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Specific Associations Between Type of Childhood Abuse and Elevated C-Reactive Protein in Young Adult Psychiatric Rehabilitation Participants 儿童虐待类型与青年精神康复参与者c -反应蛋白升高之间的特殊关系
Pub Date : 2022-04-11 DOI: 10.1101/2022.04.04.22273426
M. Jabbi, P. Harvey, R. Kotwicki, C. Nemeroff
Background: Early life adversity such as childhood emotional, physical, and sexual trauma is associated with a plethora of later-life psychiatric and chronic medical conditions, including elevated inflammatory markers. Although previous research suggests a role for chronic inflammatory dysfunctions in several disease etiologies, specific associations between childhood trauma types and later life inflammation and health status are not well understood. Methods: We studied patients (n=280) who were admitted to a psychiatric rehabilitation center. Self-reported histories of childhood emotional, physical, and sexual trauma history were collected. At the time of admission, we also assessed the body mass index (BMI) for each individual and collected blood samples that were used to examine levels of inflammatory marker C-reactive protein (CRP). Results: The prevalence of all three types of abuse was quite high, at 21% or more. 50% of the sample had elevations in CRP, with clinically significant elevations in 26%. We found that compared to a history of emotional or physical abuse, a history of childhood sexual trauma was more specifically associated with elevated CRP. This result held up when controlling for BMI. Limitation: Our sample is relatively young, with an average age of 27.2 years, with a minimal representation of ethnic and racial minority participants. Conclusion: Relative to childhood emotional and physical trauma, childhood sexual trauma may lead to elevated inflammatory responses, which were common overall in the sample. Future studies need to assess the causal link between childhood sexual trauma and poorer health outcomes later in life.
背景:早期生活的逆境,如童年时期的情感、身体和性创伤,与晚年大量的精神和慢性疾病有关,包括炎症标志物升高。尽管先前的研究表明慢性炎症功能障碍在几种疾病病因中起作用,但儿童创伤类型与晚年炎症和健康状况之间的具体联系尚不清楚。方法:我们研究了在精神康复中心住院的患者(n=280)。收集儿童时期情感、身体和性创伤史的自我报告。入院时,我们还评估了每个人的身体质量指数(BMI),并收集了用于检测炎症标志物c反应蛋白(CRP)水平的血液样本。结果:所有三种类型的虐待的患病率都相当高,在21%或更多。50%的样本CRP升高,26%有临床意义的升高。我们发现,与情感或身体虐待的历史相比,儿童期性创伤的历史更具体地与CRP升高有关。在控制BMI的情况下,这一结果仍然成立。局限性:我们的样本相对年轻,平均年龄为27.2岁,少数民族和少数民族参与者的代表性很小。结论:相对于儿童时期的情绪和身体创伤,儿童期性创伤可能导致炎症反应升高,这在样本中普遍存在。未来的研究需要评估儿童期性创伤与以后较差的健康状况之间的因果关系。
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引用次数: 1
The Clinical Pharmacology of Entacapone (Comtan®) From the Food and Drug Administration (FDA) Reviewer. 恩他卡彭(康坦®)的临床药理学来自食品和药物管理局(FDA)审查员。
Pub Date : 2022-03-18 DOI: 10.1093/ijnp/pyac021
Sam Habet
This New Drug Application (NDA) was first submitted to the US Food and Drug Administration (FDA) by the Orion Corporation from Finland on January 2, 1998. The final clinical pharmacology review was completed on September 3, 1999. Entacapone is a potent and specific peripheral catechol-O-methyltransferase (COMT) inhibitor. It has been shown to improve the clinical benefits of levodopa plus an aromatic L-amino acid decarboxylase inhibitor (AADC) when given to patients with Parkinson's disease and end-of-dose deterioration in the response to levodopa (the "wearing-off" phenomenon). The drug indication is for Parkinson's disease as an adjunct therapy to levodopa/carbidopa. This is a combination drug with carbidopa (aromatic amino acid decarboxylation inhibitor) and entacapone. It is rapidly absorbed after oral administration of a single dose with peak time generally reached within 1 hour. It is noted that no accumulation of plasma entacapone was detected after 8 daily doses. The maximum daily dose is 2000 mg. In this paper, the clinical pharmacology review of the drug is presented from the perspective of a clinical pharmacologist that reviewed this NDA at the FDA. It should be noted that all the information in this paper is publicly available on the FDA website and in its literature.
