Skip to main content
Top
Gepubliceerd in: Journal of Autism and Developmental Disorders 3/2006

01-04-2006

A Crossover Study of Risperidone in Children, Adolescents and Adults with Mental Retardation

Auteurs: Jessica A. Hellings, Jennifer R. Zarcone, R. Matthew Reese, Maria G. Valdovinos, Janet G. Marquis, Kandace K. Fleming, Stephen R. Schroeder

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 3/2006

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Risperidone has shown safety and efficacy for aggressive and destructive behaviors in short-term studies. This longer-duration study includes a broad sample. Forty subjects, aged 8–56 years (mean=22), all with mental retardation and 36 with autism spectrum disorders participated in this 22-week crossover study, with 24 weeks of open maintenance thereafter. Of 40 subjects, 23 (57.5%) responded fully (50% decrease in Aberrant Behavior Checklist-Community Irritability subscale score), while 35 subjects (87.5%) showed a 25% decrease. Gender, mood disorder, and antiseizure medications did not alter response. Increased appetite and weight gain were common. Low dose risperidone was effective for aggressive behavior in persons with MR. More long-term studies are needed, incorporating weight control interventions.
Literatuur
go back to reference Aman M. G., Singh N. N., Stewart A. W., Field C. J., (1985). The aberrant behavior checklist: A behavior rating scale for the assessment of treatment effects American Journal of Mental Deficiency 89: 485–491PubMed Aman M. G., Singh N. N., Stewart A. W., Field C. J., (1985). The aberrant behavior checklist: A behavior rating scale for the assessment of treatment effects American Journal of Mental Deficiency 89: 485–491PubMed
go back to reference Aman M. G., De Smedt G., Derivan A., Lyons B., Findling R. L., (2002). Double-blind, placebo-controlled study of risperidone for the treatment of disruptive behavior disorders in children with subaverage intelligence American Journal Psychiatry 159: 1337–1346CrossRef Aman M. G., De Smedt G., Derivan A., Lyons B., Findling R. L., (2002). Double-blind, placebo-controlled study of risperidone for the treatment of disruptive behavior disorders in children with subaverage intelligence American Journal Psychiatry 159: 1337–1346CrossRef
go back to reference American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders. 4 Washington, DC: American Psychiatric Association American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders. 4 Washington, DC: American Psychiatric Association
go back to reference Anderson L. T., Campbell M., Adams P., Small A. M., Perry R., Shell J., (1989). The effects of haloperidol on discrimination learning and behavioral symptoms in autistic childrenJournal of Autism and Developmental Disorders, 19: 227–239CrossRefPubMed Anderson L. T., Campbell M., Adams P., Small A. M., Perry R., Shell J., (1989). The effects of haloperidol on discrimination learning and behavioral symptoms in autistic childrenJournal of Autism and Developmental Disorders, 19: 227–239CrossRefPubMed
go back to reference Anderson L. T., Campbell M., Grega D. M., Perry R., Small A. M., Green W. H., (1984). Haloperidol in the treatment of infantile autism: Effects on learning and behavioral symptomsAmerican Journal of Psychiatry 41: 1195–1202 Anderson L. T., Campbell M., Grega D. M., Perry R., Small A. M., Green W. H., (1984). Haloperidol in the treatment of infantile autism: Effects on learning and behavioral symptomsAmerican Journal of Psychiatry 41: 1195–1202
go back to reference Breese G. R. (2002). Age-dependent reduction of brain dopamine: Relationship to self-injurious behavior. In: Schroeder S. R., Oster-Granite M. L., Thompson T. (Eds.), Self-injurious behavior: Gene–brain-behavior relationships, Washington, DC: American Psychological Association (pp. 279–287)CrossRef Breese G. R. (2002). Age-dependent reduction of brain dopamine: Relationship to self-injurious behavior. In: Schroeder S. R., Oster-Granite M. L., Thompson T. (Eds.), Self-injurious behavior: Gene–brain-behavior relationships, Washington, DC: American Psychological Association (pp. 279–287)CrossRef
go back to reference Campbell M., Armenteros J. L., Malone R. P., Adams P. B., Eisenberg Z. W., Overall J. E., (1997). Neuroleptic-related dyskinesias in autistic children: A prospective, longitudinal study Journal of the American Academy of Child and Adolescent Psychiatry 36: 835–843CrossRefPubMed Campbell M., Armenteros J. L., Malone R. P., Adams P. B., Eisenberg Z. W., Overall J. E., (1997). Neuroleptic-related dyskinesias in autistic children: A prospective, longitudinal study Journal of the American Academy of Child and Adolescent Psychiatry 36: 835–843CrossRefPubMed
