Danilov D S
Korsakov Clinic of Psychiatry, Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2017;117(10):65-71. doi: 10.17116/jnevro201711710165-71.
To assess the efficacy and tolerability of pericyazine in the treatment of patients with mental disorders manifesting with psychopathic-like symptoms and correction of pathocharacterological disorders in patients with personality disorders during the short-term admission to the hospital or the long-term outpatient treatment.
Sixty-three patients with schizotypal personality disorder and organic personality disorder with psychopathic-like symptoms and pathocharacterological changes within the diagnosis of dissocial personality disorder and borderline personality disorder were examined. Patients received pericyazine during the short-term admission to the hospital (6 weeks) or the long-term outpatient treatment (6 month). Efficacy, tolerability and compliance were assessed in the study.
Treatment with pricyazine was effective in all patients. The improvement was seen in patients with organic personality disorders and patients with personality disorders (psychopathy). The maximal effect was observed in inpatients and this effect remained during outpatient treatment. The improvement of mental state of patients with schizotypal personality disorder achieved during inpatient treatment with pericyazine continued during the long-term outpatient treatment. Side-effects were restricted to extrapyramidal symptoms, the frequency of metabolic syndrome was low. During outpatient treatment, the compliance was higher if the patient was managed by the same psychiatrist during inpatient- and outpatient treatment.
评估奋乃静在短期住院或长期门诊治疗期间,对伴有精神病态样症状的精神障碍患者的疗效和耐受性,以及对人格障碍患者病理性人格障碍的矫正效果。
对63例患有分裂型人格障碍和器质性人格障碍且伴有精神病态样症状以及在反社会人格障碍和边缘型人格障碍诊断范围内存在病理性人格改变的患者进行了检查。患者在短期住院(6周)或长期门诊治疗(6个月)期间接受奋乃静治疗。在研究中评估了疗效、耐受性和依从性。
奋乃静治疗对所有患者均有效。器质性人格障碍患者和人格障碍(精神病态)患者均有改善。住院患者观察到最大疗效,且在门诊治疗期间该疗效持续存在。在住院期间使用奋乃静治疗的分裂型人格障碍患者,其精神状态的改善在长期门诊治疗期间得以持续。副作用仅限于锥体外系症状,代谢综合征的发生率较低。在门诊治疗期间,如果患者在住院和门诊治疗期间由同一位精神科医生管理,依从性会更高。