该新药申请(NDA)由芬兰Orion公司于1998年1月2日首次提交给美国食品和药物管理局(FDA)。最终临床药理学审查于1999年9月3日完成。恩他卡酮是一种有效的特异性外周儿茶酚o -甲基转移酶(COMT)抑制剂。研究表明,左旋多巴加芳香l -氨基酸脱羧酶抑制剂(AADC)对帕金森病患者的临床疗效有所改善,而且左旋多巴的治疗效果在给药结束后会恶化(“逐渐消失”现象)。药物适应症是作为左旋多巴/卡比多巴的辅助治疗帕金森病。这是一种与卡比多巴(芳香氨基酸脱羧抑制剂)和恩他卡酮联合使用的药物。口服单剂后吸收迅速,通常在1小时内达到峰值。值得注意的是,8天剂量后未检测到血浆恩他卡朋的积累。每日最大剂量为2000毫克。在本文中,从临床药理学家在FDA审查该NDA的角度介绍了该药物的临床药理学审查。值得注意的是,本文中的所有信息均可在FDA网站及其文献中公开获取。
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引用次数: 1
Sex differences in escalated methamphetamine self-administration and altered gene expression associated with incubation of methamphetamine seeking. 甲基苯丙胺自我给药升级的性别差异和与甲基苯丙胺寻求潜伏期相关的基因表达改变。
Pub Date : 2019-09-28 DOI: 10.1093/ijnp/pyz050
A. Daiwile, S. Jayanthi, B. Ladenheim, M. McCoy, Christie Brannock, J. Schroeder, J. Cadet
BACKGROUNDMethamphetamine (METH) use disorder (MUD) is prevalent worldwide. There are reports ofsex differences in quantities of drug used and relapses to drug use among individuals with MUD. However, the molecular neurobiology of these potential sex differences remains unknown.METHODSWe trained rats to self-administer METH (0. 1 mg/kg/infusion, IV) on a FR-1 schedule for 20 days using two 3-h daily METH sessions separated by 30 min breaks. At the end of self-administration (SA) training, rats underwent tests of cue-induced METH seeking on withdrawal days 3 (WD3) and 30 (WD30). Twenty-four hours later, nucleus accumbens (NAc) was dissected and then used to measure neuropeptide mRNA levels.RESULTSBehavioral results show that male rats increased the number of METH infusions earlier during SA training and took more METH than females. Both male and female rats could be further divided into two phenotypes labeled high and low takers based on the degree of escalation that they exhibited during the course of the METH SA experiment. Both males and females exhibited incubation of METH seeking after 30 days of forced withdrawal. Females had higher basal mRNA levels of dynorphin (Pdyn) and hypocretin/orexin receptors (Hcrtr1/2) than males whereas males expressed higher vasopressin mRNA levels than females under saline and METH conditions. Unexpectedly, only males showed increased expression of NAc dynorphin after METH SA. Moreover, there were significant correlations between NAc Hcrtr1, Hcrtr2, Crhr2, and Avpr1b mRNA levels and cue-induced METH seeking only in female rats.CONCLUSIONOur results identify some behavioral and molecular differences between male and female rats that had self-administered METH. Sexual dimorphism in responses to METH exposure should be considered when developing potential therapeutic agents against METH use disorder.
