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Resistance to Suppression by Dexamethasone of Plasma 11-O.H.C.S. Levels in Severe Depressive Illness
Open accessAbstract
Use of the midnight dexamethasone suppression test showed that the plasma 11-hydroxycorticosteroid (11-O.H.C.S.) level did not undergo its normal reduction in 14 out of 27 patients with severe depression. Resistance to dexamethasone suppression correlated with the clinical rating of the severity of depression, while recovery from depression was associated with return of normal responsiveness to dexamethasone. The explanation of these findings is unknown.
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“The first test to detect HPA axis alterations was the dexamethasone suppression test (DST), which identifies an insufficient suppression of cortisol following dexamethasone intake [48].”
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Metadata
- Authors
- Carroll, B. J., Martin, F. I. R., & Davies, B.
- Affiliations
- The Royal Melbourne Hospital (AU)
- ORCID
- Carroll, B. J.
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 1968-08-03
- Volume
- 3
- Issue
- 5613
- Pages
- 285-287
- ISSN
- 0007-1447 (ISSN-L)
- 1468-5833
- PMC
- PMC1986248
- OpenAlex
- W2055891857
- Cited by
- 279
- References
- 10
- Citations by year
- 2026: 1 · 2024: 4 · 2023: 4 · 2022: 4 · 2021: 4 · 2020: 7 · 2019: 4 · 2018: 4 · 2017: 5 · 2016: 4 · 2015: 7 · 2014: 4 · 2013: 14 · 2012: 5
- FWCI
- 5.84
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy (tdm)
- Locations
- BMJ (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- 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
- dexamethasone suppression test, 11-hydroxycorticosteroids, plasma corticosteroid levels, depression, severe depression, hypothalamic-pituitary-adrenal axis, depression severity, recovery from depression, glucocorticoid resistance
- MeSH terms
- Adolescent, Adult, Aged, Anorexia Nervosa, Anxiety, Circadian Rhythm, Depression, Dexamethasone, Fatigue, Mental Fatigue, Female, Fluorometry, Glucocorticoids, Humans, Male, Middle Aged, Pituitary-Adrenal Function Tests, Time Factors
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