Open-label study of high (30 mg) and moderate (20 mg) dose escitalopram for the treatment of obsessive-compulsive disorder.

作者: Darin D. Dougherty , Mariko Jameson , Thilo Deckersbach , Rebecca Loh , Johanna Thompson-Hollands

DOI: 10.1097/YIC.0B013E32833119D8

关键词: DoseAnxiety disorderPsychiatryDepression (differential diagnoses)AnxietyQuality of lifeEscitalopramSeverity of illnessInternal medicineRandomized controlled trialPsychology

摘要: This study sought to investigate the efficacy of escitalopram at different dosages for treatment obsessive-compulsive disorder (OCD). Thirty individuals were enrolled in a 16-week, open-label trial and randomly assigned 20 or 30 mg arm. Study measures assessing OCD symptoms, anxiety, depression, quality life administered baseline weeks 2, 4, 8, 12, 16. For 23 completers, pretreatment posttreatment analyses revealed significant improvements (P<0.05) on clinician-rated self-rated life, depression. Approximately half sample (n = 12) satisfied full medication response criteria less than one-quarter 5) partial responders. Intention-to-treat showed similar all measures. At completion, superior responder rate more improvement Yale-Brown Obsessive Compulsive Scale was reported those versus The difference between two groups, however, disappeared when initial differences depression anxiety scores used as analysis covariates. These results suggest that (vs. mg) dose may provide reduction symptoms sufferers with comorbid and/or anxiety.

参考文章(14)
Jean Endicott, Wilma Harrison, John Nee, Richard Blumenthal, Quality of Life Enjoyment and Satisfaction Questionnaire: A New Measure. Psychopharmacology Bulletin. ,vol. 29, pp. 321- 326 ,(1993)
Amanda Galvão-de Almeida, Lucas C. Quarantini, Cristianne R. Góis, Rogério Santos-Jesus, Ângela M.A. Miranda-Scippa, Irismar R. de Oliveira, Helena da Silva Prado, James F. Leckman, Maria C. Rosário, Obsessive-compulsive disorder: an open-label pilot trial of escitalopram. Cns Spectrums. ,vol. 12, pp. 519- 524 ,(2007) , 10.1017/S1092852900021258
Dan J. Stein, Elisabeth Wreford Andersen, Brigitte Tonnoir, Naomi Fineberg, Escitalopram in obsessive-compulsive disorder: a randomized, placebo-controlled, paroxetine-referenced, fixed-dose, 24-week study. Current Medical Research and Opinion. ,vol. 23, pp. 701- 711 ,(2007) , 10.1185/030079907X178838
Suck Won Kim, Maurice W. Dysken, Alfred M. Pheley, Kathleen M. Hoover, The Yale-Brown Obsessive-Compulsive Scale: Measures of internal consistency Psychiatry Research-neuroimaging. ,vol. 51, pp. 203- 211 ,(1994) , 10.1016/0165-1781(94)90039-6
Norman Epstein, Aaron T. Beck, Robert A. Steer, Gary Brown, An inventory for measuring clinical anxiety: psychometric properties. Journal of Consulting and Clinical Psychology. ,vol. 56, pp. 893- 897 ,(1988) , 10.1037//0022-006X.56.6.893
A. T. BECK, An inventory for measuring depression Archives of General Psychiatry. ,vol. 4, pp. 561- 571 ,(1961) , 10.1001/ARCHPSYC.1961.01710120031004
Marvin Karno, The Epidemiology of Obsessive-Compulsive Disorder in Five US Communities Archives of General Psychiatry. ,vol. 45, pp. 1094- 1099 ,(1988) , 10.1001/ARCHPSYC.1988.01800360042006
Silvio R Bareggi, L Bianchi, R Cavallaro, M Gervasoni, F Siliprandi, L Bellodi, Citalopram concentrations and response in obsessive-compulsive disorder. Preliminary results. CNS Drugs. ,vol. 18, pp. 329- 335 ,(2004) , 10.2165/00023210-200418050-00004
Naomi A. Fineberg, Brigitte Tonnoir, Ole Lemming, Dan J. Stein, Escitalopram prevents relapse of obsessive-compulsive disorder European Neuropsychopharmacology. ,vol. 17, pp. 430- 439 ,(2007) , 10.1016/J.EURONEURO.2006.11.005
M. Hamilton, A RATING SCALE FOR DEPRESSION Journal of Neurology, Neurosurgery, and Psychiatry. ,vol. 23, pp. 56- 62 ,(1960) , 10.1136/JNNP.23.1.56