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治疗前脑电图可预测氟哌啶醇治疗的短期反应。

Pretreatment EEG predicts short-term response to haloperidol treatment.

作者信息

Czobor P, Volavka J

机构信息

Nathan S. Kline Institute, Orangeburg, NY.

出版信息

Biol Psychiatry. 1991 Nov 1;30(9):927-42. doi: 10.1016/0006-3223(91)90006-8.

Abstract

This study analyzed the relationship between pretreatment electroencephalogram (EEG) and response to haloperidol medication in a group of acutely exacerbated schizophrenic patients (n = 34). Improvement was assessed after 3 and 6 weeks of treatment; it was measured globally, as decrease in the total score on the Brief Psychiatric Rating Scale (BPRS), as well as multidimensionally through the individual BPRS factors. Relative powers from four clinical EEG frequency bands were employed as predictor variables. Baseline alpha activity was significantly related to clinical response. Higher alpha values were associated with poorer response to treatment. Specifically, improvements on the "thought disturbance" and "hostility-suspiciousness" factors underlied the relationship between the pretreatment EEG and outcome.

摘要

本研究分析了一组急性加重型精神分裂症患者(n = 34)治疗前脑电图(EEG)与氟哌啶醇药物反应之间的关系。在治疗3周和6周后评估改善情况;从整体上进行评估,即简明精神病评定量表(BPRS)总分的降低,同时也通过BPRS各个因素进行多维度评估。将四个临床EEG频段的相对功率用作预测变量。基线α活动与临床反应显著相关。较高的α值与较差的治疗反应相关。具体而言,“思维紊乱”和“敌对-猜疑”因素的改善是治疗前EEG与治疗结果之间关系的基础。

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