Quetiapine fumarate augmentation for patients with a primary anxiety disorder or a mood disorder a pilot study 英文参考文献.docVIP

Quetiapine fumarate augmentation for patients with a primary anxiety disorder or a mood disorder a pilot study 英文参考文献.doc

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Quetiapine fumarate augmentation for patients with a primary anxiety disorder or a mood disorder a pilot study 英文参考文献

Chenetal.BMCPsychiatry2012,12:162 /1471-244X/12/162 RESEARCH ARTICLE OpenAccess Quetiapinefumarateaugmentationforpatients withaprimaryanxietydisorderoramood disorder:apilotstudy Yi-ChihChen1,Chih-KenChen1,2*andLiang-JenWang1 Abstract Background:Comorbidanxietysymptoms,inpatientswithaprimaryanxietydisorderoramooddisorder,leadsto poorpatientoutcomesandburdensthehealthcaresystem.Thispilotstudyevaluatedthefeasibilityof extended-releasequetiapinefumarate(quetiapineXR)forthetreatmentofpatientswitheitheraprimaryanxiety disorderoramooddisorderwithcomorbidanxietysymptomscomparedtoaplacebo,asanadjunctto antidepressanttherapy. Methods:Thirty-ninepatientswithadiagnosisofaprimaryanxietydisorderoramooddisorderwithcomorbid anxietysymptomswereenrolledinthisstudy.Patientswithastabledoseofantidepressanttherapywere randomizedaccordingtoa2:1probabilityofreceivingeitherquetiapineXRoraplaceboadjunctivetreatmentfor 8weeks.TheefficacywasassessedbytheHamiltonAnxietyRatingScale(HAM-A)andtheClinicalGlobal Impressionofseverity(CGI-S)scoreatbaseline,week1,4,and8. Results:Atotalof35patientswereincludedinthisintention-totreat(ITT)populationfortheefficacyanalysis (quetiapineXR:22patients;placebo:13patients).Atweek4,statisticallysignificantdifferenceswereobservedon boththeHAM-Ascore(p=0.003)andtheCGI-Sscore(p=0.025),favouringthequetiapineXR(?13.00±4.14) comparedtoplacebo(?6.63±5.42).However,nostatisticallysignificantdifferencewasobservedbetweenthetwo groupswithregardtochangesfromthebaselinetoweek8ontheHAM-Ascore(p=0.332)ortheCGI-Sscore (p=0.833). Conclusions:AugmentationofantidepressanttreatmentwithquetiapineXRdidnotresultinclinicalimprovement accordingtotheoutcomemeasureofanxietyusingtheHAM-AandCGI-Sscoresatweek8,amongthepatients witheitheraprimaryanxietydisorderoramooddisorderwithcomorbidanxietysymptoms.However,treatment withquetiapineXRasanadjuncttoantidepressanttherapyappearedtoprovideashort-termbenefitat4weeks. Furtherstudyisneededwithalargersamplesize,randomizedcontrolleddesignandcontrolof

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