Relationships of DEX/CRH and GHRH test results to the outcome of depression--preliminary results suggest the GHRH test may predict relapse after discharge

J Psychiatr Res. 2008 Apr;42(5):356-64. doi: 10.1016/j.jpsychires.2007.01.006. Epub 2007 Apr 6.

Abstract

To explore and compare hypothalamic-pituitary-somatotropic (HPS) axis function and hypothalamic-pituitary-adrenocortical (HPA) axis function in depression, the dexamethasone (DEX)/CRH test and growth hormone releasing hormone (GHRH) test were prospectively performed on patients with depression at the time of admission and discharge. The patients who relapsed within six months after discharge exhibited significantly lower growth hormone (GH) responses to GHRH at the time of discharge than those who did not relapse. There were no significant correlations between GH response to GHRH and the results of DEX/CRH tests after controlling for age, sex, and body mass index. The findings of this study suggest that results of the GHRH test may be a predictor of future relapse in patients with depression.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Corticotropin-Releasing Hormone / blood*
  • Corticotropin-Releasing Hormone / physiology
  • Depressive Disorder, Major / blood
  • Depressive Disorder, Major / diagnosis*
  • Depressive Disorder, Major / physiopathology
  • Dexamethasone*
  • Female
  • Growth Hormone-Releasing Hormone / blood*
  • Growth Hormone-Releasing Hormone / physiology
  • Hospitalization
  • Humans
  • Hypothalamo-Hypophyseal System / physiopathology
  • Male
  • Middle Aged
  • Outcome Assessment, Health Care
  • Pituitary-Adrenal System / physiopathology
  • Prognosis
  • Prospective Studies
  • Psychiatric Status Rating Scales / statistics & numerical data
  • Recurrence
  • Severity of Illness Index
  • Sex Factors

Substances

  • Dexamethasone
  • Corticotropin-Releasing Hormone
  • Growth Hormone-Releasing Hormone