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Ingmar Skoog, MD; Görel Sundbeck, MD; Staffan Edén, MD; Rudolf Jagenburg, MD; Göran Lindstedt, MD
Göteborg, Sweden

Arch Intern Med. 1992;152(10):2143-2144.

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

In Reply.—

For reasons of brevity, in our previous response¹ to Serjeant we did not detail the procedures used in the psychiatric evaluation of our 85-year-old subjects. A systematic subsample (494 individuals, in 86% of whom thyroid evaluation could be done [in 285 women and 152 men]) underwent a structured psychiatric examination, which was supplemented with a detailed questionnaire.² Mental disorders were defined according to the Diagnostic and Statistical Manual of Mental Disorders, Third Edition-Revised. The examination did not, however, allow a separation of generalized anxiety disorder and panic disorder.

Ten of our 18 subjects with a serum thyrotropin concentration of less than 0.20 mU/L, in one of whom a hyperthyroid condition was diagnosed, were included in the systematic subsample. In none of these subjects was a diagnosis of generalized anxiety disorder/panic disorder (GAD/PD) established, whereas in 5.5% of the total population sample GAD/PD was diagnosed (note that . . . [Full Text PDF of this Article]

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