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Table 1.

Association of clinical features with depression and anxiety in GD patients.

Clinical feature Correlation with depression Correlation with anxiety Key findings
GD (without eye disease) Correlation with depression Correlation with anxiety Significantly higher levels of depression and anxiety in GD patients compared with patients with nodular goiter (non-autoimmune hyperthyroidism) (29, 30, 31, 32, 33)
Thyroid dysfunction Correlation with depression Correlation with anxiety Depression and anxiety more prevalent in hyperthyroidism than hypothyroidism (25, 26)
Serum thyroid hormone levels No correlation with the severity of depression No correlation with the severity of anxiety The severity of hyperthyroidism is not linked to the severity of depression and anxiety (33, 42, 44, 47, 48)
Antithyroid antibodies Conflicting results Conflicting results Some studies show association, others don’t (34, 42, 44, 46, 49, 50)
Treatment response Improvement after treatment Improvement after treatment Improvement in psychiatric symptoms in hyperthyroid and GD patients after treatment of thyrotoxicosis (33, 54, 56, 57)