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强迫症中的催产素

Oxytocin in obsessive compulsive disorder.

作者信息

den Boer J A, Westenberg H G

机构信息

Department of Biological Psychiatry, Academical Hospital Utrecht, The Netherlands.

出版信息

Peptides. 1992 Nov-Dec;13(6):1083-5. doi: 10.1016/0196-9781(92)90010-z.

Abstract

A double-blind, placebo-controlled study with syntocinon (oxytocin) was carried out in 12 patients, nine females and three males with obsessive compulsive disorder (OCD). Patients were treated by intranasal administration of oxytocin spray (18 IU per day) or placebo. No reductions in the number of obsessions or compulsive behaviors were observed in either treatment group. To evaluate whether a higher dosage would exert more beneficial effects, two additional patients were treated with a threefold higher dosage of oxytocin using an open design. In one patient a slight reduction in the number of checking rituals was observed, whereas in the other patient virtually no effect was observed. The results of this study do not support the hypothesis that oxytocin might be a potential anticompulsive agent.

摘要

一项针对12名患有强迫症(OCD)的患者(9名女性和3名男性)开展了一项使用合成缩宫素(催产素)的双盲、安慰剂对照研究。患者通过鼻内给予催产素喷雾(每天18国际单位)或安慰剂进行治疗。两个治疗组均未观察到强迫观念或强迫行为数量的减少。为了评估更高剂量是否会产生更有益的效果,另外两名患者采用开放设计接受了三倍剂量的催产素治疗。在一名患者中观察到检查仪式行为的数量略有减少,而在另一名患者中几乎未观察到效果。这项研究的结果不支持催产素可能是一种潜在抗强迫药物的假设。

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