首页> 外文期刊>Clinical EEG and neuroscience: official journal of the EEG and Clinical Neuroscience Society (ENCS) >Prediction of clinical response to antidepressants in patients with depression: neurophysiology in clinical practice.
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Prediction of clinical response to antidepressants in patients with depression: neurophysiology in clinical practice.

机译:抑郁症患者对抗抑郁药的临床反应预测:临床实践中的神经生理学。

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摘要

Brain monoaminergic neurotransmission is involved in the pathophysiology of various psychiatric disorders including depression. Reliable indicators of central monoaminergic activity might be helpful to specifically identify and differentiate dysfunctions in individual patients in order to selectively adjust medication and predict clinical response. In patients with depression, predictors of treatment response to serotonergic versus non-serotonergic (e.g., noradrenergic) antidepressants could be of considerable clinical relevance by avoiding unfavorable factors such as a prolonged duration of the disorder, risk of suicidality and therapy-resistance. Consequently, these tools might help to decrease direct and indirect costs of treatment. The loudness dependence of the N1/P2 component of auditory evoked potentials (LD) has been proposed as a noninvasive neurophysiological indicator of central serotonergic function. This review focuses on recent studies providing evidence for the validity of LD as an indirect serotonergic marker and highlights data on the clinical application in terms of prediction of treatment response in patients with depression.
机译:脑单胺能神经传递参与包括抑郁症在内的各种精神疾病的病理生理。中心单胺能活动的可靠指标可能有助于具体识别和区分个别患者的功能障碍,以便选择性地调整药物治疗和预测临床反应。在抑郁症患者中,通过避免不良因素(例如病程延长,自杀倾向和治疗耐药性)等不利因素,预测血清素能和非5-羟色胺(例如去甲肾上腺素能)抗抑郁药的治疗反应预测指标可能具有重要的临床意义。因此,这些工具可能有助于减少直接和间接的治疗费用。已提出听觉诱发电位(LD)的N1 / P2成分的响度依赖性是中央血清素能功能的非侵入性神经生理指标。这篇综述着重于最近的研究,为LD作为间接血清素能标记物的有效性提供了证据,并着重于临床应用方面的数据,以预测抑郁症患者的治疗反应。

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