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The Blunted TSH Response to TRH — What Does It Tell Us? Biological Monitoring During Psychopharmacological Treatment

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Neuropsychopharmacology

Abstract

The past two decades have witnessed an intensive search for a biological substrate in “functional” psychiatric disorders. Psychoneuroendocrinology has offered a fertile field for such investigations, as the perturbations in hormone levels may reflect certain important CNS processes (Langer et al. 1985). Of the several endocrine systems studied, the pituitary-thyroid subsystem has produced certain significant observations which point to applications in clinical practice. Interest in the pituitary-thyroid subsystem seems to have its origins in the reported association between thyroid dysfunction and psychiatric conditions (for review see Loosen and Prange 1984). An impetus to research into the thyroid subsystem applicable to psychiatric disorders was given by the observation that one of the hormones — thyrotropin-releasing hormone (TRH), which regulates the thyroid subsystem — is secreted by hypothalamus (Prange et al. 1987).

This study was supported by research grants 4416 and 4565 from the Fonds für Förderung wissenschaftlicher Forschung (Vienna) and from the Verein für psychobiologische Grundlagenforschung (Vienna) to G. L.

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References

  • Aschauer H, Schönbeck G, Langer G, Koinig G, Resch F, Hatzinger R, Chaudry HR (1988) Plasma concentrations of haloperidol and prolactin and clinical outcome in acutely psychotic patients. Pharmacopsychiatry 21: 246–251

    Article  PubMed  CAS  Google Scholar 

  • Extein I, Pottash ALC, Gold MS, Cowdry RW (1982) Using the protirilin test to distinguish mania from schizophrenia. Arch Gen Psychiatry 39: 77–81

    Article  PubMed  CAS  Google Scholar 

  • Hatotani N, Nomura J, Yamaguchi T, Kitayama I (1977) Clinical and experimental studies on the pathogenisis of depression. Psychoneuroendocrinology 2: 115–130

    Article  PubMed  CAS  Google Scholar 

  • Kuß HJ (1986) Applications of HPLC for analysis of psychotropic drugs in body fluids. In: Engelhardt H (ed) Practice of high performance liquid chromatography. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Langer G, Resch F, Aschauer H, Keshavan MS, Koinig G, Schönbeck G, Dittrich R (1984): TSH-response patterns to TRH stimulation may indicate therapeutic mechanisms of antidepressant and neuroleptic drugs. Neuropsychobiology 11: 213–218

    Article  PubMed  CAS  Google Scholar 

  • Langer G, Aschauer H, Keshavan MS, Koinig G, Resch F, Schönbeck G (1985) Neuroendocrine involvement in therapeutic mechanisms of neuroleptic and antidepressant drugs: studies of thyroid axis. In: Pichot P, Berner P, Wolf R, Thau K (eds) Psychiatry, vol 2. Plenum, New York, pp 249–255

    Google Scholar 

  • Langer G, Koinig G, Hatzinger R, Schönbeck G, Resch F, Aschauer H, Keshavan MS, Sieghart W (1986): Response of thyrotropin to thyrotropin-releasing hormone as predictor of treatment outcome. Arch Gen Psychiatry 43: 861–868

    Article  PubMed  CAS  Google Scholar 

  • Loosen PT, Prange AJ (1982) Serum thyrotropin response to thyrotropin-releasing hormone in psychiatric patients: a review. Am J Psychiatry 139: 405–416

    PubMed  CAS  Google Scholar 

  • Loosen PT, Prange AJ (1984) Hormones of the thyroid axis and bevaviour. In: Nemeroff CB, Dunn AJ (eds) Peptides hormones and behaviour. Spectrum, Stuttgart, pp 533–577

    Google Scholar 

  • Prange AJ, Wilson IC, Lara PP, Alltop LB, Breese GR (1972) Effects of thyrotropin-releasing hormone in depression. Lancet 2: 999–1002

    Article  PubMed  Google Scholar 

  • Prange AJ, Garbutt JC, Loosen PT (1987): The hypothalamic-pituitary thyroid axis in affective disorders. In: Meitzer HY, (ed) Psychopharmacology: third generation of progress. Raven, New York, pp 629–636

    Google Scholar 

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© 1990 Springer-Verlag Berlin Heidelberg

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Schönbeck, G. et al. (1990). The Blunted TSH Response to TRH — What Does It Tell Us? Biological Monitoring During Psychopharmacological Treatment. In: Bunney, W.E., Hippius, H., Laakmann, G., Schmauss, M. (eds) Neuropsychopharmacology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-74034-3_33

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  • DOI: https://doi.org/10.1007/978-3-642-74034-3_33

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-74036-7

  • Online ISBN: 978-3-642-74034-3

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