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抗抑郁药急性治疗中治疗反应的预测。一项涉及159名内源性抑郁症住院患者的实证研究结果。

Prediction of therapeutic response in acute treatment with antidepressants. Results of an empirical study involving 159 endogenous depressive inpatients.

作者信息

Möller H J, Fischer G, von Zerssen D

机构信息

Max-Planck Institute for Psychiatry, Munich, Federal Republic of Germany.

出版信息

Eur Arch Psychiatry Neurol Sci. 1987;236(6):349-57. doi: 10.1007/BF00377424.

Abstract

A study was carried out involving 159 endogenous depressive inpatients treated with antidepressants. Using standardized rating instruments, a large set of potential predictor variables was tested. After cross-validation according to the split-half technique, only very few of these proved to be suitable as predictors for the main outcome criteria. These predictors included premorbid maladjustment, neurotic traits of premorbid personality, intensity of depressive-apathetic symptoms at admission, and the self-evaluated mood assessment score 3 weeks after commencement of treatment. This last criterion demonstrated the highest predictive value. Several predictors known from the literature could not be reproduced in this study.

摘要

一项针对159名接受抗抑郁药治疗的内源性抑郁症住院患者的研究展开。使用标准化评分工具,对大量潜在预测变量进行了测试。根据折半技术进行交叉验证后,结果显示其中只有极少数变量适合作为主要结局标准的预测指标。这些预测指标包括病前适应不良、病前人格的神经质特征、入院时抑郁冷漠症状的强度以及治疗开始3周后的自我评估情绪评分。最后一项标准显示出最高的预测价值。文献中已知的几个预测指标在本研究中未能得到重现。

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