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Am J Psychiatry 1988; 145:1133-1137
Copyright © 1988 by American Psychiatric Association
Twenty-four-hour profiles of body temperature and plasma TSH in bipolar patients during depression and during remission and in normal control subjects
E Souetre, E Salvati, TA Wehr, DA Sack, B Krebs and G Darcourt
Clinique de Psychiatrie et de Psychologie Medicale, Hopital Pasteur, Nice, France.
The 24-hour patterns of body temperature and plasma thyrotropin (TSH) were
measured in eight bipolar patients in both depressed and recovered (after 3
weeks of treatment) states and in eight normal control subjects. Clear
circadian patterns were detected for both temperature and TSH. Nocturnal
body temperature was increased and the nocturnal surge of TSH was blunted
during depression; these abnormalities were corrected after recovery. The
inverse relationship between changes in body temperature and TSH levels at
night suggests that changes in thermoregulation may be responsible for the
neuroendocrine disturbance and may play a role in the pathophysiology of
depression.
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