Posted by Larry Hoover on April 8, 2003, at 11:59:30
In reply to Re: Cortisol , posted by jrbecker on April 8, 2003, at 0:39:06
> A good read that might be a knowledgeable summary for those unfamiliar with this might be:
>
> Organization of the stress system and its dysregulation in melancholic and atypical depression: high vs low CRH/NE states. PW Gold 1 and GP Chrousos 2. Molecular Psychiatry 2002, Volume 7, Number 3, Pages 254-275
>
> http://psyphz.psych.wisc.edu/front/740%20Class%20Spring%202003/Gold%20%20Organization%20of%20the%20stress%20system.pdfI can't think of a recent occasion when I have so thoroughly read any paper as I have studied this one. Thank you very much for the link.
Of course, the obvious questions arising from this study amount to :"So what can we do about that?"
What strikes me are the similarities to the theories presented many years ago by Hans Selye. For an exceedingly brief explanation, go to:
http://www.healthnewsnet.com/gap.htmlNow, back in the '20s and '30s, when Selye first defined his concepts of stress reactions, there was no way to directly measure the biochemical characteristics of these states. Still, I see the echoes in the current paper. There have been a number of nutritional and herbal "treatments" suggested for the exhaustion phase of chronic stress, based primarily on "softer" science than that presented here, but probably finding increasing validity over years of refinement. It shouldn't take too much trouble to find those ideas.
There is another aspect to the effect of prolonged stress, one that is not even tangentially mentioned in the comprehensive review referenced above: oxidative stress. Dr. Pall has some compelling evidence for the cyclic "locking in" of pathological levels of peroxynitrite as a mediator of the debilitating effects of chronic fatigue, PTSD, and fibromyalgia. It's not a stretch to apply chronic oxidative stress to atypical depression.
Much to think about here. And well worth a re-read.
Lar
poster:Larry Hoover
thread:215282
URL: http://www.dr-bob.org/babble/20030407/msgs/217420.html