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重度抑郁症的精神药理学最新进展

Recent Advances in the Psychopharmacology of Major Depressive Disorder.

作者信息

Alexander Laith, Young Allan H

机构信息

Department of Psychological Medicine, School of Academic Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.

St Thomas' Hospital, London, UK.

出版信息

BJPsych Adv. 2023 Mar;29(2):117-130. doi: 10.1192/bja.2022.14. Epub 2022 Apr 4.

Abstract

This review highlights some of the recent advances in the psychopharmacology of Major Depressive Disorder (MDD). We synthesise evidence on emerging pharmacological therapies targeting the serotonergic system, before exploring several novel treatment targets: the glutamatergic system, the GABAergic system, and inflammation. When describing new treatment avenues, we examine the evidence base and how far these new treatments are from routine practice.

摘要

本综述重点介绍了重度抑郁症(MDD)心理药理学的一些最新进展。在探讨几个新的治疗靶点:谷氨酸能系统、γ-氨基丁酸能系统和炎症之前,我们综合了针对血清素能系统的新兴药物治疗的证据。在描述新的治疗途径时,我们审视了证据基础以及这些新治疗方法距离常规临床应用还有多远。

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本文引用的文献

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The anterior cingulate cortex as a key locus of ketamine's antidepressant action.前扣带皮层作为氯胺酮抗抑郁作用的关键部位。
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Intravenous arketamine for treatment-resistant depression: open-label pilot study.静脉注射氯胺酮治疗难治性抑郁症:开放标签试点研究。
Eur Arch Psychiatry Clin Neurosci. 2021 Apr;271(3):577-582. doi: 10.1007/s00406-020-01110-5. Epub 2020 Feb 20.
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Peripheral Blood Cell-Stratified Subgroups of Inflamed Depression.外周血细胞分层的炎症性抑郁症亚群。
Biol Psychiatry. 2020 Jul 15;88(2):185-196. doi: 10.1016/j.biopsych.2019.11.017. Epub 2019 Dec 2.

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