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病理性赌博的药物治疗进展

Advances in the pharmacological treatment of pathological gambling.

作者信息

Grant Jon E, Kim Suck Won, Potenza Marc N

机构信息

Department of Psychiatry, University of Minnesota School of Medicine, 2450 Riverside Avenue, Minneapolis, MN 55454-1495, USA.

出版信息

J Gambl Stud. 2003 Spring;19(1):85-109. doi: 10.1023/a:1021227214142.

DOI:10.1023/a:1021227214142
PMID:12635541
Abstract

In the present paper we discuss the current status of drug treatment for pathological gambling and the scientific rationales underlying the various pharmacological approaches. Specifically, we summarize the treatment study results of serotonin reuptake inhibitors, mood stabilizers, opioid antagonists, and atypical antipsychotics in pathological gambling. We also discuss dosage strategies, the duration of treatment, issues surrounding medication compliance, and approaches to treatment-refractory pathological gambling, such as pharmacological and behavioral augmentation.

摘要

在本文中,我们讨论了病理性赌博药物治疗的现状以及各种药理学方法背后的科学原理。具体而言,我们总结了5-羟色胺再摄取抑制剂、心境稳定剂、阿片类拮抗剂及非典型抗精神病药物在病理性赌博中的治疗研究结果。我们还讨论了用药策略、治疗持续时间、围绕药物依从性的问题以及难治性病理性赌博的治疗方法,如药物和行为强化。

相似文献

1
Advances in the pharmacological treatment of pathological gambling.病理性赌博的药物治疗进展
J Gambl Stud. 2003 Spring;19(1):85-109. doi: 10.1023/a:1021227214142.
2
The psychopharmacology of pathological gambling.病理性赌博的精神药理学
Semin Clin Neuropsychiatry. 2001 Jul;6(3):184-94. doi: 10.1053/scnp.2001.22924.
3
Pharmacotherapy of pathological gambling: review of new treatment modalities.病理性赌博的药物治疗:新治疗模式综述
Expert Rev Neurother. 2006 Dec;6(12):1845-51. doi: 10.1586/14737175.6.12.1845.
4
Pathological gambling. Current status and new treatments.病理性赌博。现状与新疗法。
Minn Med. 2002 Jul;85(7):48-50, 52.
5
Pathological gambling: an update on neuropathophysiology and pharmacotherapy.病理性赌博:神经病理生理学与药物治疗的最新进展
CNS Drugs. 2008;22(2):123-38. doi: 10.2165/00023210-200822020-00004.
6
Pharmacological treatment of adolescent pathological gambling.青少年病理性赌博的药物治疗
Int J Adolesc Med Health. 2010 Jan-Mar;22(1):129-38.
7
The latest achievements in the pharmacotherapy of gambling disorder.赌博障碍药物治疗的最新成果。
Pharmacol Rep. 2014 Oct;66(5):811-20. doi: 10.1016/j.pharep.2014.05.003. Epub 2014 May 23.
8
Pharmacological treatments of pathological gambling.病理性赌博的药物治疗
J Gambl Stud. 2005 Spring;21(1):99-110. doi: 10.1007/s10899-004-1932-8.
9
Impulse control disorders: clinical characteristics and pharmacological management.冲动控制障碍:临床特征与药物治疗
Ann Clin Psychiatry. 2004 Jan-Mar;16(1):27-34. doi: 10.1080/10401230490281366.
10
Disordered gambling in adolescents : epidemiology, diagnosis, and treatment.青少年赌博 disorder:流行病学、诊断与治疗。 (注:这里“Disordered gambling”直译为“无序赌博”不太准确,或许“赌博障碍”之类的表述更合适,但按要求不做额外解释,严格按原文翻译)
Paediatr Drugs. 2003;5(9):583-95. doi: 10.2165/00148581-200305090-00002.

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Front Psychol. 2017 Apr 10;8:526. doi: 10.3389/fpsyg.2017.00526. eCollection 2017.
2
Trends in Behavior-Analytic Gambling Research and Treatment.行为分析赌博研究与治疗的趋势
Behav Anal. 2015 Jun 5;38(2):179-202. doi: 10.1007/s40614-015-0027-4. eCollection 2015 Oct.
3
Evaluating the Impact of Naltrexone on the Rat Gambling Task to Test Its Predictive Validity for Gambling Disorder.

