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A Case of Chronic Schizophrenia Who were Switched from Combined Treatment to Monotherapy and Achieved a Decrease in Positive Symptoms after Lowering the Clozapine Dose 慢性精神分裂症患者由联合治疗转为单药治疗,降低氯氮平剂量后阳性症状减轻1例
Q Medicine Pub Date : 2016-11-08 DOI: 10.5455/BCP.20130127023102
H. Hamurcu, A. Çayköylü, Eda Peksen, M. Ozturk, Neslihan Sevil
ABSTRACTDespite the limited evidence to support the combination of antipsychotics in treatment resistant schizophrenia in the literature, this situation is common in clinical practice. Treatment guidelines recommend monotherapy for schizophrenia primarily. In this article, a chronic schizophrenic case whose treatment is changed from combination of clozapine with aripiprazole to clozapine monotherapy and whose positive symptoms decreased with the decrease of clozapine doses 900 mg/day to 625 mg/day is reported.
尽管文献中支持抗精神病药物联合治疗难治性精神分裂症的证据有限,但这种情况在临床实践中很常见。治疗指南建议对精神分裂症主要采用单一疗法。本文报道一例慢性精神分裂症患者,由氯氮平与阿立哌唑联合治疗改为氯氮平单药治疗,其阳性症状随着氯氮平剂量从900 mg/天减少到625 mg/天而减少。
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引用次数: 1
Suicide Attempt with High Dose Long Acting Methylphenidate Ingestion: A Case Presentation 高剂量长效哌甲酯摄入自杀企图:一例报告
Q Medicine Pub Date : 2016-11-08 DOI: 10.5455/BCP.20151223093022
Handan Özek Erkuran, B. Çakaloz, Özlem Önen, A. Kutlu
ABSTRACTAttention Deficit and Hyperactivity Disorder (ADHD) is among the most commonly encountered neurodevelopmental disorders in childhood with its reported worldwide prevalance as 5%. Among the recommended treatment regimens as stimulants, the most frequently advised ones are methylphenidate (MPH) preparates. Among long acting MPH preparates, the form that contains an osmotic release oral system (MPH-OROS) is frequently used in clinical practice. Studies about risks, causes and outcomes regarding high dose MPH intake and effects of high dose MPH preparates in humans are limited. This article presents the clinical picture of a 12 year old boy who attempted suicide by ingesting 15 tablets of 36- mg MPH OROS. Exposure to an overdose of MPH-OROS exhibited acute sympathomimetic toxicity but no life-threatening symptoms in this patient. This case report might suggest that higher doses of MPH-OROS could be tolerated well under fine clinical observation and management; although more larger scale studies in thi...
摘要注意缺陷多动障碍(ADHD)是儿童时期最常见的神经发育障碍之一,据报道其全球患病率为5%。在作为兴奋剂的推荐治疗方案中,最常被建议的是哌甲酯制剂。在长效MPH制剂中,含有渗透释放口服系统(MPH- oros)的形式常用于临床实践。关于高剂量MPH摄入的风险、原因和结果以及高剂量MPH制剂对人类的影响的研究是有限的。这篇文章提出了临床图片的12岁男孩谁企图自杀服用15片36毫克的MPH OROS。过量暴露于MPH-OROS表现出急性拟交感神经毒性,但没有危及生命的症状。本病例报告提示,在良好的临床观察和管理下,高剂量的MPH-OROS是可以耐受的;尽管这方面更大规模的研究…
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引用次数: 4
Association of 5-HT1A and 5-HT1B Gene Polymorphisms with Obsessive-Compulsive Disorder in a Turkish Population 5-HT1A和5-HT1B基因多态性与土耳其人群强迫症的关联
Q Medicine Pub Date : 2016-11-08 DOI: 10.5455/BCP.20151003063454
S. Aldemir, M. Acar, Z. Ocak, E. Dalbudak, M. R. Yiğitoğlu, E. Gunduz
ABSTRACTObjective: Obsessive-compulsive disorder (OCD) is a frequent neuropsychiatric disorder, in which genetic factors play important causative roles. We investigated the roles of the (-1019 C/G) promoter region polymorphism of 5-HTR1A and the G861C coding region polymorphism of 5-HTR1B genes in susceptibility to OCD in a Turkish population.Methods: Two single nucleotide polymorphisms, 5-HTR1A (rs6296) and 5-HTR1B (rs6295) genes were genotyped in 76 OCD patients and 57 healthy controls that were unrelated, using PCR-RFLP method.Results: We did not observe any difference in the genotype distributions of rs6296 and rs6295 between the OCD patient and control groups.Conclusions: As far as we know, our study is the first to establish the association of genetic variants 5-HTR1A (rs6296) and 5-HTR1B (rs6295) with OCD in a Turkish population. Based on our results, the relationship between polymorphisms of 5-HTR1A (rs6296) and 5-HTR1B (rs6295) with OCD do not seem.
