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急性苯丙胺反应可预测精神分裂症患者对碳酸锂的抗抑郁和抗精神病反应。

Acute amphetamine response predicts antidepressant and antipsychotic responses to lithium carbonate in schizophrenic patients.

作者信息

van Kammen D P, Docherty J P, Marder S R, Bunney W E

出版信息

Psychiatry Res. 1981 Jun;4(3):313-25. doi: 10.1016/0165-1781(81)90033-0.

DOI:10.1016/0165-1781(81)90033-0
PMID:6115437
Abstract

Acute behavioral changes following a 20 mg i.v. d-amphetamine predicted the small antipsychotic and antidepressant effects of the third week of lithium treatment in schizophrenic patients. Multivariate regression models accounted for 95% of the variance predicting the antipsychotic effects and for 89% of the variance predicting the antidepressant effects in postpsychotic depressed patients. The greater the increases in the d-amphetamine-induced changes in the thought disorder cluster of the Brief Psychiatric Rating Scale, the greater the antipsychotic effects of lithium. The data suggest that the modest behavioral changes observed with lithium in schizophrenia are most likely drug-induced.

摘要

静脉注射20毫克右旋苯丙胺后出现的急性行为变化,可预测锂盐治疗第三周对精神分裂症患者的小剂量抗精神病和抗抑郁作用。多变量回归模型解释了预测抗精神病作用的95%的方差以及预测精神病后抑郁患者抗抑郁作用的89%的方差。简明精神病评定量表思维障碍集群中,右旋苯丙胺诱导的变化增加幅度越大,锂盐的抗精神病作用就越强。数据表明,锂盐在精神分裂症中观察到的适度行为变化很可能是药物引起的。

相似文献

1
Acute amphetamine response predicts antidepressant and antipsychotic responses to lithium carbonate in schizophrenic patients.急性苯丙胺反应可预测精神分裂症患者对碳酸锂的抗抑郁和抗精神病反应。
Psychiatry Res. 1981 Jun;4(3):313-25. doi: 10.1016/0165-1781(81)90033-0.
2
Severe akathisia causing neuroleptic failure: an indication for lithium therapy in schizophrenia?导致抗精神病药治疗失败的严重静坐不能:精神分裂症中锂盐治疗的一项指征?
Acta Psychiatr Scand. 1987 Dec;76(6):715-8. doi: 10.1111/j.1600-0447.1987.tb02944.x.
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The pharmacologic treatment of schizophrenia: a progress report.精神分裂症的药物治疗:进展报告。
Schizophr Bull. 1983;9(4):504-27. doi: 10.1093/schbul/9.4.504.
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Antidepressant usage in schizophrenia.精神分裂症中抗抑郁药的使用情况。
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Response of thyrotropin to thyrotropin-releasing hormone as predictor of treatment outcome. Prediction of recovery and relapse in treatment with antidepressants and neuroleptics.促甲状腺激素对促甲状腺激素释放激素的反应作为治疗结果的预测指标。抗抑郁药和抗精神病药治疗中康复和复发的预测。
Arch Gen Psychiatry. 1986 Sep;43(9):861-8. doi: 10.1001/archpsyc.1986.01800090047007.
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Lithium carbonate in chronic schizophrenia--a brief trial of lithium carbonate added to neuroleptics for treatment of resistant schizophrenic patients.碳酸锂治疗慢性精神分裂症——在抗精神病药物基础上加用碳酸锂治疗难治性精神分裂症患者的短期试验
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Arch Gen Psychiatry. 1983 Dec;40(12):1335-42. doi: 10.1001/archpsyc.1983.01790110077013.

引用本文的文献

1
Amphetamines for schizophrenia.用于治疗精神分裂症的苯丙胺类药物。
Cochrane Database Syst Rev. 2004 Oct 18;2004(4):CD004964. doi: 10.1002/14651858.CD004964.
2
Lithium attenuates the activation-euphoria but not the psychosis induced by d-amphetamine in schizophrenia.
Psychopharmacology (Berl). 1985;87(1):111-5. doi: 10.1007/BF00431789.