用于治疗月经前失调障碍:一个案例报告
Turk psikiyatri dergisi = Turkish journal of psychiatry
|September 19, 2024
概括
单疗可能是患有月经前失调障碍 (PDD) 的可行的治疗方法,特别是当标准疗法失败或禁用时. 这种方法特别适用于患有双相情感障碍 (BD) 家庭病史的患者.
科学领域:
- 精神病学和药理学 精神病学和药理学
- 妇女健康 妇女健康
- 神经科学是一个神经科学.
背景情况:
- 月经前失调障碍 (PDD) 涉及到在晚期黄体期期间显著的情绪,身体和认知症状.
- 目前的PDD治疗包括血清素再吸收抑制剂和联合避孕药.
- 在患有双相情感障碍 (BD) 个人或家族病史的患者中使用抗抑郁药具有诱导躁狂发作的风险.
研究的目的:
- 研究在治疗月经前失调障碍 (PDD) 中的潜在疗效.
- 探索作为PDD的替代治疗方法,特别是在有双相情感障碍 (BD) 家庭病史的病例中.
主要方法:
- 一个患有PDD和BD家族病史的患者的案例研究介绍.
- 对于PDD的单疗法治疗.
- 对治疗结果的评估.
主要成果:
- 在PDD案例中,在单疗法中取得了成功的治疗结果.
- 患者没有个人BD病史,但BD家族病史.
结论:
- 单一疗法可以是PDD的有效治疗方法,特别是当一线或二线疗法不适合或无效时.
- 在一级亲属中有效预防情绪发作的药理学药物可能为PDD管理提供了可行的解决方案.
- 这一案例凸显了在PDD治疗中的潜在作用,特别是在BD家族病史的背景下.
相关概念视频
Mania and Antimanic Drugs: Overview
148
Mania, a psychological condition characterized by elevated mood, increased energy, and reduced sleep need, is part of the bipolar disorder cycle. The exact cause of mania isn't entirely known, but it is thought to be a combination of genetic, environmental, and neurological factors. Bipolar disorder involves alternating manic and depressive episodes. Mood stabilizers like lithium, antipsychotics, and anticonvulsants help manage these episodes. Lithium carbonate is particularly effective as...
148
Bipolar Disorder
58
Bipolar disorder is a chronic mental health condition marked by significant mood fluctuations, including episodes of mania and depression. Elevated energy levels, heightened mood or irritability, impulsive behavior, reduced sleep needs, rapid speech, racing thoughts, inflated self-esteem, and distractibility characterize mania. Individuals with bipolar disorder often alternate between depressive and manic states, with periods of emotional stability lasting an average of six months to a year.
58
Depressive Disorders: MDD and Dysthymia
67
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
67
Antidepressant Drugs: MAOIs and Other Agents
201
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
201
Drugs for Treatment of Diarrhea-Predominant IBS
152
Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
152
Electroconvulsive Therapy
28
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
28


