甲基酸盐对患有并发性注意力缺陷/过度活动障碍和安非他命使用障碍患者的认知的影响:一项探索性单盲内主体研究
Christoffer Brynte1, Maija Konstenius1, Lotfi Khemiri1
1Department of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet and Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden.
患有注意力缺陷/多动症障碍 (ADHD) 和同时出现物质使用障碍 (SUD) 的个人表现出更大的执行功能障碍. 高剂量的OROS-甲基化物 (MPH) 在ADHD+AMPH患者中显示出潜在但不确定的认知益处.
科学领域:
- 神经科学是一个神经科学.
- 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:
- 注意缺陷/多动障碍 (ADHD) 与物质使用障碍 (SUD) 同时发生与较差的治疗结果有关.
- 以往使用高剂量兴奋剂的研究表明,ADHD/SUD患者有积极的影响.
- 这项研究调查了OROS-甲基酸盐 (MPH) 在ADHD与胺使用障碍 (ADHD+AMPH) 中的执行功能和剂量依赖的影响.
研究的目的:
- 为了比较ADHD+AMPH和ADHD患者之间的执行功能.
- 探索OROS-甲基酸盐 (MPH) 对这些群体认知的剂量依赖的影响.
主要方法:
- 一个神经心理测试电池评估了三个组:ADHD+AMPH,仅ADHD和健康的对照.
- 一个探索性,单盲设计涉及OROS-MPH定位高达72毫克的两个ADHD组.
- ADHD+AMPH组接受了最大剂量为180毫克的OROS-MPH;健康对照组没有接受药物治疗.
主要成果:
- 而ADHD+AMPH组的运动抑制和空间工作记忆比ADHD单一组明显差.
- 高剂量 (180毫克) 的OROS-MPH与ADHD+AMPH组的执行功能改善有关.
- 研究设计的局限性和招募的挑战,阻止了关于180毫克OROS-MPH效应的最终结论.
结论:
- 与只有ADHD的患者相比,ADHD+AMPH的患者表现出更严重的神经认知缺陷.
- 180毫克OROS-MPH在ADHD+AMPH患者的认知影响仍然没有确定性.
- 未来的研究必须解决这个患者群体的招聘困难和高退学率.
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