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Journal of Child Neurology, Vol. 2, No. 1, 31-37 (1987)
DOI: 10.1177/088307388700200106

Depression and Dexamethasone Suppression Testing in Children and Adolescents

Graham J. Emslie, MD

Department of Psychiatry, the University of Texas Health Science Center at Dallas, Dallas, TX

Warren A. Weinberg, MD

Department of Neurology, the University of Texas Health Science Center at Dallas, Dallas, TX

A. John Rush, MD

Department of Psychiatry, the University of Texas Health Science Center at Dallas, Dallas, TX

Jan Weissenburger, MA

Department of Psychiatry, the University of Texas Health Science Center at Dallas, Dallas, TX

Linda Parkin-Feigenbaum, RN

Department of Psychiatry, the University of Texas Health Science Center at Dallas, Dallas, TX

The authors compare the incidence of dexamethasone nonsuppression in a large group of child and adolescent inpatients (N = 94) diagnosed by two criteria (DSM-III and Weinberg criteria). The incidence of dexamethasone suppression test nonsuppression in patients diagnosed with DSM-III major depressive disorder (n = 33) was 55%, compared to 11% in those with no affective disorder (n = 35). This was compared to the incidence of dexamethasone suppression test nonsuppression utilizing Weinberg criteria. In addition, symptoms that to varying degrees discriminated suppressors from nonsuppressors were examined. These included change in school performance and, to a lesser degree, somatic complaints and weight and appetite changes. Differences in the diagnostic criteria are discussed. (J Child Neurol 1987;2:31-37).


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