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Randal D. France, MD; K. Ranga Rama Krishnan, MD
Department of Psychiatry Duke University Medical Center Box 3903 Durham, NC 27710

Arch Gen Psychiatry. 1987;44(1):95.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

IN the December 1985 issue of the ARCHIVES, Arana and colleagues¹ extensively review the use of the dexamethasone suppression test (DST) in various clinical states and comment on the "ability of the DST to differentiate depression from selected, clinically pertinent conditions." The authors summarize the DST results in major depressive disorder vs the selected comparison groups in Table 5 of their article. Chronic pain is one of the selected comparison groups, and the authors quote from two references^2,3 on chronic pain and major depressive disorder and one reference on chronic pain⁴ to calculate the sensitivity and specificity of the DST. It should be noted that two of the references^2,3 refer to a study of the DST but contain no mention of the DST in patients with chronic pain. The article by Blumer et al⁵ does indeed report on the results of the . . . [Full Text PDF of this Article]

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