Dergi Ara >>
Yıl:1992; Cilt: 29; Sayı: 1>> Özet
Nöropsikiyatri Arşivi; 1992;29(1):51-57
Duygulanım bozukluklarının tedavisinde lityuma yanıtı belirleyen etmenler
A Üçok
İ.Ü. İstanbul Tip Fakültesi Psikiyatri Anabilim Dalı
Duygulanım bozukluğu olan hastalarda, hastalığın gelecekteki seyrinin ve lityuma yanıt biçiminin tahmin edilmesini sağlayacak klinik, fizyolojik ve farmakokinetik etmenleri belirleme amacıyla pek çok çalışma yapılmıştır. Bu konudaki bilgiler hastaya yarannın ötesinde duygulanım bozuklukları içindeki olası alt gruplann belirlenmesini de sağlayabilecektir. Arîeak elimizdeki bilgiler lityuma yanıtı tahmin konusunda kesin sonuçlara varabilmek için yeterli değildir. Çalışmalar incelendiğinde klinik haberciler (predictor) konusunda fikir birliğinin daha kolay sağlandığı görülürken, potansiyel Önemini koruyan biyokimyasal, farmakokinetik-işlevsel haberciler şimdilik yeterince sevindirici olmaktan uzak görünmektedir.
The predictor factors of response to lithium in treatment of Affective disorders
Many studies have attempted to identify clinical, physiological and pharmacokinetic factors that would predict the future course and response to lithium of patients with affective disorder. Such knowledge would be useful, not only for the patient, but it also may prove to be a further lead in identifying possible subgroups within the affective disorders. However, we haven't got enough knowledge to establish precise conclusions about prediction of response to lithium. A close examination of research literature reveals that an agreement on clinical predictors could be reached more easily. On the other hand, search for pharmacokinetic or biochemical, functional predictors, which still keep their potential importance, has been even less rewarding. In this paper, recent literature has been reviewed.

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