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近期关于急性双相抑郁药物治疗的疗效数据是否支持非抗抑郁药为首选治疗药物这一观点?一项概念性综述。

Do recent efficacy data on the drug treatment of acute bipolar depression support the position that drugs other than antidepressants are the treatment of choice? A conceptual review.

作者信息

Möller Hans-Jürgen, Grunze Heinz, Broich Karl

机构信息

Department of Psychiatry, Ludwig-Maximilians-University, Nussbaumstrasse 7, 80336 Munich, Germany.

出版信息

Eur Arch Psychiatry Clin Neurosci. 2006 Feb;256(1):1-16. doi: 10.1007/s00406-005-0591-9. Epub 2005 Aug 4.

DOI:10.1007/s00406-005-0591-9
PMID:16078087
Abstract

This conceptual review summarises the results of relevant studies on antidepressants, mood stabilisers such as lithium and anticonvulsants, and second generation antipsychotics in the indication of bipolar depression. Based on methodological and clinical considerations, the position of antidepressants and the possible alternatives in this indication are reviewed very carefully. In addition the regulatory requirements for licensing a drug for the indication "short-term treatment of bipolar depression" are described.

摘要

这篇概念性综述总结了关于抗抑郁药、锂盐等心境稳定剂和抗惊厥药以及第二代抗精神病药物用于双相抑郁适应症的相关研究结果。基于方法学和临床方面的考量,对抗抑郁药在此适应症中的地位以及可能的替代药物进行了非常仔细的审查。此外,还描述了药物获批“双相抑郁短期治疗”适应症的监管要求。

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1
Do recent efficacy data on the drug treatment of acute bipolar depression support the position that drugs other than antidepressants are the treatment of choice? A conceptual review.近期关于急性双相抑郁药物治疗的疗效数据是否支持非抗抑郁药为首选治疗药物这一观点?一项概念性综述。
Eur Arch Psychiatry Clin Neurosci. 2006 Feb;256(1):1-16. doi: 10.1007/s00406-005-0591-9. Epub 2005 Aug 4.
2
An analysis of the efficacy of treatments for bipolar depression.双相抑郁症治疗效果分析。
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Different neural responses to a moral valence decision task in unipolar and bipolar depression.单相和双相抑郁症患者对道德效价决策任务的不同神经反应。
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本文引用的文献

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Treatment of bipolar depressive mood disorders: Algorithms for pharmacotherapy.双相抑郁情绪障碍的治疗:药物治疗算法
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General and comparative efficacy and effectiveness of antidepressants in the acute treatment of depressive disorders: a report by the WPA section of pharmacopsychiatry.抗抑郁药在治疗抑郁障碍急性期的总体和比较疗效和效果:WPA 精神药理学分会报告。
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Lithium: updated human knowledge using an evidence-based approach: Part I: Clinical efficacy in bipolar disorder.锂盐:采用循证医学方法更新人类知识:第一部分:在双相情感障碍中的临床疗效
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Antipsychotic and antidepressive effects of second generation antipsychotics: two different pharmacological mechanisms?第二代抗精神病药物的抗精神病和抗抑郁作用:两种不同的药理机制?
Eur Arch Psychiatry Clin Neurosci. 2005 Jun;255(3):190-201. doi: 10.1007/s00406-005-0587-5.
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Antidepressive effects of traditional and second generation antipsychotics: a review of the clinical data.传统及第二代抗精神病药物的抗抑郁作用:临床数据综述
Eur Arch Psychiatry Clin Neurosci. 2005 Apr;255(2):83-93. doi: 10.1007/s00406-005-0580-z.
6
Antidepressants for bipolar depression: a systematic review of randomized, controlled trials.用于双相抑郁的抗抑郁药:随机对照试验的系统评价
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The current understanding of lamotrigine as a mood stabilizer.目前对拉莫三嗪作为一种心境稳定剂的认识。
J Clin Psychiatry. 2004 Jun;65(6):791-804. doi: 10.4088/jcp.v65n0610.
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International Consensus Group on Bipolar I Depression Treatment Guidelines.双相I型抑郁治疗指南国际共识小组
J Clin Psychiatry. 2004 Apr;65(4):571-9.
9
What exactly is a mood stabilizer?究竟什么是情绪稳定剂?
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10
A 52-week, open-label continuation study of lamotrigine in the treatment of bipolar depression.拉莫三嗪治疗双相抑郁的52周开放标签延续性研究。
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