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睡眠剥夺会加速对去甲替林的反应。

Sleep deprivation accelerates the response to nortriptyline.

作者信息

Shelton R C, Loosen P T

机构信息

Department of Psychiatry, Vanderbilt University School of Medicine, Nashville, TN.

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 1993 Jan;17(1):113-23. doi: 10.1016/0278-5846(93)90036-r.

DOI:10.1016/0278-5846(93)90036-r
PMID:8416598
Abstract
  1. The authors examined the effect of total sleep deprivation (SD) in combination with nortriptyline in 20 patients with major depressive disorder (MDD). Patients underwent a 36-hour SD procedure followed by nortriptyline started on the evening after SD, with ratings for two weeks. 2. Eleven (55%) patients were responders; they showed a rapid and sustained remission after SD, whereas non-responders demonstrated the delayed results expected with nortriptyline. 3. High initial depression scores and absence of depersonalization were associated with response to SD, while being female and middle insomnia were associated with response to the combined regimen. 4. The combination of SD with antidepressants proves to be an effective and safe treatment modality.
摘要
  1. 作者研究了完全睡眠剥夺(SD)联合去甲替林对20例重度抑郁症(MDD)患者的影响。患者先进行36小时的睡眠剥夺程序,之后在睡眠剥夺当晚开始服用去甲替林,并持续评估两周。2. 11名(55%)患者有反应;他们在睡眠剥夺后迅速且持续缓解,而无反应者则表现出与去甲替林预期相符的延迟效果。3. 初始抑郁评分高且不存在人格解体与对睡眠剥夺的反应相关,而女性和中度失眠与对联合治疗方案的反应相关。4. 睡眠剥夺与抗抑郁药联合使用被证明是一种有效且安全的治疗方式。

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1
Sleep deprivation accelerates the response to nortriptyline.睡眠剥夺会加速对去甲替林的反应。
Prog Neuropsychopharmacol Biol Psychiatry. 1993 Jan;17(1):113-23. doi: 10.1016/0278-5846(93)90036-r.
2
Sleep deprivation effects in older endogenous depressed patients.老年内源性抑郁症患者的睡眠剥夺效应
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Treatment of bereavement-related major depressive episodes in later life: a controlled study of acute and continuation treatment with nortriptyline and interpersonal psychotherapy.晚年丧亲相关重度抑郁发作的治疗:一项关于去甲替林与人际心理治疗急性及延续性治疗的对照研究
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Combined pharmacotherapy and psychotherapy in the acute and continuation treatment of elderly patients with recurrent major depression: a preliminary report.联合药物治疗与心理治疗用于老年复发性重度抑郁症患者的急性期和延续期治疗:初步报告
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Lithium sustains the acute antidepressant effects of sleep deprivation: preliminary findings from a controlled study.锂维持睡眠剥夺的急性抗抑郁作用:一项对照研究的初步结果。
Psychiatry Res. 1994 Mar;51(3):283-95. doi: 10.1016/0165-1781(94)90015-9.
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Simulated home treatment of depression with nortriptyline.用去甲替林模拟家庭治疗抑郁症。
Prog Neuropsychopharmacol Biol Psychiatry. 1991;15(1):63-70. doi: 10.1016/0278-5846(91)90041-x.
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[Study approach and initial results of the effect of sleep deprivation on the depressive syndrome].[睡眠剥夺对抑郁综合征影响的研究方法及初步结果]
Psychiatr Neurol Med Psychol (Leipz). 1983 Jul;35(7):398-404.

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