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喹硫平在长期治疗精神分裂症患者时对焦虑和抑郁症状有效。

Quetiapine is effective against anxiety and depressive symptoms in long-term treatment of patients with schizophrenia.

作者信息

Kasper Siegfried

机构信息

Medical University of Vienna, Department of General Psychiatry, Vienna, Austria.

出版信息

Depress Anxiety. 2004;20(1):44-7. doi: 10.1002/da.20017.

Abstract

This analysis of data from the open-label extension (OLE) phases of three randomized clinical trials of quetiapine in patients with schizophrenia (n=415) was undertaken to investigate whether the initial improvements in anxiety and depressive symptoms were maintained during long-term treatment. The mean (95% confidence interval [CI]) change from the acute phase baseline in the Factor I score of the Brief Psychiatric Rating Scale (BPRS), which includes somatic concern, anxiety, guilt feelings, and depression, was calculated at the OLE baseline and at various time points up to 156 weeks. After 6 weeks of treatment with quetiapine during the acute phase, the mean (95% CI) change in the BPRS Factor I score was -1.13 (-1.23, -1.04) and after 156 weeks, it was -1.33 (-1.78, -0.87). Therefore, the efficacy of quetiapine for the treatment of anxiety and depressive symptoms is maintained in long-term treatment.

摘要

本研究对三项喹硫平治疗精神分裂症患者的随机临床试验开放标签扩展(OLE)阶段的数据(n = 415)进行了分析,以调查焦虑和抑郁症状的初始改善在长期治疗期间是否得以维持。在OLE基线以及长达156周的各个时间点,计算了简明精神病评定量表(BPRS)I因子得分相对于急性期基线的平均(95%置信区间[CI])变化,该因子包括躯体关注、焦虑、内疚感和抑郁。在急性期使用喹硫平治疗6周后,BPRS I因子得分的平均(95% CI)变化为-1.13(-1.23,-1.04),156周后为-1.33(-1.78,-0.87)。因此,喹硫平治疗焦虑和抑郁症状的疗效在长期治疗中得以维持。

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