In thrombin stimulated human platelets Citalopram, Promethazine, Risperidone, and Ziprasidone, but not Diazepam, may exert their pharmacological effects also through intercalation in membrane phospholipids in a receptor-independent manner

Intercalation of drugs in the platelet membrane affects phospholipid-requiring enzymatic processes according to the drugs’ intercalation capability. We investigated effects of Promethazine, Citalopram, Ziprasidone, Risperidone, and Diazepam on phospholipase A2 (PLA2) and polyphosphoinositide (PPI) metabolism in thrombin-stimulated human platelets. We also examined effects of the drugs on monolayers of glycerophospholipids using the Langmuir technique. Diazepam did not influence PLA2 activity, had no effects on PPI cycle, and caused no change in mean molecular area of phospholipid monolayers. The remaining psychotropic drugs affected these parameters in different ways and levels of potency suggesting that they act by being intercalated between the molecules of adjacent membrane phospholipids, thus causing changes in substrate availability for phospholipid-hydrolyzing enzymes (PLA2 and Phospholipase C). We show that several psychotropic drugs can also have other cellular effects than receptor antagonism. These effects may be implicated in the psychotropic effects of the drugs and/or their side effects

Development and Validation of the Illness Behavior Inventory

The development and validation of a measure of illness behavior are presented. From a large domain sample of illness-related behaviors, a 20-item self-report measure was developed, the Illness Behavior Inventory (IBI). Validation data are presented from a series of independent studies with healthy and chronically ill individuals. Results indicate that the IBI possesses acceptable levels of internal consistency, test-retest reliability, structural reliability, discriminant validity, concurrent validity, and predictive validity. The applicability of the IBI to various areas of inquiry in behavioral medicine research and practice is discussed and directions for future research are outlined