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抑郁症的变革性疗法:产后抑郁症、重度抑郁症和难治性抑郁症

Transformative Therapies for Depression: Postpartum Depression, Major Depressive Disorder, and Treatment-Resistant Depression.

作者信息

Richardson Elizabeth, Patterson Riah, Meltzer-Brody Samantha, McClure Robert, Tow Amanda

机构信息

Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA; email:

出版信息

Annu Rev Med. 2025 Jan;76(1):81-93. doi: 10.1146/annurev-med-050423-095712. Epub 2025 Jan 16.

Abstract

Depressive disorders present an enormous global public health burden. A notable treatment gap exists between the prevalence of depression and our ability to provide rapid-acting, effective treatment that achieves remission. Brexanolone and zuranolone, the first US Food and Drug Administration-approved drugs for postpartum depression, signify a critical advancement in addressing the unmet needs of a vulnerable patient population. Psilocybin shows promise for treatment-resistant depression and for those who have struggled to find relief with existing treatments. This review discusses transformative therapies that represent significant advancements in postpartum depression, major depressive disorder, and treatment-resistant depression.

摘要

抑郁症给全球公共卫生带来了巨大负担。在抑郁症的患病率与我们提供能实现缓解的速效、有效治疗的能力之间,存在着显著的治疗差距。布雷沙诺龙和祖拉诺龙是美国食品药品监督管理局批准的首批用于产后抑郁症的药物,标志着在满足弱势群体未得到满足的需求方面取得了关键进展。裸盖菇素在治疗难治性抑郁症以及那些难以通过现有治疗获得缓解的患者方面显示出前景。本综述讨论了在产后抑郁症、重度抑郁症和难治性抑郁症方面取得重大进展的变革性疗法。

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