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Serial assessment of corticotropin-releasing hormone response after dexamethasone in depression Implications for pathophysiology of DST nonsuppression
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“It is well established that dysfunction of the hypothalamic-pituitary-adrenal (HPA) axis with elevated plasma cortisol levels is characteristic of MDD [56].”
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Evaluation of a salivary based combined dexamethasone/CRH test in patients with major depression
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“Moreover, even if depressive symptoms are resolved in an individual patient suffering from recurrent depressive episodes, a persisting or even increased cortisol hypersecretion during a combined Dex/CRH test performed after remission may serve as a predictor of an increased risk for relapse or recurrence of depression…”
BackgroundMolchan, S. E., Hill, J., Mellow, A. M., LAWLOR, B. A., Martínez, R. A., & Sunderland, T. (1990) · International Psychogeriatrics · doi:10.1017/s1041610290000370 · Cited by 35
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“The combined dexamethasone (DEX)/CRH test was developed by Holsboer et al. (Holsboer et al., 1987; Holsboer-Trachsler, 1991) and the results of the dexamethasone/corticotropin releasing hormone (DEX/CRH) test are known to be more closely related to the activity of the HPA system than those of the DST (Heuser et al., 1…”
BackgroundGlucocorticoids as Predictors of Treatment Response in Depression
Horstmann, S., & Binder, E. B. (2011) · Harvard Review of Psychiatry · doi:10.3109/10673229.2011.586550 · Cited by 31
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“Some report greater cortisol and ACTH responses in depressed patients compared to healthy controls (Heuser et al., 1994a; Holsboer et al., 1987; Modell et al., 1997).”
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“The use of the combined DEX / CRH test to predict outcome in depression In a study from 1987 the previously mentioned re ned DEX CRH test was used in a small patient sample and showed a tendency to normalization of the HPA-axis dysfunction when the depressive symptoms resolved (29).”
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“…cortisol (UFC) determination, the dexamethasone suppression test (DST) or, more recently, the combined dexamethasone/corticotropin releasing hormone test (Holsboer et al., 1995, 1987) is widely thought to be a state phenomena, an abnormality present during, but not between, depressive episodes.”
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“Moreover, there are a number of studies showing evidence for hypothalamic-pituitaryadrenal (HPA) axis hyperactivity in depression (Coplan et al., 1996; Gutman and Nemeroff, 2003; Holsboer et al., 1995; Holsboer et al., 1987; Nemeroff, 1999).”
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“The clinical manifestation of its dysfunction in depression includes basal hypercortisolemia [15], elevated cortisol secretion in the dexamethasone suppression test [16], and increased cortisol release in the combined dexamethasone suppression-corticotropine releasing hormone stimulation test [17,18].”
BackgroundThe Role of Corticotropin-Releasing Factor in the Pathophysiology of Psychiatric Disorders
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“In current psychiatric practice, the so-called combined dexamethasone (Dex) suppression and corticotropin-releasing hormone (CRH) test (Dex/CRH test) is frequently administered to aid diagnosis of an affective disorder [91].”
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“The DEX/CRH test was performed as described in detail elsewhere (Heuser et al., 1994a; Holsboer et al., 1987; Zobel et al., 2001): 1.”
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“The dexamethasone test is also accompa nied by the estimation of the CRH level, and the com bined procedure is used as a pharmacological test of HPA axis activity [32].”
MethodNeuroendocrine Alterations in Major Depressive Disorder
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“An altered test using the combined DEX/CRH challenge test, has been recently developed and used to assess the functioning of HPA axis through the stimulation by CRH, and inhibited through DEX administration [43].”
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“Moreover, the combined dex-CRH test has proved to be particularly useful as a predictor of increased risk for relapse: in those patients where the neuroendocrine abnormality persists, the risk of relapse or resistance to treatment is much higher (Holsboer et al. 1987; Heuser et al. 1996; Zobel et al. 1999).”
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McEwen, B. S. (2003) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9798894550442.lg19 · Cited by 1
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Self-citation
Metadata
- Authors
- Holsboer, F., von Bardeleben, U., Wiedemann, K., Müller, O. A., & Stalla, G. K.
- Affiliations
- Johannes Gutenberg University Mainz (DE)
- Ludwig-Maximilians-Universität München (DE)
- Corresponding author
- Holsboer, F.
- Venue
- Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 1987-02
- Volume
- 22
- Issue
- 2
- Pages
- 228-234
- ISSN
- 0006-3223 (ISSN-L)
- OpenAlex
- W1979581115
- Cited by
- 221
- References
- 13
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 5 · 2019: 3 · 2018: 2 · 2017: 4 · 2016: 1 · 2015: 6 · 2014: 1 · 2013: 7 · 2012: 11
- FWCI
- 2.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Biological Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Keywords
- corticotropin-releasing factor, dexamethasone suppression test, depression, hypothalamic-pituitary-adrenal axis, glucocorticoid feedback, serial assessment, depression pathophysiology
- MeSH terms
- Adrenocorticotropic Hormone, Adult, Bipolar Disorder, Corticotropin-Releasing Hormone, Depressive Disorder, Dexamethasone, Female, Humans, Hydrocortisone, Hypothalamo-Hypophyseal System, Male, Middle Aged, Pituitary-Adrenal System
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