The thyroid function of Graves' disease patients is aggravated by depressive personality during antithyroid drug treatment
2011

Depressive Personality Affects Thyroid Function in Graves' Disease Patients

Sample size: 64 publication Evidence: moderate

Author Information

Author(s): Fukao Atsushi, Takamatsu Junta, Kubota Sumihisa, Miyauchi Akira, Hanafusa Toshiaki

Primary Institution: Ibaraki City Public Health Medical Center

Hypothesis

The study aims to examine the relationship among depressive personality, emotional stresses, thyroid function, and the prognosis of hyperthyroidism in newly diagnosed Graves' disease patients.

Conclusion

Depressive personality during treatment reflects emotional stress more than thyrotoxicosis and aggravates hyperthyroidism in Graves' disease patients.

Supporting Evidence

  • 69% of untreated patients showed depressive personality traits.
  • 46% of patients with depressive personality had persistent symptoms after treatment.
  • The remission rate was significantly lower in the depression group (22%) compared to the non-depression group (52%).

Takeaway

If someone with Graves' disease feels really sad or stressed, it can make their thyroid problems worse, even if their thyroid levels are normal.

Methodology

Sixty-four untreated Graves' disease patients completed personality and stress questionnaires before and during antithyroid drug treatment.

Potential Biases

Potential bias due to self-reported questionnaires and the lack of a control group.

Limitations

The study only followed patients for four years and did not include a control group of healthy individuals.

Participant Demographics

64 patients (10 males and 54 females), average age 34.5 years.

Statistical Information

P-Value

p = 0.0305

Digital Object Identifier (DOI)

10.1186/1751-0759-5-9

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