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首页> 外文期刊>Psychiatry research >Age at onset of first depressive episode as a predictor for escitalopram treatment of major depression comorbid with alcohol dependence.
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Age at onset of first depressive episode as a predictor for escitalopram treatment of major depression comorbid with alcohol dependence.

机译:首次抑郁发作的年龄可作为依他普仑治疗严重抑郁症与酒精依赖合并症的预测指标。

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摘要

The aim of this study was to determine predictors of the response to escitalopram, a selective serotonin re-uptake inhibitor antidepressant and memantine, a non-competitive glutamate NMDA receptor blocker, for the treatment of major depression comorbid with alcohol dependence. Eighty alcohol dependent treatment-seeking adult patients with comorbid major depressive disorder were randomized to receive either memantine 20 mg or escitalopram 20 mg for 26 weeks. In both treatment groups, depression was reduced significantly. Comparisons were made between patients in remission (final Montgomery-Asberg Depression Rating Scale (MADRS)
机译:这项研究的目的是确定对依他普仑,一种选择性5-羟色胺再摄取抑制剂抗抑郁药和美金刚(一种非竞争性谷氨酸NMDA受体阻滞剂)的反应的预测因子,用于治疗伴有酒精依赖的严重抑郁症。将80名寻求酒精依赖治疗且患有合并症的重度抑郁症的成年患者随机分配接受美金刚20 mg或依他普仑20 mg,治疗26周。在两个治疗组中,抑郁症均显着减少。比较缓解期患者(最终蒙哥马利-阿斯伯格抑郁量表(MADRS)<或= 12)与无反应患者(MADRS降低<50%)之间的差异。第一次严重抑郁发作的年龄与依他普仑组的治疗反应显着相关。无反应组患者抑郁发作的平均年龄为13.7 +/- 4.0岁,缓解期为31.9 +/- 11.9岁。这些结果与美金刚有明显不同。我们的研究提供证据表明,首发严重抑郁发作可能是重度抑郁和合并酒精依赖患者对依他普仑治疗反应的临床相关预测因子。

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