普罗波对情绪的直接影响:在患有抑郁症的队列中,随机比较了两个剂量
Daniel A Feldman1,2,3, Keith G Jones4,5,6, Lily C Vonesh4
1Department of Psychiatry, Huntsman Mental Health Institute, University of Utah, Salt Lake City, Utah, USA. daniel.a.feldman@utah.edu.
Psychopharmacology
|October 17, 2024
概括
在治疗耐药抑郁症的患者中,普罗波注入改善了情绪,重复剂量的效果会减弱. 在这项研究中,重复使用并没有增加滥用潜力.
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:
- 静脉麻醉剂propofol显示了情绪增强的效果,表明抗抑郁药的潜力.
- 人们对普罗波的滥用潜力存在担忧.
- 普罗波福尔剂量和重复注射对情绪的影响尚不清楚.
研究的目的:
- 为了比较低剂量与高剂量醇的急性情绪影响.
- 为了检查心情效应如何随着重复输注醇而改变.
- 为了确定最初的情绪改善是否预测了以后的抗抑郁药物反应.
主要方法:
- 24名患有耐治疗抑郁症的成年人在两周内接受了6次失明,低剂量或高剂量的普罗波注射.
- 在注射前和后评估情绪,使用积极和消极影响表 (PANAS-X).
- 使用药物效应问卷 (DEQ-5) 测量了滥用潜力.
主要成果:
- 在第一次输液后,无论剂量如何,普罗波改善了情绪 (悲伤,恐惧,愉快,宁静).
- 这些情绪改善随着随后的输液而减少,除了Serenity.
- 对于更多的普罗波的渴望在输液中下降,最初的情绪变化没有预测整体抑郁症的改善.
结论:
- 重复注入普罗波可能会激活与情绪相关的大脑回路中的适应机制.
- 主观反应表明,在这个人群中,随着重复使用,propofol的滥用潜力不会增加.
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