The Journal of international medical research · 2019
An initial exploration of hair cortisol responses to antidepressants in unmedicated patients with depression.
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Song Xiuli, Cui Wei, Peng Zugui, Zhao Liansheng, Yu Xuezhu, Li Tao, Cui Lijun, Ma Xiaohong
Аннотация
OBJECTIVE: Major depressive disorder is associated with abnormal functioning of the hypothalamic-pituitary-adrenal (HPA) axis. Studies using hair cortisol to measure the effect of antidepressants on the HPA axis are lacking. The aim of this study was to explore the long-term effects of antidepressants on hair cortisol concentration (HCC).
METHODS: Participants were 42 patients and 36 healthy individuals. The patients took antidepressants for 4 weeks. Patient HCC was measured pre-treatment and post-treatment. The HCC of healthy controls was also measured.
RESULTS: Patient post-treatment HCC (mean ± standard deviation: 34.40 ± 32.57 pmol/mg) was significantly higher than patient pre-treatment HCC (17.42 ± 12.40 pmol/mg) and healthy control HCC (10.22 ± 7.99 pmol/mg). No significant correlation was found between Hamilton Depression Rating Scale scores and HCC at pre-treatment or post-treatment.
CONCLUSIONS: Hair cortisol concentration analysis could be used to monitor the dynamics of the effects of antidepressants on the HPA axis.
METHODS: Participants were 42 patients and 36 healthy individuals. The patients took antidepressants for 4 weeks. Patient HCC was measured pre-treatment and post-treatment. The HCC of healthy controls was also measured.
RESULTS: Patient post-treatment HCC (mean ± standard deviation: 34.40 ± 32.57 pmol/mg) was significantly higher than patient pre-treatment HCC (17.42 ± 12.40 pmol/mg) and healthy control HCC (10.22 ± 7.99 pmol/mg). No significant correlation was found between Hamilton Depression Rating Scale scores and HCC at pre-treatment or post-treatment.
CONCLUSIONS: Hair cortisol concentration analysis could be used to monitor the dynamics of the effects of antidepressants on the HPA axis.