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患有抑郁症的成年智障者应如何进行精神药物治疗?

[How should mentally handicapped adults with depressive disorders be treated psychopharmacologically?].

作者信息

Meins W

机构信息

Albertinen-Haus, Medizinisch-Geriatrische Klinik, Hamburg.

出版信息

Nervenarzt. 1996 Mar;67(3):216-8.

PMID:8901279
Abstract

The psychotropic drug treatment being administrated to 38 mentally retarded persons (age > 19 years) with current DSM-III-R depressive disorders and living in different types of residential care institutions was compared with that received by a non-depressive group of mental retarded adults (n = 146). The individuals with depressive disorders more frequently received treatment with at least one psychotropic drug (45% vs 22%), most often neuroleptics (45% vs 18%) and seldom antidepressants (11% vs 0%). These results suggest that treatment is frequently inappropriate and ineffective.

摘要

对38名患有当前DSM-III-R抑郁障碍、年龄大于19岁且生活在不同类型寄宿护理机构的智力迟钝者进行的精神药物治疗,与一组非抑郁的智力迟钝成年人(n = 146)所接受的治疗进行了比较。患有抑郁障碍的个体更频繁地接受至少一种精神药物治疗(45%对22%),最常使用的是抗精神病药物(45%对18%),很少使用抗抑郁药(11%对0%)。这些结果表明,治疗常常是不恰当且无效的。

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