THE CHALLENGE OF PREDICTING RESPONSE TO STABILIZING LITHIUM TREATMENT - THE IMPORTANCE OF PATIENT SELECTION

被引:98
作者
GROF, P
ALDA, M
GROF, E
FOX, D
CAMERON, P
机构
关键词
D O I
10.1192/S000712500029243X
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Lithium treatment, an approach with well documented efficacy, has recently been losing its treatment value. Lithium continues working, however, for those patients for whom it was proven efficacious; that is, most patients with primary episodic affective disorders. Such responders to lithium prophylaxis can be reliably identified beforehand by a comprehensive clinical assessment. The explanation for the paradox of lithium's lost efficacy lies mostly in the educational bias against a comprehensive patient assessment, and in the shift in diagnostic fashion favouring affective disorders and the treatment methods associated with them in the clinicians' minds.
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页码:16 / 19
页数:4
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