Benkert O, Hippius H
Arzneimittelforschung. 1975 Jul;25(7a):1195-206.
A survey is given from a clinically working psychiatrist's point of view on principal aspects of the development of new psychotropic drugs. The comparison with the other medical branches shows, that clinico-pharmacological investigations and clinical trials play an important role in the development of new psychotropic drugs. 1. The importance of clinical screenings for the development of new psychotropic drugs is stated by means of a comparative analysis of the pre-clinical and clinical screening methods. In this connection, the importance of animal experiments, biochemical and pharmaco-psychological findings is reported. 2. The particular difficulties of characterizing the effectiveness of potential psychotropic drugs are explained based on the problems of placebo effects, of the unspecific influence on psychotropic drug effects and by means of the socalled "main and side" effects of these drugs. 3. The principles of psychiatric ratings and of data documentation are explained with the aid of different examples.
一位临床工作的精神科医生从其视角对新型精神药物研发的主要方面进行了调查。与其他医学分支的比较表明,临床药理学研究和临床试验在新型精神药物研发中发挥着重要作用。1. 通过对临床前和临床筛查方法的比较分析,阐述了临床筛查对新型精神药物研发的重要性。就此,报告了动物实验、生化及药理心理学研究结果的重要性。2. 基于安慰剂效应问题、对精神药物效应的非特异性影响以及这些药物的所谓“主要和次要”效应,解释了表征潜在精神药物有效性的特殊困难。3. 通过不同示例解释了精神科评分及数据记录的原则。