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Effects of Antidepressant Drugs on Synaptic Protein Levels and Dendritic Outgrowth in Hippocampal Neuronal Cultures

Effects of Antidepressant Drugs on Synaptic Protein Levels a...

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中华医学会第十一次全国精神医学学术会议、第三届亚洲神经精神药理学术会议

作者： Mi Kyoung Seo Chan Hong Lee Hye Yeon Jo Ji Eun Kim Jung Goo Lee Bong Ju Lee Wongi Seol Sung Woo Park Young Hoon Kim Paik Institute for Clinical Research Inje UniversityBusanRepublic of Korea. Department of Psychiatry School of MedicineHaeundae Paik HospitalInje UniversityBusanRepublic of Korea. Paik Institute for Clinical Research Inje UniversityBusanRepublic of Korea InAm Neuroscience Research Center Wonkwang UniversitySanbon HospitalGunpoRepublic of Korea.

Objectives The alteration of hippocampal plasticity has been proposed to play a critical role in both the pathophysiology and the treatment of *** this study,the ability of different classes of antidepressant drugs(escitalopram,fluoxetine,paroxetine,sertraline, imipramine,tranylcypromine,and tianeptine) to mediate the expression of synaptic proteins and dendritic outgrowth in rat hippocampal neurons was investigated. Methods The expression of synaptic proteins,notably postsynaptic density protein-95 (PSD-95),brain-derived neurotrophic factor(BDNF),and synaptophysin(SYP),in rat hippocampal neuronal cultures under toxic conditions induced by B27 deprivation was evaluated by Western ***,dendritic outgrowth was examined to determine whether these drugs affect the dendritic morphology of hippocampal neurons. Results Escitalopram,fluoxetine,paroxetine,sertraline,imipramine,tranylcypromine,and tianeptine significantly prevented B27 deprivation-induced decrease in levels of PSD-95,BDNF, and SYP(all p< 0.01).Moreover,the independent application of fluoxetine,paroxetine,and sertraline significantly increased levels of BDNF(all p< 0.01) under normal *** antidepressant drugs significantly increased the total outgrowth of hippocampal dendrites(p< 0.01).Specific inhibitors of calcium/ calmodulin kinaseⅡ(CaMKⅡ),KN-93(1μM),protein kinase A(PKA),H-89(1μM),or phosphatidylinositol 3-kinase(PI3K),LY294002(10μM), significantly decreased the effects of antidepressant drugs on dendritic outgrowth(p< 0.05 or p< 0.01),whereas tianeptine revealed this effect only with the PI3K inhibitor(p<0.01). Conclusions Taken together,these results suggest that certain antidepressant drugs can enhance synaptic protein levels and encourage dendritic outgrowth in hippocampal neurons. Furthermore,these effects on dendritic outgrowth likely require CaMKII,PKA,or PI3K signaling pathways.

关键词： Effects of Antidepressant Drugs on Synaptic Protein Levels and Dendritic Outgrowth in Hippocampal Neuronal Cultures

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Change on clinical symptoms and personality traits with posttraumatic stress disorder patients of childhood traumatic experience

Change on clinical symptoms and personality traits with post...

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中华医学会第十一次全国精神医学学术会议、第三届亚洲神经精神药理学术会议

作者： Yuanyuan Gao Guixing Jin Xueyi Wang Cuixia An Lan Wang Department of Psychiatry Department of Psychiatry the First Hospital of Hebei Medical University

