Table 3.
Hypothalamic pituitary adrenal axis functioning and its correlation with psychopathology in obsessive compulsive disordered patients
Author | Control group | Sample | Cortisol levels | Other hormones levels | DST | Correlations with psychopathology |
Monteleone et al[91], 1994 | 13 HC | 13 drug-free OCD patients | ↑ Plasma cortisol cyrcadian rhythm | - | - | ↑ Severity of OCD symptoms |
Kluge et al[86], 2007 | 9 HC | 9 OCD inpatients w/o comorbid depression | ↑ Plasma levels | ↑ Plasma ACTH | - | - |
Catapano et al[89], 1990 | 20 HC | 18 OCD patients | - | - | 27.7% non-suppression | Correlated with sex (all non suppressors were males) and independently of depression |
Coryell et al[92], 1989 | 82 panic disordered patients | 20 OCD outpatients | - | - | = | - |
Altemus et al[90], 1992 | 25 HC | 12 OCD subjects | - | ↑ CSF CRH; ↑ plasma and CSF AVP | - | ↑ Psychopathology |
HC: Healthy controls; DST: Dexamethasone suppression test; CSF: Cerebrospinal fluid; CRH: Corticotropin releasing hormone; AVP: Arginine vasopressin; OCD: Obsessive-compulsive disorder; ACTH: Adrenocorticotropin hormone.