Decreased Dexamethasone Suppression in endogenously depressed patients with normal basal plasma levels of cortisol

Autor: Frank Gasparini, Susanna Goldstein, Jacques Vital-Herne, Uriel Halbreich, Byung-Jo Kang, Simona Naor, Gregory M. Asnis
Rok vydání: 1986
Předmět:
Zdroj: Biological Psychiatry. 21:1434-1437
ISSN: 0006-3223
DOI: 10.1016/0006-3223(86)90336-7
Popis: The hypothalamic-pituitary-adrenal (HPA) system has been reported to be abnormal in at least some patients with major depressive disorder (MDD) and in particular in endogenous depression (ED) (Sachar et al. 1973; Carroll et al. 1981; Stokes et al. 1984; Halbreich et al. 1985a.b). The most studied variables of this system have been basal cortisol levels and the Dexamethasone Suppression Test (DST). Nonsuppression of cortisol in response to dexamethasone is generally assumed to be an indicator of hyperactivity of the HPA system and is frequently reported as being almost synonymous to hypersecretion of cortisol (e.g., Carroll et al. 1976). Recently, there have been several reports that abnormal DST and elevated basal levels of cortisol may only partially overlap with each other (Asnis et al. 1981; Stokes et al. 1984; Holsboer
Databáze: OpenAIRE