Gregoire F, Brauman H
Acta Psychiatr Belg. 1980 Jul-Aug;80(4):383-98.
Endocrinological investigation of depressed patients shows a wide variety of abnormalities, most of them reflecting disturbed hypothalamo-hypophyseal control mechanisms. Reported results however vary widely among investigators reflecting the heterogeneity of the clinical cases and the difficulties of quantifying depression. The authors report data on 1(0) TSH, PRL and HGH secretion after TRH in a group of 19 endogenous depressed patients; 2(0) insulin secretions after a glucose load in endogenous (10 cases) and neurotic (13 cases) depression; 3(0) LH and FSH secretion after LHRH in 10 neurotic depressed men. The results are compared with those reported in the literature. Their possible contribution to the differential diagnosis of neurotic versus endogenous depression is discussed.
对抑郁症患者的内分泌学研究显示出各种各样的异常情况,其中大多数反映了下丘脑 - 垂体控制机制紊乱。然而,不同研究者报告的结果差异很大,这反映了临床病例的异质性以及量化抑郁症的困难。作者报告了一组19例内源性抑郁症患者在注射促甲状腺激素释放激素(TRH)后促甲状腺激素(TSH)、催乳素(PRL)和生长激素(HGH)分泌的数据;10例内源性抑郁症患者和13例神经症性抑郁症患者在口服葡萄糖负荷后胰岛素分泌的数据;10例神经症性抑郁症男性在注射促黄体生成素释放激素(LHRH)后促黄体生成素(LH)和促卵泡生成素(FSH)分泌的数据。将结果与文献报道的结果进行了比较。并讨论了这些结果对神经症性抑郁症与内源性抑郁症鉴别诊断的可能贡献。