Hoffer Leonard John
McGill University, Lady Davis Institute for Medical Research, Jewish General Hospital,Montreal, Quebec, Canada.
Isr J Psychiatry Relat Sci. 2008;45(1):3-10.
Schizophrenia is a devastating and poorly understood disease for which the only accepted therapy is nonspecific antipsychotic and anti-seizure medication. This article summarizes the evidence that certain vitamin deficiencies likely worsen the symptoms of schizophrenia, and the evidence that large doses of certain vitamins could improve the core metabolic abnormalities that predispose some people to develop it; it recounts the history of a controversial vitamin-based therapy for schizophrenia called orthomolecular psychiatry; and it concludes by advocating a process for discovering promising new schizophrenia therapies that involves small, carefully conducted clinical trials of nutrient combinations in appropriately selected patients.
精神分裂症是一种严重且人们了解甚少的疾病,目前唯一被认可的治疗方法是使用非特异性抗精神病药物和抗癫痫药物。本文总结了某些维生素缺乏可能会加重精神分裂症症状的证据,以及大剂量服用某些维生素可以改善一些人易患精神分裂症的核心代谢异常的证据;还讲述了一种有争议的基于维生素的精神分裂症治疗方法——正分子精神病学的历史;最后倡导了一个发现有前景的新型精神分裂症治疗方法的过程,该过程包括在适当挑选的患者中对营养成分组合进行小型、精心实施的临床试验。