Social support and enhanced suppression of adrenocorticotropic hormone and cortisol responses to hypothalamic-pituitary-adrenal function and thyrotropin-releasing hormone tests in patients with major depressive disorder

Biol Psychol. 2008 May;78(2):159-63. doi: 10.1016/j.biopsycho.2008.02.001. Epub 2008 Feb 15.

Abstract

The results of the thyrotropin-releasing hormone (TRH) stimulation test and the combined dexamethasone/corticotropin-releasing hormone (DEX/CRH) test are believed to correlate with social support status in patients with major depressive disorder. We studied 41 consecutive patients hospitalized for major depressive disorder and tested their responses to DEX/CRH and TRH on hospital days 4-7. DeltaMAX TSH and DeltaMAX cortisol were measured. Multiple regression analysis found that social support questionnaire (SSQ-A) and SSQ-B scores were significantly related to DeltaMAX cortisol and DeltaMAX TSH, respectively, at the time of admission. Social support might contribute partially to the TRH and DEX/CRH test results in patients with major depressive disorder.

MeSH terms

  • Adrenocorticotropic Hormone / metabolism*
  • Adult
  • Aged
  • Aged, 80 and over
  • Corticotropin-Releasing Hormone
  • Depressive Disorder, Major* / metabolism
  • Depressive Disorder, Major* / pathology
  • Depressive Disorder, Major* / psychology
  • Female
  • Humans
  • Hypothalamo-Hypophyseal System / drug effects
  • Hypothalamo-Hypophyseal System / metabolism*
  • Male
  • Middle Aged
  • Pituitary-Adrenal System / drug effects
  • Pituitary-Adrenal System / metabolism*
  • Prospective Studies
  • Regression Analysis
  • Retrospective Studies
  • Social Support*
  • Surveys and Questionnaires

Substances

  • Adrenocorticotropic Hormone
  • Corticotropin-Releasing Hormone