随机试验中的心理功能 连续用酸甘治疗更年期潮热的随机试验
Emily L Zhao1, Carolyn J Gibson2,3,4, Harini Raghunathan5
1School of Medicine, Case Western Reserve University, Cleveland, OH.
概括
连续的酸甘并没有改善更年期妇女热的情绪症状. 虽然减少热与更好的生活质量相关,但并不总是观察到情绪改善.
科学领域:
- 生殖医学 生殖医学
- 精神病学是一个精神病学.
- 临床药理学 临床药理学
背景情况:
- 更年期妇女经常经历热和相关的心理症状,影响生活质量.
- 持续的透皮酸甘已被探索为热的潜在治疗方法.
研究的目的:
- 评估连续透皮酸甘对更年期妇女心理功能的影响.
- 调查热闪频率与心理症状之间的关系.
主要方法:
- 一个为期12周的随机化,安慰剂对照试验,涉及更年期妇女频繁发热.
- 用经过验证的尺度评估心理功能:CES-D,GAD-7和MENQOL心理社会次级.
- 使用线性混合模型进行统计分析,以评估治疗效果和症状关联.
主要成果:
- 与安慰剂相比,甘治疗没有显著改善抑郁症 (CES-D) 或焦虑症 (GAD-7) 评分.
- 热频率增加与更糟糕的焦虑 (GAD-7) 评分有关.
- 热的改善与更好的更年期特异性生活质量 (MENQOL) 心理社会分数相关,但与情绪分数不一致.
结论:
- 持续的透皮酸甘在经历热的更年期妇女的情绪症状方面没有显示出一致的益处.
- 临床医生应该考虑超出热闪的频率对中年心理健康的多因素影响.
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