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如果这不起作用,接下来该怎么办……?一项关于精神分裂症治疗失败的研究。

And if that doesn't work, what next ...? A study of treatment failures in schizophrenia.

作者信息

Tuma A H, May P R

出版信息

J Nerv Ment Dis. 1979 Sep;167(9):566-71. doi: 10.1097/00005053-197909000-00008.

DOI:10.1097/00005053-197909000-00008
PMID:479870
Abstract

A systematic study of schizophrenic patients who did not respond satisfactorily to one of five different forms of treatment given under controlled conditions showed that almost all of them responded satisfactorily to subsequent treatment with the combination of ataraxic drugs and group psychotherapy. Whatever the original form of treatment, and despite subsequent retreatment with drugs and group psychotherapy, there was a treatment-resistant core--a few patients who either responded very slowly or who improved relatively little.

摘要

对在受控条件下接受五种不同治疗形式之一但反应不令人满意的精神分裂症患者进行的一项系统研究表明,几乎所有患者随后接受镇静药物与集体心理治疗相结合的治疗时反应都令人满意。无论最初的治疗形式如何,且尽管随后再次接受药物和集体心理治疗,仍有一个对治疗有抵抗的核心——少数患者要么反应非常缓慢,要么改善相对较小。

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And if that doesn't work, what next ...? A study of treatment failures in schizophrenia.如果这不起作用,接下来该怎么办……?一项关于精神分裂症治疗失败的研究。
J Nerv Ment Dis. 1979 Sep;167(9):566-71. doi: 10.1097/00005053-197909000-00008.
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引用本文的文献

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Subtyping Schizophrenia by Treatment Response: Antipsychotic Development and the Central Role of Positive Symptoms.根据治疗反应对精神分裂症进行亚型分类:抗精神病药物研发及阳性症状的核心作用。
Can J Psychiatry. 2015 Nov;60(11):515-22. doi: 10.1177/070674371506001107.
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Adverse effects of antipsychotic agents. Do newer agents offer advantages?抗精神病药物的不良反应。新型药物有优势吗?
Drugs. 1996 Jun;51(6):895-930. doi: 10.2165/00003495-199651060-00001.
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The treatment-resistant patient and the need to stay crazy.难治性患者与保持“疯狂”的必要性。
Psychiatr Q. 1984 Spring;56(1):75-82. doi: 10.1007/BF01324635.