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基于神经科学的命名法作为一种教学工具:介绍与初步研究。

Neuroscience-based nomenclature as a teaching tool, introduction and pilot study.

机构信息

Women's Inpatient Unit, The Jerusalem Mental Health Center.

Department of Psychiatry, Sheba Medical Center, Tel-Hashomer, and Sackler School of Medicine, Tel Aviv University, Israel.

出版信息

Int Clin Psychopharmacol. 2023 Sep 1;38(5):329-335. doi: 10.1097/YIC.0000000000000470. Epub 2023 Apr 12.

DOI:10.1097/YIC.0000000000000470
PMID:37159166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11191058/
Abstract

Neuroscience-based nomenclature (NbN) is a pharmacologically-driven nomenclature aiming to replace the current disease-based nomenclature of psychotropics, focusing on pharmacology and mode-of-action to encourage scientifically-minded prescribing. NbN might also be used as a teaching tool as it presents the depth and richness of the neuroscience of psychotropics. This study examines the effect of using NbN in student curriculum. Fifty-six medical students during clerkship in psychiatry, divided into a control group ( n  = 20), taught standard psychopharmacology, and an intervention group ( n  = 36) introduced with NbN. Both groups filled out identical questionnaires at the beginning and end of the clerkship, including questions of knowledge on psychopharmacology, views on current terminology and interest in psychiatric residency. Comparing the average change in scorings (delta post-pre) for each item in intervention vs. control questionnaires, the intervention group showed a significantly larger positive delta in 6 out of 10 items than the control group. Mean scores did not differ significantly between the two groups in the pre-questionnaires, while significantly higher scores were shown for the intervention group in within- and between-group comparisons. Introduction of NbN was associated with a better educational experience, a deeper understanding of psychotropics and increased interest in psychiatric residency.

摘要

基于神经科学的命名法(NbN)是一种药理学驱动的命名法,旨在取代当前基于疾病的精神药物命名法,专注于药理学和作用模式,以鼓励以科学为导向的处方。NbN 也可以用作教学工具,因为它展示了精神药物神经科学的深度和丰富性。本研究考察了在学生课程中使用 NbN 的效果。56 名在精神病学实习期间的医学生分为对照组(n  = 20),接受标准精神药理学教学,和干预组(n  = 36),引入 NbN。两组在实习前后都填写了相同的问卷,包括精神药理学知识问题、对当前术语的看法和对精神病学住院医师的兴趣。比较干预组和对照组问卷中每个项目的评分变化平均值(后测-前测),干预组在 10 个项目中的 6 个项目上的正 delta 明显大于对照组。两组在预问卷中的平均分数没有显著差异,而干预组在组内和组间比较中的分数明显更高。引入 NbN 与更好的教育体验、对精神药物的更深入理解以及对精神病学住院医师的兴趣增加有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a0c/11191058/b78653995808/icp-38-329-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a0c/11191058/b78653995808/icp-38-329-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a0c/11191058/b78653995808/icp-38-329-g001.jpg

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本文引用的文献

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Do We Need a New Nomenclature for Atypical Antipsychotics? A Survey of Health Care Professionals and Patients.我们是否需要为非典型抗精神病药物制定新的命名法?一项针对医疗保健专业人员和患者的调查。
Prim Care Companion CNS Disord. 2023 Feb 23;25(1):22m03331. doi: 10.4088/PCC.22m03331.
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单相抑郁的药物增效治疗:指南解读。
Int J Neuropsychopharmacol. 2020 Dec 3;23(9):587-625. doi: 10.1093/ijnp/pyaa033.
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Practice guideline recommendations summary: Treatment of tics in people with Tourette syndrome and chronic tic disorders.实践指南推荐摘要:抽动障碍患者和慢性抽动障碍的治疗。
Neurology. 2019 May 7;92(19):896-906. doi: 10.1212/WNL.0000000000007466.
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Treatments used for obsessive-compulsive disorder-An international perspective.强迫症的治疗——国际视角
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Biological Psychiatry and Biological Psychiatry: Cognitive Neuroscience and Neuroimaging Adopt Neuroscience-Based Nomenclature.《生物精神病学》与《生物精神病学:认知神经科学与神经影像学》采用基于神经科学的命名法。
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Editorial: Neuroscience-based Nomenclature (NbN) replaces the current label of psychotropic medications in European Psychiatry.社论:基于神经科学的命名法(NbN)取代了欧洲精神病学中目前精神药物的标签。
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