Morning and evening adrenocortical responses to ACTH stimulation in endogenously depressed patients: a preliminary report

Jpn J Psychiatry Neurol. 1989 Mar;43(1):57-62. doi: 10.1111/j.1440-1819.1989.tb02551.x.

Abstract

Adrenocortical stimulation with ACTH both in the morning (M-test) and in the evening (E-test) and the dexamethasone suppression test were carried out in patients suffering from endogenous depression (DEP) and normal controls (NOR). A greater cortisol release in DEP was recognized than in NOR in the M-test, an earlier peak response of DEP was shown in the M-test than in the E-test, and a lack of association between hypersecretion of cortisol during depression and cortisol output after ACTH administration was noted. These findings, together with the results of DST, suggest that excessive activity of the hypothalamic-pituitary-adrenal (HPA) axis in depression may result, partly, from adrenocortical hyperresponsiveness.

MeSH terms

  • Adrenocorticotropic Hormone*
  • Adult
  • Circadian Rhythm* / drug effects
  • Depressive Disorder / blood
  • Depressive Disorder / diagnosis*
  • Depressive Disorder / psychology
  • Dexamethasone*
  • Female
  • Humans
  • Hydrocortisone / blood*
  • Male
  • Psychiatric Status Rating Scales

Substances

  • Dexamethasone
  • Adrenocorticotropic Hormone
  • Hydrocortisone