甲基安非他明(METH)使用障碍(MUD)在世界范围内普遍存在。有报告称,在MUD患者中,药物使用量和药物复发的数量存在性别差异。然而,这些潜在的性别差异的分子神经生物学仍然未知。方法训练大鼠自我给药冰毒(0。1 mg/kg/输注,静脉注射),按照FR-1计划,连续20天,每天使用两次3小时的甲基苯丙胺,中间间隔30分钟。在自我给药(SA)训练结束时,大鼠在戒断第3天(WD3)和第30天(WD30)进行线索诱导的甲基苯丙胺寻找测试。24小时后,解剖伏隔核(NAc),测定神经肽mRNA水平。结果行为学结果显示,在SA训练中,雄性大鼠比雌性大鼠更早地增加了注射冰毒的次数,并且服用了更多的冰毒。根据雄性和雌性大鼠在甲基安非他明SA实验过程中表现出的升级程度,可以进一步分为高和低两种表型。在强制戒断30天后,男性和女性都表现出寻求冰毒的潜伏期。在生理盐水和甲基安非他命条件下,女性的促啡肽(Pdyn)和下丘脑分泌素/食欲素受体(Hcrtr1/2)的基础mRNA水平高于男性,而男性的抗利尿激素mRNA水平高于女性。出乎意料的是,只有雄性在冰毒SA后表现出NAc dynorphin的表达增加。此外,仅在雌性大鼠中,NAc Hcrtr1、Hcrtr2、Crhr2和Avpr1b mRNA水平与线索诱导的甲基安非他明寻找之间存在显著相关性。结论自我给药的雄性和雌性大鼠在行为和分子上存在差异。在开发针对甲基安非他明使用障碍的潜在治疗药物时,应考虑甲基安非他明暴露后的性二态性反应。
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引用次数: 30
Association Between Reduced Brain Glucose Metabolism and Cortical Thickness in Alcoholics: Evidence of Neurotoxicity. 酗酒者脑糖代谢降低与皮质厚度之间的关系:神经毒性的证据
Pub Date : 2019-08-01 DOI: 10.1093/ijnp/pyz036
D. Tomasi, C. Wiers, E. Shokri-Kojori, Amna Zehra, Veronica Ramirez, Clara R Freeman, Jamie A. Burns, Christopher Kure Liu, P. Manza, S. W. Kim, Gene-Jack Wang, N. Volkow
BACKGROUNDExcessive alcohol consumption is associated with reduced cortical thickness (CT) and lower cerebral metabolic rate of glucose (CMRGlu), but the correlation between these 2 measures has not been investigated.METHODSWe tested the association between CT and cerebral CMRGlu in 19 participants with alcohol use disorder (AUD) and 20 healthy controls. Participants underwent 2-Deoxy-2-[18F]fluoroglucose positron emission tomography to map CMRGlu and magnetic resonance imaging to assess CT.RESULTSAlthough performance accuracy on a broad range of cognitive domains did not differ significantly between AUD and HC, AUD had widespread decreases in CT and CMRGlu. CMRGlu, normalized to cerebellum (rCMRGlu), showed significant correlation with CT across participants. Although there were large group differences in CMRGlu (>17%) and CT (>6%) in medial orbitofrontal and BA 47, the superior parietal cortex showed large reductions in CMRGlu (~17%) and minimal CT differences (~2.2%). Though total lifetime alcohol (TLA) was associated with CT and rCMRGlu, the causal mediation analysis revealed significant direct effects of TLA on rCMRGlu but not on CT, and there were no significant mediation effects of TLA, CT, and rCMRGlu.CONCLUSIONSThe significant correlation between decrements in CT and CMRGlu across AUD participants is suggestive of alcohol-induced neurotoxicity, whereas the findings that the most metabolically affected regions in AUD had minimal atrophy and vice versa indicates that changes in CT and CMRGlu reflect distinct responses to alcohol across brain regions.
