Plasma ACTH and cortisol concentrations before and after dexamethasone.

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 Res

journal_title

Psychiatry research

authors

Kalin NH,Weiler SJ,Shelton SE

doi

10.1016/0165-1781(82)90056-7

subject

Has Abstract

pub_date

1982-08-01 00:00:00

pages

87-92

issue

1

eissn

0165-1781

issn

1872-7123

pii

0165-1781(82)90056-7

journal_volume

7

pub_type

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