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首页> 外文期刊>The journal of clinical psychiatry >Report of the Texas Consensus Conference Panel on medication treatment of bipolar disorder 2000.
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Report of the Texas Consensus Conference Panel on medication treatment of bipolar disorder 2000.

机译：德州共识会议小组关于双相情感障碍药物治疗的报告，2000年。

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BACKGROUND: The process and outcome of a consensus conference to develop revised algorithms for treatment of bipolar disorder to be implemented in the public mental health system of Texas are described. These medication algorithms for bipolar disorder are an update of those developed for the Texas Medication Algorithm Project, a research study that tested the clinical and economic impact of treatment guidelines for major psychiatric illnesses treated in the Texas public mental health system (Texas Department of Mental Health and Mental Retardation [TDMHMR]). METHOD: Academic clinicians and researchers, practicing clinicians in the TDMHMR system, administrators, advocates, and consumers participated in a consensus conference in August 2000. Participants attended presentations reviewing new evidence in the pharmacologic treatment of bipolar disorder and discussed the needs of consumers in the TDMHMR system. Principles were enumerated, including balancing of evidence for efficacy, tolerability, and safety in medication choices. A set of 7 distinct algorithms was drafted. In the following months, a subcommittee condensed this product into 2 primary algorithms. RESULTS: The panel agreed to 2 primary algorithms: treatment of mania/hypomania, including 3 pathways for treatment of euphoric symptoms, mixed or dysphoric symptoms, and psychotic symptoms; and treatment of depressive symptoms. General principles to guide algorithm implementation were discussed and drafted. CONCLUSION: The revised algorithms are currently being disseminated and implemented within the Texas public mental health system. The goals of the Texas initiative include increasing the consistency of appropriate treatment of bipolar disorder, encouraging systematic and optimal use of available pharmacotherapies, and improving the outcomes of patients with bipolar disorder.
机译：背景：描述了共识会议的过程和结果，该共识会议旨在开发将在德克萨斯州的公共精神卫生系统中实施的用于治疗双相情感障碍的修订算法。这些针对双相情感障碍的药物算法是针对德克萨斯药物算法项目开发的算法的更新，该项目研究了德克萨斯公共精神卫生系统（德克萨斯州精神卫生部）针对主要精神疾病治疗准则的临床和经济影响。和精神发育迟滞[TDMHMR]。方法：2000年8月，学术临床医生和研究人员，TDMHMR系统的执业临床医生，管理人员，倡导者和消费者参加了共识会议。与会人员参加了演讲，回顾了有关双相情感障碍药物治疗的新证据，并讨论了消费者对双相情感障碍的需求。 TDMHMR系统。列举了一些原则，包括在药物选择的有效性，耐受性和安全性方面对证据进行平衡。草拟了一套7种不同的算法。在接下来的几个月中，小组委员会将该产品浓缩为2种主要算法。结果：专家组同意了2种主要算法：躁狂/低躁狂症的治疗，包括3种治疗欣快症状，混合或烦躁症状和精神病症状的途径;和抑郁症状的治疗。讨论并起草了指导算法实现的一般原则。结论：修正的算法目前正在德克萨斯州公共精神卫生系统中传播和实施。德州倡议的目标包括增加对躁郁症适当治疗的一致性，鼓励系统和最佳地使用可用的药物治疗方法以及改善躁郁症患者的预后。

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