多巴胺激活剂诱导冲动控制障碍的患病率和危险因素在患有前性瘤的患者中
Shuang Zhang1, Chi Wang1, Dapeng Wang1
1Department of Endocrinology, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
International journal of psychiatry in medicine
|October 30, 2025
概括
冲动性控制障碍 (ICD) 影响了超过23%的服用多巴胺激动剂的前乳腺瘤患者. 风险因素包括男性性别,巨乳腺瘤和较高的药物剂量,强调需要仔细监测.
科学领域:
- 内分泌学 在内分泌学.
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
背景情况:
- 益生菌瘤是一种常见的垂体瘤.
- 多巴胺激动剂是对益生菌瘤的主要治疗方法.
- 冲动控制障碍 (ICD) 是多巴胺激动剂治疗的潜在副作用.
研究的目的:
- 调查益生菌瘤患者中ICDs的患病率.
- 在这个人群中确定与ICD发展相关的因素.
- 评估多巴胺激动剂治疗对ICD风险的影响.
主要方法:
- 横截面研究设计. 截面研究设计.
- 包括170名患有前乳腺瘤的患者,接受多巴胺激动剂治疗6个月以上.
- 用于ICD的自我报告症状评估.
主要成果:
- 23.5%的患者报告至少有一个ICD症状.
- 最常见的ICD包括暴饮暴食 (17.7%),高性欲 (14.7%) 和强迫性购物 (11.8%).
- ICDs的相关系是男性性别,巨乳腺瘤,血清蛋白升高,先前的精神疾病,增加的多巴胺激动剂剂量,治疗持续时间和焦虑/抑郁症严重程度.
结论:
- 在接受多巴胺激动剂治疗的益生菌瘤患者中,ICDs是一个重大问题.
- 识别和监测具有危险因素的患者至关重要.
- 建议在诊断和治疗期间对ICD风险给予临床关注.
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