摘要目的:强迫症(Obsessive-compulsive disorder, OCD)是一种常见的神经精神障碍,遗传因素在其中起着重要的致病作用。我们研究了5-HTR1A (-1019 C/G)启动子区多态性和5-HTR1B基因G861C编码区多态性在土耳其人群中对强迫症易感性的作用。方法:采用PCR-RFLP方法,对76例强迫症患者和57例健康对照进行5-HTR1A (rs6296)和5-HTR1B (rs6295)两个单核苷酸多态性基因分型。结果:强迫症患者与对照组rs6296和rs6295基因型分布无明显差异。结论:据我们所知,我们的研究是第一个在土耳其人群中建立遗传变异5-HTR1A (rs6296)和5-HTR1B (rs6295)与强迫症的关联。根据我们的研究结果,5-HTR1A (rs6296)和5-HTR1B (rs6295)的多态性与强迫症之间的关系似乎并不明显。
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引用次数: 1
Night Eating Syndrome Frequency in University Students: Association with Impulsivity, Depression, and Anxiety 大学生夜食综合症频率:与冲动、抑郁和焦虑的关系
Q Medicine Pub Date : 2016-11-08 DOI: 10.5455/BCP.20160322093750
G. Sevinçer, E. Ince, Ibrahim Taymur, N. Konuk
Objective: The aim of this study was to examine frequency of night eating syndrome and its correlates with depression, anxiety, impulsivity and problematic eating behaviors in a university sample f...
目的:本研究的目的是研究夜间进食综合征的频率及其与抑郁、焦虑、冲动和问题饮食行为的关系。
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引用次数: 35
Sertraline-Induced Diplopia Sertraline-Induced复视
Q Medicine Pub Date : 2016-11-08 DOI: 10.5455/BCP.20160109124021
Ş. Eray, H. Uçar, Assoc. Prof. Ayse Pinar Vural
Diplopia is a condition that involves seeing double and impairs quality of life. Acute diplopia can be seen with some general medical drugs and psychotropic drugs. Selective serotonin reuptake inhibitors (SSRIs) are widely prescribed to treat a variety of psychiatric disorders. Sertraline is a relatively selective serotonin reuptake inhibitor with some dopamine reuptake inhibitor activity. This paper reports development of diplopia, a rare adverse effect of SSRI, in a 14 years old patient with major depressive disorder following use of sertraline. Clinicians should keep in mind that diplopia may occur with sertraline treatment.
复视是一种双重视力,影响生活质量的疾病。一些普通药物和精神药物均可治疗急性复视。选择性血清素再摄取抑制剂(SSRIs)被广泛用于治疗各种精神疾病。舍曲林是一种相对选择性的血清素再摄取抑制剂,具有一定的多巴胺再摄取抑制剂活性。本文报道了一名14岁重度抑郁症患者在使用舍曲林后出现复视,这是SSRI的一种罕见副作用。临床医生应该记住,使用舍曲林治疗可能会出现复视。
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引用次数: 3
Psychometric Properties of the Turkish PTSD-Short Scale in a Sample of Undergraduate Students 土耳其ptsd短量表在大学生样本中的心理测量特征
Q Medicine Pub Date : 2016-11-08 DOI: 10.5455/BCP.20151205113132
C. Evren, E. Dalbudak, Ö. Aydemir, Ertuğrul Köroğlu, B. Evren, S. Ozen, K. Coskun
Objective: The National Stressful Events Survey for Posttraumatic Stress Disorder (PTSD)-Short Scale (NSESSS-PTSD) allows dimensional self-rating assessment of PTSD according to the DSM-5. The aim of the present study was to evaluate psychometric properties of this scale as Turkish PTSD-Short Scale (PTSD-SS) in a sample of undergraduate students in Turkey. Method: Participants included 415 university students, among which 351 (84.8%) reported trauma and thus were included in the analysis. Participants were evaluated with the PTSD-SS and the PTSD Checklist Civilian (PCL-C) version. Results: Turkish version of the PTSD-SS was found to be psychometrically sound PTSD screening measure with high convergent validity when compared with PCL-C (r=0.79) and having a Cronbach’s ? of 0.87. In addition, a single component accounted for 49.94% of total variance for PTSD-SS. The PTSD-SS had sensitivity and specificity scores of 0.91 and 0.77, respectively, when using the optimal cut-off score of 24. Additionally, the PTSD-SS showed good discriminant validity as it significantly differentiated students with high risk of PTSD from those with low risk of PTSD. Conclusion: These findings supported the Turkish PTSD-SS as reliable and valid PTSD screening instrument with a unidimensional scale construct.
