Skip to main content

Marginal Hypothyroidism in Mental Illness: Preliminary Assessments of Prevalence and Significance

  • Conference paper
Neuropsychopharmacology

Abstract

The purpose of this chapter is to present five preliminary studies, each of which addresses in one way or another two related issues: 1) the prevalence in mental patients of subclinical hypothyroidism (SC-HO) and a presumably related condition, autoimmune thyroiditis; 2) the relationship between SC-HO (or similar changes) and the response of depressed patients to treatments. None of the studies is definitive. The value of their presentation, each in juxtaposition to the others, is that together they suggest relatively new approaches to the study of the role of thyroid state in mental illness. Through new technology and new conceptualization the solution of this problem may be advanced.

This research was supported by NIMH Clinical Research Center Grant MH-33127 and by NIMH Career Scientist Award (to A.J.P.) MH-22536.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Bauer MS, Whybrow PC (1987) The thyroid axis in intractable rapid-cycling bipolar affective disorder: neuroendocrine assessment and treatment response with high-dose thyroxine. 140th annual meeting, American Psychiatric Association, May 1987. Chicago

    Google Scholar 

  • Cowdry RW, Wehr TA, Zis A, Goodwin F (1983) Thyroid abnormalities associated with rapid-cycling bipolar illness. Arch Gen Psychiatry 40: 414–420

    Article  PubMed  CAS  Google Scholar 

  • Evered DC, Ormston BJ, Smith PA, Hall R, Bird T (1973) Grades of hypothyroidism. Br Med J 1: 657

    Article  PubMed  CAS  Google Scholar 

  • Frey H (1987) Circulating autoantibodies in thyroid disease. Acta Med Scand 222: 289–291

    Article  PubMed  CAS  Google Scholar 

  • Gold MS, Pottash ALC, Extein I (1982) “Symptomless” autoimmune thyroiditis in depression. Psychiatry Res 6:261–269

    Article  PubMed  CAS  Google Scholar 

  • Gordin A, Maatela J, Mieltin A, Helenius T, Lamberg L (1979) Serum thyrotrophin and circulating thyroglobulin and thyroid microsomal antibodies in a Finnish population. Acta Endocrinol 90: 33–42

    PubMed  CAS  Google Scholar 

  • Haggerty JJ, Simon JS, Evans DL, Nemeroff CB (1987) Elevated TSH levels and thyroid antibodies in psychiatric inpatients: relationship to diagnosis and DST response. Am J Psychiatry 144: 1491–1493

    PubMed  Google Scholar 

  • Hawkins BR, Dawkins RL, Burger HG, Mackay IR, Cheeah PS, Whittingham S, Patel Y, Wern TA (1980) Diagnostic significance of thyroid microsomal antibodies in randomly selected population. Lancet 2: 1057–1059

    Article  PubMed  CAS  Google Scholar 

  • Larsen PR (1982) Thyroid-pituitary interaction. N Engl J Med 306: 23

    Article  PubMed  CAS  Google Scholar 

  • McLarty DG, Ratcliff WA, Ratclife JG, Shimmins JG, Goldberg A (1978) A study of thyroid function in psychiatric inpatients. Br J Psychiatry 133: 211–218

    Article  PubMed  CAS  Google Scholar 

  • Nemeroff CB, Simon JS, Haggerty J, Evans DL (1985) Antithyroid antibodies in depressed patients. Am J Psychiatry 142: 840–843

    PubMed  CAS  Google Scholar 

  • Okamura K, Nakashima T, Ueda K, Inoue K, Omae T, Fujishima M (1987) Thyroid disorder in the general population of Hisamaya Japan, with special reference to prevalence and sex differences. Int J Epidemiol 16: 545–549

    Article  PubMed  CAS  Google Scholar 

  • Prange AJ, Loosen PT, Wilson IC, Lipton MA (1984) The therapeutic use of hormones of the thyroid axis in depression. In: Post RM, Ballenger JC (eds) Frontiers of clinical science. Williams and Wilkins, Baltimore (Neurobiology of mood disorders, vol 1 )

    Google Scholar 

  • Prange AJ, Garbutt JC, Loosen PT (1987) The hypothalamic-pituitary-thyroid axis in affective disorders. In: Meitzer M (ed) Psychopharmacology: the 3rd generation. Raven, New York, pp 629–636

    Google Scholar 

  • Prange AJ, Mason GA, Garbutt JC (in press) Thyroid axis syndromes in depression: definitions and interpretations. In: Amsterdam JD (ed) Antidepressant therapies for the office-based physician. Dekker, New York

    Google Scholar 

  • Reus VI, Berlant J, Galante M, Becker N (1986) Autoimmune thyroiditis in female depressives. 41st annual meeting of the society of biological psychiatry, May 9, Washington

    Google Scholar 

  • Tunbridge WMG, Evered DC, Hall R et al. (1977) The spectrum of thyroid disease in a community: the Whickham survey. Clin Endocrinol 7: 481–492

    Article  CAS  Google Scholar 

  • Tunbridge WMG, Brewis M, French JM et al. (1981) Natural history of autoimmune thyroiditis. Br Med J 282: 258–262

    Article  CAS  Google Scholar 

  • Wartofsky L, Burman KD (1982) Alterations in thyroid function in patients with systemic illness: the “euthyroid sick syndrome.” Endocr Rev 3: 164–217

    Article  PubMed  CAS  Google Scholar 

  • Wenzel KW, Meinhold H, Raffenberg M, Adkofer F, Schleusener H (1974) Classification of hypothyroidism in evaluating patients after radioiodine therapy by serum cholesterol, T3 uptake, total T4, F-T4 index, total T3, basal TSH, and TRH test. Eur J Clin Invest 4: 141

    PubMed  CAS  Google Scholar 

  • Whybrow PC, Prange AJ (1981) An hypothesis of thyroid-catecholamine-receptor interaction. Arch Gen Psychiatry 38: 106–113

    Article  PubMed  CAS  Google Scholar 

  • Whybrow PC, Prange AJ, Treadway CR (1969) Mental changes accompanying thyroid gland dysfunction. Arch Gen Psychiatry 20: 48–63

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1990 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Prange, A.J., Haggerty, J.J., Browne, J.L., Rice, J.D. (1990). Marginal Hypothyroidism in Mental Illness: Preliminary Assessments of Prevalence and Significance. In: Bunney, W.E., Hippius, H., Laakmann, G., Schmauss, M. (eds) Neuropsychopharmacology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-74034-3_35

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-74034-3_35

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-74036-7

  • Online ISBN: 978-3-642-74034-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics