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Low-dose dexamethasone challenge in women with atypical major depression: pilot study.

Low-dose dexamethasone challenge in women with atypical major depression: pilot study. Research Abstract Details 

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  • Low-dose dexamethasone challenge in women with atypical major depression: pilot study. Abstract Text:

    OBJECTIVE: To examine if atypical depression may be associated with hypersuppression of the hypothalamic-pituitary-adrenal (HPA) axis. METHOD: Eight women with atypical major depression and 11 controls with no history of psychiatric illness, matched on age and body mass index, were challenged with low-dose dexamethasone (0.25 mg and 0.50 mg in random order and 1 week apart). Dexamethasone was self administered at 11 pm, and plasma cortisol samples were drawn at 8 am and 3 pm on the following day. RESULTS: After the 0.50-mg dexamethasone challenge, mean suppression of morning cortisol was significantly greater in patients with atypical depression (91.9%, standard deviation [SD] 6.8%) than in the controls (78.3%, SD 10.7%; p < 0.01). CONCLUSION: These preliminary data add to the growing body of literature that suggests atypical depression, in contrast to classic melancholia, may be associated with exaggerated negative feedback regulation of the HPA axis.

    Low-dose dexamethasone challenge in women with atypical major depression: pilot study. Publishing Authors By Initials

    For similar endocrine system: endocrine glands: pituitary-adrenal system research abstracts see: endocrine system: endocrine glands: pituitary-adrenal system research

    PUBMED ID PMID:

    MEDLINE DATE:

    Low-dose dexamethasone challenge in women with atypical major depression: pilot study. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Journal of psychiatry & neuroscience : JPN

    VOLUME: 27

    Page Numbers: 47-51

    Journal Abbreviation: J Psychiatry Neurosci

    ISSN: 1180-4882

    DAY: 6

    MONTH: Jan

    YEAR: 2002

    Low-dose dexamethasone challenge in women with atypical major depression: pilot study. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 9107859

    Low-dose dexamethasone challenge in women with atypical major depression: pilot study. Keywords Mesh Terms:

    KEYWORDS: Pituitary-Adrenal System

    MESH TERMS: physiopathology

    Chemical & Substance for Abstract: Low-dose dexamethasone challenge in women with atypical major depression: pilot study. Information

    Substance Name: Hydrocortisone

    Registry Number: 50-23-7

    Grant and Affiliation Information for Low-dose dexamethasone challenge in women with atypical major depression: pilot study.

    AFFILIATION: Centre for Addiction and Mental Health, Department of Psychiatry, University of Toronto, Toronto, Ont. Robert_Levitan@camh.net

    Country: Canada

    Canada Research PublicationCanada Research Publication

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    MEDLINETA: J Psychiatry Neurosci

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