Pasquini Massimo, Berardelli Isabella
Dipartimento di Scienze Psichiatriche e Medicina Psicologica, Sapienza Università di Roma, Rome, Italy.
Ann Ist Super Sanita. 2009;45(2):193-204.
Anxiety disorders frequently affect the general population and have a lifetime prevalence ranging from 13.6% to 28.8%. This paper reviews full articles dealing with the pharmacological treatments of generalized anxiety disorder (GAD), obsessive-compulsive disorder (OCD), panic disorder (PD) and post-traumatic stress disorder (PTSD). This review also attempts to evaluate the use of new drugs acting on several neurotransmitters involved in the pathophysiology of anxiety disorders. Major advances include the development of glutamatergic drugs for treating GAD and OCD. Further randomized controlled trials to test the effect of glutamatergic agents in the treatment of OCD and GAD would be warranted.
焦虑症经常影响普通人群,终生患病率在13.6%至28.8%之间。本文综述了有关广泛性焦虑症(GAD)、强迫症(OCD)、惊恐障碍(PD)和创伤后应激障碍(PTSD)药物治疗的全文。本综述还试图评估作用于焦虑症病理生理学中涉及的几种神经递质的新药的使用情况。主要进展包括用于治疗GAD和OCD的谷氨酸能药物的开发。有必要进行进一步的随机对照试验,以测试谷氨酸能药物在治疗OCD和GAD中的效果。