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A Study of Thyroid Function in Psychiatric In-patients

Published online by Cambridge University Press:  29 January 2018

D. G. McLarty
Affiliation:
Department of Materia Medica, Stobhill Hospital, Glasgow
W. A. Ratcliffe
Affiliation:
Radioimmunoassay Unit, Stobhill Hospital, Glasgow
J. G. Ratcliffe
Affiliation:
Radioimmunoassay Unit, Stobhill Hospital, Glasgow
J. G. Shimmins
Affiliation:
Computer Applications Unit, Greater Glasgow Health Board
A. Goldberg
Affiliation:
Department of Materia Medica, Stobhill Hospital, Glasgow

Summary

The prevalence of abnormal serum total thyroxine (T4) and triiodothyronine (T3) concentrations were determined in 1,206 in-patients in two associated psychiatric hospitals. The biochemical pattern of primary hypothyroidism occurred in five females and one male (prevalence 0.5 per cent), but in only one patient was the diagnosis clinically obvious. Eight patients (all female) were clinically hyperthyroid (prevalence 0.7 per cent), of whom six were previously undiagnosed. There was no evidence that phenothiazines or benzodiazepine therapy had any significant effect on thyroid hormone levels. The small differences in thyroid hormone levels between psychiatric diagnostic groups could be explained by differences in age distribution.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1978 

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References

Asher, R. (1949) Myxoedematous madness. British Medical Journal, ii, 555–62.Google Scholar
Bahemuka, M. & Hodkinson, H. M. (1975) Screening for hypothyroidism in elderly patients. British Medical Journal, ii, 601–3.Google Scholar
Bermudez, F., Surks, M. I. & Oppenheimer, J. H. (1975) High incidence of decreased serum triiodothyronine concentration in patients with non-thyroidal disease. Journal of Clinical Endocrinology and Metabolism, 41, 2740.Google Scholar
Britton, K. E., Ellis, J. M., Miralles, J. M., Quinn, V., Cayley, A. S. D., Brown, B. L. & Ekins, R. P. (1975) Is ‘T4 toxicosis’ a normal biochemical finding in elderly women. Lancet, ii, 141–2.Google Scholar
Carter, J. N., Corcoran, J. M., Eastman, C. J. & Lazarus, L. (1974) Effect of severe chronic illness on thyroid function. Lancet, ii, 971–4.Google Scholar
Challand, G. S., Ratcliffe, W. A. & Ratcliffe, J. G. (1975) Semi-automated radioimmunoassays for total serum thyroxine and triiodothyronine. Clinica Chimica Acta, 60, 2532.CrossRefGoogle ScholarPubMed
Crooks, J., Murray, I. P. C. & Wayne, E. J. (1959) Statistical methods applied to the clinical diagnosis of thyrotoxicosis. Quarterly Journal of Medicine, 28, 211–34.Google Scholar
Gull, W. W. (1873) On a cretinoid state supervening in adult life in women. Transactions of Clinical Society of London, 7, 180–5.Google Scholar
Hall, R., Amos, J. & Ormston, B. J. (1971) Radioimmunoassay of human serum thyrotrophin. British Medical Journal, i, 582–5.Google Scholar
Henschke, P. J. & Pain, R. W. (1977) Thyroid disease in a psychogeriatric population. Age and Ageing, 6, 151–5.CrossRefGoogle Scholar
Jefferys, P. M. (1972) The prevalence of thyroid disease in patients admitted to a geriatric department. Age and Ageing, 1, 33–7.CrossRefGoogle Scholar
Larsen, P. R. (1975) Tests of thyroid function. Medical Clinics of North America, 59, 1063–74.Google Scholar
Lloyd, W. H. & Goldberg, I. J. L. (1961) Incidence of hypothyroidism in the elderly. British Medical Journal, ii, 1256.Google Scholar
Mackenzie, H. W. G. (1890) Clinical lectures on Graves' Disease. Lancet, ii, 545–50, 601–5.Google Scholar
Nomura, S., Potman, C. S., Chambers, J. B., Buck, M. W. & Shimuzu, T. (1973) Reduced peripheral conversion of thyroxine to triiodothyronine in patients with hepatic cirrhosis. Journal of Clinical Investigation, 56, 643–52.Google Scholar
Oberman, H., Buse, J., Herbert, E. G., Ellison, H. S. & Buse, M. G. (1963) Effect of chlordiazepoxide on thyroid function. Journal of the American Medical Association, 184, 342.Google Scholar
Ormston, B. J. M., Garry, R., Cryer, R. J., Besser, G. M. & Hall, R. (1971) Thyrotrophin-releasing hormone as a thyroid function test. Lancet, ii, 1014.CrossRefGoogle Scholar
Portnay, G. I., O'Brian, J. T., Bush, J., Vagenakis, A. G., Azizi, F., Arky, R. A., Ingbar, S. H. & Braverman, L. E. (1974) The effect of starvation on the concentration and binding of thyroxine and triiodothyronine in serum and on the response to TRH. Journal of Clinical Endocrinology and Metabolism, 39, 191–4.Google Scholar
Rubinstein, H. A., Butler, V. P. & Werner, S. C. (1973) Progressive decrease in serum triiodothyronine concentrations with human ageing: radioimmunoassay following extraction of serum. Journal of Clinical Endocrinology and Metabolism, 37, 247–53.Google Scholar
Rybakowski, J. & Sowinski, J. (1973) Free thyroxine index and absolute free thyroxine in affective disorders, Lancet, ii, 889.Google Scholar
Slater, S. D. (1972) The effect of chlordiazepoxide and amylobarbitone upon thyroid function tests. British Journal of Clinical Practice, 26, 463–5.Google ScholarPubMed
Thomson, J. A., Andrews, G. R., Caird, F. I. & Wilson, R. (1972) Serum protein-bound and plasma inorganic iodine in the elderly at home. Age and Ageing, 1, 158–61.CrossRefGoogle Scholar
Tunbridge, W. M. G., Evered, D. C., Hall, R., Appleton, D., Brewis, M., Clark, F., Evans, J. G., Young, E., Bird, T. & Smith, P. A. (1977) The spectrum of thyroid disease in a community: the Whickham Survey. Clinical Endocrinology, 7, 481–93.Google Scholar
Vagenakis, A. G. & Braverman, L. E. (1976) Editorial: Thyroid function tests … which one? Annals of Internal Medicine, 84, 607–8.Google Scholar
Whybrow, P. C., Prange, A. J. & Treadway, C. R. (1969) Mental changes accompanying thyroid gland dysfunction. Archives of General Psychiatry, 20, 4863.Google Scholar
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