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大马士革玫瑰油可改善 SSRIs 类抗抑郁药所致男性患者的性功能障碍:一项双盲、随机、安慰剂对照临床试验的结果。

Rosa damascena oil improves SSRI-induced sexual dysfunction in male patients suffering from major depressive disorders: results from a double-blind, randomized, and placebo-controlled clinical trial.

机构信息

Substance Abuse Prevention Research Center, Psychiatry Department, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Student Research Center, Psychiatry Department, Kermanshah University of Medical Sciences, Kermanshah, Iran.

出版信息

Neuropsychiatr Dis Treat. 2015 Mar 9;11:625-35. doi: 10.2147/NDT.S78696. eCollection 2015.

Abstract

BACKGROUND

A substantial disadvantage of psychopharmacological treatment of major depressive disorder (MDD) with selective serotonin-reuptake inhibitors (SSRIs) is the impact on sexual dysfunction. The aim of the present study was to investigate whether the oil of Rosa damascena can have a positive influence on SSRI-induced sexual dysfunction (SSRI-I SD) of male patients who are suffering from MDD and are being treated with SSRIs.

METHOD

In a double-blind, randomized, and placebo-controlled clinical trial, a total of 60 male patients treated with an SSRI and suffering from MDD (mean age =32 years) and SSRI-I SD were randomly assigned to take either verum (R. damascena oil) or a placebo. Patients completed self-ratings of depression and sexual function at baseline, at 4 weeks later, and at the end of the study, 8 weeks after it started.

RESULTS

Over time, sexual dysfunction improved more in the verum group than in the control group. Improvements were observed in the verum group from week 4 to week 8. Self-rated symptoms of depression reduced over time in both groups, but did so more so in the verum group than in the control group.

CONCLUSION

This double-blind, randomized, and placebo-controlled clinical trial showed that the administration of R. damascena oil ameliorates sexual dysfunction in male patients suffering from both MDD and SSRI-I SD. Further, the symptoms of depression reduced as sexual dysfunction improved.

摘要

背景

选择性 5-羟色胺再摄取抑制剂(SSRIs)治疗重度抑郁症(MDD)的一个显著缺点是对性功能障碍的影响。本研究的目的是探讨罗莎大马士革玫瑰油是否对正在接受 SSRIs 治疗的患有 MDD 且伴有 SSRIs 引起的性功能障碍(SSRI-I SD)的男性患者有积极影响。

方法

在一项双盲、随机、安慰剂对照的临床试验中,共纳入 60 名正在接受 SSRIs 治疗且患有 MDD(平均年龄=32 岁)且伴有 SSRI-I SD 的男性患者,随机分为真药(R. damascena 油)组或安慰剂组。患者在基线时、4 周后、研究结束时(开始后 8 周)完成抑郁和性功能的自我评估。

结果

随着时间的推移,真药组的性功能障碍改善程度大于对照组。真药组从第 4 周开始到第 8 周观察到改善。两组的抑郁自评症状随时间推移而减轻,但真药组比对照组减轻更明显。

结论

这项双盲、随机、安慰剂对照的临床试验表明,罗莎大马士革玫瑰油可改善患有 MDD 和 SSRIs-I SD 的男性患者的性功能障碍。此外,性功能障碍改善时,抑郁症状也随之减轻。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e928/4358691/d2c36d8f30c7/ndt-11-625Fig1.jpg

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