Dexamethasone suppression test and depression in a rehabilitation setting.

Abstract:

:A diagnosis of depression is frequently considered in the evaluation of patients after cerebrovascular accident (CVA); however, the usual clinical signs of depression may be either masked in depressed patients or mimicked in nondepressed patients. The dexamethasone suppression test (DST), first used to screen patients with a suspected diagnosis of Cushing's disease, has been shown in the psychiatric population to be abnormal in about 50% of patients with primary or endogenous depression. This study employed the DST to assess its diagnostic value in a population of 20 CVA patients admitted to a rehabilitation hospital. The test was found to have an 83% specificity. Results suggest that the low incidence of primary depression in this setting greatly limits the utility of the DST in such usage.

journal_name

Arch Phys Med Rehabil

authors

Bauer M,Gans JS,Harley JP,Cobb W

subject

Has Abstract

pub_date

1983-09-01 00:00:00

pages

421-2

issue

9

eissn

0003-9993

issn

1532-821X

journal_volume

64

pub_type

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