应对疗法的使用量下降:呼吁采取行动
Gin S Malhi1,2,3, Erica Bell1,2, Maedeh Jadidi1,2
1Academic Department of Psychiatry, Kolling Institute, Northern Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
International journal of bipolar disorders
|August 26, 2023
概括
仍然是最有效的双相情感障碍治疗方法,但其使用量有所下降. 这篇文章旨在消除关于的迷思.
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.
- 神经科学是一个神经科学.
背景情况:
- 50多年来,一直是治疗双相情感障碍的黄金标准.
- 尽管有效性得到证实,但的处方率显著下降.
- 这种下降归因于临床医生不熟悉和新,看似简单的药物的兴起.
研究的目的:
- 为了解决已确定的疗效与其临床使用的下降之间的差异.
- 揭穿常见的误解,关于难度和风险与处方相关.
- 倡导在双相情感障碍管理中重新强调的战略转变.
主要方法:
- 这篇文章是基于现有科学文献和临床观察的综述和评论.
- 它综合了的有效性,安全性和比较优势的证据.
- 它分析了处方减少的原因,并提出了抵消这一趋势的策略.
主要成果:
- 与较新的药物相比,在预防双相情感障碍复发方面表现出卓越的疗效.
- 新的药物虽然被认为更容易使用,但缺乏的长期预防益处.
- 具有独特的优势,包括潜在的预防自杀和神经保护作用,这些优势在替代治疗中没有.
结论:
- 关于的副作用和处方复杂性的误解是其使用的重大障碍.
- 重新教育和战略重新评估是必要的,以恢复在其应有的位置在双相情感障碍治疗.
- 消除神话对于利用的全部治疗潜力至关重要,包括它对患者福祉和长期结果的独特益处.
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