背景:过量饮酒与皮质厚度(CT)减少和脑葡萄糖代谢率(CMRGlu)降低有关,但这两项指标之间的相关性尚未得到研究。方法对19名酒精使用障碍(AUD)患者和20名健康对照者进行CT与脑CMRGlu的相关性检测。参与者进行了2-脱氧-2-[18F]氟葡萄糖正电子发射断层扫描以绘制CMRGlu图,并进行了磁共振成像以评估CT。结果尽管AUD和HC在广泛认知领域的表现准确性没有显著差异,但AUD在CT和CMRGlu上普遍下降。CMRGlu归一化到小脑(rCMRGlu),在参与者中显示出显著的CT相关性。虽然眶额内侧和ba47的CMRGlu(>17%)和CT(>6%)组间差异较大,但顶叶上皮层CMRGlu明显降低(~17%),CT差异较小(~2.2%)。虽然总寿命酒精(TLA)与CT和rCMRGlu相关,但因果中介分析显示TLA对rCMRGlu有显著的直接影响,而对CT没有影响,TLA、CT和rCMRGlu没有显著的中介作用。在AUD参与者中,CT和CMRGlu下降之间的显著相关性提示酒精诱导的神经毒性,而在AUD中代谢影响最大的区域有最小的萎缩,反之亦然,这表明CT和CMRGlu的变化反映了不同脑区域对酒精的不同反应。
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引用次数: 17
Erratum: Genotype variant associated with add-on memantine in bipolar II disorder (International Journal of Neuropsychopharmacology (2014) 17 ( 979)) 勘误:双相II型障碍中与附加美金刚相关的基因型变异(国际神经精神药理学杂志(2014)17 (979))
Pub Date : 2014-06-01 DOI: 10.1017/S1461145714000091
Sheng-Yu Lee, Shiou-Lan Chen, Yun-Hsuan Chang, Shih-Heng Chen, Chun-Hsieh Chu, San-Yuan Huang, Nian-Sheng Tzeng, Chen Lin Wang, Liang-Jen Wang, I. Lee, T. Yeh, R. Lu, Yen Kuang Yang, Jau-Shyong Hong
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引用次数: 0
Peter B. Dews (1922–2012) 彼得·b·杜斯(1922-2012)
Pub Date : 2013-04-01 DOI: 10.1017/S1461145713000114
T. Robbins
![Graphic][1] Peter B. Dews is generally regarded as the ‘father’ of behavioural pharmacology and is especially famous for his early interactions with B. F. Skinner and the introduction of quantitative measurement to the discipline in the 1950s. He was British, being born in Yorkshire, and undertook early medical training at the University of Leeds. He worked under well-known pharmacologists in the UK such as Bain (Leeds), Burn (Oxford) and Gaddum (Manchester) before moving to the US on a Burroughs-Wellcome research fellowship to their facility in New York City where he produced his first major (and most cited) paper (Dews, 1953) on effects of amphetamine, nicotine, cocaine and other drugs on motor activity in mice. He then obtained a PhD at the University of Minnesota and worked at the Mayo Clinic, where he gained his tremendous expertise in statistics.His career took a major step forwards when he moved to Otto Krayer's Department at Harvard, at which point his academic globe-trotting ceased and he spent the rest of his career developing what was to become an eminent laboratory there under his overall direction. His most influential visits to the experimental psychology laboratories at Harvard of Skinner and C. B. Ferster led to the invention of a new paradigm in behavioural pharmacology, which depended on the use of objectively measuring the patterning of operant behaviour over time, … (Email: twr2{at}cam.ac.uk) [1]: /embed/inline-graphic-1.gif
[1] Peter B. Dews通常被认为是行为药理学的“父亲”,尤其以他与B. F. Skinner的早期互动以及在20世纪50年代将定量测量引入该学科而闻名。他是英国人,出生于约克郡,并在利兹大学接受了早期的医学培训。他曾在英国知名药理学家的指导下工作,如贝恩(Bain)(利兹)、伯恩(Burn)(牛津)和加达姆(Gaddum)(曼彻斯特),之后他以Burroughs-Wellcome的研究奖学金来到美国,在他们位于纽约的机构进行研究,在那里他发表了他的第一篇重要(也是被引用最多的)论文(Dews, 1953),研究安非他明、尼古丁、可卡因和其他药物对小鼠运动活动的影响。随后,他在明尼苏达大学获得博士学位,并在梅奥诊所工作,在那里他获得了统计学方面的丰富专业知识。当他搬到哈佛大学奥托·克莱耶的系时,他的职业生涯迈出了重要的一步,在这一点上,他停止了学术上的环球旅行,在他的总体指导下,他用余下的职业生涯发展了一个后来成为著名实验室的实验室。他对哈佛大学斯金纳(Skinner)和C. B. Ferster的实验心理学实验室最具影响力的访问导致了行为药理学新范式的发明,该范式依赖于使用客观测量随时间变化的操作性行为模式,[1]:/embed/inline-graphic-1.gif
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引用次数: 0
Effects of chronic antidepressant drug administration and electroconvulsive shock on activity of dopaminergic neurons in the ventral tegmentum: a reply to Chenu et al. (2011) 慢性抗抑郁药物和电休克对腹侧被盖多巴胺能神经元活动的影响:对Chenu et al.(2011)的回复。