go back to reference Cook E. H., Leventhal B. L., (1996). The serotonin system in autism Current Opinions in Pediatrics 8: 348–354CrossRef Cook E. H., Leventhal B. L., (1996). The serotonin system in autism Current Opinions in Pediatrics 8: 348–354CrossRef
go back to reference Cook E. H. Jr., Courchesne R., Lord C., Cox N. J., Yan S., Lincoln A., (1997). Evidence of linkage between the serotonin transporter and autistic disorder Molecular Psychiatry 2: 247–250CrossRefPubMed Cook E. H. Jr., Courchesne R., Lord C., Cox N. J., Yan S., Lincoln A., (1997). Evidence of linkage between the serotonin transporter and autistic disorder Molecular Psychiatry 2: 247–250CrossRefPubMed
go back to reference Gordon C. T., State R. C., Nelson J. E., Hamburger S., Rapoport J. L., (1993). A double-blind comparison of clomipramine, desipramine, and placebo in the treatment of autistic disorderArchives of General Psychiatry, 50: 441–447PubMed Gordon C. T., State R. C., Nelson J. E., Hamburger S., Rapoport J. L., (1993). A double-blind comparison of clomipramine, desipramine, and placebo in the treatment of autistic disorderArchives of General Psychiatry, 50: 441–447PubMed
go back to reference Gualtieri, C. T. (1984). The Neuroleptic Side Effects Checklist. Unpublished Scale available from the author Gualtieri, C. T. (1984). The Neuroleptic Side Effects Checklist. Unpublished Scale available from the author
go back to reference Guy W., (1976). Assessment manual for psychopharmacology. Washington, DC: U.S. Government Printing Office Guy W., (1976). Assessment manual for psychopharmacology. Washington, DC: U.S. Government Printing Office
go back to reference Hellings J. A., Zarcone J. R., Crandall K., Wallace D., Schroeder S. R., (2001). Weight gain in a controlled study of risperidone in children, adolescents and adults with mental retardation and autismJournal of Child and Adolescent Psychopharmacology 11: 229–238CrossRefPubMed Hellings J. A., Zarcone J. R., Crandall K., Wallace D., Schroeder S. R., (2001). Weight gain in a controlled study of risperidone in children, adolescents and adults with mental retardation and autismJournal of Child and Adolescent Psychopharmacology 11: 229–238CrossRefPubMed
go back to reference Helligs, J. A., Zarcone, J. R., Valdovinos, M. G., Reese, R. M., Gaughan, E., Schroeder, S. R. (2005). Risperidone-induced prolactin elevation in a study of children, adolescents and adults with mental retardation and pervasive developmental disorders. Journal of Child and Adolescent Psychopharmacology 15: 885–892CrossRefPubMed Helligs, J. A., Zarcone, J. R., Valdovinos, M. G., Reese, R. M., Gaughan, E., Schroeder, S. R. (2005). Risperidone-induced prolactin elevation in a study of children, adolescents and adults with mental retardation and pervasive developmental disorders. Journal of Child and Adolescent Psychopharmacology 15: 885–892CrossRefPubMed
go back to reference Kawachi, I. (1999). Health consequences of weight gain. In: Therapeutic advances in psychoses: Weight gain associated with use of psychotropic drugs. Belle Mead, NJ: Excerpta Medica, Inc 1–3 Kawachi, I. (1999). Health consequences of weight gain. In: Therapeutic advances in psychoses: Weight gain associated with use of psychotropic drugs. Belle Mead, NJ: Excerpta Medica, Inc 1–3
go back to reference Kim S. J., Cox N., Courcheshe R., Lord C., Corsello C., Ashoomoff N. et al. (2002). Transmission disequilibrium mapping at the serotonin transporter gene (SLC6A4) region in autistic disorder Molecular Psychiatry 7: 278–288CrossRefPubMed Kim S. J., Cox N., Courcheshe R., Lord C., Corsello C., Ashoomoff N. et al. (2002). Transmission disequilibrium mapping at the serotonin transporter gene (SLC6A4) region in autistic disorder Molecular Psychiatry 7: 278–288CrossRefPubMed
go back to reference Leiter R. G., (1948). Leiter international performance scale. Chicago, IL: Stoelting Co Leiter R. G., (1948). Leiter international performance scale. Chicago, IL: Stoelting Co
go back to reference McDougle C. J., Holmes J. P., Carlson D. C., Pelton G. H., Cohen D. J., Price L. H., (1998). A double-blind, placebo-controlled study of risperidone in adults with autistic disorder and other pervasive developmental disorders Archives of General Psychiatry 55: 633–641CrossRefPubMed McDougle C. J., Holmes J. P., Carlson D. C., Pelton G. H., Cohen D. J., Price L. H., (1998). A double-blind, placebo-controlled study of risperidone in adults with autistic disorder and other pervasive developmental disorders Archives of General Psychiatry 55: 633–641CrossRefPubMed
go back to reference McDougle C. J., Naylor S. T., Cohen D. J., Volkmar F. R., Heninger G. R., Price L., (1996). A double-blind, placebo-controlled study of fluvoxamine in adults with autistic disorder Archives of General Psychiatry 53: 1001–1008PubMed McDougle C. J., Naylor S. T., Cohen D. J., Volkmar F. R., Heninger G. R., Price L., (1996). A double-blind, placebo-controlled study of fluvoxamine in adults with autistic disorder Archives of General Psychiatry 53: 1001–1008PubMed