目的:全国创伤后应激障碍应激事件调查-短量表(nessss -PTSD)允许根据DSM-5对创伤后应激障碍进行维度自评。本研究的目的是评估该量表作为土耳其ptsd -短量表(PTSD-SS)在土耳其本科生样本中的心理测量特性。方法:纳入415名大学生,其中351名(84.8%)报告有创伤,纳入分析。使用PTSD- ss和PTSD平民版(PCL-C)对参与者进行评估。结果:土耳其版PTSD- ss量表与PCL-C量表相比具有较高的收敛效度(r=0.79)和Cronbach 's ?0.87。此外,单一成分对PTSD-SS的总方差占49.94%。当采用最佳临界值24分时,PTSD-SS的敏感性和特异性分别为0.91和0.77。PTSD- ss具有较好的区分效度,显著区分PTSD高危学生和低危学生。结论:本研究结果支持土耳其PTSD- ss量表是一种可靠有效的PTSD筛查工具。
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引用次数: 13
Association of the Neuropeptide Y LEU7PRO rs16139 and NEUREXIN 3 rs760288 Polymorphisms with Alcohol Dependence 神经肽Y LEU7PRO rs16139和NEUREXIN 3 rs760288多态性与酒精依赖的关系
Q Medicine Pub Date : 2016-11-08 DOI: 10.5455/BCP.20151016123639
C. Sengul, M. Erdal, C. Sengul, Özlem İzci Ay, Ahmet Buber, H. Alacam, M. Ay, H. Herken
Association of the Neuropeptide Y LEU7PRO rs16139 and NEUREXIN 3 rs760288 polymorphisms with alcohol dependence Objective: Alcoholism is associated with genetic variants of genes related to alcohol metabolizing enzymes, dopaminergic, gamma-aminobutyric acidergic, glutamatergic, opioid, cholinergic, and serotonergic systems. Neurpeptide Y system and Neurexins were shown to be associated with alcohol dependence. Recent studies identified new genetic polymorphisms related to endogenous cannabinoid system, neuropetide Y and neurexin. In the present study, we aimed to investigate the association of Neurpeptide Y LEU7PRO rs16139 and neurexin 3 gene rs760288 polymorphisms with alcohol dependence in patients with alcohol dependence and healthy control subjects. Methods: 123 patients who were diagnosed with alcohol dependence according to the DSM-IV criteria and 159 healthy volunteers were included in the study. Blood samples were used to investigate polymorphisms. The genotyping of the neurexin 3 gene rs760288 and the neuropetide Y gene Leu7Pro rs16139 polymorphisms was performed using TaqMan SNP Genotyping Assays Real-Time PCR System. Results: Of the 2 genetic polymorphisms investigated in the present study, we detected association between and neurexin 3 gene rs760288 polymorphisms with alcohol dependence. Conclusions: Neurexin gene polymorphisms might be an important factor in development of alcohol addiction.