Pub Date : 2012-05-01 DOI: 10.1017/S1461145711001726
C. H. West, J. Weiss
We have read the letter commenting on our article entitled ‘Effects of chronic antidepressant drug administration and electroconvulsive shock on activity of dopaminergic neurons in the ventral tegmentum’. We offer the following response.The authors of the letter direct attention to our mean spontaneous firing rate for dopaminergic neurons in the ventral tegmental area (VTA-DA neurons) being lower than typically found and particularly note that we included neurons with firing rates as low as 1.0 Hz. Our mean rates of firing are indeed somewhat lower than often reported by other investigators. We were clearly aware of this, specifically describing in our Methods section that we included slow-firing neurons. Our criteria for DA neurons in the VTA depended upon ( a ) stereotaxic location and then ( b ) the specific wave form of the unit as stated in the Procedure section, which is widely acknowledged for these neurons. Because we were recording multiple neurons in each animal, there was no way to mark individual neurons and identify their locations and/or characteristics histologically; consequently, we included neurons based on waveform. Given these criteria, we saw no basis for discarding neurons because their firing rate was slow and, consequently, such neurons were included.The writers of the letter call attention to an article by Ungless et al. (2004), who described differences between DA and non-DA neurons in the VTA. The writers noted that our mean spontaneous firing rate was closer to that of non-dopaminergic cells than dopaminergic cells. However, the main point of the article by Ungless et al. was that VTA-DA neurons were inhibited by aversive or stressful stimuli whereas non-DA neurons were excited by such stimuli; they reported 10 of 12 DA neurons were inhibited by 10-s foot pinch whereas four of six non-DA neurons were excited by this stimulus. We have examined the …
我们已经阅读了这封评论我们题为“慢性抗抑郁药物和电休克对腹侧被盖多巴胺能神经元活动的影响”的文章的信。我们提供如下回应。这封信的作者直接注意到腹侧被盖区多巴胺能神经元(VTA-DA神经元)的平均自发放电率比通常发现的要低,并特别注意到我们包括了放电率低至1.0 Hz的神经元。我们的平均解雇率确实比其他研究者经常报道的要低一些。我们清楚地意识到这一点,在我们的方法部分中特别描述了我们包括慢燃神经元。我们对VTA内DA神经元的标准取决于(a)立体定向位置,然后(b)单元的特定波形,如程序部分所述,这在这些神经元中得到广泛认可。因为我们在每只动物中记录多个神经元,所以没有办法标记单个神经元并确定它们的位置和/或组织学特征;因此,我们基于波形纳入神经元。考虑到这些标准,我们没有看到丢弃神经元的依据,因为它们的放电速度很慢,因此,这些神经元被包括在内。这封信的作者提请注意unless等人(2004)的一篇文章,该文章描述了VTA中DA和非DA神经元之间的差异。作者注意到,我们的平均自发放电率比多巴胺能细胞更接近于非多巴胺能细胞。然而,Ungless等人的文章的主要观点是VTA-DA神经元受到厌恶或压力刺激的抑制,而非da神经元受到这种刺激的兴奋;他们报告说,12个DA神经元中有10个受到10秒脚挤压的抑制,而6个非DA神经元中有4个受到这种刺激。我们已经检查了……
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引用次数: 0
Corrigendum: Serotonin-2C receptors in the basolateral nucleus of the amygdala mediate the anxiogenic effect of acute imipramine and fluoxetine administration – CORRIGENDUM 勘误:杏仁核基底外侧核中的5 -羟色胺- 2c受体介导急性丙咪嗪和氟西汀给药的焦虑效应
Pub Date : 2012-04-01 DOI: 10.1017/S1461145711001143
M. Vicente, H. Zangrossi
doi: 10.1017/S1461145711000873, Published by Cambridge University Press, 14 June 2011.One of the figures published within this paper did …
doi: 10.1017/S1461145711000873,剑桥大学出版社,2011年6月14日出版。这篇论文中发表的一个数据确实……
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引用次数: 0
Eating Disorders and Obesity 饮食失调和肥胖
Pub Date : 2012-03-01 DOI: 10.1017/S1461145712000089
A. Frazer
