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左旋多巴会改变帕金森病患者的抑郁和精神病理学状况吗?

Does levodopa alter depression and psychopathology in Parkinsonism patients?

作者信息

Marsh G G, Markham C H

出版信息

J Neurol Neurosurg Psychiatry. 1973 Dec;36(6):925-35. doi: 10.1136/jnnp.36.6.925.

Abstract

Twenty-seven Parkinsonism patients and 31 controls, matched for age and verbal IQ, were tested on an objectively scored personality test (Minnesota Multiphasic Personality Inventory) at the beginning of the patients' levodopa therapy and three months later. Patients, but not the controls, were retested after 15 months of levodopa treatment. The patients, all of whom were intact intellectually, obtained MMPI scores indicating moderate depression before beginning levodopa treatment. There was no test evidence to indicate that levodopa significantly increased or decreased the amount of depression in the patients after three or 15 months of levodopa. The patient group, however, significantly increased their Index of Psychopathology (Ip) score after 15 months of levodopa but not after three months.

摘要

27名帕金森病患者和31名年龄及言语智商相匹配的对照者,在患者开始左旋多巴治疗之初及三个月后,接受了一项客观评分的人格测试(明尼苏达多相人格调查表)。在左旋多巴治疗15个月后,对患者进行了重新测试,但对照者未进行。所有患者智力均正常,在开始左旋多巴治疗前,其明尼苏达多相人格调查表得分显示有中度抑郁。没有测试证据表明,在左旋多巴治疗三个月或15个月后,左旋多巴会显著增加或减少患者的抑郁程度。然而,患者组在左旋多巴治疗15个月后,其精神病理学指数(Ip)得分显著增加,但在三个月后未增加。

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引用本文的文献

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