治疗阻断性成的概念:对成治疗系统和研究的影响
Edward V Nunes1, A Thomas McLellan
1From the Department of Psychiatry, Columbia University Irving Medical Center, New York, NY (EVN); and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA (ATML).
Journal of addiction medicine
|October 2, 2024
概括
治疗不耐药的成描述了患者在标准护理下没有改善. 这一概念鼓励开发逐步的,对物质使用障碍的算法治疗方法,类似于耐治疗抑郁症.
科学领域:
- 成 药物 药物 药物 药物
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 临床医生经常遇到患有物质使用障碍 (SUD) 的患者,这些患者对标准治疗没有充分的反应.
- 治疗阻断性成的概念突出了这一常见的临床挑战.
- 现有的成治疗模式可能无法充分解决持续的不反应.
研究的目的:
- 引入和倡导治疗不耐药成的概念.
- 与成功的耐治疗抑郁症模型和STAR*D研究进行并行比较.
- 刺激SUDs的算法,逐步治疗方法的发展.
主要方法:
- 概念分析和类似于耐治疗抑郁症研究 (例如,STAR*D研究).
- 讨论对成医学临床实践和研究的影响.
- 建议从孤立的计划转向综合处理系统.
主要成果:
- 治疗耐药成的概念可以振兴成治疗和研究领域.
- 一种类似于STAR*D的算法,逐步的方法,可以提高SUD的缓解率.
- 在其他慢性疾病中常见的个性化和量身定制的护理对于SUDs是必要的.
结论:
- 识别治疗不耐药的成需要开发新的,基于证据的治疗算法.
- 提供多种治疗选择的综合治疗系统至关重要.
- 未来的研究应该集中在那些没有从初始标准成治疗中受益的患者身上.
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