恐惧症-强迫性精神神经症的多中心对照试验。氯丙咪嗪及其与氟哌啶醇和地西泮联用的效果

G.B. Cassano, P. Castrogiovanni, M. Mauri, G. Rutigliano, R. Pirro, G. Cerone, N.P. Nielsen, S. Reitano, N. Guidotti, D. Bedarida, F.P. Marchetti, A. Catalano, M.V. Benecchi, G. Amabile, M. Zanasi, L. Pugliese, M.L. Rocco, A. Balestrieri, M. Tansella, L. Burti, F. Pariante
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引用次数: 12

摘要

1.1. 据报道,氯丙咪嗪对治疗恐惧症患者有效。它已被广泛地与抗焦虑化合物(如苯二氮卓类药物)或主要镇静剂(如丁替罗芬类药物)联合使用,但尚未确定这些治疗方法中任何一种的明显优势。我们进行了一项多中心试验,比较氯丙咪嗪单用与氟哌啶醇或地西泮合用对有强迫和/或恐惧症状的患者的治疗特点。共有54名男女住院患者接受了为期60天的试验,并在双盲条件下接受治疗。实验分为氯丙咪嗪组、氯丙咪嗪与地西泮组、氯丙咪嗪与氟哌啶酮组。采用MMPI、Hamilton的RSD、Overall和Gorham的BPRS、Lorr的IMPS来评估两组患者的精神病理状况和临床疗效。为了安全起见,使用了副作用清单。经过统计处理,从不同中心收集的数据似乎表明,在所有三种治疗中,不同类型的反应。这些数据表明,在使用三种治疗方法可能存在差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A multicenter controlled trial in phobic-obsessive psychoneurosis. The effect of chlorimipramine and of its combinations with haloperidol and diazepam

  • 1.

    1. Chlorimipramine has been reported to be effective in the treatment of phobic-obsessive patients. It has been widely used in combination with anti-anxiety compounds such as benzodiazepines, or with major tranquillizers, such as butirophenones, but no clear-cut superiority of anyone of these treatments has been yet established.

  • 2.

    2. A multicenter trial was performed to compare the therapeutic characteristics of chlorimipramine alone with those displayed in combination with haloperidol or diazepam in patients showing an obsessive and/or phobic sympomatology.

  • 3.

    3. A total of 54 inpatients of both sexes were admitted to a 60-day trial and were treated in double-blind conditions. The experiment was carried-out in three groups: chlorimipramine, chlorimipramine and diazepam, and chlorimipramine and haloperidol.

  • 4.

    4. The psychopatological picture and the evaluation of clinical efficacy was assessed by a battery of instruments: the MMPI, the RSD of Hamilton, the BPRS of Overall and Gorham and the IMPS of Lorr. For safety a check-list of side-effects has been used.

  • 5.

    5. After statistical processing, the data gathered from various centres seem to indicate differentiated types of response in all three treatments. These data suggest a possible differentiation in the use of the three treatments.

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