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儿童和青少年双相情感障碍急性躁狂和混合发作的非典型抗精神病药物:疗效和耐受性。

Atypical antipsychotics for acute manic and mixed episodes in children and adolescents with bipolar disorder: efficacy and tolerability.

机构信息

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California 94305, USA.

出版信息

Drugs. 2010 Mar 5;70(4):433-42. doi: 10.2165/11534540-000000000-00000.

DOI:10.2165/11534540-000000000-00000
PMID:20205485
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2882025/
Abstract

The diagnosis of bipolar disorder (BD) in children is increasing, and often requires a comprehensive treatment plan to address a complex array of symptoms and associated morbidities. Pharmacotherapy, in combination with psychotherapeutic interventions, is essential for the treatment and stabilization of disrupted mood. Current evidence collectively demonstrates, by randomized controlled design, that atypical antipsychotics have efficacy for the treatment of acute manic or mixed symptoms in children and adolescents with BD. Additional longitudinal and biological studies are warranted to characterize the effects of atypical antipsychotics on all phases and stages of bipolar illness development in children and adolescents.

摘要

儿童双相情感障碍 (BD) 的诊断正在增加,通常需要一个综合治疗计划来解决一系列复杂的症状和相关的病态。药物治疗结合心理治疗干预对于治疗和稳定情绪紊乱至关重要。目前的证据通过随机对照设计共同表明,非典型抗精神病药对于治疗儿童和青少年双相情感障碍的急性躁狂或混合症状具有疗效。需要进行更多的纵向和生物学研究来描述非典型抗精神病药对儿童和青少年双相情感障碍所有阶段和时期的影响。

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本文引用的文献

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Acute treatment of pediatric bipolar I disorder, manic or mixed episode, with aripiprazole: a randomized, double-blind, placebo-controlled study.阿立哌唑用于儿童双相I型障碍躁狂或混合发作的急性治疗:一项随机、双盲、安慰剂对照研究。
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Risperidone for the treatment of acute mania in children and adolescents with bipolar disorder: a randomized, double-blind, placebo-controlled study.利培酮治疗双相情感障碍儿童和青少年躁狂发作的随机、双盲、安慰剂对照研究。
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Atypical antipsychotic drugs and the risk of sudden cardiac death.非典型抗精神病药物与心源性猝死风险
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Review of risperidone for the treatment of pediatric and adolescent bipolar disorder and schizophrenia.利培酮治疗儿童和青少年双相情感障碍及精神分裂症的评价。
Neuropsychiatr Dis Treat. 2008 Feb;4(1):55-68.
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Reporting outcomes in clinical trials for bipolar disorder: a commentary and suggestions for change.双相情感障碍临床试验中的结果报告:评论与变革建议
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