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Article| Volume 21, ISSUE 13, P1239-1246, November 1986

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Delusional depression, family history, and DST response: A pilot study

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      Abstract

      Results of the Dexamethasone Suppression Test (DST), performed on 65 patients with major unipolar depression, were classified both by suppression versus nonsuppression and by three ranges of postdexamethasone cortisol levels. Subgroups of patients were then compared for familial prevalence for depression and alcoholism and for delusional symptomatology. A strong association emerged among (1) high postdexamethasone cortisol levels, (2) a significantly increased familial prevalence for depression, and (3) the presence of delusions in probands. In this study, ranges of DST responses were superior to suppression versus nonsuppression criteria alone in defining this subgroup.
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      References

        • Aberg-Wistedt A
        • Wistedt B
        • Bertilsson L
        Higher CSF levels of HVA and 5-HIAA in delusional compared to nondelusional depression (Letter to the Editor).
        Arch Gen Psychiatry. 1985; 42: 925-926
        • Andreason N
        • Endicott J
        • Spitzer R
        • Winokur G
        The family history method using diagnostic criteria.
        Arch Gen Psychiatry. 1977; 34: 1229-1235
        • Arana GW
        • Baldessarini RJ
        • Ornsteen M
        The Dexamethasone Suppression Test for diagnosis and prognosis in psychiatry.
        Arch Gen Psychiatry. 1985; 42: 1193-1204
        • Caroff S
        • Winokur A
        • Rieger W
        • Schweizer E
        • Amsterdam J
        Response to dexamethasone in psychotic depression.
        Psychiatry Res. 1983; 8: 59-64
        • Carroll BJ
        • Greden JF
        • Feinberg M
        • James NMcL
        • Haskett RF
        • Steiner M
        • Tarika FJ
        Neuroendocrine dysfunction in genetic subtypes of primary unipolar depression.
        Psychiatry Res. 1980; 2: 251-258
        • Charney DS
        • Nelson JC
        Delusional and nondelusional unipolar depression: Further evidence for distinct subtypes.
        Am J Psychiatry. 1981; 138: 328-333
        • Endicott J
        • Andreason N
        • Spitzer R
        Family History Research Diagnostic Criteria.
        ed 3. Biometrics Research, New York State Psychiatric Institute, New York1978
        • Evans DL
        • Burnett GB
        • Nemeroff CB
        The Dexamethasone Suppression Test in the clinical setting.
        Am J Psychiatry. 140; 0: 586-589
        • Feinberg M
        • Carroll BJ
        Biological markers for endogenous depression.
        Arch Gen Psychiatry. 1984; 41: 1080-1085
        • Gershon E
        • Guroff J
        Information from relatives.
        Arch Gen Psychiatry. 1984; 41: 173-188
        • Gershon ES
        • Hamovit J
        • Guroff JJ
        • Dibble E
        • Leckman JF
        • Sceery W
        • Targum SD
        • Nürnberger JI
        • Goldin LR
        • Bunney WE
        A family study of schizoaffective, bipolar I, bipolar II, unipolar, and normal control probands.
        Arch Gen Psychiatry. 1982; 39: 1157-1167
        • Glassman AH
        • Roose SP
        Delusional depression—a distinct clinical entity?.
        Arch Gen Psychiatry. 1981; 38: 424-427
        • Helms PM
        • Smith RE
        Recurrent psychotic depression—evidence of diagnostic stability.
        J Affect Dis. 1983; 5: 51-54
        • Leckman JF
        • Weissman MM
        • Prusoff BA
        • Caruso KA
        • Merikangas KR
        • Pauls DL
        • Kidd KK
        Subtypes of depression.
        Arch Gen Psychiatry. 1984; 41: 833-838
        • Mendlewicz J
        • Charles G
        • Franckson JM
        The Dexamethasone Suppression Test in affective disorder: Relationship to clinical and genetic subgroups.
        Br J Psychiatry. 1982; 141: 464-470
        • Merikangas KR
        • Leckman JF
        • Prusoff BA
        • Pauls DL
        • Weissman MM
        Familial transmission of depression and alcoholism.
        Arch Gen Psychiatry. 1985; 42: 367-372
        • Nelson WH
        • Khan A
        • Orr WW
        Delusional depression. Phenomenology, neuroendocrine function, and tricyclic antidepressant response.
        J Affect Dis. 1984; 6: 297-306
        • Rosenbaum AH
        • Schatzberg AF
        • MacLaughlin RA
        • Snyder K
        • Jiang NS
        • Ilstup D
        • Rothschild AJ
        • Kliman B
        The Dexamethasone Suppression Test in normal control subjects: Comparison of two assays and effects of age.
        Am J Psychiatry. 1984; 141: 1550-1555
        • Rothschild AJ
        • Schatzberg AF
        • Langlais PF
        • Miller M
        • Cole JO
        Plasma cortisol and dopamine levels in psychotic and non-psychotic depressed patients.
        in: Abstract of Panels and Posters, American College of Neuropsychopharmacology Annual Meeting, San Juan, Puerto Rico1984: 123
        • Rudorfer MV
        • Hwu HG
        • Clayton PJ
        Dexamethasone Suppression Test in primary depression: Significance of family history and psychosis.
        Biol Psychiatry. 1982; 17: 41-48
        • Schatzberg AF
        • Rothschild AJ
        • Stahl JB
        • Bond TC
        • Rosenbaum AH
        • Lofgren SB
        • MacLaughlin RA
        • Sullivan MA
        • Cole JO
        The Dexamethasone Suppression Test: Identification of subtypes of depression.
        Am J Psychiatry. 1983; 140: 88-91
        • Schlesser MA
        • Winokur G
        • Sherman BM
        Hypothalamic-pituitary-adrenal axis activity m depressive illness.
        Arch Gen Psychiatry. 1980; 37: 727-743
        • Slater E
        • Cowie V
        The Genetics of Mental Disorders.
        Oxford University Press, London1971
        • Weissman M
        • Kidd K
        • Prusoff B
        Variability in rates of affective disorders in relatives of depressed and normal probands.
        Arch Gen Psychiatry. 1982; 39: 1397-1403
        • Weissman M
        • Gershon ES
        • Kidd KK
        • Prusoft BA
        • Leckman JF
        • Dibble E
        • Hamovit J
        • Thompson WD
        • Pauls DL
        • Guroff JJ
        Psychiatric disorders in the relatives of probands with affective disorders.
        Arch Gen Psychiatry. 1984; 41: 13-21
        • Weissman M
        • Prusoff BA
        • Merikangas KR
        Is delusional depression related to bipolar disorder?.
        Am J Psychiatry. 1984; 14: 892-893
        • Winokur G
        • Behar D
        • Van Valkenburg C
        • Lowry M
        Is a family definition of depression both feasible and valid?.
        J Nerv Ment Dis. 1978; 166: 764-768