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  • Articles: DFG German National Licenses  (2)
  • Key words Acupuncture  (1)
  • Key words Microstructure  (1)
  • 1
    ISSN: 1433-0407
    Keywords: Schlüsselwörter Akupunktur ; Depression ; Mianserin ; Placebokontrolliert ; Key words Acupuncture ; Depression ; Mianserine ; Placebo-controlled study
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary In order to examine the efficacy of whole body acupuncture additionally applied to drug treatment in depression, a single-blind placebo-controlled study with 70 inpatients administered to three different treatment groups has been carried out. All patients were pharmacologically treated with the tetracyclic antidepressant mianserin. The verum group (n=22) received acupuncture at specific points considered to be effective in the treatment of depression. The placebo group (n=24) was treated with acupuncture at non-specific locations and the control group (n=24) received only pharmacological treatment. Acupuncture was applied three times a week over a period of four weeks. Psychopathology was rated by judges blind to verum/placebo conditions twice a week over eight weeks with the CGI, GAS, BRMS and BfS rating scales. Additionally applied acupuncture improved the course of depression more than pharmacological treatment with mianserin did by itself. However, we could not detect any differences between placebo and verum acupuncture.
    Notes: Zusammenfassung Um die Wirksamkeit einer begleitenden Ganzkörperakupunktur bei Patienten mit einer Depression zu untersuchen, wurden 70 stationäre Patienten in eine placebokontrollierte Studie eingeschlossen und randomisiert auf 3 Behandlungsgruppen aufgeteilt. Während alle 3 Gruppen pharmakologisch mit dem tetrazyklischen Antidepressivum Mianserin behandelt wurden, erhielt die Verumakupunkturgruppe (n=22) zusätzlich eine Akupunktur an spezifischen Punkten, die als wirksam in der Behandlung einer Depression angesehen werden. Die Placeboakupunkturgruppe (n=24) wurde mit einer Akupunktur an nicht spezifischen Punkten behandelt, und die Kontrollgruppe (n=24) wurde nur mit Mianserin behandelt. Die Akupunktursitzungen fanden dreimal pro Woche über einen Zeitraum von vier aufeinanderfolgenden Wochen statt. Die psychopathologische Symptomatik wurde zweimal pro Woche über einen Zeitraum von acht aufeinanderfolgenden Wochen mittels der Instrumente CGI, GAS, BRMS und BfS beurteilt. Die Besserung des psychopathologischen Befundes von Patienten, die akupunktiert wurden (Verum- und Placeboakupunktur), war signifikant höher als bei Patienten, die mit Mianserin alleine behandelt wurden. Es ergab sich jedoch kein Unterschied zwischen den beiden Akupunkturgruppen.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-2072
    Keywords: Key words Microstructure ; Sleep EEG ; Spectral power analysis ; Paroxetine ; Healthy subjects
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Paroxetine is a selective and potent serotonin reuptake inhibitor and its efficacy for the treatment of depression has been proven. Under acute and subchronical treatment regimens, disturbances of the regular sleep pattern are a reported side effect of the drug. The present study was therefore performed to investigate the impact of subchronic treatment with the selective serotonin reuptake inhibitor paroxetine on the microstructure of the sleep EEG. The study especially addressed the question of subchronic effects of paroxetine medication (30 mg/day) in eight healthy male volunteers in a double blind, placebo-controlled crossover design. Conventional sleep EEG parameters and a spectral power analysis for different sleep stages after 4 weeks of treatment were computed. Additionally, the correlation of certain EEG rhythms across the night was calculated in order to detect subtle dynamical EEG alterations, not necessarily obvious when regarding conventional EEG analysis. Although we could not detect any alterations of the spectral power values in certain frequency bands either during NREM nor during REM sleep following subchronic paroxetine medication, the dynamical EEG attributes across the night revealed a significant enhancement of the correlation between certain EEG rhythms mainly during NREM sleep.
    Type of Medium: Electronic Resource
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