Abstract:
:Neuropsychiatric symptoms are commonly related to interferon alpha treatment. The paper summarises the current knowledge about their aetiology, course, and treatment. Interferon alpha is a cytokine with antiviral and antineoplasmatic activity. It is commonly used in the treatment of chronic hepatitis C and B, malignant melanoma, Kaposi sarcoma, renal cancers, and some haematological malignancies. Treatment with interferon alpha is associated with depressive symptoms, cognitive disturbances, chronic fatigue syndrome, dysphoria, anxiety symptoms, anorexia, mania and psychotic states. Up to a half of the patients need psychiatric consultations, 10-25% of them need psychiatric treatment. Neuropsychiatric symptoms are the results of direct affection of CNS by interferon and induced cytokines. They increase hypothalamic-pituitary-adrenal (HPA) activity, alter thyroid function and lead to a behavioural syndrome called 'sickness behaviour'. Moreover interferon induces the activity of 2, 3 indoloamine dioxygenase, the enzyme which converts tryptophan into kynurenine, leads to a reduced level of tryptophan, and thus to a reduced level of central serotonin and to an increased level of neurotoxic kynurenine metabolites. Interferon also affects central opioid receptors and changes dopaminergic and noradrenergic neurotransmission. Serotonin selective reuptake inhibitors (SSRI), other antidepressants i.e. nortriptyline, benzodiazepines, naltrexone, and neuroleptics (for maniac and psychotic states) are used to treat interferon associated psychiatric symptoms. Psychological therapy may also be useful, as well as psychoeducation and behavioural interventions.
journal_name
Psychiatr Poljournal_title
Psychiatria polskaauthors
Małyszczak K,Inglot M,Pawłowski T,Czarnecki M,Rymer W,Kiejna Asubject
Has Abstractpub_date
2006-07-01 00:00:00pages
787-97issue
4eissn
0033-2674issn
2391-5854journal_volume
40pub_type
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journal_title:Psychiatria polska
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journal_title:Psychiatria polska
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journal_title:Psychiatria polska
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journal_title:Psychiatria polska
pub_type: 社论
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更新日期:2017-06-18 00:00:00
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journal_title:Psychiatria polska
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journal_title:Psychiatria polska
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doi:
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journal_title:Psychiatria polska
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journal_title:Psychiatria polska
pub_type: 杂志文章
doi:
更新日期:2004-01-01 00:00:00
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journal_title:Psychiatria polska
pub_type: 杂志文章
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journal_title:Psychiatria polska
pub_type: 杂志文章,评审
doi:
更新日期:2003-01-01 00:00:00
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journal_title:Psychiatria polska
pub_type: 传,历史文章,杂志文章
doi:
更新日期:2003-01-01 00:00:00
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journal_title:Psychiatria polska
pub_type: 杂志文章
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更新日期:2015-01-01 00:00:00
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journal_title:Psychiatria polska
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2002-11-01 00:00:00
abstract::The cloze procedure was used to examine: predictability in speech samples from schizophrenics and their mothers as well as their ability to gain from the redundancy of language. Schizophrenic patients were found to be less predictable than normals, both schizophrenics and their mothers were less able to make use of th...
journal_title:Psychiatria polska
pub_type: 临床试验,杂志文章
doi:
更新日期:1999-05-01 00:00:00
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journal_title:Psychiatria polska
pub_type: 杂志文章
doi:
更新日期:2007-09-01 00:00:00
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journal_title:Psychiatria polska
pub_type: 杂志文章
doi:
更新日期:2008-03-01 00:00:00
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journal_title:Psychiatria polska
pub_type: 杂志文章
doi:
更新日期:2008-01-01 00:00:00
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pub_type: 杂志文章
doi:
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journal_title:Psychiatria polska
pub_type: 杂志文章,随机对照试验
doi:
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journal_title:Psychiatria polska
pub_type: 杂志文章
doi:
更新日期:2005-01-01 00:00:00
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journal_title:Psychiatria polska
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更新日期:1996-09-01 00:00:00
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journal_title:Psychiatria polska
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journal_title:Psychiatria polska
pub_type: 杂志文章
doi:
更新日期:2003-05-01 00:00:00
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journal_title:Psychiatria polska
pub_type: 杂志文章
doi:
更新日期:2005-11-01 00:00:00
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journal_title:Psychiatria polska
pub_type: 杂志文章
doi:
更新日期:2006-03-01 00:00:00
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journal_title:Psychiatria polska
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00
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journal_title:Psychiatria polska
pub_type: 杂志文章
doi:
更新日期:2006-07-01 00:00:00