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Yıl:1996; Cilt: 33; Sayı: 4>> Özet
Nöropsikiyatri Arşivi; 1996;33(4):205-211
Yaygın Anksiyete Bozukluğunun Tedavisinde Moklobemid Kullanımı: Açık Çalışma
F Gürgen, S Korkmaz, A Güzel, E Özcan
D.Ü. Tıp Fakültesi Psikiyatri Anabilim Dalı\r\n
Bu çalışmada yaygın anksiyete bozukluğu olan hastalarda moklobemidin terapötik etkinliği incelenmiştir. DSM-III-R ölçütlerine göre yaygın anksiyete bozukluğu tanısı konulan 30 ayaktan tedavi edilen hastaya oral yoldan 450 mg/gün dozunda moklobemid verilmiştir. Bu çalışmaya, Hamilton Anksiyete Değerlendirme Ölçeği (HADÖ) skorları 18 veya üzerinde olan olgular alınmıştır. Yan-yapılandınlmış bir görüşme ile yaygın anksiyete bozukluğu tanısı kesinleştirilen majör depresyon, panik bozukluğu, alkol veya madde kötüye kullanımı olan olgular çalışmaya dahil edilmemiştir. Moklobemidin terapötik etkiniliği HADÖ skorlanndaki değişiklik ile izlenmiştir. Tedavi sonunda HADÖ skorlarında önemli düşüşler saptanmıştır. Moklobemidin yaygın anksiyete bozukluğununm tedavisinde etkili olduğunu gösteren bu sonuçların daha geniş hasta grubuyla yürütülmüş başka çalışmalarla desteklenmesi, araştırma sonuçlarını daha anlamlı kılacaktır.
Moclobemid In Treatment Of Generalized Anxiety Disorder: An Open Study
This study investigated the therapeutic efficacy of moclobemide in patients with generalized anxiety disorder. Thirty outpatients meeting DSM-III-R criteria for generalized anxiety disorder were treated with moclobemide orally (450 mg/day). Inclusion criteria at the time of screening and at baseline included a Hamilton Rating Scale for Axiety (HAM-A) score of 18 or more. At screening, patients underwent a semistructured interview, which included diagnostic modules for generalized anxiety disorder, panic disorder, major depression and alcohol and drug abuse. Patients suffering from current major depression, panic disorder or substance abuse were excluded. Therapeutic efficacy of moclobemide was measured by changes in HAM-A HAM-A scores were significantey lower at the end of treatment. The results of this study need replication with a larger sample but suggest an important role for moclobemide in patients suffering from generalized anxiety disorder.

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