对于年轻的PE的人来说,olanzapine有神经性厌食症 (OPEN):可行性研究的结果
Olena Said1, Dominic Stringer2,3, Ece Sengun Filiz4
1Centre for Research in Eating and Weight Disorders (CREW), Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, De Crespigny Park, London, SE5 8AD, UK.
BMC psychiatry
|November 7, 2024
概括
这项研究评估了 olanzapine 作为神经性厌食症 (AN) 辅助治疗的可行性. 虽然招募和坚持是具有挑战性的,但初步结果表明,对AN患者的饮食障碍精神病理学和BMI有潜在的益处.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 药理学 药理学是指药理学的学科.
背景情况:
- 神经性厌食症 (AN) 尽管有治疗方法,但其缓解率适度,死亡率高.
- 奥兰沙平是治疗AN的辅助疗法,但其有效性和耐受性的证据有限.
- 奥兰扎平对饮食障碍 (ED) 心理病理学,有效性,耐受性,可接受性和AN患者的坚持的影响尚不清楚.
研究的目的:
- 评估在患有AN的年轻人中对奥兰zapine进行最终试验的可行性.
- 为了估计未来试验的招募,坚持和退出率.
- 为了探索 olanzapine 对身体质量指数 (BMI) 和 ED 精神病理学的初步影响.
主要方法:
- 一个开放的标签,单臂可行性研究.
- 包括55名年龄在12-24岁的患有AN或非典型AN的患者.
- 评估患者在基线,8周,16周和6或12个月,测量BMI和ED精神病理.
主要成果:
- 招募了20名参与者 (57%的招聘率).
- 75%的患者继续服用奥兰扎≥16周;65%的患者完成了随访.
- 探索性分析显示,治疗期间ED心理病理学得分下降,BMI增加.
结论:
- 招聘和坚持挑战被注意到,可能是由于临床工作量和研究条件.
- 需要进一步的研究来确认 olanzapine 在 AN 中的疗效和耐受性.
- 大规模试验的可行性得到了初步结果数据的支持.
相关概念视频
Anorexia Nervosa
46
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
46
Antidepressant Drugs: MAOIs and Other Agents
195
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...
195