神经肽Y LEU7PRO rs16139和NEUREXIN 3 rs760288多态性与酒精依赖的关联目的:酒精中毒与酒精代谢酶、多巴胺能、γ -氨基丁酸能、谷氨酸能、阿片、胆碱能和血清素能系统相关基因的遗传变异有关。神经肽Y系统和神经素被证明与酒精依赖有关。最近的研究发现了与内源性大麻素系统、神经肽Y和神经素有关的新的遗传多态性。在本研究中,我们旨在研究在酒精依赖患者和健康对照中,神经肽Y LEU7PRO rs16139和神经rexin 3基因rs760288多态性与酒精依赖的关系。方法:纳入符合DSM-IV标准诊断为酒精依赖的123例患者和159名健康志愿者。血液样本用于研究多态性。采用TaqMan SNP基因分型分析实时荧光定量PCR系统对neurexin 3基因rs760288和神经肽Y基因Leu7Pro rs16139多态性进行分型。结果:在本研究调查的2个遗传多态性中,我们检测到神经素3基因rs760288多态性与酒精依赖有关。结论:Neurexin基因多态性可能是酒精成瘾发生的重要因素。
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引用次数: 2
Acute Unilateral Myopia Induced by Add-On Aripiprazole: A Case Report 加用阿立哌唑致急性单侧近视1例
Q Medicine Pub Date : 2016-11-08 DOI: 10.5455/BCP.20150813023217
M. Güneş, S. Demir, M. Bulut, M. Kaya, A. Atlı, A. Ibiloğlu, H. Yüksel
ABSTRACTThe partial agonist aripiprazole is a novel atypical antipsychotic with a relatively safer side effect profile. Acute unilateral myopia is a very rare condition that is commonly associated with drug use. Here, we present a woman diagnosed with obsessive-compulsive disorder (OCD) and major depressive disorder (MDD) who have been treated for two years in our clinic. She was on fluoxetine (Prozac) 80 mg/day when adding aripiprazole (Abilify) 10 mg/day as an augmentation agent has triggered unilateral myopia. After cessation of aripirazole her myopia has disappeared. Psychiatrists should keep in mind that unilateral myopia as a side effect may develop after combining aripiprazole with fluoxetine in patients with OCD and MDD.
部分激动剂阿立哌唑是一种副作用相对安全的新型非典型抗精神病药。急性单侧近视是一种非常罕见的情况,通常与药物使用有关。在此,我们呈报一位被诊断为强迫症(OCD)和重度抑郁症(MDD)的女性,她在我们的诊所接受了两年的治疗。患者服用氟西汀(百忧解)80毫克/天,添加阿立哌唑(阿立哌唑)10毫克/天作为增强剂,引发单侧近视。停服阿立哌唑后近视消失。精神科医生应牢记,强迫症和重度抑郁症患者在服用阿立哌唑和氟西汀后,可能会出现单侧近视的副作用。
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引用次数: 1
Turkish validity & reliability of the quick inventory of depressive symptomatology adolescent version (QIDS-A17-SR) in comparison with the beck depression inventory-II among late adolescents - 青少年抑郁症状快速量表(QIDS-A17-SR)与贝克抑郁量表ii在晚期青少年中的有效性和信度比较
Q Medicine Pub Date : 2016-11-08 DOI: 10.5455/BCP.20151221100426
B. E. Mergen, H. Arslan, Ebru Arslan, H. Mergen, Sibel Turgut, I. Bernstein
ABSTRACTIntroduction: The Quick Inventory of Depressive Symptomatology Adolescent Version QIDS-A17-SR has never been used before as an instrument measuring major depressive disorder symptomatology ...
摘要简介:抑郁症症状快速量表青少年版QIDS-A17-SR从未被用作衡量抑郁症症状的工具。
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引用次数: 6
Determination of CYP2C19 polymorphism, side effects, and medication adherence in patients who have utilized selective serotonin reuptake inhibitors - 使用选择性血清素再摄取抑制剂的患者CYP2C19多态性、副作用和药物依从性的测定
Q Medicine Pub Date : 2016-11-08 DOI: 10.5455/BCP.20151003060610
Semanur Deniz, M. Sancar, B. Okuyan, P. Ata, O. Ozakpinar, A. Talas, T. Gunes, M. Çalışkan, F. Izzettin
Objective: The aim of this study is to determine relationship of cytochrome P-450 2C19 (CYP2C19) enzymes polymorphism, side effects, and medication adherence in patients who have been diagnosed wit...
目的:探讨细胞色素P-450 - 2C19 (CYP2C19)酶多态性、不良反应与药物依从性的关系。
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引用次数: 4
期刊
Klinik Psikofarmakoloji Bulteni-bulletin of Clinical Psychopharmacology
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