Cortisol escape from morphine suppression.

Abstract:

:Twenty-one unmedicated, sequentially admitted psychiatric patients of either sex and four male healthy volunteers were given an intravenous injection of 2.5 mg morphine. Blood samples were drawn immediately before and at 30-minute intervals for 3 hours after the injection and assayed for cortisol. Morphine suppressed cortisol secretion. Early resumption of cortisol secretion (escape) was more frequent in patients with a diagnosis of major depressive disorder and with abnormal dexamethasone suppression test results. The sensitivity of this infusion paradigm for the diagnosis of major depressive disorder was 40%, and the specificity was 82%. The implications of these findings for the pathophysiology of depression are discussed.

journal_name

Psychiatry Res

journal_title

Psychiatry research

authors

Zis AP,Haskett RF,Albala AA,Carroll BJ,Lohr NE

doi

10.1016/0165-1781(85)90044-7

subject

Has Abstract

pub_date

1985-06-01 00:00:00

pages

91-5

issue

2

eissn

0165-1781

issn

1872-7123

pii

0165-1781(85)90044-7

journal_volume

15

pub_type

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