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The Brown University Psychopharmacology Update最新文献

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Esketamine monotherapy efficacious in treatment-resistant depression 艾氯胺酮单药治疗难治性抑郁症有效
Pub Date : 2025-10-10 DOI: 10.1002/pu.31369

Twice-weekly dosing of intranasal esketamine resulted in significant improvement in depressive symptoms compared with placebo in adults with treatment-resistant depression, a 4-week trial has found. Esketamine doses of 56 and 84 mg both outperformed ­placebo in the post-marketing trial. Study results were published online July 2, 2025, in JAMA Psychiatry.

一项为期4周的试验发现,与安慰剂相比,每周两次鼻用艾氯胺酮可显著改善成人难治性抑郁症患者的抑郁症状。在上市后试验中,56毫克和84毫克的艾氯胺酮剂量均优于安慰剂。研究结果于2025年7月2日在线发表在《美国医学会精神病学杂志》上。
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引用次数: 0
Antidepressant discontinuation: Skepticism and science 抗抑郁药停药:怀疑与科学
Pub Date : 2025-10-10 DOI: 10.1002/pu.31376
Lawrence H. Price M.D.
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引用次数: 0
Study suggests antipsychotics reduce risk of relapse to catatonia 研究表明抗精神病药物可以降低紧张症复发的风险
Pub Date : 2025-10-10 DOI: 10.1002/pu.31373
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引用次数: 0
Review finds low rate of symptoms associated with antidepressant discontinuation 回顾发现与抗抑郁药停药相关的症状发生率低
Pub Date : 2025-10-10 DOI: 10.1002/pu.31368

A systematic review and meta-analysis of 50 randomized controlled trials has found that although antidepressant discontinuation resulted in more symptoms than placebo discontinuation, the between-group difference on average was only just over one symptom. The rate of antidepressant discontinuation symptoms was lower than that reported in earlier reviews. Results of the review and meta-analysis were published online July 9, 2025, in JAMA Psychiatry.

一项对50个随机对照试验的系统回顾和荟萃分析发现,尽管停用抗抑郁药比停用安慰剂导致更多的症状,但组间平均差异仅略高于一种症状。抗抑郁药停药症状的发生率低于早期综述的报道。该综述和荟萃分析的结果于2025年7月9日在线发表在《美国医学会精神病学杂志》上。
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引用次数: 0
Lumateperone improves symptoms in unipolar and bipolar depression with mixed features Lumateperone可改善单极和双相抑郁症混合性症状
Pub Date : 2025-10-10 DOI: 10.1002/pu.31375
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引用次数: 0
SSRI, SNRI augmentation of clozapine reduces relapse in treatment-resistant schizophrenia SSRI、SNRI增加氯氮平可减少难治性精神分裂症的复发
Pub Date : 2025-10-10 DOI: 10.1002/pu.31372

An analysis based on data from two national cohort studies has found that augmentation of clozapine treatment with a selective serotonin reuptake inhibitor (SSRI) or serotonin-­norepinephrine reuptake inhibitor (SNRI) reduces risk of relapse in patients with treatment-resistant schizophrenia. Augmentation with other antidepressants did not reduce risk of relapse, and the beneficial effects of SSRIs and SNRIs were observed only at low or standard doses of the antidepressants.

一项基于两项国家队列研究数据的分析发现,选择性5 -羟色胺再摄取抑制剂(SSRI)或5 -羟色胺-去甲肾上腺素再摄取抑制剂(SNRI)增加氯氮平治疗可降低难治性精神分裂症患者复发的风险。与其他抗抑郁药物联合使用并不能降低复发的风险,SSRIs和SNRIs的有益效果仅在低剂量或标准剂量的抗抑郁药物中观察到。
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引用次数: 0
Long-term study confirms safety of esketamine for treatment-resistant depression 长期研究证实艾氯胺酮治疗难治性抑郁症的安全性
Pub Date : 2025-09-09 DOI: 10.1002/pu.31360
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引用次数: 0
Cohort study finds glucocorticoids increase risk of anxiety, depression 队列研究发现糖皮质激素会增加焦虑、抑郁的风险
Pub Date : 2025-09-09 DOI: 10.1002/pu.31359

A population-based cohort study using both self-controlled and target trial emulation approaches has reported an association between use of oral glucocorticoids and increased risk of adverse psychiatric outcomes. Use of glucocorticoids was found to be associated with higher risk of depressive, bipolar, and anxiety disorders but did not increase risk of suicidality.

一项基于人群的队列研究使用自我控制和目标试验模拟方法报道了口服糖皮质激素与不良精神结局风险增加之间的关联。研究发现,糖皮质激素的使用与抑郁症、双相情感障碍和焦虑症的高风险相关,但不会增加自杀的风险。
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引用次数: 0
Second-line strategies more effective than dose optimization in depression treatment 二线策略治疗抑郁症比剂量优化更有效
Pub Date : 2025-09-09 DOI: 10.1002/pu.31358

Alternative second-line treatments for major depressive disorder led to higher response and remission rates in comparison to commonly used dose optimization in a randomized trial. The combination of a selective serotonin reuptake inhibitor (SSRI) and psychotherapy resulted in the lowest prevalence of adverse events among the studied second-line strategies.

在一项随机试验中,与常用的剂量优化相比,替代二线治疗对重度抑郁症的疗效和缓解率更高。选择性5 -羟色胺再摄取抑制剂(SSRI)和心理治疗联合使用在二线治疗策略中不良事件发生率最低。
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引用次数: 0
Semaglutide shows favorable safety profile in patients receiving clozapine 西马鲁肽在接受氯氮平治疗的患者中显示出良好的安全性
Pub Date : 2025-09-09 DOI: 10.1002/pu.31361
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引用次数: 0
期刊
The Brown University Psychopharmacology Update
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