التفاصيل البيبلوغرافية
| العنوان: |
Dehydroepiandrosterone sulfate (DEHA-S), cortisol and adrenocorticotropic hormone (ACTH) levels in drug-naive, first episode patients with psychosis. |
| المؤلفون: |
Petrikis, P.1, Tigas, S.2, Christou, M.2, Brikos, S.1, Karampas, A.1, Georgiou, G.1, Hyphantis, T.1 |
| المصدر: |
European Psychiatry. 2022 Supplement S1, Vol. 64, pS808-S809. 2p. |
| مصطلحات موضوعية: |
*ADRENOCORTICOTROPIC hormone, *DEHYDROEPIANDROSTERONE, *HYDROCORTISONE, *HYPOTHALAMIC-pituitary-adrenal axis, *PSYCHOSES |
| مستخلص: |
Introduction: Impaired response to stress and a pathological activation of the hypothalamic-pituitary-adrenal axis have been implicated in the pathophysiology of schizophrenia. Objectives: To measure serum ACTH, cortisol and DEHA-S levels in drug-naïve, first-episode patients with psychosis. Methods: Results are reported as mean (standard deviation, range). Paired t-test or Wilcoxon signed rank test were performed for group comparisons. The level of significance was set at p-value<0.05. Statistical analysis was performed with Stata 15.1. Results: Data were included for 110 subjects (70 men, 40 women); 55 patients and 55 controls matched for age and sex. Mean age was 31.3 years (8.7, 18-48) in patients and 31.4 years (8.9, 17-49) in controls. Serum cortisol and Cortisol/DHEA-S ratio were statistically significantly lower in patients [12.6µg/dl (4.5, 3.5-24.5) and 5.3 (3.6, 1.3-19.5), respectively] compared to controls [15.5 µg/dl (4.9, 4.2-30.1) and 8 (4.7, 1.1-25.5), respectively] (p-value=0.0068 and 0.0005, respectively). Additionally, serum DHEA-S was statistically significantly higher in patients [306.5 µg/dl(165.4, 70-790)] compared to controls [240.1 µg/dl(113.5, 46-597)] (p-value=0.0114). ACTH was also higher in patients [28.5 pg/ml(15.7, 6.2-73.9)] than controls [26.5 pg/ml (15.3, 7-70.5)] but this difference wasn't statistically significant (p-value=0.6359). Conclusions: We report elevated DEHA-S, decreased cortisol levels and decreased cortisol/DEHA-S ratio in the patients' compared to the controls' group. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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