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