伊斯特雷丁诺因使用者中自杀和精神疾病的风险:元分析
Nicole Kye Wen Tan1, Adelina Tang1, Neil Chen Yi Lun MacAlevey1
1Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
JAMA dermatology
|November 29, 2023
概括
异二胺使用与增加的精神病风险无关. 这次审查没有发现自杀或精神健康状况的风险更高,并且治疗后自杀企图的风险可能更低.
科学领域:
- 皮肤病学 皮肤病学
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 伊索特里诺因是一种常见的治疗方法.
- 有关其潜在的精神病副作用存在担忧.
- 关于这些风险的流行病学数据有限.
研究的目的:
- 为了确定异丁使用与精神疾病之间的关联.
- 确定异二胺使用者自杀和精神疾病的风险因素.
- 为了澄清所涉及的绝对和相对风险.
主要方法:
- 在PubMed,Embase,Web of Science和Scopus的系统搜索.
- 包括随机试验和观察性研究.
- 来自25项研究的数据分析,涉及超过160万名参与者.
主要成果:
- 在1年内完成自杀,自杀未遂,想象和自伤的绝对风险 <0.5%.
- 一年内抑郁症的风险为3.83%.
- 治疗后2至4年,异二氨酸使用者的自杀企图风险较低 (RR 0.85-0.92).
- 没有发现异二因与整体精神疾病之间有显著的关联 (RR 1.08).
结论:
- 人口层面的数据表明,异氨酸不会增加自杀或精神疾病的风险.
- 治疗后2-4年观察到潜在的自杀企图风险降低.
- 在治疗期间建议进行持续的精神皮肤学监测.
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