每月一次的阿里皮普拉对双相情绪障碍再住院的预防性作用:多中心1年后视镜像研究
Junichi Goto1, Masahiro Shono1, Yasuhisa Abe2
1Yuge Neuropsychiatric Hospital, Kumamoto, Japan.
Neuropsychopharmacology reports
|August 10, 2023
概括
每月一次的阿里皮普拉 (AOM) 显著减少了因双相情感障碍而重新入院的精神病患者. 这种长效的注射治疗改善了患者的治疗结果,并减少了在现实世界中住院的时间.
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.
- 临床研究 临床研究
背景情况:
- 双极性障碍是一种慢性精神健康状况,通常需要长期管理.
- 重新住院是一个重大问题,影响患者的福祉和医疗保健费用.
- 阿里皮普拉每月一次 (AOM) 是一种用于治疗双相情感障碍的可注射抗精神病药物.
研究的目的:
- 调查每月一次 (AOM) 的阿里皮普拉在减少双相情感障碍患者精神病重住院的有效性.
- 分析AOM对再入院率,频率,持续时间和再入院时间的影响.
主要方法:
- 采用了一年的回顾性镜像研究设计.
- 包括39名患有双相情感障碍的参与者,接受AOM至少1年.
- 收集和分析了关于再住院率,住院人数,住院日数和再住院时间的数据.
主要成果:
- AOM显著降低了再住院率,从59%降至18% (p=0.001).
- 每人/年重新入院的平均数量显著下降 (0.85至0.41,p=0.048).
- 总住院日数和再住院时间显示显著改善 (分别为p=0.008和p<0.001).
结论:
- 在现实世界中,每月一次的阿里皮普拉 (AOM) 有效地减少了对双相情感障碍的整体精神病再入院.
- 研究结果表明,AOM是治疗双相情感障碍和预防复发的宝贵工具.
- 建议对更大的队列和更长的随访期进行进一步的研究,以证实这些发现.
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
Mania and Antimanic Drugs: Overview
238
Mania, a psychological condition characterized by elevated mood, increased energy, and reduced sleep need, is part of the bipolar disorder cycle. The exact cause of mania isn't entirely known, but it is thought to be a combination of genetic, environmental, and neurological factors. Bipolar disorder involves alternating manic and depressive episodes. Mood stabilizers like lithium, antipsychotics, and anticonvulsants help manage these episodes. Lithium carbonate is particularly effective as...
238
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
Antipsychotic Drugs: Therapeutic Uses and Side Effects
261
Antipsychotic drugs primarily block dopamine and serotonin receptors and cholinergic, adrenergic, and histaminergic receptors, thereby reducing hallucinations and delusions in conditions like schizophrenia. However, they can trigger unwanted extrapyramidal effects such as dystonias, Parkinson-like symptoms, and tardive dyskinesia.
Despite these side effects, antipsychotics are used therapeutically for various purposes, including managing schizophrenia, preventing nausea and vomiting, curbing...
Despite these side effects, antipsychotics are used therapeutically for various purposes, including managing schizophrenia, preventing nausea and vomiting, curbing...
261