Objective To investigate the change on clinical symptoms and personality traits with posttraumatic stress disorder(PTSD) patients of childhood traumatic experience. Methods 27 female PTSD patients who met with diagnostic and statistical manual of mental disorders-fourth edition(DSM-Ⅳ) diagnosis and 20 healthy volunteers were ***-C、CAPS、CTQ、STAI were used to evaluate clinical symptoms,using MMPI to assessment personality *** to the Child Trauma Questionnaire(CTQ) scores all people were divided into two subgroups,25-50 was PTSD child trauma low group and 51-125 was PTSD child trauma high group,normal control group was child trauma low group. Results(1) Sate anxiety,trait anxiety questionnaire scores from high to low in turns were PTSD child trauma high group,PTSD child trauma low group,normal control group(P<0.01). (2) Depression,mental decline factor from high to low in turns were PTSD child trauma high group,PTSD child trauma low group and normal control group(P<0.05).In hypochondriac, hysteria,psychopathy,paranoid factor PTSD child trauma low group,PTSD child trauma high group score were higher than normal control group(P<0.05).There was significant difference in schizophrenia factor of PTSD child trauma high group comparing with normal control group (P<0.05).Social introverted factor PTSD child trauma high group was significantly higher than PTSD child low group and normal control group(P<0.05).(3) Sexual abuse was positively correlated with intrusive factor(r = 0.412,P<0.05),physical neglect was positively correlated with numbness and avoidance factor,alertness factor(r =0.416,0.408,P<0.05),physical abuse was positively correlated with intrusion,numbness and avoidance,alertness,total score of CAPS (r = 0.477,0.412,0.480,0.504,P<0.05). Conclusion The more serious child trauma experienced,the more anxious they felt,to some extent child trauma may influence the development of personality,child traumatic type had certain correlation with PTSD s

关键词： Change on clinical symptoms and personality traits with posttraumatic stress disorder patients of childhood traumatic experience

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PACAP induces internalization of serotonin 2A receptor in a protein kinase C-dependent manner

PACAP induces internalization of serotonin 2A receptor in a ...

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中华医学会第十一次全国精神医学学术会议、第三届亚洲神经精神药理学术会议

作者： Atsuko Hayata Naoki Encho Keita Moriguchi Tomohiro Fujino Norihito Shintani Atsushi Kasai Akemichi Baba Hitoshi Hashimoto Laboratory of Molecular Neuropharmacology Graduate School of Pharmaceutical SciencesOsaka UniversityOsakaJapan United Graduate School of Child Development Osaka UniversityOsakaJapan Institute for Academic Initiatives Osaka UniversityOsakaJapan Hyogo University of Health Science KobeJapan iPS Cell-based Research Project on Brain Neuropharmacology and Toxicology Osaka UniversityOsakaJapan

Objective Accumulating evidence from human genetic and animal model studies implicates the pituitary adenylate cyclase-activating polypeptide(PACAP) signaling pathway as a risk factor for psychiatric disorders,including schizophrenia and stress-related disorders. PACAP-deficient mice exhibit remarkable behavioral and neurological changes that are thought to be endophenotypes for psychiatric *** of them are ameliorated with risperidone, an atypical antipsychotic drug with serotonin(5-HT)2 receptor and dopamine D2 receptor antagonist properties,and ritanserin,a selective antagonist for 5-HT2 *** findings suggest that 5-HT2 receptor signaling is involved in psychiatric conditions in which PACAP signaling is impaired,although the underlying mechanisms remain *** it is known that 5-HT2A receptor functions are regulated by receptor internalization,in the present study,we investigated if PACAP signaling modulates the internalization of 5-HT2A receptor. Method Internalization of 5-HT2A receptor expressed in HEK293T cells was examined using the HaloTag system which is a protein labeling technology for cell imaging and protein analysis. Results PACAP induced internalization of 5-HT2A receptor as well as the PACAP-specific receptor PACl in a dose- and time-dependent *** contrast,PACAP did not affect internalization of 5-HT1A *** intestine peptide(VIP),a closely related neuropeptide,did not induce 5-HT2A receptor internalization,indicating the involvement of PACAP-selective receptor PACl but not VPAC receptors,which are equally stimulated by PACAP and *** addition,pretreatment with the protein kinase C inhibitor sphingosine considerably inhibited PACAP-induced internalization of 5-HT2A receptor. Conclusion Taken together,these results suggest that PACAP/PAC1 pathway regulates 5-HT2A receptor internalization in a protein kinase C-dependent manner and imply a possibility that endogenous PACAP critically regulates 5-HT2 rece

关键词： PACAP induces internalization of serotonin 2A receptor in a protein kinase C-dependent manner

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The association between quality of life and clinical symptoms in patients with severe mental illness:A prospective study

The association between quality of life and clinical symptom...

