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纳曲酮治疗自伤行为:一项临床研究。

Naltrexone in treatment of self injurious behavior: a clinical study.

作者信息

Szymanski L, Kedesdy J, Sulkes S, Cutler A, Stevens-Our P

机构信息

Children's Hospital, Boston, MA.

出版信息

Res Dev Disabil. 1987;8(2):179-90. doi: 10.1016/0891-4222(87)90002-3.

DOI:10.1016/0891-4222(87)90002-3
PMID:3671810
Abstract

It has been suggested that the parenteral opiate antagonist, naloxone, might ameliorate self-injurious behavior. However, clinical studies have had conflicting results. We have evaluated whether a potent oral opiate antagonist, naltrexone, is effective in the treatment of this condition. The study was conducted on two young, profoundly mentally retarded adults, who exhibited intractable self-injurious behavior. A double-blind, placebo-controlled, within-subject-withdrawal design was utilized. One subject was studied for 12 weeks and the other one for 18 weeks. No measurable effects on the self-injurious behavior were observed.

摘要

有人提出,肠胃外阿片类拮抗剂纳洛酮可能会改善自伤行为。然而,临床研究结果相互矛盾。我们评估了一种强效口服阿片类拮抗剂纳曲酮治疗这种病症是否有效。该研究针对两名患有严重智力障碍的年轻成年人进行,他们表现出难以控制的自伤行为。采用了双盲、安慰剂对照、受试者内撤药设计。一名受试者接受了12周的研究,另一名受试者接受了18周的研究。未观察到对自伤行为有可测量的影响。

相似文献

1
Naltrexone in treatment of self injurious behavior: a clinical study.纳曲酮治疗自伤行为:一项临床研究。
Res Dev Disabil. 1987;8(2):179-90. doi: 10.1016/0891-4222(87)90002-3.
2
Naltrexone attenuates self-injurious behavior in mentally retarded subjects.
Biol Psychiatry. 1990 Apr 1;27(7):741-6. doi: 10.1016/0006-3223(90)90589-t.
3
A case report of naltrexone treatment of self-injury and social withdrawal in autism.纳曲酮治疗自闭症患者自我伤害和社交退缩的病例报告
J Autism Dev Disord. 1990 Jun;20(2):169-76. doi: 10.1007/BF02284716.
4
Effects of naloxone and naltrexone on self-injury: a double-blind, placebo-controlled analysis.纳洛酮和纳曲酮对自我伤害行为的影响:一项双盲、安慰剂对照分析。
Am J Ment Retard. 1989 May;93(6):644-51.
5
Naltrexone decreases self-injurious behavior.纳曲酮可减少自伤行为。
Ann Neurol. 1987 Oct;22(4):550-2. doi: 10.1002/ana.410220419.
6
Failure of naltrexone hydrochloride to reduce self-injurious and autistic behavior in mentally retarded adults. Double-blind placebo-controlled studies.
Arch Gen Psychiatry. 1995 Sep;52(9):766-73. doi: 10.1001/archpsyc.1995.03950210060011.
7
Naloxone attenuates self-abusive behavior in developmentally disabled clients.纳洛酮可减轻发育障碍患者的自伤行为。
Appl Res Ment Retard. 1983;4(1):5-11. doi: 10.1016/s0270-3092(83)80014-9.
8
Effects of naloxone on self-injurious behavior: a case study.纳洛酮对自伤行为的影响:一项案例研究。
Appl Res Ment Retard. 1983;4(1):1-4. doi: 10.1016/s0270-3092(83)80013-7.
9
Effects of narcotic antagonists on self-injurious behavior: a single case study.麻醉拮抗剂对自伤行为的影响:一项单病例研究。
J Am Acad Child Adolesc Psychiatry. 1987 Nov;26(6):886-9.
10
Clinical effects of naltrexone on autistic behavior.纳曲酮对自闭症行为的临床疗效。
Am J Ment Retard. 1992 Jul;97(1):57-63.

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Opiate antagonists in children and adolescents.儿童和青少年中的阿片类拮抗剂
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Recurrent self-injurious behavior in forensic patients.法医鉴定患者的反复自伤行为。
Psychiatr Q. 1996 Spring;67(1):33-45. doi: 10.1007/BF02244273.
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A case report of naltrexone treatment of self-injury and social withdrawal in autism.纳曲酮治疗自闭症患者自我伤害和社交退缩的病例报告
J Autism Dev Disord. 1990 Jun;20(2):169-76. doi: 10.1007/BF02284716.
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Brief report: a synopsis of an open-trial of naltrexone treatment of autism with four children.
J Autism Dev Disord. 1991 Jun;21(2):243-9. doi: 10.1007/BF02284764.