Abstract:
:Alteration in the hypothalamic-pituitary-adrenal (HPA) axis occurs in up to 50% of depressed patients and is demonstrated by the failure to suppress cortisol concentrations after dexamethasone administration. Evidence suggesting that these cortisol abnormalities reflect hypothalamic-pituitary dysfunction has been inconsistent. We administered the dexamethasone suppression test to 28 psychiatric inpatients, including 17 cortisol suppressors and 11 nonsuppressors. Adrenocorticotropic hormone (ACTH) concentrations at 8 a.m. pre- and postdexamethasone were significantly greater in cortisol nonsuppressors than in suppressors. Our data support the hypothesis that pituitary ACTH secretion is altered in depressed patients who have HPA axis abnormalities demonstrated by plasma cortisol measurements.
journal_name
Psychiatry Resjournal_title
Psychiatry researchauthors
Kalin NH,Weiler SJ,Shelton SEdoi
10.1016/0165-1781(82)90056-7subject
Has Abstractpub_date
1982-08-01 00:00:00pages
87-92issue
1eissn
0165-1781issn
1872-7123pii
0165-1781(82)90056-7journal_volume
7pub_type
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