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中华医学会第十一次全国精神医学学术会议、第三届亚洲神经精神药理学术会议

作者： Bin Sun Robert Rosenheck Somaia Mohamed Xuehua Yan Gang Zeng Yue Zou Jieying Zhu Huimei Feng Zhaojun Huang Yuping Ning Hongbo He Guangzhou Psychiatric Hospital Yale Medical School New HavenCTUSA

Objective To evaluate differences in quality of life among patients with schizophrenia,bipolar disorder and major depressive disorder and to determine clinical and socio-demographic predictors of quality of life. Methods Three hundred and ninety inpatients were recruited from department of affective disorder,department of general adult psychiatry,department of early intervention and department of traditional Chinese medicine in Guangzhou psychiatric *** were divided into three groups based on their discharge diagnosis in ICD-10 diagnostic system,*** (SP),bipolar disorder(BD) or major depressive disorder(MDD).Each patient was assessed with The Short-Form Health Survey(SF-36) to evaluate patients' quality of life and 33 items of Symptom Checklist-90(SCL-90) to assess severity of depression,anxiety and psychoticism in two time frames,within the week after admission(TO) and within the week before discharge(T1). SF-36 scales measure perceived health in the areas of physical functioning(PF),role physical (RP),bodily pain(BP),general health(GH),vitality(VT),social functioning(SF),role emotional (RE),and mental health(MH),and the standard "physical and mental health component summary scores"(PCS and MCS) with higher scores reflecting better perceived *** group comparisons,ANOVA was used for continuous variables,and Chi-Square tests for categorical *** the data was not normally distributed,Kruskal-Wallis H tests were *** linear regression models were used to identify the predictors of improvement of quality of life for all three groups. Results There were 176,159,55 subjects in SP,BD and MDD groups *** the total of 390 subjects,the mean age was 33.4±12.0 years old,mean educational duration 11.2±3.2 years,46.7%were male,50%married,and 26%*** average inpatient length of stay was 51.3±32.7 days and the mean score of PCS and MCS were 46.74±8.1 and 38.4±10.9 *** group comparisons,signific

关键词： The association between quality of life and clinical symptoms in patients with severe mental illness:A prospective study

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Predicting Dopamine D2 Receptor Occupancy Following Antipsychotic Dose Reduction:A Pilot PET Study

Predicting Dopamine D2 Receptor Occupancy Following Antipsyc...

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中华医学会第十一次全国精神医学学术会议、第三届亚洲神经精神药理学术会议

作者： Hiroyuki Uchida Robert R.Bies Takefumi Suzuki Ariel Graff-Guerrero Bruce G.Pollock Benoit H.Mulsant David C.Mamo Dept of Neuropsychiatry Keio University School of MedicineTokyoJapan Indiana University School of Medicine Division of Clinical PharmacologyIndianapolisUSA

Objective Population pharmacokinetics can predict antipsychotic plasma concentration at a given time point prior to an actual dosage *** in turn can be used to estimate a corresponding dopamine D2 receptor occupancy,using a close link between peripheral and central ***,this two-step prediction has never been tested. Methods Eight subjects with schizophrenia(DSM-Ⅳ)(4 men,mean±SD age = 58±8 years, mean±SD duration of Illness = 33±7 years) participated in the *** plasma samples for the measurement of risperidone and 9-hydroxyrisperidone concentrations were collected at separate given time *** a dose reduction of risperidone,subjects received a [HC]raclopride positron emission tomography scan for the calculation of dopamine D2 receptor occupancy.A plasma concentration at the time of the PET scan was predicted,using the two samples at the baseline dose with a population pharmacokinetic model(NONMEM).D2 occupancy level was then estimated,by incorporating the predicted plasma concentration into our recently established model(Uchida et al.,2011).Accuracy of the predictions was then evaluated. The predictive performance of this procedure was assessed with the mean prediction error and the mean root squared prediction error. Results The mean(95%CI) prediction error and root squared prediction error(ng/ml) for the prediction of plasma concentration of risperidone plus 9-hydroxyrisperidone were 0.3(-8.1 - 8.7) and 9.3(3.1 - 15.4),*** observed and predicted concentrations of risperidone plus 9-hydroxyrisperidone were highly correlated(r = 0.86,p = 0.007).The mean(95%CI) prediction error and root squared prediction error(%) for the prediction of dopamine D2 receptor occupancy, using the predicted plasma concentration of risperidone plus 9-hydroxyrisperidone,were -4.6 (-13.5 - 4.4) and 9.9(3.9 - 15.8),*** observed and predicted dopamine D2 receptor occupancy levels were highly correlated(r = 0.11,p = 0.047)

