The cerebrospinal fluid (CSF) of 123 male subjects was studied by RIA for the presence of immunoreactive calcitonin (CT). The hormone could be detected in the CSF of 75% of 63 subjects at a mean (+/- SE) concentration of 11.1 +/- 1.3 pg/ml, with a range of less than 2 to 55 pg/ml. In 31 subjects, simultaneous measurements were made of CSF and plasma CT and there was not significant correlation between them. Column chromatography of a lyophilized pool of CSF from 60 of the subjects demonstrated that most of the CT immunoreactivity eluted with or after radioiodinated human CT. Our studies demonstrate the presence of immunoreactive CT in human CSF but do not provide any direct evidence regarding the source of the immunoreactivity.

Sigmoidoscopy involves the insertion of a small scope into the anal cavity to inspect for abnormalities in the colon. Although the procedure is not believed to be painful, it is often noxious for patients because it produces embarassment and discomfort. We examined the effectiveness of two brief interventions designed to enhance coping: self-instructional training and relaxation. In the self-instructional conditions patients were given brief training to focus their attention on either their own (internal) or the doctor's (external) ability to regulate the situation. A third (control) group received attention but did not experience self-instructional training. Half of each of these three groups also received relaxation training, while the other half did not. Planned comparisons demonstrated that subjects in the self-instructional strategies rated themselves as less anxious, had fewer body movements during the exam, and emitted fewer verbalization than those in an attention control group. Patients in the external condition estimated that the exam took less time but tended to have elevated heart rates during the procedure. Those experiencing relaxation training tended to overestimate the duration of the exam, but made fewer requests to stop the exam and rated themselves as less anxious than patients who did not receive relaxation training.

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The presence of adenohypophyseal hormones in human cerebrospinal fluid (CSF) has been firmly established by radioimmunoassay procedures. The hormones can originate from the adenohypophysis itself and from brain, as well as from peripheral sites of production. These peptide hormones enter the CSF through the choroid plexus or by direct secretion. The hormones entering by direct secretion into the CSF have a higher CSF-blood ratio than the hormones entering through the choroid plexus. Elevated CSF levels of adenohypophyseal hormones are most likely to occur in the presence of hormone-producing pituitary tumors with suprasellar extension. Although the CSF concentrations of adenohypophyseal hormones may merely reflect their blood concentrations, it is more likely that these hormones also have paracrine as well as endocrine effects.