Am J Psychiatry 1992; 149:546-548
Copyright © 1992 by American Psychiatric Association
Agitation and postdexamethasone cortisol levels in Alzheimer's disease
BA Lawlor, G Tsuboyama, T Ryan, RC Mohs, BM Davis, M Davidson, S Gabriel and KL Davis
Department of Psychiatry, Mount Sinai School of Medicine, New York, N.Y.
The clinical correlates of hypothalamic-pituitary-adrenal (HPA) functioning
were examined in 29 patients with probable Alzheimer's disease. The 8:00
a.m. postdexamethasone cortisol levels of these patients were highly
correlated with higher agitation scores but not with the degree of
depressed mood or memory impairment. The possible neural basis for the
association between hypercortisolism and behavioral disturbance in
Alzheimer's disease warrants further exploration and replication.