Circulatory neurosteroid levels in underweight female adolescent anorexia nervosa inpatients and following weight restoration

Eur Neuropsychopharmacol. 2005 Dec;15(6):647-53. doi: 10.1016/j.euroneuro.2005.05.001. Epub 2005 Jul 14.

Abstract

Nineteen female adolescent inpatients diagnosed with anorexia nervosa, restricting type (AN-R) and 16 non-eating disordered (ED) controls were assessed for plasma dehydroepiandrosterone (DHEA), dehydroepiandrosterone-sulphate (DHEA-S), and cortisol levels, and for eating-related and non-eating-related psychopathology. AN-R patients were assessed at admission, 1 month and 4 months following hospitalization. The non-ED controls were assessed once. No baseline between-group differences were found in plasma cortisol, DHEA, and DHEA-S levels, whereas the patient group had a significantly lower Cortisol/DHEA-S ratio and elevated scores on most psychopathological parameters. A significant increase was found in the body mass index of the AN-R patients at 4 months post-hospitalization, accompanied by a decrease in plasma cortisol levels and a trend towards decreased Cortisol/DHEA and Cortisol/DHEA-S ratios, whereas no change occurred in psychopathology. The difference in Cortisol/DHEA-S ratio between AN-R patients and non-ED controls, and the different patterns of change in cortisol vs. DHEA(-S) levels following weight restoration, may in part account for the feeding difficulties in AN, particularly during refeeding.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Anorexia Nervosa / blood*
  • Anorexia Nervosa / psychology
  • Anorexia Nervosa / therapy*
  • Body Mass Index
  • Dehydroepiandrosterone / blood
  • Dehydroepiandrosterone Sulfate / blood
  • Female
  • Humans
  • Hydrocortisone / blood
  • Neurotransmitter Agents / blood*
  • Psychiatric Status Rating Scales
  • Weight Gain / physiology

Substances

  • Neurotransmitter Agents
  • Dehydroepiandrosterone
  • Dehydroepiandrosterone Sulfate
  • Hydrocortisone