Munjack D J, Palmer R
Department of Psychiatry, Los Angeles County-University of Southern California Medical Center.
J Clin Psychiatry. 1988 Jun;49(6):229-31.
Fifty-two patients with generalized anxiety disorder who had symptoms persisting for at least 6 months, 41 patients suffering from either panic disorder (32 patients) or panic disorder with agoraphobia (9 patients), and 14 control subjects were screened for thyroid disease. Total serum thyroxine (TT4), serum-free thyroxine index (FT4I), and triiodothyronine resin uptake (T3RU), were examined for the entire sample, using a one-way analysis of variance (ANOVA). No significant differences were found in TT4 (p = .24), FT4I (p = .24), and T3RU (p = .19). Thyroid-stimulating hormone (TSH) was examined in a subsample of 10 patients with generalized anxiety disorder, 11 with panic disorder or panic disorder with agoraphobia, and 10 controls. One-way ANOVA again showed no significant differences, although there was a trend (p = .07). This is the first report that compares generalized anxiety disorder patients, panic disorder patients, and patients with panic disorder and agoraphobia with controls on measures of thyroid function. It is also the first to report normal values in the thyroid indices of generalized anxiety disorder patients.
对52名广泛性焦虑症患者(症状持续至少6个月)、41名患有惊恐障碍(32名患者)或伴有广场恐惧症的惊恐障碍(9名患者)的患者以及14名对照受试者进行了甲状腺疾病筛查。使用单因素方差分析(ANOVA)对整个样本检测血清总甲状腺素(TT4)、血清游离甲状腺素指数(FT4I)和三碘甲状腺原氨酸树脂摄取率(T3RU)。结果发现,TT4(p = 0.24)、FT4I(p = 0.24)和T3RU(p = 0.19)无显著差异。对10名广泛性焦虑症患者、11名患有惊恐障碍或伴有广场恐惧症的惊恐障碍患者以及10名对照受试者的子样本检测促甲状腺激素(TSH)。单因素方差分析再次显示无显著差异,尽管存在一种趋势(p = 0.07)。这是首份比较广泛性焦虑症患者、惊恐障碍患者以及伴有广场恐惧症的惊恐障碍患者与对照受试者甲状腺功能指标的报告。也是首份报告广泛性焦虑症患者甲状腺指标正常值的报告。