摘要篇首: 1 IntroductionPsychotic major depression (PMD),which responds poorly to tricyclic anti-depressants, is a distinct syndrome of depression. hy percortisolemia (cortisone hypersecretion), a biological abnormality existing in many patients with PMD, has led to various theoretical and empirical rationales for the potential therapeutic use of anti-glucocorticoid agents in the treatment of depression.
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