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Transcultural approach of depression. Comparative study of the diagnostic performance of the dexamethasone suppression test in São Paulo (Brazil) and Liège (Belgium)

Published online by Cambridge University Press:  16 April 2020

LM Lucchesi ,
MH Fernandes ,
N Silva Junior ,
L Yazigi ,
M Ansseau  and
M Timsit-Berthier
LM Lucchesi
Affiliation:
Departamento de Psiquiatria e Psicologia Médica, Hospital do Servidor Público de São Paulo, R. Pedro de Toledo, 1800, São Paulo, SP
MH Fernandes
Affiliation:
Departamento de Psiquiatria e Psicologia Médica, Escola Paulista de Medicina, 04023-900São Paulo, SP, Brazil
N Silva Junior
Affiliation:
Departamento de Psiquiatria e Psicologia Médica, Escola Paulista de Medicina, 04023-900São Paulo, SP, Brazil
L Yazigi
Affiliation:
Departamento de Psiquiatria e Psicologia Médica, Escola Paulista de Medicina, 04023-900São Paulo, SP, Brazil
M Ansseau
Affiliation:
Psychiatric Unit, CHU du Sart Tilman, B-4000Liège
M Timsit-Berthier*
Affiliation:
University Laboratory of Applied Cognitive Psychophysiology, Hôpital Psychiatrique du Petit-Bourgogne, B-4000Liège, Belgium
*
*Correspondance and reprints.
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Summary

We compared the rate of DST non-suppression in two samples of 26 Brazilian and 26 Belgian female depressive patients, matched for age, diagnostic subtype and severity of depression. This rate was significantly lower in São Paulo than in Liège (P = 0.04). The differences observed in DST can be explained by the complexity of familial, personal and clinical factors. A role of a latitude effect through melatonin secretion on adrenocortical function of depressed patients is also suggested.

Keywords

dexamethasone suppression testmajor depressionseasonalitytranscultural approach
Type
Original article
Information
European Psychiatry , Volume 9 , Issue 4 , 1994 , pp. 195 - 200
Copyright
Copyright © European Psychiatric Association 1994

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References

American Psychiatric Association. The dextramethasone suppression test an overview of its current status in psychiatry. Am J Psychiatry 1987:144:1253-62Google Scholar
Ansseau, MLeboulle, DSulon, Jvon Frenckell, RLegros, JJOral contraceptives and the dexamethasone suppression test. Psychoneuroendocrinology 1993;18:37–43CrossRefGoogle ScholarPubMed
Braddock, LThe dexamethasone suppression test: fact and artefact. Br J Psychiatry 1986;1(48):363-74CrossRefGoogle Scholar
Callil, HMDratcu, LA utilidade clínica de teste de suppressão pela dexametasona em psiquiatria: un estudo em noss meio. Temas São Paulo 1986:30-31:115-29Google Scholar
Carroll, BJFeinberg, MGreden, JFet al. A specific laboratory test for the diagnosis of melancholia: standardization, validation and clinical utility. Arch Gen Psychiatry 1981;38:15–22CrossRefGoogle Scholar
Carroll, BJInformed use of the dexamethasone suppression test. J Clin Psychiatry 1986;47:10–12Google ScholarPubMed
Coccaro, EFPrudic, JRothpearl, ALumberg, UREffect of hospital admission on DST results. Am J Psychiatry 1984;141:982-5Google ScholarPubMed
Cohen, CLépine, JPLe test à la dexaméthasone.In: Encyclopédie Médico-Chirurgicale – (Psychiatrie) 3756A10. Paris, 6 p 1988Google Scholar
Cohen, RA, Psychotic Disordres. III Affective Reactions: Manic Depressive Reactions.In: Freedman, AMKaplan, HI, eds. Comprehensive Textbook of Psychiatry, Williams & Wilkins: Baltimore, 1967;17, p 677Google Scholar
Dratcu, LCosta Ribeiro, LCallil, HMEscalas de avaliação du depresSão e sua utilidade clínica: Hamilton, Montgomery-Asberg e visual Analoga de Humor. Rev Ass Bras Psiquiatria l985;7(2):59–65Google Scholar
Hamilton, MA rating scale for depression. J Neurosurg Psychiatry 1960;23:56–62CrossRefGoogle Scholar
Kerr-Correa, FCarlini, HASonenreich, CThe dexamethasone suppression test applied to inpatients of a Brazilian psychiatric hospital. Braz J Med Biol Res 1990;23: 409–509Google Scholar
Lewy, AJHuman Melatonin Secretion: A marker for the circadian system and the effects of light.In: Post, RMBallenger, JC, eds. Neurobiology of Mood disorders. Frontiers of clinical Neuroscience vol 1. Baltimore/London: Williams & Wilkins, 215-26Google Scholar
Meltzer, HYFang, VSCortisol determination and the dexamethasone suppression test. Arch Gen Psychiatry 1983;40:501-5CrossRefGoogle ScholarPubMed
Montgomery, SAAsberg, MA new depression scale designed to be sensitive to change. Br J Psychiatry 1979;134:182–389CrossRefGoogle ScholarPubMed
Rihmer, ZThe geography of DST. Biol Psychiatry 1987;22:1043-5CrossRefGoogle ScholarPubMed
Stokes, PEStoll, PMKoslow, SHMaas, JWDavis, JMSwann, ACRobins, EPretreatment DST and hypothalamic-pituitary adrenocortical function in depressed patients and comparison groups. A multicenter study. Arch Gen Psychiatry 1984;41(3):257-67CrossRefGoogle Scholar
Sulon, JDemey-Ponsart, EBauduin, ESodoyez, JCRadio-immunoassay of corticosterone, cortisone and Cortisol: their application to human cord and maternal plasma. J Steroid Biochem 1978;9:671-6CrossRefGoogle Scholar
Wetterberg, LMelatonin in humans. Physiological and clinical studies. J Neural Transm Suppl 1978;13:289–311Google Scholar
Wetterberg, LBeck-Friis, JBKjellman, BF and Ljunggrer, JGCircardian rhythms in melatonin and Cortisol secretion in depression.In: Usdin, E, ed. Advances in Biochemical Psychopharmacology vol 39 New York: Raven Press, 197–205Google Scholar
Winokur, GPfohl, BSherman, BThe relationships of historically defined subtypes of depression to ACTH and Cortisol levels in depression: preliminary study. Biol Psychiatry 1985;20:751-7CrossRefGoogle ScholarPubMed
World Health Organization. The dexamethasone suppression test in depression. Br J Psychiatry 1987;150:459-62CrossRefGoogle Scholar
Zimmerman, MCoryell, WPfohl, RThe validity of the dexamethasone suppression test as a marker for endogenous depression. Arch Gen Psychiatry 1986;43:347-53CrossRefGoogle ScholarPubMed
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