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首页> 外文期刊>Journal of Clinical and Diagnostic Research >A Prospective Observational Study on the Effects of Antidepressant Treatment on HypothalamicPituitary-Adrenal Axis Regulation in Treatment Resistant Depression
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A Prospective Observational Study on the Effects of Antidepressant Treatment on HypothalamicPituitary-Adrenal Axis Regulation in Treatment Resistant Depression

机译:抗抑郁药治疗对治疗抗抑郁症抗衰性 - 肾上腺轴调控的潜在观察研究

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Dysregulation of Hypothalamic-Pituitary-Adrenal (HPA) axis can reduce the effects of antidepressants.Salivary cortisol level and Hamilton Depression Rating (HAM-D) score can be used to assess the level of improvement in the HPA axis and depressive disorders.Aim: To evaluate the changes in salivary cortisol level and HAM-D score in patients of Treatment Resistant Depression (TRD) and to investigate the association between them.Materials and Methods: The present prospective cohort study was conducted in the Department of Pharmacology and Psychiatry at Pt.JNM Medical College and Dr.BRAM Hospital Raipur (CG) over a period of one year, from June 2014 to June 2015.The participants were 52 diagnosed cases of TRD according to Diagnostic and Statistical Manual of Mental Disorders (DSM IV) criteria, who were taking antidepressant medications for at least four weeks.The salivary cortisol values and HAM-D scoring were done at baseline and follow-up at eight weeks and 16 weeks and compared by student’s t-test and one-way ANOVA.Results: A significant difference (p<0.001) was noted in the mean salivary cortisol levels (1.15±0.31 and 0.72±0.24) and mean HAM-D (29.67±1.43 and 16.26±7.08) scores at baseline and subsequent follow-up, respectively.Conclusion: The therapeutic benefit of antidepressants could be due to alteration of HPA axis functioning.
机译:下丘脑 - 垂体 - 肾上腺(HPA)轴的失调可以降低抗抑郁药的影响。血清腺皮质醇水平和汉密尔顿抑郁率(HAM-D)得分可用于评估HPA轴和抑郁症的改善水平.aum:评估治疗抑制患者(TRD)患者的唾液皮质醇水平和HAM-D得分的变化,并调查它们之间的关联。材料与方法:目前的前瞻性队列研究在PT药理和精神病学系进行.JNM医学院和Dr.Bram医院Raipur(CG)在2014年6月至2015年6月至6月。根据精神障碍(DSM IV)标准的诊断和统计手册,参与者是52例TRD诊断案件,谁在服用抗抑郁药物至少四周。唾液皮质醇价值和哈姆-D评分在基线和八周和16周后进行后续行动,并通过Stude比较NT的T检验和单向ANOVA.results:在平均唾液皮质醇水平(1.15±0.31和0.72±0.24)和平均HAM-D(29.67±1.43和16.26±7.08时,注意到显着差异(P <0.001)。 )分别在基线和随后的后续随访。结论:抗抑郁药的治疗益处可能是由于HPA轴的变化。

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