The TRH-stimulation test in DSM-III personality disorder.

Abstract:

:The authors examined thyrotropin-releasing hormone (TRH) stimulation testing in the neuroendocrine evaluation of DSM-III major depressive disorder in 26 consecutive medication-free, medically healthy patients meeting a primary DSM-III diagnosis of axis II personality disorder. Thyroid-stimulating hormone (TSH) responses to TRH challenge were not significantly different between patients with or without major depression at time of study, or between patients with or without a life history of major affective disorder. Further, TSH responses to TRH among 11 healthy male nonpsychiatric controls were not significantly different from those in patients with personality disorders. Comparison of those patients with blunted TSH responses (< 7.0 microU/ml) versus those without blunted response (< or = 7.0 microU/ml) also did not reveal a significant difference. In addition, the TSH response to TRH did not correlate with dimensional assessments of state or trait depression, anxiety, or with past history of suicide attempt or alcohol abuse. These data suggest that TRH stimulation testing has limited utility in the evaluation of major depression or other relevant affective states/traits in personality-disordered patients. Affective symptoms in personality-disordered patients do not seem to be associated with dysregulation of the hypothalamic-pituitary-thyroid axis.

journal_name

Biol Psychiatry

journal_title

Biological psychiatry

authors

Kavoussi RJ,Coccaro EF,Klar H,Lesser J,Siever LJ

doi

10.1016/0006-3223(93)90077-q

subject

Has Abstract

pub_date

1993-08-15 00:00:00

pages

234-9

issue

4

eissn

0006-3223

issn

1873-2402

pii

0006-3223(93)90077-Q

journal_volume

34

pub_type

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