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美沙酮维持治疗下甲基苯丙胺滥用患者使用喹硫平后的心理健康和认知功能反应。

Mental health and cognitive function responses to quetiapine in patients with methamphetamine abuse under methadone maintenance treatment.

机构信息

Department of Addiction studies, School of Medical, Kashan University of Medical Sciences, Kashan, Iran.

Clinical Research Development Unit-Matini/Kargarnejad Hospital, Kashan University of Medical Sciences, Kashan, Iran; Department of Psychiatry, School of Medicine, Kashan University of Medical Science, Kashan, Iran.

出版信息

J Affect Disord. 2019 May 15;251:235-241. doi: 10.1016/j.jad.2019.03.078. Epub 2019 Mar 26.

DOI:10.1016/j.jad.2019.03.078
PMID:30928863
Abstract

BACKGROUND

Patients with methamphetamine (MA) abuse under methadone maintenance treatment (MMT) are susceptible to several complications including cognitive disturbance and mental health disorder. This trial was designed to determine the impacts of quetiapine administration on cognitive function and mental health scale in patients with MA abuse under MMT.

METHODS

This study was carried out in 60 MA abusers under MMT. Patients were randomly allocated to receive either 100 mg quetiapine (n = 30) or control (n = 30) daily for 8 weeks. Cognitive function and mental health scale were taken at baseline and post-treatment to evaluate relevant variables.

RESULTS

Quetiapine significantly decreased depression (b -3.94; 95% CI, -7.73, -0.16; P = 0.04) and sleep disorder (b -2.18; 95% CI, -2.89, -1.47; P < 0.001). Also, quetiapine administration resulted in a significant reduction in Iowa Gambling Task (b -2.70; 95% CI, -4.69, -0.71; P = 0.009), and significant increases in Verbal Fluency Test (b 3.04; 95% CI, 1.24, 4.85; P = 0.001), Reverse Digit Span (b 2.80; 95% CI, 2.13, 3.47; P = 0.001) compared with the placebo.

CONCLUSION

Overall, taking 100 mg quetiapine daily for 8 weeks by patients MA abuse in MMT had favorable effects on some of cognitive functions and mental health parameters.

摘要

背景

美沙酮维持治疗(MMT)下的甲基苯丙胺(MA)滥用患者易发生多种并发症,包括认知障碍和精神健康障碍。本试验旨在确定喹硫平给药对 MMT 下 MA 滥用患者认知功能和精神卫生量表的影响。

方法

本研究纳入 60 名 MMT 下 MA 滥用患者。患者随机分为每日接受 100mg 喹硫平(n=30)或对照组(n=30)治疗 8 周。在基线和治疗后评估相关变量,包括认知功能和精神卫生量表。

结果

喹硫平显著降低了抑郁(b=-3.94;95%CI:-7.73,-0.16;P=0.04)和睡眠障碍(b=-2.18;95%CI:-2.89,-1.47;P<0.001)。此外,喹硫平给药可显著降低 Iowa 赌博任务(b=-2.70;95%CI:-4.69,-0.71;P=0.009),并显著提高言语流畅性测试(b=3.04;95%CI:1.24,4.85;P=0.001)和反向数字跨度(b=2.80;95%CI:2.13,3.47;P=0.001)。

结论

总体而言,MMT 下 MA 滥用患者每日服用 100mg 喹硫平 8 周对部分认知功能和精神卫生参数有良好影响。

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