Utility of thyroid function screening in adolescent psychiatric inpatients

Journal of the American Academy of Child and Adolescent Psychiatry
R J LeoG Cohen

Abstract

Thyroid function abnormalities have been associated with psychiatric symptoms. This study examines the utility of thyroid screening among adolescent psychiatric inpatients. A retrospective chart review of 196 first-time admissions to an adolescent psychiatric unit was conducted. Charts were screened for demographics, presence/absence of thyroid function testing, history of thyroid disease, medication/illicit substance use, and other factors of influence on thyroid testing. Thyroid test results were reviewed for abnormalities. Thyroid function testing was conducted in 150 of the 196 admissions. Fifty-two patients had abnormalities, most of which were isolated abnormalities of thyroxine (T4) or triiodothyronine uptake (T3U). Laboratory diagnosis of hyperthyroidism and mild hypothyroidism was met by two and eight patients, respectively; five had profiles that were normal upon subsequent testing 1 week later. None of the patients was symptomatic, and none required thyroid supplementation or antithyroid medications. Gender differences in T4 and T3U were noted, and age was positively correlated with T3U. Thyroid function tests may be spuriously abnormal in routine screening of newly admitted psychiatric patients. Routine thyroid scre...Continue Reading

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Nov 25, 1997·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·P T Castiglia
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May 26, 2018·International Psychogeriatrics·Cheolmin ShinChangsu Han
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