关键词： PET Predicting Dopamine D2 Receptor Occupancy Following Antipsychotic Dose Reduction:A Pilot PET Study

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抑郁障碍患者自杀未遂的危险因素分析

抑郁障碍患者自杀未遂的危险因素分析

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中华医学会第十一次全国精神医学学术会议、第三届亚洲神经精神药理学术会议

作者：陈林刘艳红郑启文项玉涛陈大方杨甫德王刚方贻儒陆铮杨海晨胡建陈致宇黄颐孙静王小平李惠春张晋碚司天梅北京回龙观医院北京大学医学部公共卫生学院中国香港大学精神医学系首都医科大学附属北京安定医院情感障碍中心上海交通大学附属精神卫生中心心境障碍科上海同济大学附属同济医院精神医学科深圳精神卫生中心情感障碍科哈尔滨医科大学附属第一医院杭州第七人民医院四川大学华西医院心理卫生中心南京医科大学附属脑科医院精神一科湖南湘雅二院精神卫生研究所浙江大学医学院附属第二医院精神科中山大学附属第三医院心理科北京大学精神卫生研究所卫生部精神卫生学重点实验室(北京大学)

目的探讨抑郁障碍患者自杀未遂的一般社会人口学及临床特征方面的危险因素。材料与方法将目前正在全国13个研究中心按抑郁障碍诊断及治疗的1172例门诊或住院患者进行连续入组,采用自制的一般社会人口学及临床特征调查问卷,由精神科医生... 详细信息

目的探讨抑郁障碍患者自杀未遂的一般社会人口学及临床特征方面的危险因素。材料与方法将目前正在全国13个研究中心按抑郁障碍诊断及治疗的1172例门诊或住院患者进行连续入组,采用自制的一般社会人口学及临床特征调查问卷,由精神科医生通过临床晤谈及既往病历资料收集相关特征信息。通过MINI 5.0中文版重新确立抑郁障碍的诊断,并根据MINI 5.0中文版自杀模块分为自杀未遂组和无自杀未遂组。采用stepwise方法进行多因素Logistic回归分析与抑郁障碍患者自杀未遂相关的危险因素。结果抑郁障碍患者的自杀未遂发生率为15.6%(183/1172)。

关键词：抑郁障碍回归分析危险因素分析住院次数

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Co-medication/Polypharmacy in psychiatric treatment-irrational or rational?"

Co-medication/Polypharmacy in psychiatric treatment-irration...

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中华医学会第十一次全国精神医学学术会议、第三届亚洲神经精神药理学术会议

作者： Hans-Jürgen Mller Ludwig-Maximilians-University Munich

Based on a careful literature search,a review is presented on the history,background,concepts and current use of comedication and polypharmacy in psychiatry. The pros and cons of comedication and polypharmacy are presented as well as their apparent increase in the recent *** reasons for the increase of comedication/polypharmacy are *** the potential advantages as well as the potential risks are discussed. The one sided view that all comedications/polypharmacy are nothing but problematic is

关键词： Co-medication/Polypharmacy in psychiatric treatment-irrational or rational

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Abnormal involuntary movement and estimated dopamine D2 receptor occupancy in patients with schizophrenia:Analysis of the CATIE data

Abnormal involuntary movement and estimated dopamine D2 rece...

