Literature DB >> 23449617

Thyroid function and mental disorders: an insight into the complex interaction.

Mahendra T Kamble1, Prerna D Nandedkar, Prashant V Dharme, Lokhande Suryabhan L, Prajakta G Bhosale.   

Abstract

OBJECTIVE: To assess the serum levels of Thyroxine (T4), Triiodothyronine (T3) and the thyroid stimulating hormone (TSH) in patients with depression.
METHODS: Sixty clinically diagnosed and drug naive depressed patients and an equal number of healthy, age and sex matched control subjects were included in this study. The Ham-D scale was used to classify the degree of depression into the mild, moderate and the severe grades. The biochemical parameters (T3, T4 and TSH) were estimated by using commercially available kits. The data were analyzed by using the SPSS-10 software, one way ANOVA and the χ2 test. RESULT: The female depressive (n = 48) cases outnumbered the male depressive cases. The distributions of the patients in the mild, moderate and the severe categories were similar. A significant decline in the T3 level and an elevation in the T4 level were found in the depressive cases as compared to those in the healthy controls. ANOVA with multiple comparisons testing among the patient group showed no significant difference in the TSH level when the depressive cases with various degrees of depression were compared. A total of twelve depressive patients were found to have thyroid abnormalities.
CONCLUSION: This study therefore observed the presence of thyroid dysfunction among the depressive cases, which is most often characterized as the "Lower Thyroid Syndrome". Thus, the inclusion of the thyroid screening test among the depressive patients may be helpful in the proper management of the cases.

Entities:  

Keywords:  Depression; TSH; Total T3; Total T4

Year:  2013        PMID: 23449617      PMCID: PMC3576739          DOI: 10.7860/JCDR/2012/4861.2656

Source DB:  PubMed          Journal:  J Clin Diagn Res        ISSN: 0973-709X


  12 in total

1.  [Prevalence of thyroid disorders in patients diagnosed with depression].

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Journal:  Aten Primaria       Date:  2000 Jul-Aug       Impact factor: 1.137

2.  Routine screening of thyroid function in patients hospitalized for major depression or dysthymia?

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3.  Low plasma thyroid indices of depressed patients are attenuated by antidepressant drugs and influence treatment outcome.

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Journal:  Pharmacopsychiatry       Date:  1996-09       Impact factor: 5.788

4.  Grades of thyroid failure in 100 depressed and anergic psychiatric inpatients.

Authors:  M S Gold; A C Pottash; E A Mueller; I Extein
Journal:  Am J Psychiatry       Date:  1981-02       Impact factor: 18.112

5.  Regulatory effect of lithium on thyroxine metabolism in murine neural and anterior pituitary tissue.

Authors:  D L St Germain
Journal:  Endocrinology       Date:  1987-04       Impact factor: 4.736

Review 6.  The thyroid axis and depression.

Authors:  I M Jackson
Journal:  Thyroid       Date:  1998-10       Impact factor: 6.568

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Journal:  Folia Psychiatr Neurol Jpn       Date:  1973

8.  Altered serum levels of thyroxine, triiodothyronines and diiodothyronines in endogenous depression.

Authors:  C Kirkegaard; J Faber
Journal:  Acta Endocrinol (Copenh)       Date:  1981-02

9.  Serum thyrotropin response to thyrotropin-releasing hormone in psychiatric patients: a review.

Authors:  P T Loosen; A J Prange
Journal:  Am J Psychiatry       Date:  1982-04       Impact factor: 18.112

10.  Changes in the pituitary-thyroid axis accompanying major affective disorders.

Authors:  B Müller; J Böning
Journal:  Acta Psychiatr Scand       Date:  1988-02       Impact factor: 6.392

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  1 in total

Review 1.  Thyroid Allostasis-Adaptive Responses of Thyrotropic Feedback Control to Conditions of Strain, Stress, and Developmental Programming.

Authors:  Apostolos Chatzitomaris; Rudolf Hoermann; John E Midgley; Steffen Hering; Aline Urban; Barbara Dietrich; Assjana Abood; Harald H Klein; Johannes W Dietrich
Journal:  Front Endocrinol (Lausanne)       Date:  2017-07-20       Impact factor: 5.555

  1 in total

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