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In response to the partial serotonin agonist meta-chlorophenylpiperazine (metaCPP), patients with obsessive-compulsive disorder have been reported to exhibit an increase in obsessive symptoms and a diminished release of prolactin and/or cortisol compared to controls. We examined the response to metaCPP of 10 patients with anorexia nervosa, before and after weight gain, and of eight healthy controls. Prior to weight gain, the patients exhibited a greater behavioral response to metaCPP than the controls and diminished prolactin and cortisol responses. Only the prolactin abnormality persisted after weight gain. These observations suggest that, in patients with anorexia nervosa, weight loss is associated with the development of neurobiological disturbances which are in some ways similar to those of obsessivecompulsive disorder.
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References
- Diagnostic and Statistical Manual of Mental Disorders. American Psychiatric Press, New York1987 3rd ed rev.
- Long-term cortisol treatment impairs behavioral and neuroendocrine responses to 5-HT1 agonists in the rat.Neuroendocrinology. 1989; 50: 241-247
- Serotonin in eating disorders.in: Coccaro EF Murphy DL Serotonin in Major Psychiatric Disorders. American Psychiatric Association Press, Washington DC1990: 155-184
- Seasonal variations of serotonin function in humans.Ann Clin Psychiatry. 1989; 1: 153-164
- Neuroendocrine responses to m-chlorophenylpiperazine and L-tryptophan in bulimia.Arch Gen Psychiatry. 1992; 49: 852-861
- Anorexia nervosa: an affective disorder?.Arch Gen Psychiatry. 1977; 34: 1087-1093
- Serotonin function in obsessivecompulsive disorder.Arch Gen Psychiatry. 1988; 45: 177-185
- Compulsion neurosis with cachexia (anorexia nervosa).Am J Psychiatry. 1949; 107: 115
- Observations on human behavior in experimental semistarvation and rehabilitation.J Clin Psychol. 1948; 4: 28-45
- Anorexia Nervosa.in: A Multidimensional Perspective. Brunner/Mazel, Washington DC1982
- Anger and anxiety responses to m-chlorophenylpiperazine in generalized anxiety disorder.Biol Psychiatry. 1992; 32: 457-461
- Abnormal hypothalamic-pituitary-adrenal function in anorexia nervosa pathophysiologic mechanisms in underweight and weightcorrected patients.N Engl J Med. 1986; 314: 1335-1342
- The YaleBrown obsessive compulsive scale. II Validity.Arch Gen Psychiatry. 1989; 46: 1012-1016
- Rating scales for obsessivecompulsive disorder.in: Jenike MA Baer L Minichiello WE Obsessive-compulsive Disorders: Theory and Management. Year Book Medical Publishers, New York1990: 154-166
- Dieting changes serotonergic function in women, not men: implications for the aetiology of anorexia nervosa?.Psychol Med. 1987; 17: 839-842
- Fluoxetine treatment of anorexia nervosa: an open clinical trial.J Clin Psychiatry. 1990; 51: 378-382
- Comorbidity of psychiatric diagnoses in anorexia nervosa.Arch Gen Psychiatry. 1991; 48: 712-718
- Biological aspects of obsessive compulsive disorder.Psychiat Ann. 1989; 19: 80-87
- Effects of chronic fluoxetine treatment on behavioral and neuroendocrine responses to meta-chlorophenylpiperazine in obsessive-compulsive disorder.Psychiatry Res. 1991; 36: 1-17
- Serotonergic function in obsessive-compulsive disorder.Arch Gen Psychiatry. 1992; 49: 21-28
- Eating Disorders.The Guilford Press, Chicago1990
- Phenomenologic relationship of eating disorders to major affective disorder.Psychiatry Res. 1983; 9: 345-354
- m-chlorophenylpiperazine as a probe of serotonin function.Biol Psychiatry. 1991; 30: 1139-1166
- Past history of anorexia nervosa in women with obsessive-compulsive disorder.Int J Eat Disord. 1986; 5: 1069-1075
- Altered serotonin activity in anorexia nervosa after long-term weight restoration.Arch Gen Psychiatry. 1991; 48: 556-562
- An open trial of fluoxetine in patients with anorexia nervosa.J Clin Psychiatry. 1991; 52: 464-471
- Patients with anorexia nervosa have elevated scores on the Yale-Brown obsessive-compulsive scale.Int J Eat Disord. 1992; 12: 57-62
- Lactate provocation of panic attacks. I. Clinical and behavioral findings.Arch Gen Psychiatry. 1984; 41: 764-770
- SPSS/PC+ Advanced Statistics 4.0.SPSS Inc., New York1990
- Anorexia nervosa as a manifestation of compulsion neurosis: a study of psychogenic factors.Arch Neurology Psychiatry. 1939; 41: 856-858
- A comparison of the behavioral effects of oral versus intravenous mCPP administration in OCD patients and the effect of metergoline prior to IV mCPP.Biol Psychiatry. 1993; 33: 3-14
- Sex steroid dependent prolactin secretion.in: Rossmanith WG Scherbaum WA Neuroendocrinology of Sex Steroids. Walter de Gruyter, Chicago1992: 175-194
- Differential diagnosis of anorexia nervosa and depressive illness: a review of 11 studies.Compr Psychiatry. 1988; 29: 427-432
- A preliminary investigation of the lifetime prevalence of anorexia and bulimia nervosa in patients with obsessive compulsive disorder.J Clin Psychiatry. 1992; 53: 309-314
- Experimental neurosis: resulting from semistarvation in man.Psychosom Med. 1948; 10: 31-50
- A comparative psychometric study of anorexia nervosa and obsessional neurosis.Can J Psychiatry. 1982; 27: 282-286
- Structured Clinical Interview for DSM-III-R (SCID).New York State Psychiatric Institute, Biometrics Research, Berlin1987
- Personality and symptomatological features in young, nonchronic anorexia nervosa patients.J Psychosom Med. 1980; 24: 353-359
- High-performance liquid chromatographic method for the analysis of plasma mchlorophenylpiperazine.J Chromatography. 1990; 528: 228-234
- The production rate of cortisol declines during recovery from anorexia nervosa.J Clin Endocrinol Metab. 1981; 53: 203-205
- Augmentation of prolactin secretion by estrogen in hypogonadal women.J Clin Invest. 1974; 53: 652-655
- Physiology of human prolactin.in: Yen SSC Jaffe RB Reproductive Endocrinology. Physiology, Pathophysiology, and Clinical Management. WB Saunders Co., New York1978: 152-170
- Obsessive-compulsive disorder: psychobiological approaches to diagnosis, treatment, and pathophysiology.Biol Psychiatry. 1987; 22: 667-687
- Serotonergic responsivity in obsessive-compulsive disorder.Arch Gen Psychiatry. 1987; 44: 946-951
Article info
Publication history
Received in revised form:
January 4,
1994
Received:
March 30,
1993
Footnotes
This work was supported in part by Biomedical Research Support Grant RR-05650, and by grants MH-00750 and MH-30906 from the National Institute of Mental Health.
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© 1995 Society of Biological Psychiatry. Published by Elsevier Inc.
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