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纳曲酮在边缘型人格障碍中的潜在作用。

The Potential Role of Naltrexone in Borderline Personality Disorder.

作者信息

Moghaddas Azadeh, Dianatkhah Mehrnoush, Ghaffari Saba, Ghaeli Padideh

机构信息

Department of Clinical Pharmacy, Faculty of Pharmacy, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Clinical Pharmacy, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Iran J Psychiatry. 2017 Apr;12(2):142-146.

PMID:28659987
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5483240/
Abstract

Management of borderline personality disorder (BPD) is a difficult challenge due to the complex features of this disorder. This article reviews the use of naltrexone in the treatment of BPD. Published articles and clinical trials were searched in Google Scholar, MedLine, ELSEVIER, and Cochrane database of systematic reviews abstracts in English language between 1990 and 2017. Naltrexone (NTX), a nonspecific competitive opiate antagonist, has been noted to be helpful in controlling self-injurious behavior (SIB) and dissociative symptoms in patients with BPD. Further studies should be conducted on the effects of naltrexone to confirm the role of this medication in the treatment of BPD.

摘要

由于边缘型人格障碍(BPD)具有复杂的特征,对其进行管理是一项艰巨的挑战。本文综述了纳曲酮在BPD治疗中的应用。在1990年至2017年期间,我们在谷歌学术、医学在线数据库、爱思唯尔数据库以及考克兰系统评价摘要数据库中搜索了已发表的文章和临床试验,检索语言限定为英文。纳曲酮(NTX)是一种非特异性竞争性阿片拮抗剂,已被证实有助于控制BPD患者的自我伤害行为(SIB)和解离症状。应进一步研究纳曲酮的作用,以确认该药物在BPD治疗中的地位。

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Are opioid antagonists effective in reducing self-injury in adults with intellectual disability? A systematic review.阿片类拮抗剂对减少成年智力残疾者的自伤行为是否有效?一项系统评价。
J Intellect Disabil Res. 2015 Jan;59(1):55-67. doi: 10.1111/jir.12111. Epub 2014 Jan 7.
2
Personality disorders: review and clinical application in daily practice.人格障碍:综述及在日常临床实践中的应用。
Am Fam Physician. 2011 Dec 1;84(11):1253-60.
3
Evaluation of naltrexone for dissociative symptoms in borderline personality disorder.评估纳曲酮治疗边缘型人格障碍的分离症状。
Int Clin Psychopharmacol. 2012 Jan;27(1):61-8. doi: 10.1097/YIC.0b013e32834d0e50.
4
Dysregulation of regional endogenous opioid function in borderline personality disorder.边缘型人格障碍的区域性内源性阿片功能失调。
Am J Psychiatry. 2010 Aug;167(8):925-33. doi: 10.1176/appi.ajp.2010.09091348. Epub 2010 May 3.
5
Borderline personality disorder: a dysregulation of the endogenous opioid system?边缘型人格障碍:内源性阿片系统失调?
Psychol Rev. 2010 Apr;117(2):623-36. doi: 10.1037/a0018095.
6
Neuropsychobiological aspects, comorbidity patterns and dimensional models in borderline personality disorder.边缘型人格障碍的神经心理生物学方面、共病模式和维度模型。
Neuropsychobiology. 2010;61(4):169-79. doi: 10.1159/000297734. Epub 2010 Mar 18.
7
Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions.《精神疾病诊断与统计手册》第四版边缘型人格障碍的患病率、相关因素、残疾情况及共病情况:来自第二轮酒精及相关疾病全国流行病学调查的结果
J Clin Psychiatry. 2008 Apr;69(4):533-45. doi: 10.4088/jcp.v69n0404.
8
Motives for nonsuicidal self-injury among women with borderline personality disorder.边缘型人格障碍女性非自杀性自我伤害的动机。
J Nerv Ment Dis. 2008 Mar;196(3):230-6. doi: 10.1097/NMD.0b013e3181663026.
9
Dissociative symptoms are positively related to stress in borderline personality disorder.分离性症状与边缘型人格障碍中的压力呈正相关。
Acta Psychiatr Scand. 2008 Feb;117(2):139-47. doi: 10.1111/j.1600-0447.2007.01126.x. Epub 2007 Nov 19.
10
An open trial of naltrexone in the treatment of depersonalization disorder.纳曲酮治疗人格解体障碍的开放性试验。
J Clin Psychopharmacol. 2005 Jun;25(3):267-70. doi: 10.1097/01.jcp.0000162803.61700.4f.