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Salivary Testosterone Levels and Major Depressive Illness in Men

Published online by Cambridge University Press:  02 January 2018

R. Huw Davies
Affiliation:
Department of Psychological Medicine, University of Wales College of Medicine
Brian Harris*
Affiliation:
Department of Psychological Medicine, University of Wales College of Medicine, Heath Park, Cardiff
D. Roger Thomas
Affiliation:
Department of Psychological Medicine, University of Wales College of Medicine
Nigel Cook
Affiliation:
Steroid Assay Laboratory, Tenovus Institute, University Hospital of Wales, Cardiff
Graham Read
Affiliation:
Steroid Assay Laboratory, Tenovus Institute, University Hospital of Wales, Cardiff
Diana Riad-Fahmy
Affiliation:
Steroid Assay Laboratory, Tenovus Institute, University Hospital of Wales, Cardiff
*
Correspondence

Abstract

Studies of testosterone levels in patients with major depressive illness have produced varying results, plasma levels usually being reported. Saliva levels reflect ‘free’ plasma testosterone, and a pilot study of 11 men with major depression with melancholia, who underwent a standard dexamethasone suppression test, is described. There were no significant differences in testosterone levels compared with an age-matched control group. In the patient group, pre-dexamethasone levels correlated significantly and negatively with depression ratings on the 21–item Hamilton and the Montgomery and åsberg depression scales, and also with state anxiety measured on the Spielberger scale.

Type
Papers
Copyright
Copyright © 1992 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
Anderson, K. E., Rosner, W., Khan, M. S., et al (1987) Diet-hormone interactions: protein/carbohydrate ratio alters reciprocally the plasma levels of testosterone and Cortisol and their respective binding globulins in man. Life Sciences, 40, 17611768.CrossRefGoogle ScholarPubMed
Arguelles, A. E. & Rosner, J. (1975) Diazepam and plasma-testosterone levels. Lancet, 2, 607.CrossRefGoogle ScholarPubMed
Backstrom, T., Carstenten, H. & Sodergad, R. (1976) Concentration of estradiol, testosterone and progesterone in cerebrospinal fluid compared to plasma unbound and total concentrations. Journal of Steroid Biochemistry, 7, 469472.Google Scholar
Carney, M. W. P., Roth, M. & Garside, R. F. (1965) The diagnosis of depressive syndromes and the prediction of ECT response. British Journal of Psychiatry, 111, 659674.Google Scholar
Carroll, B. J., Feinberg, M., Greden, J. F., et al (1981) A specific laboratory test for the diagnosis of melancholia. Standardization, validation and clinical utility. Archives of General Psychiatry, 38, 1522.CrossRefGoogle ScholarPubMed
Doerr, P. & Pirke, K. M. (1976) Cortisol-induced suppression of plasma testosterone in normal adult males. Journal of Clinical Endocrinology and Metabolism, 43, 622629.CrossRefGoogle ScholarPubMed
Doerr, P. & Pirke, K. M. (1979) Dexamethasone-induced suppression of the circadian rhythm of plasma testosterone in normal adult males. Journal of Steroid Biochemistry, 10, 8186.CrossRefGoogle ScholarPubMed
Hamilton, M. (1960) A rating scale for depression. Journal of Neurology, Neurosurgery and Psychiatry, 23, 5662.CrossRefGoogle ScholarPubMed
Harris, B., Read, G. F., Walker, R., et al (1990) Comparisons of plasma and salivary Cortisol determinations for the diagnostic efficacy of the DST. Biological Psychiatry, 27, 897902.CrossRefGoogle Scholar
Magrini, G., Chiodoni, G., Rey, F., et al (1986) Further evidence for the usefulness of the salivary testosterone radioimmunoassay in the assessment of androgenicity in man in basal and stimulated conditions. Hormone Research, 23, 6573.Google Scholar
Montgomery, S. A. & Åsberg, M. (1979) A new depression scale designed to be sensitive to change. British Journal of Psychiatry, 134, 382389.Google Scholar
O'Carroll, R. & Bancroft, J. (1984) Testosterone therapy for low sexual interest and erectile dysfunction in men: a controlled study. British Journal of Psychiatry, 145, 146151.Google Scholar
Riad-Fahmy, D., Read, G. F., Walker, R. F., et al (1982) Steroids in saliva for assessing endocrine function. Endocrine Reviews, 3, 6795.Google Scholar
Rojdmark, S. (1987) Influence of short-term fasting on the pituitary-testicular axis in normal men. Hormone Research, 25, 140146.Google Scholar
Rubin, R. T. (1981) Sex steroid hormone dynamics in endogenous depression: a review. International Journal of Mental Health, 10, 4359.Google Scholar
Rubin, R. T., Poland, R. E. & Lesser, I. M. (1989) Neuroendocrine aspects of primary endogenous depression VIII. Pituitary gonadal axis activity in male patients and matched control subjects. Psychoneuroendocrinology, 14, 217229.Google Scholar
Semple, C. G., Gray, C. E., Borland, W., et al (1987) Failure of psychological stress to affect pituitary-testicular function. Journal of Endocrinology, 115 (suppl. 42).Google Scholar
Shaw, D. M., Francis, A. F., Groom, G. V., et al (1977) A pilot endocrine study in depression. Postgraduate Medical Journal, 53 (suppl. 4): 172174.Google Scholar
Sherwin, B. B. (1988) Affective changes with oestrogen and androgen replacement therapy in surgically menopausal women. Journal of Affective Disorders, 14, 177187.Google Scholar
Snaith, R. P., Bridge, G. W. K. & Hamilton, M. (1976) The Leeds scales for the self-assessment of anxiety and depression. British Journal of Psychiatry, 128, 156165.Google Scholar
Spielberger, C. D., Gorsach, R. L. & Lushene, R. (1970) Manual for the State-Trait Anxiety Inventory. Palo Alto, California: Consulting Psychiatrists Press.Google Scholar
Vining, R. F., McGinley, R. A. & Symons, R. G. (1983) Hormones in saliva: mode of entry and consequent implications for clinical interpretation. Clinical Chemistry, 29, 17521756.Google Scholar
Vogel, W., Klaiber, E. L., & Broverman, D. M. (1978) Roles of the gonadal steroid hormones in psychiatric depression in men and women. Progress in Neuro-psychopharmacology, 2, 487503.Google Scholar
Vogel, W., Klaiber, E. L., & Broverman, D. M. (1985) A comparison of the antidepressant effects of a synthetic androgen (mesterolone) and amitriptyline in depressed men. Journal of Clinical Psychiatry, 46, 68.Google Scholar
Walker, R. F., Wilson, D. W., Read, G. F., et al (1980) Assessment of testicular function by the radioimmunoassay of testosterone in saliva. International Journal of Andrology, 3, 105120.Google Scholar
Yesavage, J. A., Davidson, J., Widrow, L., et al (1985) Plasma testosterone levels, depression, sexuality and age. Biological Psychiatry, 20, 199228.Google Scholar
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