go back to reference Meltzer H. Y., (1995). The role of serotonin in schizophrenia and the place of serotonin-dopamine antagonist antipsychotics Journal of Clinical Psychopharmacol, 15: 2S–3S Meltzer H. Y., (1995). The role of serotonin in schizophrenia and the place of serotonin-dopamine antagonist antipsychotics Journal of Clinical Psychopharmacol, 15: 2S–3S
go back to reference Research Units on Pediatric Psychopharmacology Autism Network (2002). Risperidone in children with autism and serious behavioral problemsNew England Journal of Medicine347: 314–321CrossRef Research Units on Pediatric Psychopharmacology Autism Network (2002). Risperidone in children with autism and serious behavioral problemsNew England Journal of Medicine347: 314–321CrossRef
go back to reference Schroeder S. R., Rojahn J., Reese R. M., (1997). Brief report: Reliability and validity of instruments for assessing psychotropic medication effects on self-injurious behavior in mental retardationJournal of Autism and Developmental Disorders 27: 89–102CrossRefPubMed Schroeder S. R., Rojahn J., Reese R. M., (1997). Brief report: Reliability and validity of instruments for assessing psychotropic medication effects on self-injurious behavior in mental retardationJournal of Autism and Developmental Disorders 27: 89–102CrossRefPubMed
go back to reference Siegel S., Castellan N. J. Jr., (1988). Nonparametric statistics for the behavioral sciences, 2. New York: McGraw-Hill Siegel S., Castellan N. J. Jr., (1988). Nonparametric statistics for the behavioral sciences, 2. New York: McGraw-Hill
go back to reference Snyder, R., Turgay, A., Aman, M., Binder, C., Fisman, S., Carroll, A., & The Risperidone Conduct Study Group (2002). Effects of risperidone on conduct and disruptive behavior disorders in children with subaverage IQ’s. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1026–1036 Snyder, R., Turgay, A., Aman, M., Binder, C., Fisman, S., Carroll, A., & The Risperidone Conduct Study Group (2002). Effects of risperidone on conduct and disruptive behavior disorders in children with subaverage IQ’s. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1026–1036
go back to reference Sprague R. L., Kalachnik J. E., Shaw K. M., (1989). Psychometric properties of the dyskinesia identification system: Condensed user scale (DISCUS) Mental Retardation, 27: 141–148PubMed Sprague R. L., Kalachnik J. E., Shaw K. M., (1989). Psychometric properties of the dyskinesia identification system: Condensed user scale (DISCUS) Mental Retardation, 27: 141–148PubMed
go back to reference Vitiello, B. (2002). Assessment of adverse events and preservation of blindness in clinical trials. Oral presentation at the 42nd Annual Meeting of the New Clinical Drug Evaluation Unit (NCDEU). Boca Raton, FL Vitiello, B. (2002). Assessment of adverse events and preservation of blindness in clinical trials. Oral presentation at the 42nd Annual Meeting of the New Clinical Drug Evaluation Unit (NCDEU). Boca Raton, FL
go back to reference Wechsler D., (1981). Manual for the Welchsler adult intelligence scale-revised. San Antonio, Tex: Psychological Corp Wechsler D., (1981). Manual for the Welchsler adult intelligence scale-revised. San Antonio, Tex: Psychological Corp
go back to reference Wechsler D., (1991). Manual for the Wechsler intelligence scale for children, 3. San Antonio, TX: Psychological Corp Wechsler D., (1991). Manual for the Wechsler intelligence scale for children, 3. San Antonio, TX: Psychological Corp
go back to reference Zarcone J. R., Hellings J. A., Crandall K., Reese R. M., Marquis J., Fleming K. et al. (2001). Effects of risperidone on aberrant behavior of persons with developmental disabilities: I. A double-blind crossover study using multiple measures.American Journal of Mental Retardation 106: 525–538CrossRefPubMed Zarcone J. R., Hellings J. A., Crandall K., Reese R. M., Marquis J., Fleming K. et al. (2001). Effects of risperidone on aberrant behavior of persons with developmental disabilities: I. A double-blind crossover study using multiple measures.American Journal of Mental Retardation 106: 525–538CrossRefPubMed
Metagegevens
Titel
A Crossover Study of Risperidone in Children, Adolescents and Adults with Mental Retardation
Auteurs
Jessica A. Hellings
Jennifer R. Zarcone
R. Matthew Reese
Maria G. Valdovinos
Janet G. Marquis
Kandace K. Fleming
Stephen R. Schroeder
Publicatiedatum
01-04-2006
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 3/2006
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-006-0078-1

Andere artikelen Uitgave 3/2006

Journal of Autism and Developmental Disorders 3/2006 Naar de uitgave