Falkai Peter, Wobrock Thomas, Lieberman Jeffrey, Glenthoj Birte, Gattaz Wagner F, Möller Hans-Jürgen
Department of Psychiatry and Psychotherapy, University of Saarland, Homburg/Saar, Germany.
World J Biol Psychiatry. 2005;6(3):132-91. doi: 10.1080/15622970510030090.
These guide lines for the biological treatment of schizophrenia were developed by an international Task Force of the World Federation of Societies of Biological Psychiatry (WFSBO). The goal during the development of these guidelines was to review systematically all available evidence pertaining to the treatment of schizophrenia, and to reach a consensus on a series of practice recommendations that are clinically and scientifically meaningful based on the available evidence. These guidelines are intended for use by all physicians seeing and treating people with schizophrenia. The data used for developing these guidelines have been extracted primarily from various national treatment guidelines and panels for schizophrenia, as well as from meta-analyses, reviews and randomised clinical trials on the efficacy of pharmacological and other biological treatment interventions identified by a search of the MEDLINE database and Cochrane Library. The identified literature was evaluated with respect to the strength of evidence for its efficacy and then categorised into four levels of evidence (A-D). This first part of the guidelines covers disease definition, classification, epidemiology and course of schizophrenia, as well as the management of the acute phase treatment. These guidelines are primarily concerned with the biological treatment (including antipsychotic medication, other pharmacological treatment options, electroconvulsive therapy, adjunctive and novel therapeutic strategies) of adults suffering from schizophrenia.
这些精神分裂症生物治疗指南由世界生物精神病学协会联合会(WFSBO)的一个国际特别工作组制定。制定这些指南的目的是系统回顾与精神分裂症治疗相关的所有现有证据,并基于现有证据就一系列具有临床和科学意义的实践建议达成共识。这些指南供所有诊治精神分裂症患者的医生使用。制定这些指南所使用的数据主要取自各国的精神分裂症治疗指南和专家小组,以及通过检索MEDLINE数据库和Cochrane图书馆确定的关于药物及其他生物治疗干预措施疗效的荟萃分析、综述和随机临床试验。对所确定的文献依据其疗效证据的强度进行评估,然后分为四个证据级别(A - D)。本指南的第一部分涵盖精神分裂症的疾病定义、分类、流行病学和病程,以及急性期治疗的管理。这些指南主要关注成年精神分裂症患者的生物治疗(包括抗精神病药物、其他药物治疗选择、电休克治疗、辅助和新型治疗策略)。