외상후 자극장애와 갑상선 기능

Posttraumatic Stress Disorder and Thyroid Function

This study was conducted to investigate the thyroid function of patients with posttraumatic stress disorder. Subjects consisted of 30 PTSD patients and 23 control patients who visited the department of psychiatry of Korea Veterans Hospital from March 1, 1991 to June 30， 1991. Controls consisted of patients with somatization disorder(8 cases), sleep disorder(9 cases) or personality disorder(6 cases). Authors studied the relationship between PTSD and thyroid function by measuring serum triiodothyronine(T3), thyroxine(T4) ，free thyroxine(FT4) and thyroid stimulating hormone (TSH) and compared it with the data from control patients who also had had combat experiences. And we studied the correlation between thyroid function and Hamilton’s anxiety (HAS) and depression(HDS) scales. The results were as following : 1) The serum level of T3 of the PTSD group were significantly higher than that of the control group(p<C0.05). 2) The serum levels of T4, FT4 and TSH of the PTSD group were slightly higher than those of the control group with no statistical significance. 3) Total scores of HAS and HDS were moderately correlated with the value of T3, but they were not significantly correlated with the value of T4 , FT4 and TSH.