[Value of the dexamethasone suppression test in anorexia nervosa]

Monatsschr Kinderheilkd. 1987 Nov;135(11):758-62.
[Article in German]

Abstract

Patients suffering from anorexia nervosa were assessed for variables of weight, dexamethasone-suppression-test and depressive symptomatology at three stages of inpatient treatment. With increase of body weight we found a highly significant decrease of plasma cortisol concentrations and depressive symptoms. During refeeding there also was a significant association between the degree of weight deficit (in % of ideal body weight) and plasma cortisol level, but the dexamethasone-suppression-test-result did not correlate with depression scores. However in 8 patients whose clinical condition deteriorated although their weight remained stable the dexamethasone-suppression-test results became abnormal again. The authors hypothesize that--besides the effect of weight loss--the dexamethasone-suppression-test might reflect the influence of other psychobiological factors which still have to be investigated.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Anorexia Nervosa / diagnosis*
  • Anorexia Nervosa / psychology
  • Body Weight
  • Depressive Disorder / diagnosis*
  • Depressive Disorder / psychology
  • Dexamethasone*
  • Female
  • Humans
  • Hydrocortisone / blood*
  • Male
  • Psychiatric Status Rating Scales

Substances

  • Dexamethasone
  • Hydrocortisone