单剂量合成 псилоцибин与心理治疗治疗耐药双极 II 型重度抑郁情节的心理治疗:一个非随机的开放标签试验
Scott T Aaronson1,2, Andrew van der Vaart2, Tammy Miller1
1Institute for Advanced Diagnostics and Treatment, Sheppard Pratt Health System, Baltimore, Maryland.
JAMA psychiatry
|December 6, 2023
概括
西在治疗双相二极性障碍 (BDII) 抑郁症方面表现有前途. 一次剂量显著改善了患者的抑郁症状和生活质量,对躁狂或自杀倾向没有不良影响.
科学领域:
- 精神病学是一个精神病学.
- 神经科学是一个神经科学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 双极性II型障碍 (BDII) 的特点是衰弱的抑郁情节.
- 现有的BDII抑郁症治疗方法往往是不够的.
- 松素显示出快速抗抑郁作用,但缺乏对双极性抑郁症的研究.
研究的目的:
- 评估在被诊断患有双相II型障碍 (BDII) 且正在经历抑郁期的患者中西宾的安全性和疗效.
主要方法:
- 一项非随机的开放性试验,涉及15名患有BDII和耐治疗抑郁症的参与者.
- 参与者接受了一次25毫克的合成psilocybin剂量,先后接受心理治疗.
- 在12周内,使用蒙哥马利-阿斯伯格抑郁评分表 (MADRS) 和其他措施来评估抑郁症状.
主要成果:
- 在治疗3周后观察到MADRS得分的显著降低,并在治疗后12周内持续 (P < .001).
- 12名参与者在研究终点时满足了抑郁反应和缓解的标准.
- 人们还注意到生活质量和自我评估的抑郁症状有所改善,躁狂或自杀性得分没有显著增加.
结论:
- 当与心理治疗相结合时,松素似乎是一种安全有效的治疗双极性II障碍 (BDII) 抑郁症.
- 这些发现支持对这种患者群体的迷幻辅助疗法的进一步研究.
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