It is popularly stated that there is an ‘epidemic’ of obesity, with great concern because of the health problems associated with it. Different classes of psychotropic drugs have been used to decrease appetite and assist with weight loss whereas other psychotherapeutic agents produce weight gain, often significant, as a serious side effect. This month's thematic section contains five articles dealing with eating disorders and obesity. Two are reviews with one being part of the series “evidence-based pharmacotherapy of …” That review primarily covers short-term efficacy of drugs in various eating disorders …
人们普遍认为肥胖是一种“流行病”,与之相关的健康问题引起了人们的极大关注。不同种类的精神药物被用来减少食欲和帮助减肥,而其他精神治疗药物会导致体重增加,通常是严重的副作用。本月的专题部分包含五篇关于饮食失调和肥胖的文章。两篇综述,其中一篇是“循证药物治疗”系列的一部分,该综述主要涵盖药物治疗各种饮食失调的短期疗效。
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引用次数: 0
Antidepressants vs . placebo: not merely a quantitative difference in response 抗抑郁药vs。安慰剂:不仅仅是反应的数量差异
Pub Date : 2011-11-01 DOI: 10.1017/S1461145711000964
K. Fountoulakis, H. Möller
Horder et al. (in press) criticize the results of Kirsch et al. (2008) solely on the basis of meta-analytical methodology. In the letter by Matthews (2011) commenting on our paper (Fountoulakis & Moller, 2010) this emphasis on methodological issues is again central. Matthews comments on the method used (pooling drug and placebo arms separately) and on the use of effect size instead of raw HAMD scores.We argue that the problem does not lie in methodological issues. We performed the re-analysis by using simple averaging, weighting by sample size, weighted by the inverse variance and also with precision weighted analysis. The differences in the results of these different approaches were not significant at all although some similarity was shown between the results of precision weighted analysis and those reported by Kirsch et al. Horder et al. are right when suggesting that the 1.80 difference can be derived with the precision weighted analysis method but the effect size with this method is not 0.32 as Kirsch et al. report, but 0.28. So no matter which method is used, it seems that Kirsch et al. had flawed calculations. To say that a method is ‘unusual’ or ‘idiosyncratic’ does not necessarily imply it is inappropriate or false. It is assumed that all trial results belong to a single distribution; that is why a meta-analysis is possible even with a random-effects model. Practically the way one groups and pools arms and trials plays little if any role. That is why ultimately, the correction of the effect size is minimal and all methods give an effect size of 0.28–0.35 and a difference in raw HAMD change from baseline between placebo and active drug of 1.78–2.93 (Table 1). Even the results after simple averaging do not deviate, probably because the number of RCTs is high enough …
Horder等人(出版中)仅基于元分析方法批评了Kirsch等人(2008)的结果。在马修斯(2011)评论我们的论文(Fountoulakis & Moller, 2010)的信中,强调方法问题再次成为核心。Matthews对所使用的方法(将药物组和安慰剂组分开)和使用效应大小而不是原始HAMD评分进行了评论。我们认为,问题不在于方法论问题。我们采用简单平均法、样本量加权法、方差逆加权法和精确加权分析法进行再分析。尽管精度加权分析的结果与Kirsch等人报告的结果有一些相似之处,但这些不同方法的结果差异并不显著。Horder等人是对的,他们认为1.80的差异可以用精度加权分析法推导出来,但这种方法的效应大小不是Kirsch等人报道的0.32,而是0.28。因此,无论采用哪种方法,Kirsch等人的计算似乎都存在缺陷。说一种方法是“不寻常的”或“特殊的”并不一定意味着它是不合适的或错误的。假定所有试验结果属于单一分布;这就是为什么即使使用随机效应模型,元分析也是可能的。实际上,一个组织和汇集武器和试验的方式几乎没有任何作用。这就是为什么最终,效应量的修正是最小的,所有方法给出的效应量为0.28-0.35,安慰剂和活性药物的原始HAMD变化与基线的差异为1.78-2.93(表1)。即使是简单平均后的结果也没有偏离,可能是因为rct的数量足够高……
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引用次数: 6
期刊
The International Journal of Neuropsychopharmacology
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