The corticotropin-releasing hormone stimulation test in chronic schizophrenia

Am J Psychiatry. 1986 Nov;143(11):1393-7. doi: 10.1176/ajp.143.11.1393.

Abstract

During a drug-free period a group of schizophrenic subjects (N = 9) showed normal mean basal plasma ACTH and cortisol levels in association with normal plasma ACTH and cortisol responses to an infusion of corticotropin-releasing hormone (CRH). Administration of fluphenazine had no effect on basal ACTH and cortisol levels or their responses to CRH (N = 8). These data differ from those previously reported in depressed patients, who showed elevated basal cortisol values in association with a blunted ACTH response to CRH, and add to a growing body of literature which suggests that hypothalamic-pituitary-adrenal regulation is less disturbed in schizophrenia than in depression.

MeSH terms

  • Adrenocorticotropic Hormone / blood*
  • Adult
  • Chronic Disease
  • Corticotropin-Releasing Hormone* / pharmacology
  • Depressive Disorder / blood
  • Depressive Disorder / diagnosis
  • Depressive Disorder / physiopathology
  • Female
  • Humans
  • Hydrocortisone / blood*
  • Hypothalamo-Hypophyseal System / physiopathology
  • Male
  • Middle Aged
  • Pituitary-Adrenal System / physiopathology
  • Schizophrenia / blood
  • Schizophrenia / diagnosis*
  • Schizophrenia / physiopathology

Substances

  • Adrenocorticotropic Hormone
  • Corticotropin-Releasing Hormone
  • Hydrocortisone