Study of the diagnostic value of the dexamethasone suppression test in endogenous depression

1984 ◽  
Vol 6 (1) ◽  
pp. 33-42 ◽  
Author(s):  
M.Toscano Aguilar ◽  
M. Lemaire ◽  
P. Castro ◽  
M. Libotte ◽  
J. Reynders ◽  
...  
1985 ◽  
Vol 72 (2) ◽  
pp. 166-171 ◽  
Author(s):  
H. M. A. S. Standish-Barry ◽  
A. S. Hale ◽  
A. Honig ◽  
N. Bouras ◽  
P. K. Bridges ◽  
...  

1983 ◽  
Vol 67 (4) ◽  
pp. 258-264 ◽  
Author(s):  
H. Aggernses ◽  
C. Kirkegaard ◽  
I. Krog-Meyer ◽  
B. Kijne ◽  
J. K. Larsen ◽  
...  

1984 ◽  
Vol 145 (4) ◽  
pp. 389-393 ◽  
Author(s):  
Ian G. McKeith

SummaryThe dexamethasone suppression test (DST) was administered to 95 patients referred to a psychogeriatric assessment service. Non-suppression of plasma cortisol was found in 28 out of 48 patients (58%) with senile dementia and all patients with arteriosclerotic dementia or acute confusional states. Non-suppression could not be explained by associated depressive symptoms. The DST was confirmed as a valid diagnostic test for endogenous depression in the elderly, but its value in distinguishing true dementing illnesses from depressive pseudodementia was not supported. The clinical implications of these findings for interpreting DST results in the elderly are discussed.


1986 ◽  
Vol 148 (1) ◽  
pp. 66-69 ◽  
Author(s):  
Howard Morris ◽  
Vaughan Carr ◽  
Judy Gilliland ◽  
Michael Hooper

The dexamethasone suppression test (DST) has been widely used in psychiatry as a laboratory aid for the diagnosis of endogenous depression; failure to suppress serum cortisol levels is interpreted as confirming a clinical diagnosis of endogenous depression. We found that serum dexamethasone concentrations in this test vary widely and are determinants of the DST response: non-suppression of serum cortisol levels is associated with low serum dexamethasone concentrations, and suppression is associated with high concentrations.


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