患有的成年人的情绪障碍:对未知的事实和常见误解的回顾
Andres M Kanner1, Rohit Shankar2,3, Nils G Margraf4
1Epilepsy Division and Department of Neurology, Miller School of Medicine, University of Miami, 1120 NW, 14th Street, Room 1324, Miami, FL, 33136, USA. a.kanner@med.miami.edu.
Annals of general psychiatry
|March 3, 2024
概括
和情绪障碍有共同的原因,影响治疗选择. 与常见误解相反,抗抑郁药对有情绪问题的患者来说是安全有效的.
科学领域:
- 神经学 神经学
- 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:
- 是一种常见的神经疾病,经常伴有认知和精神问题.
- 和情绪障碍之间存在双向关系,这表明共享的潜在机制.
- 精神病史对于选择抗发作药物 (ASM) 来优化患者的治疗结果至关重要.
研究的目的:
- 为了突出和情绪障碍之间的联系.
- 根据精神病史指导ASM的选择.
- 为了解决关于抗抑郁药在症中的使用的误解.
主要方法:
- 对和情绪障碍的前性基于人群的研究进行审查.
- 分析ASM的特性,包括情绪稳定和心理效应.
- 对中情绪障碍的临床表现和诊断标准的检查.
主要成果:
- 常见的致病机制将和情绪障碍联系在一起.
- 稳定情绪的ASM (例如,拉莫特里金) 首选用于有精神病史的患者.
- 应避免使用具有负面心理效应的ASM (如 levetiracetam).
- 中的情绪障碍可以呈现异常.
- 抗抑郁药是安全有效的,在试验中,发作的发生率低于安慰剂.
结论:
- 在中有效管理情绪障碍对于改善生活质量和降低自杀风险至关重要.
- 给患有和情绪障碍的人开抗抑郁药的处方是合理和安全的.
- 临床医生在选择ASM时应该考虑精神病史,不要害怕开抗抑郁药.
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