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Yıl:1998; Cilt: 9; Sayı: 1>> Özet
Türk Psikiyatri Dergisi; 1998;9(1):28-31
Şizofrenide Görülen Depresif Belirtilere Sulpiridin ve Klorpromazinin Etkisi: Kontrollü Bir Çalışma
Ö UZUN. A ÖZŞAHiN. F ÖZGEN, S BATTAL
Şizofrenide depresif belirtiler %25-81 oranında görülmektedir. Bu çalışmada, sulpiridin (400mg) ve klorpromazinin (200mg) şizofrenide ortaya çıkan depresif belirtiler üzerindeki etkinliğinin ortaya koyulması amaçlanmıştır. Klinik etkiler ve depresif belirtiler Kısa Psikiyatrik Değerlendirme Ölçeği ve Hamilton Depresyon Ölçeği (HAM-D) ile değerlendirilmiştir. Çalışma 6 hafta sürmüştür. 6. hafta sonunda, sulpirid uygulanan olguların HAM-D skorlarında %27.1, klorpromazin alanların %10.6 oranında azalma kaydedilmiştir. Sulpirid şizofrenide izlenen depresif belirtileri azaltmada klorpromazinden daha etkili bulunmuştur. Ayrıca, sulpiridin depresif belirtilere etkisinin klorpromazinden daha erken başladığı saptanmıştır.

Effects of Sulpiride and Chlorpromazine on Depressive Symptoms in Schizophrenia: A Controlled Study
Depressive symptoms have been reported in 25-81% of schizophrenic patients. This study was carried out to elucidate the effects of sulpiride (400mg) and chlorpromazine (200mg) on depressive symptoms in schizophrenia. Clinical effects and depressive symptoms were evaluated by Brief Psychiatric Rating Scale and Hamilton Depression Scale. Patients were treated over a 6 week period. The HAM-D scores decreased 27.1% in sulpiride group but 10.6% in chlorpromazine (CPZ) group after 6 weeks. Sulpiride was superior to CPZ in reducing the depressive symptoms. On the other hand, patients in the sulpiride group recovered more quickly from depressive symptoms than patients in the CPZ group.

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