We critically reviewed controlled investigations of the growth hormone
releasing hormone (GHRH) stimulation test in depression, anorexia ner
vosa, bulimia, panic disorder, schizophrenia, and Alzheimer's disease.
Comparisons of GH responsiveness between patients and controls within
each diagnostic category were equivocal and in some cases contradicto
ry Factors that may contribute substantially to the inconsistent findi
ngs within diagnostic categories include (1) the variability of GHRH-s
imulated GH among control groups; (2) the lack of uniformity in test p
rocedures and outcome measures; and (3) the age and gender of subjects
. In addition, the individual reproducibility of the GHRH stimulation
best has not been adequately investigated and until the test's stabili
ty within subjects can be determined, the validity of interpretations
resulting from the GHRH simulation rest are in question.