Roy-Byrne P P, Hommer D
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle.
Am J Med. 1988 Jun;84(6):1041-52. doi: 10.1016/0002-9343(88)90309-9.
The authors critically review 20 reports (studies and large case series) detailing the nature, severity, and variability of benzodiazepine withdrawal syndromes. Factors affecting the frequency and intensity of withdrawal are identified, and methodologic problems limiting the generalizability of certain findings are pointed out. Treatment approaches for minimizing withdrawal are reviewed, and implications for the problem of long-term benzodiazepine use and dependence are discussed.
作者批判性地回顾了20份报告(研究和大型病例系列),这些报告详细阐述了苯二氮䓬类药物戒断综合征的性质、严重程度和变异性。确定了影响戒断频率和强度的因素,并指出了限制某些研究结果普遍性的方法学问题。回顾了将戒断症状降至最低的治疗方法,并讨论了长期使用苯二氮䓬类药物及成瘾问题所涉及的相关情况。