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Journal of Psychiatric Research
Volume 38, Issue 6, November-December 2004, Pages 553-557
 
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doi:10.1016/j.jpsychires.2004.04.008    How to Cite or Link Using DOI (Opens New Window)
Copyright © 2004 Published by Elsevier Inc.

Cortisol responses to combined dexamethasone/CRH test in outpatients with a major depressive episode

Nicola GervasoniCorresponding Author Contact Information, E-mail The Corresponding Author, a, Gilles Bertschya, Christian Osieka, Guillaume Perreta, Rachel Denisa, Jean Golaza, Michel F. Rossierb, c, Guido Bondolfia and Jean-Michel Aubrya

a Adult Psychiatric Service, Department of Psychiatry, Geneva University Hospital, 16-18 bd Saint Georges, 1205, Geneva, Switzerland b Laboratory of Clinical Chemistry, Department of Clinical, Pathology and Division of Endocrinology and Diabetology, Geneva University Hospital, Geneva, Switzerland c Department of Internal Medicine, Geneva University Hospital, Geneva, Switzerland

Received 27 December 2003; 
Revised 30 March 2004; 
accepted 15 April 2004. 
Available online 24 June 2004.

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Abstract

The DEX/CRH test is now a well established method to test the hypothalamic–pituitary–adrenal (HPA) axis for depressed patients in an inpatient setting. The aim of this study was to evaluate this test in an outpatient population suffering from major depression compared to a healthy control group. The main result is a statistically significant difference concerning the delta value for cortisol plasma value on the DEX/CRH test for depressed patients with two or more previous episodes compared to healthy controls. On the contrary, the difference was not statistically significant for patients with only one or no previous episodes. In future studies, it could be interesting to use this test more specifically by dividing ambulatory patients into subgroups according to their past depressive history. It could also be interesting to measure the ACTH level.

Author Keywords: Major depression; Outpatients; HPA axis; DEX/CRH test; Cortisol plasma values

Article Outline

1. Introduction
2. Materials and methods
2.1. Subjects
2.2. Methods
2.3. Statistical analysis
3. Results
4. Discussion
Acknowledgements
References



Journal of Psychiatric Research
Volume 38, Issue 6, November-December 2004, Pages 553-557
 
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