Platelet serotonin reuptake inhibition and response to SSRIs in depressed adolescents

被引:24
作者
Axelson, DA [1 ]
Perel, JM [1 ]
Birmaher, B [1 ]
Rudolph, G [1 ]
Nuss, S [1 ]
Yurasits, L [1 ]
Bridge, J [1 ]
Brent, DA [1 ]
机构
[1] Univ Pittsburgh, Med Ctr, Western Psychiat Inst & Clin, Dept Psychiat, Pittsburgh, PA 15213 USA
关键词
D O I
10.1176/appi.ajp.162.4.802
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: The authors examined platelet serotonin reuptake inhibition and response to selective serotonin reuptake inhibitor (SSRI) treatment in depressed adolescents. Method: Twenty-three depressed adolescents participating in pharmacokinetic studies of SSRIs had platelet serotonin reuptake measured before and after 14 - 28 days of treatment. The Clinical Global Impression (CGI) improvement rating was determined on the basis of all clinical information and was performed blind to the platelet data. Results: Improvement in depressive symptoms as rated with the CGI improvement subscale was significantly associated with the percentage change in platelet serotonin reuptake inhibition from pre- to posttreatment. Improvement in depression was also associated with absolute decrease in platelet serotonin reuptake when adjusted for the magnitude of baseline reuptake. Conclusions: Platelet serotonin reuptake inhibition may be an appropriate surrogate biological marker for the pharmacodynamic activity of SSRIs in depressed adolescents.
引用
收藏
页码:802 / 804
页数:3
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