Stangl D, Pfohl B, Zimmerman M, Coryell W, Corenthal C
J Affect Disord. 1986 Nov-Dec;11(3):185-97. doi: 10.1016/0165-0327(86)90069-8.
Previous studies report that DST nonsuppressors are older than normal suppressors. Data are presented on 188 primary unipolar major depressive inpatients and 35 healthy controls. In males, age appeared to correlate positively with post-dexamethasone cortisols in depressed patients and normal controls, although mean levels were higher in depressives. Female controls showed no consistent relationship between age and post-dexamethasone cortisol. A positive relationship did exist for depressed women. However, the association disappeared when age-of-onset was entered into the model, suggesting that in females early onset may identify a subtype of depression with normal DST suppression.
先前的研究报告称,地塞米松抑制试验(DST)无反应者比正常反应者年龄更大。本文呈现了188例原发性单相重度抑郁住院患者和35名健康对照的数据。在男性中,抑郁患者和正常对照的年龄似乎与地塞米松给药后皮质醇水平呈正相关,尽管抑郁患者的平均水平更高。女性对照中年龄与地塞米松给药后皮质醇之间未显示出一致的关系。抑郁女性中确实存在正相关关系。然而,当发病年龄纳入模型时,这种关联消失了,这表明在女性中,早发型可能识别出一种具有正常DST抑制的抑郁亚型。