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舍曲林治疗暴饮暴食症的安慰剂对照试验。

Placebo-controlled trial of sertraline in the treatment of binge eating disorder.

作者信息

McElroy S L, Casuto L S, Nelson E B, Lake K A, Soutullo C A, Keck P E, Hudson J I

机构信息

Biology Psychiatry Program, Department of Psychiatry, University of Cincinnati College of Medicine, OH 45267-0559, USA.

出版信息

Am J Psychiatry. 2000 Jun;157(6):1004-6. doi: 10.1176/appi.ajp.157.6.1004.

Abstract

OBJECTIVE

The authors' goal was to assess the efficacy of sertraline in the treatment of binge eating disorder.

METHOD

Thirty-four outpatients with DSM-IV binge eating disorder were randomly assigned to receive either sertraline (N=18) or placebo (N=16) in a 6-week, double-blind, flexible-dose (50-200 mg) study. Except for response level, outcome measures were analyzed by random regression methods, with treatment-by-time interaction as the effect measure.

RESULTS

Compared with placebo, sertraline was associated with a significantly greater rate of reduction in the frequency of binges, clinical global severity, and body mass index as well as a significantly greater rate of increase in clinical global improvement. Patients receiving sertraline who completed the study demonstrated a higher level of response, although the effect was not significant.

CONCLUSIONS

In a 6-week trial, sertraline was effective and well tolerated in the treatment of binge eating disorder.

摘要

目的

作者的目标是评估舍曲林治疗暴饮暴食症的疗效。

方法

34名符合《精神疾病诊断与统计手册》第四版(DSM-IV)暴饮暴食症诊断标准的门诊患者被随机分配,在一项为期6周的双盲、灵活剂量(50 - 200毫克)研究中接受舍曲林治疗(N = 18)或安慰剂治疗(N = 16)。除反应水平外,结局指标采用随机回归方法分析,以治疗与时间的交互作用作为效应指标。

结果

与安慰剂相比,舍曲林与暴饮暴食频率、临床总体严重程度和体重指数的显著更大降幅相关,以及与临床总体改善的显著更大增幅相关。完成研究的接受舍曲林治疗的患者显示出更高的反应水平,尽管效果不显著。

结论

在一项为期6周的试验中,舍曲林治疗暴饮暴食症有效且耐受性良好。

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