抗精神病药物与安慰剂用于预防精神分裂症复发:系统性审查和元分析
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Development of a Virtual Reality Assessment of Everyday Living Skills
Published on: April 23, 2014
Stefan Leucht1, Magdolna Tardy, Katja Komossa
1Department of Psychiatry and Psychotherapy, Technische Universität München, Klinikum rechts der Isar, Munich, Germany. stefan.leucht@lrz.tum.de
Lancet (London, England)
|May 8, 2012
概括
与安慰剂相比,抗精神病药物显著减少了精神分裂症患者的复发和再入院. 然而,这些好处必须与潜在的副作用 (如体重增加和运动障碍) 相平衡.
科学领域:
- 精神病学是一个精神病学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 对预防精神分裂症复发的抗精神病药物疗效的系统审查是不够的.
- 之前的研究还没有完全解决有关这些治疗方法的争议.
研究的目的:
- 评估抗精神病药物与精神分裂症患者的各种结果之间的关联.
- 解决精神分裂症治疗中有争议的问题.
主要方法:
- 搜索了多个数据库 (Cochrane,PubMed,Embase) 并与制药公司联系.
- 包括随机试验,比较稳定精神分裂症患者的抗精神病药物治疗方案与安慰剂.
- 主要结局是7至12个月的复发;安全性和功能性结局也被检查.
主要成果:
- 一年后,抗精神病药物显著降低了复发率 (27%vs64%) 和再入院率 (10%vs26%).
- 有限的证据表明,抗精神病药物改善了生活质量,减少了侵略性.
- 与安慰剂相比,使用抗精神病药物观察到体重增加,运动障碍和镇静.
结论:
- 维持抗精神病药物治疗对精神分裂症患者有益.
- 抗精神病药物的优点必须与其副作用进行权衡.
- 未来的研究应该调查社会参与结果和长期的发病率/死亡率.
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