Открытые вопросы психотической депрессии

Аннотация
Был проведён обзор литературы в базе данных PubMed и Google. Использовались ключевые слова: psychotic depression, depression with psychotic features, treatment of psychotic depression. Критерии включения: рандомизированные клинические исследования (РКИ), метаанализы и систематические обзоры, релевантные полнотекстовые статьи по психотической депрессии. Критерии исключения: статьи низкого качества. Терминология статьи соответствует используемой во включённых в обзор публикациях. Анализ публикаций показал, что психотическая депрессия представляет собой эволюционирующее понятие, остается тяжелым состоянием, сопровождающимся высокой (до 40% за 15 лет) смертностью, суицидальным риском, трудностью диагностики и сложностью терапии. Отмечено, что монотерапия флувоксамином может быть эффективным средством для терапии психотической депрессии. Препарат может рассматриваться как антидепрессант первого выбора для терапии депрессии с бредом из группы СИОЗС. Действие флувоксамина на бред связывают с его высокой тропностью к Сигма-1 рецепторам.
Ключевые слова
психотическая депрессия, эпидемиология, диагностика, терапия, флувоксамин
Библиографические ссылки
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