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Yıl:1994; Cilt: ; Sayı: 6>> Özet
Depresyon Monografları Serisi; 1994;(6):253-280
Depresyonun Psikoendokrinolojisi
M Çetin, N Tarhan
GATA Haydarpaşa Eğitim Hastanesi Psikiyatri Kliniği, İstanbul
Hormonlar, santral sinir sistemi (SSS) ve dolayısıyla davranışlar arasındaki ilişkiler konusuyla yarım yüzyıldan daha az bir süredir gerçek anlamda ilgilenilip araştırılmıştır. Depresyonda endokrin değişmeler veya endokrin hastalıklardan depresyon yapıcı olanları ile ilgili tespitler bu araştırmaların öncülüğünü yapmışlardır. Depresyonda merkez hi-potalamus olmak üzere birden fazla eksen etkilenmektedir. Bunlar önem sırasına göre: Hipotalamo-pitüiter-adrenokortikal (HPAK) eksen, hipotalamo-pitüiter-tiroid (HPT) eksen hipotalamo-pitüiter-gonadal (HPG) eksendir. Ayrıca parathormon, endojen opioid peptidler, ADH, prolaktin, GH, CCK, somastatin, melatonin depresyonun gelişiminde etkili ve depresyonda etkilenen hormonlardır. Bugün için depresyonun birer biyolojik belirteci sayılan DST, TRH'a, TSH cevabı, GH provokasyon testleri vb. testlerin çoğu psikoendokrinolojinin ilgi alanına girmektedir. Bu yazımızda pratikte kulanılma durumlarına göre ve kullanılabilirlikleri gösterilmiş olanları ile ilgili ayrıntılara girilecektir.

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