We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Excretion of 17-OHCS in Unipolar and Bipolar Depressed Patients

David L. Dunner, MD; Frederick K. Goodwin, MD; Elliot S. Gershon, MD; Dennis L. Murphy, MD; William E. Bunney Jr., MD
Arch Gen Psychiatry. 1972;26(4):360-363. doi:10.1001/archpsyc.1972.01750220070013.
Text Size: A A A
Published online


Urinary 17-hydroxycorticosteroids (17-OHCS) were determined in 97 depressed patients previously classified as having unipolar or bipolar affective illness. Excretion of 17-OHCS was significantly lower in patients with a history of hospitalization for mania (bipolar) as compared to patients with no history of mania (unipolar), and to a smaller group with histories of recurrent depression interspersed with periods of increased activity or euphoria, but who never experienced clear-cut mania (unclassified). This finding was demonstrated in male and female patients. Severity of depression as measured by a global depression rating scale and subscales for anxiety and psychosis was not different for the various patient groups, although our clinical impression has been that depressed bipolar patients tend to be "retarded" whereas unipolar patients may be either "agitated" or "retarded." Data from this study suggest biological differences in patients classified according to a unipolar-bipolar format.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.