布雷克斯皮普拉在精神分裂症患者中的主观评估:一项前性观察性研究
Rina Yokoi1,2, Masakazu Hatano1,2,3, Hiroyuki Kamei2,3
1Department of Pharmacotherapeutics and Informatics, Fujita Health University, School of Medicine, Toyoake, Aichi, Japan.
Fujita medical journal
|August 9, 2023
概括
布雷克西普拉治疗改善了患者的主观幸福感,特别是在自我控制和社会融入方面,超过14周. 这些幸福感的改善与精神病学措施或药物态度没有直接相关.
科学领域:
- 精神病学和药理学 精神病学和药理学
- 临床心理学 临床心理学
背景情况:
- 抗精神病药物对于管理精神疾病至关重要.
- 主观的患者体验对于评估治疗有效性和治疗坚持至关重要.
研究的目的:
- 为了评估接受brexpiprazole治疗的患者的主观幸福感.
- 为了评估14周内自我报告的幸福感的变化.
主要方法:
- 一项前性观察性研究,涉及19名接受布雷克斯皮普拉治疗的患者.
- 在神经乱药物治疗中利用主观幸福的简单形式,日本版本 (SWNS-J) 和药物态度库存-10 (DAI-10).
- 临床全球印象 - 疾病严重程度 (CGI-S) 尺度也用于评估.
主要成果:
- 总SWNS-J得分及其自我控制和社会融入的子尺度 (p<0.05) 显著改善.
- 在其他SWNS-J子尺度或DAI-10中没有发现显著改善.
- SWNS-J得分与DAI-10或CGI-S得分没有相关性.
结论:
- 布雷克斯皮普拉可以提高主观福祉,独立于精神病理变化.
- 定期的主观评估对于改善患者的药物服药能力很重要.
- 需要进一步的研究来了解对整体精神病状况的长期影响.
相关概念视频
Psychosis: Goals of Pharmacotherapy
166
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
166
Psychosis and Antipsychotic Drugs: Overview
328
The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic...
328
Psychological and Sociocultural Causes of Schizophrenia
139
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
139
Antipsychotic Drugs: Typical and Atypical Agents
249
Antipsychotic drugs are classified into first-generation (typical) drugs including phenothiazines; and second-generation (atypical) drugs. Chlorpromazine hydrochloride (Thorazine), a phenothiazine derivative, broadly impacts the central, autonomic, and endocrine systems. This drug, along with typical agents like haloperidol (Haldol), primarily works by antagonizing D2 receptors, thus reducing dopaminergic neurotransmission. However, typical antipsychotics can cause side effects such as sedation...
249
Drug Therapy
69
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
69
Schizophrenia
139
Schizophrenia, a term introduced by Swiss psychiatrist Eugen Bleuler in 1911, describes a severe psychological disorder marked by profound disruptions in attention, thought processes, language, emotion, and interpersonal relationships. The core feature of schizophrenia is psychosis — a state characterized by a fundamental detachment from reality. This disconnection manifests through distorted logic, impaired perception, and atypical behavior, severely affecting the lives of those...
139