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中华医学会第十一次全国精神医学学术会议、第三届亚洲神经精神药理学术会议

作者： Kazunari Yoshida Robert R.Bies Takefumi Suzukil Bruce G.Pollock Ryosuke Tarumi Masaru Mimura Hiroyuki Uchidal Department of Neuropsychiatry Keio University School of MedicineTokyoJapan Geriatric Mental Health Program Centre for Addiction and Mental HealthTorontoONCanada Division of Clinical Pharmacology Indiana University School of MedicineIndianapolisINUSA Department of Psychiatry University of TorontoTorontoONCanada.

Objective Although it is well known that antipsychotics induce abnormal involuntary movements,large-scale data are still lacking on the relationship between such involuntary movement and dopamine D2 receptor blockade with antipsychotics in patients with *** objective of this study was to evaluate the relationship between antipsychotic-induced abnormal involuntary movement like tardive dyskinesia and estimated dopamine D2 receptor occupancy at peak and trough in patients with schizophrenia,using the dataset from the Clinical Antipsychotic Trials in Intervention Effectiveness(CATIE). Methods The dataset from 296 subjects(mean±SD age,38.7±10.5 years;risperidone,N=116;olanzapine,N=126;ziprasidone,N=54) who present a score of zero in the abnormal involuntary movement scale(AIMS) at the baseline in Phase 1 of the CATIE was *** and trough dopamine D2 receptor occupancy levels on the day of the assessment were estimated from plasma antipsychotic concentrations,using population pharmacokinetic analysis and our D2 prediction *** estimated peak and trough dopamine D2 receptor occupancy levels were compared between patients who presented an AIMS score of≥1 at the endpoint(AIMS+ group) and those who did not(AIMS- group),using independent t-test. Results Mean±SD daily doses of risperidone,olanzapine,and ziprasidone on the day of AIMS score assessments at the endpoint were 4.7±1.3 mg,21.6±7.4 mg,and 128.8±34.4 mg, ***±SD AIMS score at the endpoint was 0.47±*** were no significant differences in D2 receptor occupancy between the AIMS+ group(N=55) *** AIMS- group (N=241) at peak or trough in any of the three drugs(risperidone:75.2±6.3%vs.75.2±5.9%at peak and 71.9±8.9%vs.71.8±8.1%at trough;olanzapine,76.8±6.6%vs.74.9±8.1%at peak and 74.3±6.6%vs.71.8±10.2%at trough;ziprasidone,62.6±7.6%vs.61.0±9.8%at peak and 43.8±18.0%vs.34.8±19.3%at trough,respectively).Collectively,however,estimated dopamine D2 receptor occupancy levels at trough we

关键词： Abnormal involuntary movement and estimated dopamine D2 receptor occupancy in patients with schizophrenia:Analysis of the CATIE data

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中华医学会第十一次全国精神医学学术会议、第三届亚洲神经精神药理学术会议

作者： Linlin Yang Keyan Han Xueyi Wang Department of Psychiatry Department of Psychiatry the First Hospital of Hebei Medical University

