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老年抑郁女性可能是对哌甲酯有反应的患者亚组。

Elderly depressed females as a possible subgroup of patients responsive to methylphenidate.

作者信息

Askinazi C, Weintraub R J, Karamouz N

出版信息

J Clin Psychiatry. 1986 Sep;47(9):467-9.

PMID:3745129
Abstract

The records of 13 medically ill geriatric patients whose depression interfered with their participation in a hospital rehabilitation program were retrospectively reviewed. Treatment with methylphenidate at dosages ranging from 2.5 mg/day to 20 mg/day produced mild to marked improvement in 54% of the patients; the fact that 6 of the 7 responders were female may be indicative of a more responsive subgroup. Methylphenidate treatment of illness-related, nonpsychotic depression in the elderly appears to be an effective, quick-acting, and relatively safe therapeutic option.

摘要

对13名患有内科疾病的老年患者的记录进行了回顾性审查,这些患者的抑郁症妨碍了他们参与医院康复项目。使用剂量范围为2.5毫克/天至20毫克/天的哌甲酯进行治疗,使54%的患者有轻度至显著改善;7名有反应的患者中有6名是女性,这一事实可能表明存在一个反应性更高的亚组。哌甲酯治疗老年人与疾病相关的非精神病性抑郁症似乎是一种有效、速效且相对安全的治疗选择。

相似文献

1
Elderly depressed females as a possible subgroup of patients responsive to methylphenidate.老年抑郁女性可能是对哌甲酯有反应的患者亚组。
J Clin Psychiatry. 1986 Sep;47(9):467-9.
2
Methylphenidate in depressed medically ill patients.患有内科疾病的抑郁症患者使用哌甲酯的情况。
J Clin Psychiatry. 1991 Jun;52(6):263-7.
3
Psychostimulant treatment of depressive disorders secondary to medical illness.针对继发于躯体疾病的抑郁障碍的精神振奋剂治疗
J Clin Psychiatry. 1986 Jan;47(1):12-5.
4
Psychostimulants for depression in the medically ill.用于患有内科疾病患者抑郁症的精神振奋药。
Am Fam Physician. 1991 Jan;43(1):163-70.
5
Depression in the medically ill elderly: a focus on methylphenidate.老年病患者的抑郁症:聚焦于哌醋甲酯。
Ann Pharmacother. 1996 Feb;30(2):151-7. doi: 10.1177/106002809603000209.
6
The use of methylphenidate in depressed patients after cardiac surgery.心脏手术后抑郁症患者使用哌醋甲酯的情况。
J Clin Psychiatry. 1984 Feb;45(2):82-4.
7
Methylphenidate in treating poststroke depression.哌甲酯治疗中风后抑郁症。
J Clin Psychiatry. 1988 Apr;49(4):151-3.
8
Methylphenidate in mild depression: a double-blind controlled trial.哌甲酯治疗轻度抑郁症:一项双盲对照试验。
J Clin Psychiatry. 1985 Dec;46(12):525-7.
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Methylphenidate in post liver transplant patients.
Psychosomatics. 1998 Mar-Apr;39(2):118-23. doi: 10.1016/S0033-3182(98)71358-1.
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The antidepressant response to tricyclics in major depressives is accelerated with adjunctive use of methylphenidate.在重度抑郁症患者中,三环类抗抑郁药与哌甲酯联合使用时,其抗抑郁反应会加快。
Psychopharmacol Bull. 1994;30(2):157-64.

引用本文的文献

1
Methylphenidate for the treatment of depressive symptoms, including fatigue and apathy, in medically ill older adults and terminally ill adults.哌甲酯用于治疗患有内科疾病的老年人和晚期疾病患者的抑郁症状,包括疲劳和冷漠。
Am J Geriatr Pharmacother. 2009 Feb;7(1):34-59. doi: 10.1016/j.amjopharm.2009.02.006.
2
[Treatment of depression in the elderly. The use of psychostimulants].[老年人抑郁症的治疗。精神振奋剂的使用]
Can Fam Physician. 1993 Nov;39:2420-6.
3
Treatment considerations for the depressed geriatric medical patient.
Drugs Aging. 1991 Jul-Aug;1(4):266-78. doi: 10.2165/00002512-199101040-00003.