| خلاصه مقاله | Background: Psychiatric treatment outcomes remain highly variable, with many patients requiring multiple medication trials before achieving remission. Recent advances in precision medicine offer promising tools for treatment optimization.
Aim: To systematically review and evaluate three key approaches in personalized psychiatric care: therapeutic drug monitoring (TDM), pharmacogenomic testing, and biomarker analysis.
Methods: A comprehensive literature search was conducted across PubMed, Embase, and PsycINFO databases (2000-2024). Clinical trials, meta-analyses, and systematic reviews examining TDM, pharmacogenomics, or biomarkers in psychiatric treatment were analyzed.
Results: Studies demonstrate that TDM improves treatment outcomes by optimizing drug concentrations, with 30-40% of patients requiring dose adjustments. Pharmacogenomic testing identifies relevant genetic variants in >90% of patients, leading to modified drug selection in 25% of cases. Emerging biomarkers show 70-80% accuracy in predicting treatment response.
Conclusion: Integration of TDM, pharmacogenomics, and biomarker testing represents a promising strategy for psychiatric treatment optimization. Implementation challenges include cost considerations and standardization needs. Further research is needed to validate biomarker-based treatment algorithms. |