Autori:
BOTEZATU Cesara, ZBRANCA Eusebie, PREDA Cristina
Cuvinte cheie:
affective disorder, depression, mania, endocrine glands
Abstract:
Because of the connections between the nervous and endocrine systems it is thought that
endocrine dysfunctions may interfere with affective disorders. The cause-effect relation between the
endocrine and psychiatric components is not yet known. Objective: to asses the prevalence of affective
disorders among patients with endocrine pathology and the relative risk to develop this type of
psychiatric disease according with the endocrine gland involved. Method: 1512 patients: 732 from the
psychiatric department and 780 from the endocrinological department. The diagnosis of affective
disorders was made according to international classification system ICD-10 and DSM IV; the endocrine
diagnosis was made according with the national guide-line for endocrine diseases. Results: Sex ratio-
1023 (67, 65 %) women and 489 (32, 35 %) men; mean age for the psychiatric patients was 48,082 ±
5.4 years and 43,843 ± 13.5 years for the endocrine patients; 673 (44.51 %) patients presented depression,
252 (16.67 %) patients presented mania and 341(22.55 %) others psychiatric disturbances; the
prevalence of depression for pituitary group was 41.8 %, for thyroidal group 57 %, for parathyroidian
group 50 %, for adrenal group 52.30 % and for gonad group 41,6 %; for mono- or bipolar mania the
prevalence was 9.8 % for the thyroidal group, 1.07 % for adrenal group and 14.77 % for the gonad
group; the odds ratio for depression in thyroid pathology was 5.87 and for adrenal pathology was 3.47;
the odds ratio for mania was 2.97 for gonad pathology and 2.14 for thyroid pathology. Conclusion: the
calculated risk for patients with different categories of endocrine pathology to develop affective disorders
is significant for those with thyroid and adrenal disease for depression and for those with gonad and
thyroidal disease for mania.