Dexamethasone suppression test in positive and negative schizophrenia

Psychiatry Res. 1989 Oct;30(1):69-75. doi: 10.1016/0165-1781(89)90173-x.

Abstract

Fifty-four inpatients with a DSM-III diagnosis of schizophrenia were studied. Patients were divided into positive and negative subtypes of schizophrenia according to Andreasen's criteria. Blood samples were obtained from all patients for 2 consecutive days to determine plasma cortisol concentrations before and after a single administration (1 mg, p.o.) of dexamethasone at 11 p.m. The results revealed a significant increase in plasma cortisol levels in schizophrenic patients, with 40% of the patients being nonsuppressors on the dexamethasone suppression test. A higher percentage (62.5%) of patients with the negative form of schizophrenia were nonsuppressors.

MeSH terms

  • Adult
  • Dexamethasone*
  • Female
  • Humans
  • Hydrocortisone / blood*
  • Hypothalamo-Hypophyseal System / physiopathology
  • Male
  • Middle Aged
  • Pituitary-Adrenal System / physiopathology
  • Schizophrenia / blood*
  • Schizophrenia / physiopathology
  • Schizophrenic Psychology

Substances

  • Dexamethasone
  • Hydrocortisone