超越一刀切:精神分裂症个性化治疗的兴起

Abdulqadir J. Nashwan , Bashaer Elawfi
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摘要

精神分裂症是一种复杂的疾病,其症状、表现和预后结果各不相同。这种多样性归因于它的多因素起源,包括遗传和环境因素。一直以来,抗精神病药物在控制这种疾病方面发挥着关键作用,但患者对这些药物的反应程度各不相同。相当一部分患者对传统的抗精神病药物治疗反应不佳。个性化医疗的推动凸显了针对个人基因、生物标志物和社会心理特征量身定制治疗模式的必要性。全基因组关联研究显示精神分裂症是一种多基因疾病,表明患者的遗传特征各不相同。这种遗传多样性表明,不同的生物过程可能会影响每位患者,从而导致不同的临床表现。新兴的药物遗传学领域可以将精神分裂症的治疗从反复试验的基础上转变为更加个体化的方法。与此同时,针对精神分裂症的异质性,心理治疗已成为精神分裂症治疗中不可或缺的一部分。针对精神分裂症的个性化治疗提供了一种更加动态、以患者为中心的方法,旨在通过将循证策略与个人经验相结合来实现整体康复。随着这一领域的发展,技术与神经科学的融合有望改善治疗效果,促进整体健康。
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Beyond one-size-fits-all: The rise of personalized treatment in schizophrenia

Schizophrenia is a complex disorder characterized by various symptoms, presentations, and prognostic outcomes. This diversity is attributed to its multifactorial origins, including genetic and environmental factors. Historically, antipsychotic medications have played a pivotal role in managing the disorder, but they exhibit varying degrees of response among patients. A significant percentage of patients do not respond favorably to conventional antipsychotic therapy. The push for personalized medicine highlights the need for treatment modalities tailored to individuals' genetic, biomarker, and psychosocial characteristics. Genome-wide association studies reveal schizophrenia as a polygenic disorder, indicating varied genetic profiles among patients. This genetic diversity suggests that different biological processes could impact each patient, leading to distinct clinical presentations. The emerging pharmacogenetics field could shift schizophrenia treatment from a trial-and-error basis to a more individualized approach. Concurrently, psychotherapy has become integral in schizophrenia management, addressing the disorder's heterogeneous nature. The move towards personalized therapy for schizophrenia offers a more dynamic, patient-focused approach, aiming for holistic recovery by intertwining evidence-based strategies with individual experiences. As the field evolves, integrating technological and neuroscientific developments promises improved therapeutic outcomes, promoting overall well-being.

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