FEATURES OF DEVELOPMENT OF NEUROENDOCRINE DYSFUNCTION IN PATIENTS WITH SCHIZOPHRENIA IN OUTPATIENT PRACTICE (NATURALISTIC STUDY)


Citar

Texto integral

Acesso aberto Acesso aberto
Acesso é fechado Acesso está concedido
Acesso é fechado Acesso é pago ou somente para assinantes

Resumo

The article discusses data on the frequency of incidence of neuroendocrine dysfunction (NED) in patients with paranoid schizophrenia during long-term antipsychotic therapy in outpatient practice in the comparative aspect. Generally, NED has formed in 94.3% of patients. Frequency of development of NED in patients varied from 90.5 to 100% depending on therapy options. NED in patients with paranoid schizophrenia with appointment of two or more antipsychotics or combination of antidepressant and antipsychotic compared with first and second generation antipsychotics used as monotherapy are formed significantly more often (p<0.01). Average prolactin levels were significantly higher (p<0.01) in women with all variants of therapy and significantly higher (p<0.01) than those against the background of treatment with second-generation antipsychotics, regardless of gender. In addition, the spectrum of clinical manifestations of syndrome of neuroleptic-induced hyperprolactinemia in women was significantly greater compared to male patients.

Texto integral

Acesso é fechado

Sobre autores

L. Gorobets

Moscow SRI of Psychiatry - Branch of FSBI FMRCPN n.a. V.P. Serbsky of RMH

Email: gorobetsln@mail.ru
MD, Prof., Head of the Department of Psychiatric Endocrinology Moscow

V. Bulanov

Moscow SRI of Psychiatry - Branch of FSBI FMRCPN n.a. V.P. Serbsky of RMH

Moscow

A. Litvinov

Moscow SRI of Psychiatry - Branch of FSBI FMRCPN n.a. V.P. Serbsky of RMH

Moscow

Bibliografia

  1. Аведисова А.С., Ахапкин Р.В. Проблемы клинической оценки переносимости терапии психотропными препаратами. Психиатрия и психофармакотерапия. Журнал им. П.Б. Ганнушкина. 2005;7(1):17-20.
  2. Ванина Е., Подольская А., Седки К. и др. Изменения веса тела, связанные с психофармакотерапией. Метаболические побочные эффекты и осложнения психофармакотерапии (Прил. к журналу «Социальная и клиническая психиатрия»). М., 2003. С. 2-8.
  3. Горобец Л.Н. Нейроэндокринные дисфункции и нейролептическая терапия. М., 2007.
  4. Горобец Л.Н. Нейроэндокринные дисфункции у больных шизофренией и шизоаффективным расстройством, развивающиеся в процессе длительной терапии атипичными антипсихотиками (эпидемиология, клиника, динамика). Российский психиатрический журнал. 2008;4:79-85.
  5. Мазо Г.Э. Перспективы развития эндокринологической психиатрии. Сборник научных трудов «Современные достижения в диагностике и лечении эндогенных расстройств». СПб., 2008. С. 210-24.
  6. Мосолов С.Н. Современный этап развития психофармакотерапии. Сборник «Новые достижения в терапии психических заболеваний». М., 2002. С. 21.
  7. Мосолов С.Н., Кабанов С.О. Метаболические нарушения при антипсихотической терапии. Социальная и клиническая психиатрия. 2003;13(2):162-72.
  8. Allison D.B., Mentor J.M., Heo M., Chandler L.P., Cappelleri J.C., Infante M.C., Weiden PJ. Antipsychotic-induced weight gain: a comprehensive research synthesis. Am. J. Psychiatry. 1999;156(11):1686-96.
  9. Fleischhacker W.W, Hofer A., Hummer M. Managing Schizophrenia: The Compliance Challenge. 2nded. 2008. Р. 50.
  10. Green J.K., Patel J.K., Goisman R.M., Allison D.B., Blackburn G. Weight Gain From Novel Antypsychotic Drugs: Need For Action. Gen. Hosp. Psychiatry. 2000;22:224-35.
  11. Groleger U., Novak-Grubic V. Gender, psychosis and psychotropic drugs: differences and similarities. Psychiatr. Danub. 2010; 22(2):338-42.
  12. Grunder G., Wetzel H., Schlosser R. Neuroendocrine response to antipsychotics: effects of drug type and gender. Biol. Psychiatry. 1999;45(1):89-97.
  13. Haack S., Seeringer A., Thürmann P.A., Becker T., Kirchheiner J. Sex-specific differences in side effects of psychotropic drugs: genes or gender? Pharmacogenomics. 2009;10(9):1511-26.
  14. Haupt D.W. Differential metabolic effects of antipsychotic treatments. Eur. Neuropsychopharmacol. 2006;16(Suppl. 3) S149-55.
  15. Kinon B.J., Gilmore J.A., Liu Н., Halbreich U.M. Hyperprolactinemia in response to antipsychotic drugs: characterization across comparative clinical trials. Psychoneuroendocrinology. 2003;28;69-82.
  16. Leung A., Chue P. Sex differences in schizophrenia, a review of the literature. Acta Psychiatr. Scand. Suppl. 2000;401:3-38.
  17. Madhusoodanan S., Parida S., Jimenez C. Hyperprolactinemia associated with psychotropics - a review. Hum. Psychopharmacol. Clin. Exp. 2010;25;281-97.
  18. Perkins D.O. Prolactin- and Endocrine-Related Disorders in Schizophrenia / Medical Illnes and Schizofrenia (ed. by Meyer J.M. and Nasrallah H.A.). Am. Psychiatr. Publ. Washington, London. 2003. Р 215-32.
  19. Peuskens J. Prolactin in schizophrenia a literature review. Clear perspectives. 1997;1(3). Management issues in schizophrenia. 42 p.
  20. Smith S. Gender differences in antipsychotic prescribing. Int. Rev. Psychiatry. 2010;22(5):472-84.
  21. Stanton J.M. Weight gain associated with neuroleptic medication: a review. Schizoph. Bull. 1995;21:463-72.
  22. Sussmun N. Weight gain and glucose regulation during antipsychotic drug treatment. J. Clin. Psychiatry. 2001;62(Suppl 23):3-4.

Arquivos suplementares

Arquivos suplementares
Ação
1. JATS XML

Declaração de direitos autorais © Bionika Media, 2016

Este site utiliza cookies

Ao continuar usando nosso site, você concorda com o procedimento de cookies que mantêm o site funcionando normalmente.

Informação sobre cookies