Relationship of psychotic symptoms to haloperidol‐stimulated prolactin release

Acta Psychiatrica Scandinavica - Tập 82 Số 4 - Trang 271-274 - 1990
Jayashri Kulkarni1, Nicholas A Keks1, Geoffrey W. Stuart1, Belinda S. Mackie1, I. Harry Minas1, Bruce Singh1, David Copolov1
1National Health and Medical Research Council Schizophrenia Research Unit, Mental Health Research Institute of Victoria and Monash University Department of Psychological Medicine, Royal Park Hospital, Parkville, Victoria, Australia

Tóm tắt

ABSTRACTProlactin (PRL) response to a single dose of intravenous haloperidol (0.5 mg) was measured as a marker of tuberoinfundibular dopamine (TIDA) activity in 24 neuroleptic‐free, male, psychotic patients. The PRL responses were then correlated with psychotic symptoms measured with Andreasen's Scales for the Assessment of Positive and Negative Symptoms (SAPS, SANS). Correlation analyses revealed a significant inverse relationship between PRL response and the severity of delusional symptoms. There was no significant correlation between the symptoms of hallucinations, formal thought disorder, or global negative symptoms and PRL response to haloperidol, nor were there any significant correlations between basal PRL and symptom severity. These results suggest that among the positive and negative symptoms associated with psychoses, only delusions may be associated with TIDA overactivity.

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