O'Toole S M, Johnson D A
Graduate School of Nursing, Duquesne University, Pittsburgh, PA 15282-1504, USA.
Arch Psychiatr Nurs. 1997 Dec;11(6):304-13. doi: 10.1016/s0883-9417(97)80003-9.
Psychopharmacology has continually informed the biological perspective of major depression. Antidepressants affect a variety of neurotransmitters by a wide range of pharmacological actions. The complexity of these neurotransmitter receptor interactions likely underlies the discrepancies observed in biochemical and physiological responses among apparently clinically homogenous depressive subgroups. This report provides an integrated review of the neuroendocrine and neurochemical perspectives of unipolar depression and how these advances influence the psychopharmacotherapy of unipolar major depression.
精神药理学一直为重度抑郁症的生物学观点提供依据。抗抑郁药通过多种药理作用影响多种神经递质。这些神经递质受体相互作用的复杂性可能是导致在明显临床同质的抑郁亚组中观察到的生化和生理反应差异的原因。本报告对单相抑郁症的神经内分泌和神经化学观点以及这些进展如何影响单相重度抑郁症的心理药物治疗进行了综合综述。