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在社区诊所接受治疗的多动症患者群体中,托莫西汀和兴奋剂均能改善生活质量。

Both atomoxetine and stimulants improve quality of life in an ADHD population treated in a community clinic.

作者信息

Bastiaens Leo

机构信息

Family Services of Western Pennsylvania, University of Pittsburgh, 33 Sunnyhill Drive, Pittsburgh, PA 15228, USA.

出版信息

Psychiatr Q. 2008 Jun;79(2):133-7. doi: 10.1007/s11126-008-9070-6. Epub 2008 Mar 8.

DOI:10.1007/s11126-008-9070-6
PMID:18327640
Abstract

OBJECTIVE

To evaluate change in quality of life in a community clinic ADHD population treated with atomoxetine or stimulants. No direct comparisons between atomoxetine and stimulants to improve quality of life in ADHD are available.

METHODS

A prospective, nonrandomized comparison between ADHD patients treated with atomoxetine or stimulants in one clinic. Structured diagnostic assessment tools and a specific quality of life measure were used.

RESULTS

84 patients (atomoxetine n = 39/stimulants n = 45), between the ages of 5 and 18, were treated for approximately 8 months. At end point, there were no significant differences in improvements of quality of life between the two groups. Age, participation in psychotherapy, and parental disability were not correlated with quality of life changes. Patients with lower baseline scores improved most.

CONCLUSIONS

Both atomoxetine and stimulants led to a modest increase in quality of life in this community clinic ADHD population.

摘要

目的

评估在社区诊所中接受托莫西汀或兴奋剂治疗的多动症患者的生活质量变化。目前尚无关于托莫西汀与兴奋剂在改善多动症患者生活质量方面的直接比较。

方法

在一家诊所对接受托莫西汀或兴奋剂治疗的多动症患者进行前瞻性、非随机比较。使用了结构化诊断评估工具和特定的生活质量测量方法。

结果

84名年龄在5至18岁之间的患者(托莫西汀组n = 39/兴奋剂组n = 45)接受了约8个月的治疗。在终点时,两组在生活质量改善方面无显著差异。年龄、参与心理治疗以及父母残疾状况与生活质量变化无关。基线分数较低的患者改善最为明显。

结论

在这个社区诊所的多动症患者群体中,托莫西汀和兴奋剂均使生活质量有适度提高。

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Quality of life of children and adolescents: during psychiatric treatment in a community mental health setting.儿童和青少年的生活质量:社区心理健康环境下的精神科治疗期间。
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Effectiveness and tolerability of atomoxetine in a real-world ADHD population: nonrandomized comparison with stimulants.托莫西汀在真实世界多动症人群中的有效性和耐受性:与兴奋剂的非随机对照比较
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全球精神病理学的改善提高了 ADHD 患者接受阿托西汀或兴奋剂治疗期间的生活质量。
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Differences between children and adolescents in treatment response to atomoxetine and the correlation between health-related quality of life and Attention Deficit/Hyperactivity Disorder core symptoms: Meta-analysis of five atomoxetine trials.儿童和青少年对托莫西汀治疗反应的差异,以及健康相关生活质量与注意缺陷多动障碍核心症状之间的相关性:五项托莫西汀试验的荟萃分析。
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Does switching from oral extended-release methylphenidate to the methylphenidate transdermal system affect health-related quality-of-life and medication satisfaction for children with attention-deficit/hyperactivity disorder?从口服缓释哌甲酯转换为哌甲酯透皮贴剂是否会影响注意缺陷多动障碍儿童的健康相关生活质量和药物满意度?
Child Adolesc Psychiatry Ment Health. 2009 Dec 10;3(1):39. doi: 10.1186/1753-2000-3-39.
用于患有注意力缺陷/多动障碍合并焦虑症的儿科患者的托莫西汀治疗。
J Am Acad Child Adolesc Psychiatry. 2007 Sep;46(9):1119-1127. doi: 10.1097/chi.0b013e3180ca8385.
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A multi-centre, randomised, open-label study of atomoxetine compared with standard current therapy in UK children and adolescents with attention-deficit/hyperactivity disorder (ADHD).一项多中心、随机、开放标签研究,比较阿托西汀与英国注意缺陷多动障碍(ADHD)儿童及青少年的现行标准疗法。
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