Objective Investigating the therapeutic effect of high-frequency repetitive transcranial magnetic stimulation(rTMS) on the mild cognitive impairment(MCI). Methods(1) Recruited 31 volunteers from Shijiazhuang City,who were diagnosed with mild cognitive impairment(MCI),and were randomly divided into treatment group(17) and control group(14);Magnetic stimulation site was located in the bilateral dorsolateral prefrontal area,the frequency is 20Hz,every 30 minutes(15 minutes on each side),5 times a week,eight courses,a total of 40 times;The control group received the same frequency,the use of pseudo-stimulating coil,it produced vibration and sound,but didn't generate a magnetic field.(3) before and after treatment,EEG test auditory oddball paradigm using event-related potentials(ERPs) recorded electrodes placed in Cz and Pz. Results(1) baseline comparison:all the indicators of the control group and the treatment group were not significantly different[MMSE score(t = 0.44,P> 0.05);P300 latency:Cz(t = 0.21,P> 0.05),Pz(t =0.27,P> 0.05);P300 Volatility:Cz(t = 0.72,P> 0.05),Pz(t = 0.460,P> 0.05);N200 latency:the Cz points(t = 0.40,P> 0.05),Pz(t= 0.55,P> 0.05);N200 Volatility:Cz(t = 0.93,P> 0.05),Pz(t = 0.65,P> 0.05)].(2) target P300:the latency and amplitude of the control group had no significant difference before and after treatment with[incubation period:Cz(t = 0.23,P> 0.05),Pz(t = 0.91,P> 0.05);Volatility:Cz(t= 1.11,P> 0.05),Pz(t= 1.01,P> 0.05)];Treatment group after the intervention incubation period becomes shorter[Cz(t = 3.12, P<0.01),Pz(t = 2.12,P<0.05)],increased volatility[Cz(t = 2.45,P<0.05),Pz(t = 2.31,P<0.05)]. (3) target N200:latency and amplitude of the control group before and after treatment had no significant difference[latency:Cz(t = 0.65,P> 0.05),Pz(t = 0.77,P> 0.05);Volatility:Cz(t = 0.42,P> 0.05),Pz(t = 0.81,P> 0.05)];Treatment group after the intervention incubation period in advance[Cz(t = 2.45,P<0.05),Pz(t = 2.22,P<0.05)],volatility reduce Cz(/ = 2.95,

关键词： An Event-related potentials research on high-frequency repetitive transcranial magnetic stimulation in the treatment of mild cognitive impairment

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The Influences of Light Therapy on Behavioral and Physiological Indicators and the Rhythm of Melatonin Secretion of SD Rats in the Chronic Stress Model

The Influences of Light Therapy on Behavioral and Physiologi...

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中华医学会第十一次全国精神医学学术会议、第三届亚洲神经精神药理学术会议

作者： Tianhang Zhou Xin Yu Guoyi Zhang Weimin Dang Yongzhi Wang Tianmei Si Jian Lin Yantao Ma Li Zhao Jitao Li Kuo Zhang Cantao Zhong Zhongkai He Rongfeng Niu Wei Wei Institute of Mental Health Peking University School of Physics Peking University Guangdong Prevention and Treatment Center for Occupational Diseases The Third Hospital of Peking University Department of Laboratory Animal Science Peking University School of Life Science Peking University

Objectives To discuss the influences of light therapy on SD rats in the chronic stress *** provide theoretical basis for further studies. Methods 6-week-old SD rats were randomized into the control group,depression group, biological rhythm light(light 1) group,incandescent light(light 2) group and energy-saving light (light 3) *** rats completed the baseline measurement included the growth and development indicators(height and weight) and routine blood *** experiments included sucrose preference test,open field test,water maze test and formed swimming *** groups were performed ovariectomized surgery and completed the chronic stress depression model except the control *** 1,2 and 3 group were received light therapy of different parameters for 3 weeks,and the biological rhythm light was developed by Physics School of Peking *** that all indicators were remeasured and the rhythm of melatonin was also measured. Results i Physiological indicators:The depression group gained less weight than control group after chronic stress model and got some recover after light therapy(udepression=208.4,alight 1=220.0,alight 2=215.1,alight 3=228.9),the results were not significantly different,ii Behavioral indicators:a) Sucrose preference *** after the chronic stress model performed less sucrose than the control group(control group = 44.7±20.9,model group = 14.8±6.5,p <0.001);b) Open field *** groups gained higher scores than depression group,with no significant difference(depression group = 31.25±23.51,light a group = 52.59±25.36,p = 0.120;Light group 2 = 42.34±15.53,p = 0.230;optical group 3 = 41.71±27.69,p = 0.414);c) Water maze *** percent of distance in the 1st quadrant were higher in the light 1 and 3 group than depression group,light 2 group was lower,with no significant difference;d) Forced swimming *** percent of rest time was lower in light 2 and 3 group,higher in light 1 group after light therapy compar

关键词： The Influences of Light Therapy on Behavioral and Physiological Indicators and the Rhythm of Melatonin Secretion of SD Rats in the Chronic Stress Model Model

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