Pathophysiology of hypercortisolism in depression.

CONCLUSION: Increased ACTH secretion occurs in depressed in-patients regardless of cortisolemic status, confirming central HPA axis overdrive in severe depression. Depressive hypercortisolemia results from an additional change in the adrenal cortex that causes ACTH-independent, disorderly basal cortisol release, a sign of physiological stress in melancholic/psychotic depression. PMID: 17280575 [PubMed - indexed for MEDLINE]
Source: Acta Psychiatrica Scandinavica Supplementum - Category: Psychiatry Tags: Acta Psychiatr Scand Suppl Source Type: research