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人类免疫缺陷病毒感染患者抑郁症的治疗

Treatment of depression in HIV-infected patients.

作者信息

Cazzullo C L, Bessone E, Bertrando P, Pedrazzoli L, Cusini M

机构信息

University of Milan, Italy.

出版信息

J Psychiatry Neurosci. 1998 Nov;23(5):293-7.

PMID:9846034
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1188957/
Abstract

BACKGROUND

Pharmacological treatment of depression in HIV-infected patients has been found to be effective. This study assessed the efficacy and feasibility of treatment with fluoxetine and the best method of administering the drug to patients with HIV infection.

METHODS

Sixteen seropositive and 16 seronegative patients, equally matched for age and sex, who had Hamilton Rating Scale for Depression scores of at least 16 and who received at least 20 mg/d of fluoxetine for 8 weeks were studied.

RESULTS

Depression was alleviated in both groups. However, improvement in the seropositive patients occurred later.

INTERPRETATION

The results confirm the effectiveness of fluoxetine in treating depression in people with HIV infection. The lack of adverse effects makes this treatment particularly suitable, especially because seronegative people take longer to respond to treatment.

摘要

背景

已发现抗逆转录病毒治疗对感染HIV的患者的抑郁症有效。本研究评估了氟西汀治疗的疗效和可行性,以及向HIV感染患者给药的最佳方法。

方法

研究了16名血清反应阳性和16名血清反应阴性的患者,他们在年龄和性别上匹配,汉密尔顿抑郁量表评分至少为16分,并且接受至少20mg/d的氟西汀治疗8周。

结果

两组的抑郁症均得到缓解。然而,血清反应阳性患者的改善出现得较晚。

解读

结果证实了氟西汀治疗HIV感染患者抑郁症的有效性。缺乏不良反应使得这种治疗特别合适,尤其是因为血清反应阴性的人对治疗的反应时间更长。

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Fluoxetine: a review of its therapeutic potential in the treatment of depression associated with physical illness.氟西汀:关于其治疗与躯体疾病相关抑郁症的治疗潜力综述
Drugs. 2001;61(1):81-110. doi: 10.2165/00003495-200161010-00010.
4
Antidepressant treatment and health services utilization among HIV-infected medicaid patients diagnosed with depression.感染艾滋病毒的医疗补助患者中被诊断为抑郁症后的抗抑郁治疗及医疗服务利用情况
J Gen Intern Med. 2000 May;15(5):311-20. doi: 10.1046/j.1525-1497.2000.06219.x.

本文引用的文献

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Psychopharmacology in HIV-positive patients: research perspectives.HIV 阳性患者的精神药理学:研究展望。
Psychopharmacol Bull. 1996;32(3):293-7.
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Depressive syndromes and symptoms in subjects with human immunodeficiency virus (HIV) infection.感染人类免疫缺陷病毒(HIV)的受试者中的抑郁综合征及症状
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Effects of sertraline on mood and immune status in patients with major depression and HIV illness: an open trial.舍曲林对重度抑郁症合并人类免疫缺陷病毒感染患者情绪及免疫状态的影响:一项开放性试验。
J Clin Psychiatry. 1994 Oct;55(10):433-9.
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Effects of fluoxetine on mood and immune status in depressed patients with HIV illness.氟西汀对合并HIV感染的抑郁症患者情绪及免疫状态的影响。
J Clin Psychiatry. 1994 Mar;55(3):92-7.
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Psychopharmacology in HIV spectrum disorders.HIV谱系障碍中的精神药理学。
Psychiatr Clin North Am. 1994 Mar;17(1):135-48.
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Effect of imipramine on mood and enumerative measures of immune status in depressed patients with HIV illness.丙咪嗪对合并人类免疫缺陷病毒感染的抑郁症患者情绪及免疫状态计数指标的影响。
Am J Psychiatry. 1994 Apr;151(4):516-23. doi: 10.1176/ajp.151.4.516.