The 24-hour pattern of urinary MHPG excretion in depressives and normals

Disruption of circadian MHPG rhythmicity in major depression

Plasma concentrations of total (free plus conjugated) 3-methoxy-4-hydroxyphenylglycol (MHPG) were determined every 3 hr for a 24-hr period in 32 unipolar depressed patients, 11 bipolar depressed patients, and 12 healthy subjects. Each subject's circadian MHPG rhythmicity was modeled by a sinusoidal function. Temporal parameters were estimated by linear least squares regression with a fixed 24-hr period. The variabilities associated with estimates of circadian amplitude and acrophase were roughly twice as large in the patients compared to healthy subjects. Phase advances were associated most significantly with the agitated rather than the retarded subtype of depression, and with first episode depressions. Treatment with desipramine (n = 26) did not alter significantly any of the model parameters and had no effect on circadian variability in any patient group. The data overall support a dysregulation theory for depressive illness with phase advances representing one manifestation of such dysregulation.

Prediction of endocrine stress reactions by means of personality variables

The study examined the predictability of endocrine stress indicators on the basis of personality measures. The subjects were 83 computer operators (63 men, 20 women; mean age 28 years) who by means of an experimental situation were confronted with a mild stressor (a cognitive two-channel task with a high information load). Using scores on personality questionnaires (comprising scales for defense mechanisms, neuroticism, and 2 achievement motivation variables), subjects were classified into extreme groups of stress-resistant (17 subjects) versus nonstress-resistant (13 subjects). Immediately after the experiment blood samples were taken to assay the norepinephrine metabolites plasma-free 3-methoxy-4-hydroxy-phenylglycol (MHPG) and MHPG sulfate (MHPG.SO4), which formed the dependent variables. Personality measures and endocrine stress indicators were until the final analysis of the data kept apart by a double-blind strategy. A significant difference was noted in the MHPG level between the stress-resistant and the nonstress-resistant group. The value and applicability of these results for stress prevention is discussed.