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抗精神病药物撤药后静坐不能与抗精神病药物所致静坐不能:迟发性静坐不能存在的进一步证据

Antipsychotic-withdrawal akathisia versus antipsychotic-induced akathisia: further evidence for the existence of tardive akathisia.

作者信息

Dufresne R L, Wagner R L

机构信息

Rhode Island Psychiatric Research and Training Center, Cranston 02920.

出版信息

J Clin Psychiatry. 1988 Nov;49(11):435-8.

PMID:2903141
Abstract

The authors present a study in which 33 chronic schizophrenic patients who, when withdrawn from antipsychotic drug treatment for more than 2 weeks, presented with concurrent signs of akathisia and tardive dyskinesia; however, signs of akinesia, facial masking, rigidity, or dystonia were not concurrent with the patients' akathetic presentation. In a subsequent study phase, these patients were treated with antipsychotics for up to 6 weeks. The dyskinetic signs that had been dramatically more severe in those patients exhibiting akathisia following withdrawal from antipsychotic medication continued for up to 6 weeks following the renewal of antipsychotic drug therapy. These findings help to confirm a relationship between tardive dyskinesia and a persistent akathisia of later onset known as tardive akathisia.

摘要

作者介绍了一项研究,该研究中有33名慢性精神分裂症患者,当他们停用抗精神病药物治疗超过2周时,同时出现了静坐不能和迟发性运动障碍的症状;然而,运动不能、面部表情缺失、僵硬或肌张力障碍的症状并未与患者的静坐不能表现同时出现。在随后的研究阶段,这些患者接受了长达6周的抗精神病药物治疗。在停用抗精神病药物后出现静坐不能的患者中,运动障碍症状在重新开始抗精神病药物治疗后的6周内持续显著加重。这些发现有助于证实迟发性运动障碍与一种后期出现的持续性静坐不能(称为迟发性静坐不能)之间的关系。

相似文献

1
Antipsychotic-withdrawal akathisia versus antipsychotic-induced akathisia: further evidence for the existence of tardive akathisia.抗精神病药物撤药后静坐不能与抗精神病药物所致静坐不能:迟发性静坐不能存在的进一步证据
J Clin Psychiatry. 1988 Nov;49(11):435-8.
2
The present status of tardive dyskinesia and akathisia in the treatment of schizophrenia.迟发性运动障碍和静坐不能在精神分裂症治疗中的现状
Psychiatr Dev. 1987 Winter;5(4):301-19.
3
[Tardive akathisia and tardive dyskinesia].迟发性静坐不能与迟发性运动障碍
Harefuah. 1991 Jan 15;120(2):71-2.
4
Should chronic treatment-refractory akathisia be an indication for the use of clozapine in schizophrenic patients?对于精神分裂症患者,慢性治疗难治性静坐不能是否应作为使用氯氮平的指征?
J Clin Psychiatry. 1992 Jul;53(7):248-51.
5
Withdrawal symptoms after long-term treatment with low-potency neuroleptics.长期使用低效价抗精神病药物治疗后的戒断症状。
J Clin Psychiatry. 1984 Dec;45(12):500-2.
6
The present status of akathisia.
J Nerv Ment Dis. 1992 Mar;180(3):208-10.
7
Akathisia: clinical phenomenology and relationship to tardive dyskinesia.静坐不能:临床现象学及其与迟发性运动障碍的关系。
Compr Psychiatry. 1992 Jul-Aug;33(4):233-6. doi: 10.1016/0010-440x(92)90046-s.
8
A therapeutic approach to tardive dyskinesia.迟发性运动障碍的一种治疗方法。
J Clin Psychiatry. 1985 Apr;46(4 Pt 2):19-24.
9
Motor and mental side effects of clozapine.氯氮平的运动和精神副作用。
J Clin Psychiatry. 1994 Sep;55 Suppl B:107-9.
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The prevalence of akathisia in patients receiving stable doses of clozapine.接受稳定剂量氯氮平治疗的患者中静坐不能的患病率。
J Clin Psychiatry. 1994 Apr;55(4):142-5.

引用本文的文献

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What I have learnt from helping thousands of people taper off antidepressants and other psychotropic medications.我从帮助成千上万的人逐渐停用抗抑郁药和其他精神药物中学到的东西。
Ther Adv Psychopharmacol. 2021 Mar 16;11:2045125321991274. doi: 10.1177/2045125321991274. eCollection 2021.
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Akathisia Induced by Abrupt Withdrawal of Risperidone: A Case Report.
利培酮突然停药所致静坐不能:一例报告
Psychopharmacol Bull. 2019 Feb 15;49(1):80-83.
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The Assessment and Treatment of Antipsychotic-Induced Akathisia.抗精神病药物所致静坐不能的评估与治疗
Can J Psychiatry. 2018 Nov;63(11):719-729. doi: 10.1177/0706743718760288. Epub 2018 Apr 23.
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Research diagnostic criteria for drug-induced akathisia: conceptualization, rationale and proposal.药物性静坐不能的研究诊断标准:概念化、基本原理及建议。
Psychopharmacology (Berl). 1994 Feb;114(1):181-6. doi: 10.1007/BF02245462.