Dergi Ara >>
Yıl:1995; Cilt: 6; Sayı: 1>> Özet
Türk Psikiyatri Dergisi; 1995;6(1):30-34
Konversiyon Bozukluklarında Deksametazon Supresyon Testi
Z TUNCA, H FİDANER, C CİMİLLİ, N KAYA, B BIBER, S YEŞIL, A ÖZERDEM
Depresyon ve konversiyon bozukluklarının ortak biyolojik nedenleri olup olmadığı sorusuna yanıt aramak üzere, ICD-10 temel alınarak konversiyon bozukluğu tanısı koyulan 25 hasta ve 8 sağlıklı gönüllüye deksametazon supresyon testi (DST) uygulanmıştır. Konversiyon bozukluğu olan hastalarda DST sonrası saat 8.00’de %12, 16.00’da ise %16 nonsupresyon bulunmuştur. Kontrol grubunda DST (+) denek yoktur. Konversiyon bozukluklarında Hamilton Depresyon puanları ile plazma kortizol düzeyleri arasında olumlu bir ilişki gösterilmiştir. Sonuçlar depresyon ve konversiyon bozuklukları arasında ortak biyolojik etiyolojiyi düşündürmemektedir.


Dexamethasone Suppression Test in Conversion Disorder
Dexamethasone Supression Test (DST) was performed on 25 patients with ICD-10 conversion disorder and 8 healthy volunteers to inquire whether or not depression and conversion disorder have a common biological bakground. DST (+) were found 12% at 8 a.m., and 16% at 4 p.m. in patients with conversion disorder. None of the controls were DST (+). Hamilton Depression scores were found to be related to higher levels of plasma cortisol in patients with conversion disorder. Results do not suggest the possibility of a common biological etiology between these two conditions.

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