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Thyroid dysfunction in female psychiatric patients

G Nicholson, L I Liebling, R A Hall

    The British Journal of Psychiatry : the Journal of Mental Science
    |September 1, 1976
    PubMed
    Summary
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    Routine biochemical screening identified hypothyroidism in three female psychiatric patients, preventing unrecognized thyroid dysfunction. Screening for thyroid disorder is recommended for female psychiatric patients over 40.

    Area of Science:

    • Endocrinology
    • Psychiatry
    • Medical Diagnostics

    Background:

    • Thyroid dysfunction is a common endocrine disorder.
    • Untreated thyroid dysfunction can manifest with psychiatric symptoms.
    • Screening protocols in psychiatric admissions are not standardized.

    Observation:

    • A study screened 98 unselected female psychiatric admissions for thyroid dysfunction.
    • Biochemical assays were used to detect thyroid hormone levels.

    Findings:

    • Three cases of hypothyroidism were diagnosed through screening.
    • These cases would likely have remained undiagnosed without targeted biochemical testing.
    • The prevalence of undiagnosed hypothyroidism in this cohort was approximately 3%.

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    Implications:

    • Routine thyroid function testing may be beneficial for female psychiatric patients over 40.
    • Early diagnosis and treatment of hypothyroidism can potentially improve psychiatric outcomes.
    • Integrating endocrine screening into psychiatric care pathways could enhance patient management.