Morning and Evening Adrenocortical Responses to ACTH Stimulation in Endogenously Depressed Patients: A Preliminary Report
作者:
Kazutaka Shimoda,
Naoto Yamada,
Koichi Hanada,
Tetsushi Tsujimoto,
Saburo Takahashi,
Kiyohisa Takahashi,
期刊:
Psychiatry and Clinical Neurosciences
(WILEY Available online 1989)
卷期:
Volume 43,
issue 1
页码: 57-62
ISSN:1323-1316
年代: 1989
DOI:10.1111/j.1440-1819.1989.tb02551.x
出版商: Blackwell Publishing Ltd
关键词: hyptharlamic‐pituitary‐adrenal axis;endogenous depression;dexamethasone suppression test;adrenacorticotropic hormone;cortisol
数据来源: WILEY
摘要:
Abstract:Adrenocortical stimulation with ACTH both in the morning (M‐test) and in the evening (Etest) and the dexamethasone suppression test were carried out in patients suffering from endogenous depression (DEP) and normal controls (NOR). A greater cortisol release in DEP was recognized than in NOR in the M‐test, an earlier peak response of DEP was shown in the M‐test than in the Etest, and a lack of association between hypersecretion of cortisol during depression and cortisol output after ACTH administration was noted. These findings, together with the results of DST, suggest that excessive activity of the hypothalamic‐pituitary‐adrenal (HPA) axis in depression may result, partly, from adrenocortical hyperrespo
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