March 1982, Vol 142, No. 3 >

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ARTICLE | March 1982

Thyroid Function Screening in New Psychiatric Admissions

John E. Morley, MB, ChB; Rex B. Shafer, MD

Arch Intern Med. 1982;142(3):591-593. doi:10.1001/archinte.1982.00340160171030.

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• Thyroid function screening may be of value in psychiatric patients. The present study was undertaken to determine the incidence of thyroid abnormalities in psychiatric patients during short-term admissions. Results of thyroid function tests disclosed an elevated free thyroxine index (FT₄I) and free triiodothyronine index (FT₃I) in 19% of 386 psychiatric patients during short-term admissions to the Minneapolis Veterans Administration Medical Center. Elevated test results were particularly common in paranoid schizophrenics (38%) and in patients with amphetamine abuse (32%). On retesting, at two to three weeks after hospitalization, the FT₄I and FT₃I had returned to normal in 13 of 16 and 17 of 17 patients, respectively. Undiagnosed hypothyroidism was found in four patients with a diagnosis of manic-depressive psychosis on hospital admission. Serial sampling needs to be undertaken to assess the most appropriate time for thyroid function testing after short-term psychiatric admission.

(Arch Intern Med 1982;142:591-593)

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Morley JE, Shafer RB. Thyroid Function Screening in New Psychiatric Admissions. Arch Intern Med. 1982;142(3):591-593. doi:10.1001/archinte.1982.00340160171030.

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