisol and prolactin levels and CRP (p=0.007, r=0.357; p=0.132, r=0.204) and procalcitonin (p=0.006, r=0.365; p=0.315, r=0.137). The correlations between cortisol and prolactin levels and IgM were p=0.163, r=-0.189; and p=0.299, r=-0.141. The correlations between cortisol and prolactin levels and IgG were p=0.017, r=-0.317, and p=0.207, r=-0.171. There is a weak positive correlation between cortisol levels and CRP and procalcitonin levels. There is a weak negative correlation between cortisol levels and anti-SARS-CoV-2 IgG.

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Journal Info

Abbrev

patologi

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience

Description

Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) is a journal published by “Association of Clinical Pathologist” professional association. This journal displays articles in the Clinical Pathology and Medical Laboratory scope. Clinical Pathology has a couple of ...