Dergi Ara >>
Yıl:1994; Cilt: 2; Sayı: 2>> Özet
Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi; 1994;2(2):113-121
Psikiyatri Uzmanlarının Depresif Bozukluklar Ve Anksiyete Bozukluklarında Farmakoterapi Tercihleri
A Eğrilmez, E Özmen, S Kültür
Atatürk Devlet Hastanesi Psikiyatri Kliniği, İzmir
Amaç; Bu çalışmada klinisyenlerin depresif bozukluklar ve anksiyete bozukluklarında sağaltım seçimlerinin değerlendirilmesi amaçlandı. Yöntem: DSM-III Olgu Kitabından alınmış olgu öykülerini içeren anket formları farklı kurumlarda çalışan psikiyatristlere gönderildi ve yanıtlanan 125 anketin verilen değerlendirildi Bulgular; Majör depresyon olgularında trisiklik antidepresifler (TCA'ler) ilk seçeneği oluşturmaktaydı ve bu seçimde ajitasyon gibi hedef belirtiler ve klinik etkinliğin kanıtlanmış olması rol oynamış görünmekteydi. Distimi olgusundaki ilaç seçimlerinde belirgin bir çeşitlilik vardı. TCA'ler atipik depresyonda da ilk seçimi oluşturmaktaydılar. Panik bozuklukta, klomipramin ve imipramin gibi TCA'ler ve alprazolam en sık seçilen ilaçlardı. Obsesif kompulsif bozuklukta klomipramin yanıt verenlerin %80'inde seçilmişti. Tartışma: Bulgular literatür ışığında tartışıldı.

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