Elevated levels of circulating corticosteroids are frequently associat
ed with behavioral alterations in man, although the mechanisms by whic
h corticosteroids may affect behavior are poorly understood. To evalua
te possible effects of exogenous corticosteroids on brain electrophysi
ological functioning and the relationship of such effects to behaviora
l and biochemical changes, we administered prednisone (80 mg p.o. dail
y for 5 days) in a double-blind manner to 11 medically healthy volunte
ers. Quantitative electroencephalogram analysis was performed followin
g 4 days of prednisone administration and during the preceding and ens
uing placebo administration periods. Central theta wave brain electric
al activity significantly increased following prednisone administratio
n and returned to baseline following prednisone withdrawal. This effec
t was directly correlated with prednisone-induced increases in subject
ive sadness ratings and with decreases in self-rated energy and well-b
eing. Prednisone-induced reductions in peak alpha wave activity were a
lso directly correlated with increases in subjective sadness and Sympt
om Checklist-90 ratings and with decreases in self-rated 'hypomanic' s
ymptoms. Further, prednisone-induced increases in theta activity were
significantly correlated with prednisone-induced decreases in CSF leve
ls of somatostatin-like immunoreactivity, and prednisone-induced decre
ases in peak alpha activity were significantly correlated with decreas
es in CSF levels of norepinephrine and with relative increases (or les
ser decreases) in CSF levels of beta-endorphin and beta-lipotropic hor
mone. This preliminary report of the concomitant development of predni
sone-induced changes in brain electrical activity, neurochemistry and
behavior highlights areas for future exploration in the study of corti
costeroid effects on behavior in man.