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增强创伤后应激障碍(PTSD)治疗的心理干预:记忆影响药物的应用。

Enhancing Psychological Interventions for Post-Traumatic Stress Disorder (PTSD) Treatment with Memory Influencing Drugs.

机构信息

Department of Physiology and Pharmacology, University of Rome, Sapienza, Rome, Italy.

Neuropsychopharmacology Laboratory, European Center for Brain Research, Santa Lucia Foundation, Rome, Italy.

出版信息

Curr Neuropharmacol. 2023;21(3):687-707. doi: 10.2174/1570159X21666221207162750.

Abstract

Post-traumatic stress disorder (PTSD) is a chronic psychiatric disease resulting from the experience or witnessing of traumatic events. Persistent PTSD symptoms impair patients' daily quality of life, jeopardizing sleep, mood, sociability, and arousal. Recommended psychological or pharmacological interventions are effective only in a small portion of patients and often lead to relapse. Thus, there is a critical need to address a lack of advancement in the treatment of PTSD. The combination of psychological interventions, aimed at facilitating the extinction of the traumatic memory, and pharmacological medications, represents a promising tool for PTSD treatment. Timely use of psychotherapy in conjunction with pharmacological treatments, rather than monotherapy, could thus determine a synergistic effect by potentiating the effects of psychological interventions. In such a scenario, drugs that modulate cognitive processes involved in the development and/or persistence of post-traumatic symptomatology could be of great help to improve the outcome of psychotherapies and patients' prognosis. The purpose of the present article is to review the current data available from clinical trials on combined pharmacological treatments with psychological interventions in PTSD therapy. An overview of findings from animal studies that prompted clinical research is also discussed.

摘要

创伤后应激障碍(PTSD)是一种慢性精神疾病,由创伤事件的经历或目睹引起。持续的 PTSD 症状会损害患者的日常生活质量,影响睡眠、情绪、社交能力和警觉性。推荐的心理或药物干预措施仅对一小部分患者有效,而且常常导致复发。因此,迫切需要解决 PTSD 治疗方面缺乏进展的问题。将旨在促进创伤性记忆消除的心理干预与药物治疗相结合,代表了 PTSD 治疗的一种有前途的工具。及时结合药物治疗与心理治疗,而不是单一疗法,可能会通过增强心理干预的效果产生协同作用。在这种情况下,调节与创伤后症状发展和/或持续相关的认知过程的药物可能会极大地帮助改善心理治疗的效果和患者的预后。本文的目的是综述 PTSD 治疗中联合药物治疗和心理干预的临床试验的现有数据。还讨论了促使临床研究开展的动物研究结果概述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27df/10207915/6a1e8e13424f/CN-21-687_F1.jpg

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