自闭症的精神药物、神经调节和催产素治疗现状:对临床实践的启示

IF 1.3 Q3 EDUCATION, SPECIAL Advances in Neurodevelopmental Disorders Pub Date : 2023-09-26 DOI:10.1007/s41252-023-00364-z
Vicki Bitsika, Christopher F. Sharpley
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引用次数: 0

摘要

目的概述目前有关精神药理学、神经调节、催产素疗法和心理复原力等神经生物学疗法的文献,作为自闭症相关困难的治疗方法,并将这些疗法的研究成果提炼出来,供日常临床应用。方法本综述没有对这些疗法的疗效进行另一个具体的系统总结,而是概述了每个研究领域,确定了其关键研究成果,并从证据基础的角度评估了每个疗法的治疗就绪状态。从这些信息中,我们得出了一系列关于其临床应用的建议,以便为该领域的实践提供参考。结果这些治疗方法代表了应对自闭症挑战的相对较新且基于神经生物学的方法,目前正处于开发阶段。每种治疗方法都很有前景,并有一定的成功证据基础,但都需要进一步研究,以确定其在日常临床应用中的循证有效性。结论虽然这些治疗方法中的大多数都可以谨慎应用,但临床医生应认识到这些方法的限制性益处和成本,本文对此进行了描述。在这些注意事项中,每种疗法都应被视为一种新兴疗法,临床医生应考虑在适当的环境和特定的病例中使用。
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Current Status of Psychopharmacological, Neuromodulation, and Oxytocin Treatments for Autism: Implications for Clinical Practice

Objectives

To provide an overview of the current literature regarding the neurobiological treatments of psychopharmacology, neuromodulation, oxytocin therapy, and psychological resilience, as treatments for autism-related difficulties, and to distil the research findings from those treatments for everyday clinical application.

Methods

Instead of producing another specific systematic summary of the efficacy of these treatments, this review took an overview of each field of research, identified its key research findings, and evaluated the treatment-ready status of each of them in terms of their evidence base. From this information, a set of recommendations were derived for their clinical applications, so as to inform practice in the field.

Results

These treatments represent relatively recent and neurobiologically based approaches to the challenges of autism, and are in the development stage. Each treatment is promising, and has some evidential basis for its success, but all need further research to establish their evidence-based validity for everyday clinical usage.

Conclusions

While most of these treatments can be applied with caution, clinicians should acknowledge their restrictive benefits and costs, that are described herein. Within those caveats, each of these treatments should be considered as an emerging therapy that clinicians should consider utilising in appropriate settings and with specific cases.

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来源期刊
Advances in Neurodevelopmental Disorders
Advances in Neurodevelopmental Disorders Social Sciences-Social Sciences (miscellaneous)
CiteScore
2.10
自引率
0.00%
发文量
72
期刊介绍: Advances in Neurodevelopmental Disorders publishes high-quality research in the broad area of neurodevelopmental disorders across the lifespan. Study participants may include individuals with:Intellectual and developmental disabilitiesGlobal developmental delayCommunication disordersLanguage disordersSpeech sound disordersChildhood-onset fluency disorders (e.g., stuttering)Social (e.g., pragmatic) communication disordersUnspecified communication disordersAutism spectrum disorder (ASD)Attention-deficit/hyperactivity disorder (ADHD), specified and unspecifiedSpecific learning disordersMotor disordersDevelopmental coordination disordersStereotypic movement disorderTic disorders, specified and unspecifiedOther neurodevelopmental disorders, specified and unspecifiedPapers may also include studies of participants with neurodegenerative disorders that lead to a decline in intellectual functioning, including Alzheimer’s disease, amyotrophic lateral sclerosis, Creutzfeldt-Jakob disease, vascular dementia, Lewy body dementia, frontotemporal dementia, corticobasal degeneration, Huntington’s disease, and progressive supranuclear palsy. The journal includes empirical, theoretical and review papers on a large variety of issues, populations, and domains, including but not limited to: diagnosis; incidence and prevalence; and educational, pharmacological, behavioral and cognitive behavioral, mindfulness, and psychosocial interventions across the life span. Animal models of basic research that inform the understanding and treatment of neurodevelopmental disorders are also welcomed. The journal is multidisciplinary and multi-theoretical, and encourages research from multiple specialties in the social sciences using quantitative and mixed-method research methodologies.
期刊最新文献
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