“…94,95 Divergent results in HPA axis measures in mood disorders may be due to some variability of clinical characteristics such as subtypes of depression (endogenous vs psychoses vs atypical), 75,96,97 chronicity of illness, 98 the presence of anxiety symptoms, 68,99 recurrence of depressive episodes, 100 severity of symptoms, 96,101 age-dependent 102 and sampling factors (in-patients vs outpatients). 67,75,[103][104][105][106] HPA axis hyperactivity may play an important role in the pathogenesis of major depression. This hyperactivity is believed to be secondary to hypersecretion of CRH.…”