Hart F D
J Int Med Res. 1976;4(2 Suppl):15-9.
The possible role of various psychotropic drugs in the management of rheumatic diseases is considered--tranquillizers, sedatives, tricyclic antidepressants and monoamine oxidase inhibitors. The dilemma of which anti-depressant for which patient is considered. The possible association between rheumatoid disease and disorders of the brain, brain-stem and autonomic nervous system is discussed. Psychotropic drugs may effect the disease itself as well as the patient's mood. The author is opposed, however, to the idea that rheumatoid arthritis may be regarded as a psychosomatic disease.
本文探讨了各类精神药物在风湿性疾病治疗中可能发挥的作用——包括镇静剂、安眠药、三环类抗抑郁药和单胺氧化酶抑制剂。文中还考虑了针对不同患者应选用哪种抗抑郁药的难题。此外，讨论了类风湿性疾病与大脑、脑干及自主神经系统紊乱之间可能存在的关联。精神药物可能会对疾病本身以及患者的情绪产生影响。然而，作者反对将类风湿性关节炎视为心身疾病的观点。
