BASAL AND HALOPERIDOL-STIMULATED PROLACTIN IN NEUROLEPTIC-FREE MEN WITH SCHIZOPHRENIA DEFINED BY 11 DIAGNOSTIC SYSTEMS

被引:21
作者
KEKS, NA [1 ]
COPOLOV, DL [1 ]
KULKARNI, J [1 ]
MACKIE, B [1 ]
SINGH, BS [1 ]
MCGORRY, P [1 ]
RUBIN, RT [1 ]
HASSETT, A [1 ]
MCLAUGHLIN, M [1 ]
VANRIEL, R [1 ]
机构
[1] MENTAL RES INST VICTORIA,NATL HLTH & MED RES COUNCIL,SCHIZOPHRENIA RES UNIT,PARKVILLE,VIC 3052,AUSTRALIA
关键词
D O I
10.1016/0006-3223(90)90418-2
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Forty-four male, neuroleptic-free, acutely psychotic patients with at least one diagnosis of schizophrenia among 11 diagnostic systems, and 28 healthy controls, underwent measurement of prolactin (PRL) concentrations before and after intravenous administration of haloperidol (0.5 mg). Basal PRL concentrations were lower in the patients with Research Diagnostic Criteria (RDC) DSM-III, Cloninger, and Taylor and Abrams schizophrenias than in controls. Compared with the controls, the PRL response to haloperidol was lower in the patients with schizophrenia defined by all diagnostic systems except those of Schneider and M. Bleuler. Neither basal nor stimulated PRL concentrations were correlated with positive symptoms, but basal PRL was correlated with the Brief Psychiatric Rating Scale (BPRS) depression-related subscore. This study lends further support for the presence of dopaminergic dysfunction in schizophrenia, and demonstrates the advantages and problems in the use of multidiagnostic psychopathological evaluation to categorize a disorder where there is major disagreement among diagnostic systems. © 1990.
引用
收藏
页码:1203 / 1215
页数:13
相关论文
共 38 条
[1]   THE DIAGNOSIS OF SCHIZOPHRENIA [J].
ANDREASEN, NC .
SCHIZOPHRENIA BULLETIN, 1987, 13 (01) :9-22
[2]   NORMAL PROLACTIN RESPONSES IN TARDIVE-DYSKINESIA [J].
ASNIS, GM ;
SACHAR, EJ ;
LANGER, G ;
HALPERN, FS ;
FINK, M .
PSYCHOPHARMACOLOGY, 1979, 66 (03) :247-250
[3]  
ASNIS GM, 1983, SCHIZOPHRENIA AFFECT, P205
[4]   DOPAMINE RECEPTOR SENSITIVITY IN THE HYPOTHALAMUS OF CHRONIC-SCHIZOPHRENICS AFTER HALOPERIDOL THERAPY - GROWTH-HORMONE AND PROLACTIN RESPONSE TO STIMULI [J].
BRAMBILLA, F ;
BELLODI, L ;
NEGRI, F ;
SMERALDI, E ;
MALAGOLI, G .
PSYCHONEUROENDOCRINOLOGY, 1979, 4 (04) :329-339
[5]   PROLACTIN SECRETION IN CHRONIC-SCHIZOPHRENIA [J].
BRAMBILLA, F ;
GUASTALLA, A ;
GUERRINI, A ;
ROVERE, C ;
LEGNANI, G ;
SARNO, M ;
RIGGI, F .
ACTA PSYCHIATRICA SCANDINAVICA, 1976, 54 (04) :275-286
[6]   DEFINITIONS OF SCHIZOPHRENIA - CONCORDANCE AND PREDICTION OF OUTCOME [J].
BROCKINGTON, IF ;
KENDELL, RE ;
LEFF, JP .
PSYCHOLOGICAL MEDICINE, 1978, 8 (03) :387-398
[7]   EFFECT OF APOMORPHINE ON GROWTH-HORMONE AND PROLACTIN SECRETION IN SCHIZOPHRENIC-PATIENTS, WITH OR WITHOUT ORAL DYSKINESIA, WITHDRAWN FROM CHRONIC NEUROLEPTIC THERAPY [J].
ETTIGI, P ;
NAIR, NPV ;
LAL, S ;
CERVANTES, P ;
GUYDA, H .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1976, 39 (09) :870-876
[8]   HORMONAL EFFECTS OF APOMORPHINE IN SCHIZOPHRENIA [J].
FERRIER, IN ;
JOHNSTONE, EC ;
CROW, TJ .
BRITISH JOURNAL OF PSYCHIATRY, 1984, 144 (APR) :349-357
[9]  
GRUEN PH, 1978, ARCH GEN PSYCHIAT, V35, P108
[10]   DIFFERENTIAL PROLACTIN RESPONSES TO HALOPERIDOL AND TRH IN NORMAL ADULT MEN [J].
HAYS, SE ;
RUBIN, RT .
PSYCHONEUROENDOCRINOLOGY, 1981, 6 (01) :45-52