Diagnostic performance of the Dexamethasone Suppression Test and the Thyreotropine Releasing Hormone Test
The thyrotropine releasing hormone (TRH) test and the dexamethasone suppression test (DST) have been carried out in 100 depressive patients, divided into two DSM-III categories: (1) minor depression (dysthymic disorder, 300.40; atypical depression, 296.82; adaption disorder with depressive mood, 309.000); (2) major depression (296.X0, 296.X2, 296.X3, 296.X4). The results show that the two diagnostic categories are significantly (p = 0.0000) discriminated by the results of both tests. The DST has more discriminating power as compared to the TRH-test. The DST and a mathematical weighted sum of both test results in a discriminant score can be used as a predictive diagnostic criterion to separate the major from the minor depression. Half of the patients with major depression are classified correctly with a specificity of 94.7% resp. 97.4% in the case of the DST resp. the discriminant score. A negative test result has no clinical relevance.