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The thyrotropin-releasing hormone test: some statistical considerations

Published online by Cambridge University Press:  16 April 2020

CA de Mendonca Lima
Affiliation:
Service Psycho-Social, 18, rue de l'Hôtel de Ville, 1920Martigny, Switzerland
S Vandel
Affiliation:
Centre Hospitalier Universitaire de Besançon, 25000Besançon, France
P Bizouard
Affiliation:
Centre Hospitalier Universitaire de Besançon, 25000Besançon, France
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Summary

Final conclusions and data comparisons from the thyrotropin-releasing hormone (TRH) test results are made difficult by differences in test implementation methods, ie, TRH different administration routes, dosages and blood sampling times. A number of statistical analyses are feasible, which may also influence test interpretation. The authors review some types of statistical analyses and suggest using the area under curve (AUC) method as a means of evaluation. The TRH test was performed before treatment and after a 5-day wash-out period, in 40 depressed patients hospitalized in the Psychiatric Unit of Besancon Teaching Hospital (Centre Hospitalier Universitaire de Besançon). Variation analyses performed by peak and threshold comparison (7.0 IµU/ml) and by the AUC method (386 IµU/ml) in positive and negative patients revealed some statistical differences.

Type
Short communication
Copyright
Copyright © Elsevier, Paris 1992

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References

American Psychiatric Association (1980) DSM-III: Diagnostic and Statistical Manual of Mental Disorders, 3rd ed, American Psychiatric Association, Washington, DCGoogle Scholar
Asberg, MMontgomery, SAPerris, CSchalling, DSedvall, G (1978) A Comprehensive Psychopathological rating scale Acta Psychiat Scand suppl 271, 527CrossRefGoogle Scholar
Baumgartner, AHahnenkamp, LMeinhold, H (1985) Effects of age and diagnosis on thyrotropin response to thyrotropin-releasing hormone in psychiatric patients Psychiatry Res 17, 285294CrossRefGoogle Scholar
Extein, IPottasch, ALCGold, MS (1981) The thyrotropinreleasing hormone test in the diagnosis of unipolar depression Psychiatry Res 5, 311316CrossRefGoogle Scholar
Extein, IPottasch, ALCGold, MSSilver, JM (1982) Thyroid-stimulating hormone response to thyrotropinreleasing hormone in unipolar depression before and after clinical improvement Psychiatry Res 6, 161169CrossRefGoogle Scholar
Gold, MSPottasch, ALCExtein, IMartin, DMHoward, EMueller, EASweeney, DR (1981) The TRH test in the diagnosis of major and minor depression Psychoneuroendocrinology 6, 159169CrossRefGoogle Scholar
Kirkegaard, C (1981) The thyrotropin response to thyrotropin-releasing hormone in endogeneous depression Psychoneuroendocrinology 6, 189212CrossRefGoogle Scholar
Kirkegaard, CBjorum, NCohn, DLauridsen, UB (1978) thyrotropin-releasing hormone stimulation test in manic-depressive illness Arch Gen Psychiatry 35, 10171021CrossRefGoogle ScholarPubMed
Loosen, PTPrange, AJ (1982) Serum thyrotropin response to thyrotropin-releasing hormone in psychiatric patients: a review Am J Psychiatry 139, 405416Google ScholarPubMed
Loosen, PTMason, GAPrange, J (1982) The TRH test in normal subjects: methodological considerations Psychoneuroendocrinology 7, 147153CrossRefGoogle ScholarPubMed
Loosen, PT (1986) Hormones of hypothalamic-pituitarythyroid axis: a psychoneuroendocrine perspective Pharmacopsychiatry 19, 401415CrossRefGoogle Scholar
Maes, MHobin, PDe Ruyter, MSuy, E (1988) The thyrotropin-releasing hormone test in depressed and non depressed psychiatric patients Psychiatry & Psychobiol 3, 373379Google Scholar
Masturzo, PTosca, PMurialdo, G (1988) Thyrotropin and prolactin response to different doses of thyrotropin-releasing hormone in depression Neuropsychobiology 20, 120125CrossRefGoogle Scholar
Roth, MGurney, CMountjoy, CP (1983) The Newcastle rating scale Acta Psychiatr Scand suppl 310, 4254CrossRefGoogle Scholar
Schäfgen, WGrebe, SFSchatz, H (1983) Pernasal versus intravenous administration of TRH: effects on thyrotropin, prolactin, triiodothyronine, thyroxine and thyroglobuline in healthy subjects Horm Metab Res 15, 5253CrossRefGoogle ScholarPubMed
Schelesser, MARush, AJFairchild, CCrowley, GOrsulak, P (1983) The thyrotropin-releasing hormone stimulating test: a methodological study Psychiatry Res 9, 5967CrossRefGoogle Scholar
Staub, JJGirard, JMueller-Brand, J (1978) Blunting of TSH response after repeated oral administration of TRH in normal and hypothyroid subjects J Clin Endocrinol & Metab 46, 260266CrossRefGoogle ScholarPubMed
Staub, JJRyff-Deleche, ASPaul, S (1985) Intranasal thyrotropin releasing hormone is a potent stimulus for TSH release in man (comparison with intravenous and oral TRH) Clin Endocrinol 22, 567572CrossRefGoogle Scholar
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