Psychobiological predictors of antidepressant drug response.

A J Rush, H P Roffwarg, D E Giles, M A Schlesser, C Fairchild, J Tarell
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引用次数: 19

Abstract

Forty-nine patients with major depression and a reduced (less than 65.0 minute) REM latency were treated in a randomized, double-blind study with either amitriptyline or alprazolam. Predictors of response were sought for the whole group and for each drug cell individually. A longer current episode and a higher Beck Depression Inventory to Hamilton Rating Scale ratio were predictive of a poorer response for the whole group and for the alprazolam group. A longer current episode was also predictive of a poor response to amitriptyline. These data suggest that (1) a longer current episode and (2) a greater level of self-reported compared to clinician-observed symptoms correlate with a poorer response to antidepressant medications.

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抗抑郁药物反应的心理生物学预测因子。
在一项随机、双盲研究中,49名重度抑郁症患者和减少(少于65.0分钟)的快速眼动潜伏期用阿米替林或阿普唑仑治疗。对整个组和每个药物细胞分别寻求反应的预测因子。当前发作时间越长,贝克抑郁量表与汉密尔顿量表的比值越高,预示着整个组和阿普唑仑组的反应越差。较长的当前发作也预示着对阿米替林的不良反应。这些数据表明:(1)当前发作时间较长,(2)与临床观察到的症状相比,自我报告的水平较高,与抗抑郁药物反应较差相关。
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Multimethodological approach in psychiatric predictor research. Psychobiological predictors of antidepressant drug response. The prediction of acute response, remission and general outcome of neuroleptic treatment in acute schizophrenic patients. Prediction of "natural" course, relapse and prophylactic response in schizophrenic patients. Prediction of course and therapeutic response in psychiatric diseases.
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