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Abstract
Although several neuroendocrine abnormalities have been described in depressed patients,
relatively little attention has been paid to the pattern of prolactin secretion during
sleep. Sleep disturbances are frequently found in depressed patients, and the sleep
electroencephalogram (EEG) typically shows significant changes in the first and last
100 min, when prolactin secretion frequently occurs. In this study, carefully defined
inclusion criteria were used to ensure comparability in the quality of the sleep maintenance,
so that the pattern of sleep-related prolactin secretion in a group of 26 depressed
inpatients could be compared to that in a group of 20 healthy control subjects. Starting
from sleep onset, the patients did not show any statistically significant difference
in either the serum prolactin concentration or the pattern of integrated prolactin
secretion relative to the control subjects. A statistically significant relationship
between prolactin secretion and the REM-non-REM sleep cycle could not be demonstrated
in these subjects.
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References
- Prolactin changes in major depressive disorders.Am J Psychiatry. 1980; 137: 1117
- Differences in nocturnal melatonin secretion between melancholic depressed patients and control subjects.Am J Psychiatry. 1985; 142: 811
- A specific laboratory test for the diagnosis of melancholia: Standardization, validation and clinical utility.Arch Gen Psychiatry. 1981; 38: 15
- Effects of “jet lag” on hormonal patterns. III. Demonstration of an intrinsic circadian rhythmicity in plasma prolactin.J Clin Endocrinol Metab. 1982; 55: 849
- A computer algorithm to determine the nadir and rise time in nocturnal cortisol secretion.Psychoneuroendocrinology. 1986; 11: 359
- A diagnostic interview: The Schedule for Afffective Disorders and Schizophrenia.Arch Gen Psychiatry. 1978; 35: 837
- Rhythms in prolcatin secretion.in: Krieger DT Endocrine Rhythms. Raven, New York1979: 175
- Sleep studies in affective illness: Diagnostic, therapeutic and pathophysiological implications.Psychiatr Ann. 1983; 13: 367
- 24-Hour rhythm of prolactin in depressive patients.Arch Gen Psychiatry. 1979; 36: 1183
- A rating scale for depression.J Neurol Neurosurg Psychiatry. 1960; 23: 56
- Reduced cortisol latency in depressive illness.Arch Gen Psychiatry. 1983; 40: 506
- Effect of nocturnal intravenous cannulation upon sleep EEG measures.Biol Psychiatry. 1984; 19: 1537
- Growth hormone secretion during sleep: A comparison between depressed patients and healthy control subjects.1987 (submitted for publication).
- Neuroendocrine responses to apomorphine in depressed patients and healthy control subjects.Psychiatry Res. 1984; 13: 1
- Blunted prolactin response. A neuroendocrine abnormality manifested by depressed patients.Arch Gen Psychiatry. 1982; 39: 1413
- Determination of integrated plasma concentrations and true secretion rates of human hormones.J Clin Endocrinol Metab. 1971; 32: 356
- Sleep-neuroendocrine interrelationships in affective disorders.Psychopharmacol Bull. 1983; 6: 189
- Neurophysiological studies of depression: State of the art.in: Angst J The origins of Depression: Current Concepts and Approaches. Springer-Verlag, Heidelberg1983: 235
- Prolactin secretion in women with unipolar and bipolar depression.Psychiatry Res. 1980; 3: 265
- Prolactin and growth hormone response to levodopa in affective illness.Neuropsychobiology. 1983; 9: 108
- Serum thyrotropin response to thyrotropin releasing hormone in psychiatric patients: A review.Am J. Psychiatry. 1982; 139: 405
- Nocturnal prolactin secretion in depression.Br J Psychiatry. 1985; 147: 314
- Growth hormone and prolactin response to apomorphine in schizophrenia and the major affective disorders. Relation to the duration of illness and depressive symptoms.Arch Gen Psychiatry. 1984; 41: 512
- Diurnal hypersecretion of growth hormone in depression.J Clin Endocrinol Metab. 1985; 60: 505
- Sleep-related, nyctohemeral and briefly episodic variation in human plasma prolactin concentration.J Clin Endocrinol Metab. 1973; 36: 1119
- Relationship of sleep-entrained human prolactin release to REM-nonREM cycles.J Clin Endocrinol Metab. 1974; 38: 646
- Replication of factors of psychopathology in interview, word behaviour and self-report ratings of hospitalized depressives.J Nerv Ment Dis. 1969; 148: 87
- A Manual of Standardized Terminology, Techniques and Scoring System for Sleep Stages of Human Subjects.in: Rechtschaffen A Kales A Government Printing Office, Washington, DC1968
- Prolactin response to morphine in depression.Psychiatry Res. 1984; 11: 353
- Rapid calculation of radioimmunoassay results.J Lab Clin Med. 1969; 74: 770
- Neuroendocrine function in depressive illness.Annu Rev Med. 1976; 127: 389
- Growth hormone responses in depressive illness: Responses to insulin tolerance test.Arch Gen Psychiatry. 1971; 25: 263
- Human prolactin: 24-Hour pattern with increased release during sleep.Science. 1972; 177: 1205
- The nocturnal rise of human prolactin is dependent on sleep.J Clin Endocrinol Metab. 1973; 37: 436
- Plasma prolactin changes following fenfluramine in depressed patients compared to controls: An evaluation of central serotonergic responsivitiy in depression.Life Sci. 1984; 34: 1029
- Research Diagnostic Criteria: Rationale and reliability.Arch Gen Psychiatry. 1978; 17: 695
- Neuroendocrine challenge studies in clinical psychiatry.Psychiatr Ann. 1983; 13: 385
- The relationship between episodic variations of plasma prolactin and REM-non-REM cyclicity is an artifact.J Clin Endocrinol Metab. 1982; 54: 70
- Disturbed circadian variation of serum thyrotropin in patients with endogenous depression.Acta Psychiatr Scand. 1978; 57: 281
- Statistical Principles in Experimental Design.McGraw-Hill, New York1971
- TRH-induced prolactin release is blunted in females with endogenous unipolar major depression.Psychiatry Res. 1984; 12: 321
Article info
Publication history
Received in revised form:
January 20,
1987
Received:
July 19,
1986
The technical assistance of J. Stack, R. Mathias, M. Knorr, R. Denk, D. Keady, B. Billy, C. McCune and L. Altieri in the conduct of the sleep and neuroendocrine studies is gratefully acknowledged. The hormone assays were performed by C. Kalinyak and W. Bowen. The preparation of this manuscript was facilitated by the secretarial assistance of K. Rose.Footnotes
☆Supported in part by NIMH Grants MH15758, MH24652, MH30915, and MH34390 and Research Scientist Development Award MH00327 to D.B.J., as well as a grant from the John D. and Catherine T. MacArthur Research Network on the Psychobiology of Depression.
Identification
Copyright
© 1987 Published by Elsevier Inc.