Abstract：
INTRODUCTION:Many studies of patients with major depression have reported that a significant decrease in serum free T(4) index is associated with specific treatments; what has been unanswered is whether these observations are generalizable. This study evaluated baseline thyroid function and its relationship to rapidity of treatment response as measured by hospital length of stay (HLOS). METHODS:Admission thyroid indices and HLOS data were harvested from the medical record of patients hospitalized for depression, both unipolar and bipolar. The relationship between admission thyroid indices and HLOS was evaluated using survival models. RESULTS:Controlling for age and year of discharge, an inverse relationship between FT(4) index (FT(4)I) and HLOS was present in men, but not in women. The mean HLOS stratified by gender and median FT(4)I was 50% shorter in men with a relatively high FT(4)I in comparison to the other three groups. LIMITATIONS:This is a retrospective study limited by the absence of a structured diagnostic psychiatric interview and prospective controlled antidepressant evaluation. CONCLUSION:These data would suggest that a relatively elevated FT(4) index in depressed men is associated with a faster antidepressant response time. Prospective study is encouraged to further clarify this potential thyroid/gender relationship and whether thyroid supplementation can accelerate the improvement in depression as measured by HLOS.
journal_name
J Affect Disordjournal_title
Journal of affective disordersauthors
Abulseoud O,Sane N,Cozzolino A,Kiriakos L,Mehra V,Gitlin M,Masseling S,Whybrow P,Altshuler LL,Mintz J,Frye MAdoi
10.1016/j.jad.2006.10.012subject
Has Abstractpub_date
2007-06-01 00:00:00pages
271-7issue
1-3eissn
0165-0327issn
1573-2517pii
S0165-0327(06)00451-4journal_volume
100pub_type
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