Biological heterogeneity of major depressive disorder: indications by sleep EEG and TRH stimulation test findings.

Abstract:

:A group of 27 patients with definite (n = 20) or probable (n = 7) RDC major depressive disorder underwent 2 sleep EEGs and 1 TRH test while in a drug-free depressive phase. A short mean REM latency (less than 60 min) identified 55.5% of major depressives while added use of blunted TSH responses (delta max. less than 5 microU/ml) increased that percentage by 11%. When patients were subdivided into RDC endogenous and nonendogenous, mean REM latency and global depression scores distinguished the 2 groups, while delta TSH did not. A short mean REM latency identified endogenous depression with 80% specificity and 76% sensitivity. The combination of REM latency and delta TSH reduced the specificity to 60%, and therefore cannot be recommended for differentiating endogenous from nonendogenous depression.

journal_name

Neuropsychobiology

journal_title

Neuropsychobiology

authors

Pugnetti L,Scarone S,Brambilla F

doi

10.1159/000118350

subject

Has Abstract

pub_date

1987-01-01 00:00:00

pages

124-9

issue

3

eissn

0302-282X

issn

1423-0224

pii

118350

journal_volume

17

pub_type

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