Evidence-based pharmacological treatment of anxiety disorders, post-traumatic stress disorder and obsessive-compulsive disorder: A revision of the 2005 guidelines from the British Association for Psychopharmacology

被引:453
作者
Baldwin, David S. [1 ,2 ]
Anderson, Ian M. [3 ]
Nutt, David J. [4 ]
Allgulander, Christer [5 ]
Bandelow, Borwin [6 ]
den Boer, Johan A. [7 ,8 ]
Christmas, David M. [9 ]
Davies, Simon [10 ]
Fineberg, Naomi [11 ]
Lidbetter, Nicky [12 ]
Malizia, Andrea [13 ]
McCrone, Paul [14 ]
Nabarro, Daniel [15 ]
O'Neill, Catherine [12 ]
Scott, Jan [16 ]
van der Wee, Nic [17 ]
Wittchen, Hans-Ulrich [18 ]
机构
[1] Univ Southampton, Fac Med, Southampton SO9 5NH, Hants, England
[2] Univ Cape Town, Dept Psychiat & Mental Hlth, ZA-7925 Cape Town, South Africa
[3] Univ Manchester, Neurosci & Psychiat Unit, Manchester, Lancs, England
[4] Univ London Imperial Coll Sci Technol & Med, Div Expt Med, London, England
[5] Karolinska Inst, Stockholm, Sweden
[6] Univ Gottingen, Dept Psychiat & Psychotherapy, D-37073 Gottingen, Germany
[7] Univ Groningen, Univ Med Ctr Groningen, Dept Nucl Med & Mol Imaging, NL-9713 AV Groningen, Netherlands
[8] PRA Int Zuidlaren, Zuidlaren, Netherlands
[9] Cambridge & Peterborough NHS Fdn Trust, Cambridge, England
[10] Univ Toronto, Ctr Addict & Mental Hlth, Toronto, ON, Canada
[11] Univ Hertfordshire, Postgrad Med Sch, Hatfield AL10 9AB, Herts, England
[12] Anxiety UK, Manchester, Lancs, England
[13] North Bristol NHS Trust, Bristol, Avon, England
[14] Kings Coll London, Inst Psychiat, London WC2R 2LS, England
[15] OCD Act, London, England
[16] Newcastle Univ, Newcastle Upon Tyne NE1 7RU, Tyne & Wear, England
[17] Leiden Univ, Med Ctr, Dept Psychiat, Leiden, Netherlands
[18] Tech Univ Dresden, Inst Clin Psychol & Psychotherapy, D-01062 Dresden, Germany
关键词
pregabalin; anxiety disorders; benzodiazepines; post-traumatic stress disorder; social anxiety disorder; anxiolytics; separation anxiety disorder; Anticonvulsants; generalised anxiety disorder; antidepressants; evidence-based guidelines; antipsychotics; cognitive behaviour therapy; serotonin-noradrenaline reuptake inhibitor; panic disorder; selective serotonin reuptake inhibitor; specific phobia; treatment; obsessive-compulsive disorder; COGNITIVE-BEHAVIORAL THERAPY; PLACEBO-CONTROLLED TRIAL; RANDOMIZED CONTROLLED-TRIAL; SEROTONIN REUPTAKE INHIBITORS; VENLAFAXINE EXTENDED-RELEASE; QUALITY-OF-LIFE; EVIDENCE-BASED PHARMACOTHERAPY; PRIMARY-CARE PATIENTS; LONG-TERM TREATMENT; RESISTANT PANIC DISORDER;
D O I
10.1177/0269881114525674
中图分类号
R74 [神经病学与精神病学];
学科分类号
100204 [神经病学];
摘要
This revision of the 2005 British Association for Psychopharmacology guidelines for the evidence-based pharmacological treatment of anxiety disorders provides an update on key steps in diagnosis and clinical management, including recognition, acute treatment, longer-term treatment, combination treatment, and further approaches for patients who have not responded to first-line interventions. A consensus meeting involving international experts in anxiety disorders reviewed the main subject areas and considered the strength of supporting evidence and its clinical implications. The guidelines are based on available evidence, were constructed after extensive feedback from participants, and are presented as recommendations to aid clinical decision-making in primary, secondary and tertiary medical care. They may also serve as a source of information for patients, their carers, and medicines management and formulary committees.
引用
收藏
页码:403 / 439
页数:37
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