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精神分裂症门诊患者抗精神病药物治疗反应的性别差异。

Gender differences in response to antipsychotic treatment in outpatients with schizophrenia.

作者信息

Usall Judith, Suarez David, Haro Josep Maria

机构信息

Sant Joan de Déu-Serveis de Salut Mental, Fundació Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain.

出版信息

Psychiatry Res. 2007 Dec 3;153(3):225-31. doi: 10.1016/j.psychres.2006.09.016. Epub 2007 Aug 2.

Abstract

The aim of this study is to evaluate gender differences in schizophrenia in response to typical and atypical antipsychotics. The SOHO (Schizophrenia Outpatient Health Outcomes) study is a 3-year, prospective, observational study of health outcomes associated with antipsychotic treatment in 10 European countries that included over 10,000 outpatients initiating or changing their antipsychotic medication. The analyzed sample included 4529 men (56.68%) and 3461 women (43.32%). Findings showed that gender was a significant predictor for response based on the Clinical Global Impression (CGI) scale and for improvement in quality of life measured with the EuroQol-5D (EQ-VAS) scale, with women having a better response. The highest gender differences were found in typical antipsychotics and clozapine. Olanzapine only showed differences in quality of life, and no differences were found for risperidone. In conclusion, in this group of outpatients with schizophrenia, gender is a predictor of clinical response to antipsychotic treatment, but its influence is not the same for all antipsychotics.

摘要

本研究旨在评估精神分裂症患者在使用典型和非典型抗精神病药物时的性别差异。SOHO(精神分裂症门诊患者健康结局)研究是一项为期3年的前瞻性观察性研究,涉及10个欧洲国家的抗精神病药物治疗相关健康结局,纳入了10000多名开始或改变抗精神病药物治疗的门诊患者。分析样本包括4529名男性(56.68%)和3461名女性(43.32%)。研究结果表明,基于临床总体印象(CGI)量表,性别是反应的重要预测因素,对于用欧洲五维健康量表(EQ-VAS)测量的生活质量改善也是如此,女性的反应更好。在典型抗精神病药物和氯氮平中发现的性别差异最大。奥氮平仅在生活质量方面存在差异,利培酮未发现差异。总之,在这组精神分裂症门诊患者中,性别是抗精神病药物治疗临床反应的预测因素,但其对所有抗精神病药物的影响并不相同。

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