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Psychopathological and neuropsychological symptoms in patients with subclinical and remitted hyperthyroidism

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Summary

To investigate relationships between hyperthyroidism and behavior, 45 formerly hyperthyroid patients (now euthyroid) and 51 control subjects were investigated by (a) a semi-structured psychiatric examination, (b) self-rating scales to assess mood states and personality, and (c) neuropsychological tests. Patients with “subclinical” or “remitted” hyperthyroidism showed more abnormalities than the controls in all dimensions investigated. Forty-three percent of patients (10% of controls) complained of “seriously reduced” well-being with feelings of fear, hostility, and inability to concentrate. While a fearful-agitated syndrome dominated in the initial phase of the illness, a mainly depressive syndrome was characteristic after a longer period of remission. More than 25% of the patients (2% of controls) showed “markedly impaired” neuropsychological functioning. Patients with a relapse within 2.5 years exhibited the most abnormal results. Even after a longer period of hormonal remission, there was no complete psychopathological and neuropsychological normalization. A thorough follow-up of hyperthyroid patients is recommended.

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Abbreviations

AMDP:

Association for Methodology and Documentation in Psychiatry

MMPI:

Minnesota Multiphasic Personality Inventory

POMS:

Profile of Mood Scale

SDS:

Self-rating Depression Scale

STAI:

State Trait Anxiety Inventory

TBG:

Thyroxine Binding Globuline

T3:

Trijodthyronine

T4:

Thyroxine

TSH:

Thyroid Stimulating Hormone

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Dedicated to Professor Hanns Hippius on the occasion of his 65th birthday.

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Bommer, M., Eversmann, T., Pickardt, R. et al. Psychopathological and neuropsychological symptoms in patients with subclinical and remitted hyperthyroidism. Klin Wochenschr 68, 552–558 (1990). https://doi.org/10.1007/BF01667147

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  • DOI: https://doi.org/10.1007/BF01667147

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