本文引用的文献

1
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Altered CSF 5-HIAA Disposition in Pathologic Male Gamblers.
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Impulse control disorders in Parkinson's disease: seeking a roadmap toward a better understanding.帕金森病中的冲动控制障碍:寻求更好理解的路线图。
Brain Struct Funct. 2011 Nov;216(4):289-99. doi: 10.1007/s00429-011-0314-0. Epub 2011 May 4.
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Pharmacological treatment of adolescent pathological gambling.青少年病理性赌博的药物治疗
Int J Adolesc Med Health. 2010 Jan-Mar;22(1):129-38.
6
A pilot study of impulsivity and compulsivity in pathological gambling.病理性赌博中冲动性和强迫性的一项初步研究。
Psychiatry Res. 2009 May 15;167(1-2):161-8. doi: 10.1016/j.psychres.2008.04.023. Epub 2009 Apr 1.
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Pathological gambling: an update on neuropathophysiology and pharmacotherapy.病理性赌博:神经病理生理学与药物治疗的最新进展
CNS Drugs. 2008;22(2):123-38. doi: 10.2165/00023210-200822020-00004.
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Gender differences in the associations between past-year gambling problems and psychiatric disorders.过去一年赌博问题与精神疾病之间关联的性别差异。
Soc Psychiatry Psychiatr Epidemiol. 2008 Mar;43(3):173-83. doi: 10.1007/s00127-007-0283-z. Epub 2007 Dec 15.
9
Reliability and validity of the pathological gambling adaptation of the Yale-Brown Obsessive-Compulsive Scale (PG-YBOCS).耶鲁-布朗强迫量表病理性赌博版(PG-YBOCS)的信度与效度
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Pharmacological treatments of pathological gambling.病理性赌博的药物治疗
J Gambl Stud. 2005 Spring;21(1):99-110. doi: 10.1007/s10899-004-1932-8.
病理性男性赌徒脑脊液 5-HIAA 分布改变。
CNS Spectr. 1999 Dec;4(12):25-33. doi: 10.1017/s1092852900006799.
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Combination pharmacotherapy in alcoholism: a novel treatment approach.酒精中毒的联合药物治疗:一种新的治疗方法。
CNS Spectr. 2000 Feb;5(2):70-6. doi: 10.1017/s1092852900012839.
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Acamprosate for the treatment of alcohol dependence: a review of double-blind, placebo-controlled trials.安非他酮治疗酒精依赖:双盲、安慰剂对照试验的综述。
CNS Spectr. 2000 Feb;5(2):58-69. doi: 10.1017/s1092852900012827.
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Opioid antagonists and alcoholism treatment.阿片类拮抗剂与酒精中毒治疗。
CNS Spectr. 2000 Feb;5(2):49-57. doi: 10.1017/s1092852900012815.
7
Lithium and valproate treatment of pathological gambling: a randomized single-blind study.锂盐和丙戊酸盐治疗病理性赌博:一项随机单盲研究。
J Clin Psychiatry. 2002 Jul;63(7):559-64. doi: 10.4088/jcp.v63n0704.
8
A double-blind placebo-controlled study of the efficacy and safety of paroxetine in the treatment of pathological gambling.一项关于帕罗西汀治疗病理性赌博疗效和安全性的双盲安慰剂对照研究。
J Clin Psychiatry. 2002 Jun;63(6):501-7. doi: 10.4088/jcp.v63n0606.
9
A pilot placebo-controlled study of fluvoxamine for pathological gambling.一项关于氟伏沙明治疗病理性赌博的安慰剂对照试验性研究。
Ann Clin Psychiatry. 2002 Mar;14(1):9-15. doi: 10.1023/a:1015215809770.
10
An open-label study of naltrexone in the treatment of kleptomania.纳曲酮治疗偷窃癖的开放标签研究。
J Clin Psychiatry. 2002 Apr;63(4):349-56. doi: 10.4088/jcp.v63n0413.