Neuroendocrine effects of diazepam in panic and generalized anxiety disorders

Biol Psychiatry. 1991 Jul 1;30(1):73-80. doi: 10.1016/0006-3223(91)90072-t.

Abstract

The adrenocorticotropic hormone (ACTH), cortisol, and growth hormone responses to four consecutive, logarithmically increasing doses of intravenous diazepam compared with placebo given at 15-min intervals were examined in patients with panic disorder (n = 13), generalized anxiety disorder (n = 8), and healthy controls (n = 13). Diazepam caused dose-dependent decreases in cortisol and increases in GH and dose-independent decreases in ACTH. There were no patient-control differences, possibly due to either the small sample size of the experimental paradigm, which tested subjects in an upright, sitting position in mildly arousing circumstances.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adrenocorticotropic Hormone / blood*
  • Adult
  • Anxiety Disorders / blood
  • Anxiety Disorders / drug therapy*
  • Anxiety Disorders / psychology
  • Diazepam / adverse effects
  • Diazepam / therapeutic use*
  • Female
  • Growth Hormone / blood*
  • Humans
  • Hydrocortisone / blood*
  • Infusions, Intravenous
  • Male
  • Middle Aged
  • Panic / drug effects*
  • Panic / physiology
  • Personality Inventory

Substances

  • Adrenocorticotropic Hormone
  • Growth Hormone
  • Diazepam
  • Hydrocortisone