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地西泮是一种抗抑郁药吗?

Is diazepam an antidepressant?

作者信息

Tiller J W, Schweitzer I, Maguire K P, Davis B

机构信息

Department of Psychiatry, Univerisity of Melbourne.

出版信息

Br J Psychiatry. 1989 Oct;155:483-9. doi: 10.1192/bjp.155.4.483.

DOI:10.1192/bjp.155.4.483
PMID:2692764
Abstract

In double-blind sequential study, diazepam was compared with the proven antidepressant moclobemide, in patients with atypical depression. Both agents significantly improved depression ratings over eight weeks of treatment. Diazepam was a significantly better antidepressant than moclobemide at four week, although not at eight weeks. All patients ceased diazepam within one year and none reported withdrawal reactions. These data suggest the need to reconsider that benzodiazepines may be antidepressants and to study their possible antidepressant actions.

摘要

在双盲序贯研究中,将地西泮与已证实有效的抗抑郁药吗氯贝胺用于非典型抑郁症患者进行比较。在为期八周的治疗中,两种药物均显著改善了抑郁评分。在治疗四周时,地西泮作为抗抑郁药的效果显著优于吗氯贝胺,但在八周时并非如此。所有患者在一年内停用了地西泮,且无人报告有戒断反应。这些数据表明有必要重新考虑苯二氮䓬类药物可能是抗抑郁药,并研究其可能的抗抑郁作用。

相似文献

1
Is diazepam an antidepressant?地西泮是一种抗抑郁药吗?
Br J Psychiatry. 1989 Oct;155:483-9. doi: 10.1192/bjp.155.4.483.
2
Treatment of atypical depression with moclobemide: a sequential double controlled study.吗氯贝胺治疗非典型抑郁症:一项序贯双对照研究。
Int J Clin Pharmacol Res. 1989;9(2):111-7.
3
A sequential double-blind controlled study of moclobemide and diazepam in patients with atypical depression.吗氯贝胺与地西泮治疗非典型抑郁症的序贯双盲对照研究
J Affect Disord. 1989 Mar-Jun;16(2-3):181-7. doi: 10.1016/0165-0327(89)90072-4.
4
Moclobemide in depression: a randomized, multicentre trial against isocarboxazide and clomipramine emphasizing atypical depression.吗氯贝胺治疗抑郁症:一项针对异卡波肼和氯米帕明的随机、多中心试验,重点关注非典型抑郁症。
Acta Psychiatr Scand. 1991 Dec;84(6):564-70. doi: 10.1111/j.1600-0447.1991.tb03196.x.
5
Moclobemide in continuation treatment of major depressive episodes: an open follow-up study over six months.吗氯贝胺用于重度抑郁发作的延续治疗:一项为期6个月的开放性随访研究。
J Clin Psychopharmacol. 1995 Aug;15(4 Suppl 2):46S-50S. doi: 10.1097/00004714-199508001-00009.
6
Moclobemide versus amitriptyline in the treatment of depression: two small double-blind multicentre studies in Belgium.吗氯贝胺与阿米替林治疗抑郁症的对比:比利时两项小型双盲多中心研究
Acta Psychiatr Scand Suppl. 1990;360:52-3. doi: 10.1111/j.1600-0447.1990.tb05329.x.
7
[Psychometric findings in treatment using the selective MAO-A inhibitors moclobemide and maprotiline].[使用选择性单胺氧化酶-A抑制剂吗氯贝胺和马普替林治疗的心理测量结果]
Psychiatr Prax. 1989 Aug;16 Suppl 1:41-3.
8
Moclobemide versus fluoxetine for major depressive episodes.吗氯贝胺与氟西汀治疗重度抑郁发作的比较。
Clin Neuropharmacol. 1994;17 Suppl 1:S50-7. doi: 10.1097/00002826-199417001-00007.
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Multicenter double-blind study of moclobemide and maprotiline.吗氯贝胺与马普替林的多中心双盲研究。
Clin Neuropharmacol. 1994;17 Suppl 1:S38-49. doi: 10.1097/00002826-199417001-00006.
10
Moclobemide for depression: an Australian psychiatric practice study.
J Clin Psychopharmacol. 1995 Aug;15(4 Suppl 2):31S-34S. doi: 10.1097/00004714-199508001-00006.

引用本文的文献

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A comparison of active drugs for the treatment of dysthymia.用于治疗心境恶劣障碍的活性药物比较。
Cochrane Database Syst Rev. 2003;2003(3):CD004047. doi: 10.1002/14651858.CD004047.
2
Curative effects of the atypical antidepressant mianserin in the chronic mild stress-induced anhedonia model of depression.非典型抗抑郁药米氮平在慢性轻度应激诱导的抑郁症快感缺失模型中的疗效。
J Psychiatry Neurosci. 1994 Jan;19(1):51-6.
3
Benzodiazepines. Depressants or antidepressants?苯二氮䓬类药物。是镇静剂还是抗抑郁药?
Drugs. 1992 Aug;44(2):165-9. doi: 10.2165/00003495-199244020-00001.