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重度抑郁症患者接受帕罗西汀治疗后气质和性格量表维度的变化

Changes in the Temperament and Character Inventory dimensions after paroxetine treatment in patients with major depressive disorder.

作者信息

Tomita Tetsu, Kaneda Ayako, Nakagami Taku, Kaneko Sunao, Yasui-Furukori Norio

机构信息

Department of Neuropsychiatry, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.

出版信息

Hum Psychopharmacol. 2015 Sep;30(5):334-40. doi: 10.1002/hup.2479. Epub 2015 Apr 7.

Abstract

Previous studies have reported changes in the dimensions of the Temperament and Character Inventory (TCI) after patients with major depressive disorder are treated. We aimed to investigate the changes in the TCI dimensions after paroxetine treatment in patients with major depressive disorder. Forty-eight patients were enrolled in this study and were treated with 10-40 mg/day of paroxetine for 6 weeks. The TCI was completed twice, at weeks 0 and 6. We used the Montgomery-Asberg Depression Rating Scale (MADRS) to evaluate patients. The participants were divided into three groups (responders, non-responders, and early responders) based on treatment response. The scores of each dimension of the TCI were compared before and after treatment using repeated-measures two-way analyses of variance. In the responders group (n = 24), no TCI dimension scores changed significantly during treatment, but the interaction between sex and MADRS score change was significantly associated with the results. In the non-responders group (n = 15), the self-directedness score increased significantly during the treatment period (p = 0.000), and the change in MADRS score significantly affected the results. In the early responders group (n = 9), no TCI dimension scores changed significantly during treatment. The results of the present study may reveal a possible correlation between paroxetine treatment and changes in personality traits.

摘要

以往研究报道了重度抑郁症患者接受治疗后气质性格问卷(TCI)维度的变化。我们旨在调查帕罗西汀治疗重度抑郁症患者后TCI维度的变化。本研究纳入了48例患者,给予10 - 40毫克/天的帕罗西汀治疗6周。TCI在第0周和第6周完成两次。我们使用蒙哥马利-阿斯伯格抑郁评定量表(MADRS)评估患者。根据治疗反应将参与者分为三组(反应者、无反应者和早期反应者)。使用重复测量双向方差分析比较治疗前后TCI各维度的得分。在反应者组(n = 24)中,治疗期间TCI维度得分均无显著变化,但性别与MADRS得分变化之间的交互作用与结果显著相关。在无反应者组(n = 15)中,治疗期间自我导向得分显著增加(p = 0.000),MADRS得分的变化显著影响结果。在早期反应者组(n = 9)中,治疗期间TCI维度得分均无显著变化。本研究结果可能揭示了帕罗西汀治疗与人格特质变化之间的潜在关联。

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