[氯沙唑仑和地西泮在焦虑诱发和控制条件下对健康受试者的心理和生理影响[作者译]。

W Boucsein, G Wendt-Suhl
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引用次数: 4

摘要

采用双盲技术,对144名健康男性受试者进行了单次口服3mg氯沙唑仑与5mg地西泮和安慰剂的生理和心理生理效应研究。在实验前的测试中,将被试分为情绪稳定型和情绪不稳定型两类,并在一个半小时的实验程序中分别在压力和控制条件下进行测试。为了创造测试镇静剂的适当条件,使用了三种会引起焦虑的压力情况:预期电击,准备公开演讲和成绩测试失败。通过结合这些方法,可以在健康的受试者中维持30分钟的焦虑或情绪激活状态,这似乎适合作为临床焦虑的模型。在5毫克地西泮下一周,但在主观和客观测量中都记录了镇静剂的典型效果:情绪稳定性的自信增加,情绪改善,皮肤电反应和镇静剂典型的脑电图模式降低,但也有主观的失活效果。焦虑诱导的hr升高不受地西泮的影响。在主观测量中,氯沙唑仑3 mg与地西泮的效果非常相似;然而,他们的情绪并没有改善。氯沙唑仑比地西泮具有更强的失活和疲劳诱导作用。氯沙唑仑在生理作用上与地西泮有明显的不同,尤其在对照组中表现出明显的心率增高,有待进一步研究。
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[Psychological and physiological effects of cloxazolam and diazepam under anxiety-evoking and control conditions on healthy subjects (author's transl)].

The physical and psychophysiological effects of an orally administered single dose of 3 mg cloxazolam as compared to 5 mg diazepam and a placebo were investigated for 144 healthy male subjects using a double blind technique. In a pre-experimental test, the Ss were classified as either emotional stabiles or labiles, and in the experimental program of one four and half hour period were tested under either stress or control conditions. In order to create appropriate conditions for testing the tranquilizers, three stress situations that would induce anxiety were used: anticipation of an electric shock, preparation of a public speech and one due to failure in an achievement test. By combining these methods it was possible to sustain for 30 minutes in healthy Ss a state of anxiety or emotional activation which seemed suitable as a model for clinical anxiety. Under 5 mg diazepam rather week, but tranquilizer-typical effects were registered in both subjective and objective measures: an increase in self-confidence in emotional labiles, mood improvement, lower electrodermal responses and tranquilizer-typical EEG-pattern, but also subjective deactivating effects. The HR-increase elicited by anxiety induction was not influenced by Diazepam. Under 3 mg cloxazolam very similar effects to those under diazepam were apparent in the subjective measures; there was however, no mood improvement. Cloxazolam was judged as more strongly deactivating and fatigue inducing than diazepam. Cloxazolam was clearly different from diazepam with respect to its physiological effects, especially showing an obvious heart rate increase in the control group, which requires further investigation.

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