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Response to triiodothyronine and dextroamphetamine: A study of preschool schizophrenic children

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Abstract

A controlled study of triiodothyronine (T3), a hormone with CNS effects and stimulating properties, is reported in detail and discussed. Twelve of the 16 subjects (13 boys and 3 girls ranging in age from 3 to 6 years) were psychotic (10 schizophrenic and 2 autistic), 2 had chronic organic brain syndromes (Turner's and Klinefelter's, both with withdrawing reaction) and 2 were nonpsychotic (withdrawing and hyperkinetic reactions). Optimal daily doses of T3 ranged from 12.5 to 75 mcg, while those of dextroamphetamine, used as control, from 1.25 to 10 mg. Nonblind evaluations indicated marked improvement on T3 in 11 children, slight in 3, and deterioration in one. Blind ratings indicated statistically significant improvement in overall symptomatology (p⩽0.01). While dextroamphetamine yielded poor responses in all diagnostic categories, T3 had antipsychotic and stimulating effects. T3 is viewed as an agent that is potentially effective in the treatment of childhood schizophrenia.

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References

  • Anton-Tay, F., & Wurtman, R. J. Brain monoamines and endocrine function. In L. Martini & W. F. Ganong (Eds.),Frontiers in neuroendocrinology. London: Oxford Univeristy Press, 1971.

    Google Scholar 

  • Balázs, R., Kovács, S., Cocks, W. A., Johnson, A. L., & Eayrs, J. T. Effect of thyroid hormone on the biochemical maturation of rat brain: Postnatal cell formation.Brain Research, 1971,25, 555–570.

    PubMed  Google Scholar 

  • Campbell, M., Fish, B., David, R., Shapiro, T., & Koh, C. Triiodothyronine treatment in psychotic and nonpsychotic children under six years.Archives of General Psychiatry, 1973, in press.

  • Campbell, M., Fish, B., Korein, J., Shapiro, T., Collins, P., & Koh, C. Lithium and chlorpromazine: A controlled crossover study of hyperactive severly disturbed children.Journal of Autism and Childhood Schizophrenia, 1972,2, 234–263.

    PubMed  Google Scholar 

  • Campbell, M., Fish, B., Shapiro, T., & Floyd, A., Jr. Thiothixene in young disturbed children. A pilot study.Archives of General Psychiatry, 1970,23, 70–72.

    PubMed  Google Scholar 

  • Campbell, M., Fish, B., Shapiro, T., & Floyd, A., Jr. Study of molindone in disturbed preschool children.Current Therapeutic Research, 1971,13, 28–33. (a)

    PubMed  Google Scholar 

  • Campbell, M., Fish, B., Shapiro, T., & Floyd, A., Jr. Imipramine in preschool autistic and schizophrenic children.Journal of Autism and Childhood Schizophrenia, 1971,1, 267–282. (b)

    PubMed  Google Scholar 

  • Campbell, M., Fish, B., Shapiro, T., & Floyd, A., Jr. Acute responses of schizophrenic children to a sedative and a “stimulating” neuroleptic: A pharmacologic yardstick.Current Therapeutic Research, 1972,14, 759–766.

    PubMed  Google Scholar 

  • Campbell, M., & Hersh, S. P. Observations on the vicissitudes of aggression in two siblings.Journal of Autism and Childhood Schizophrenia, 1971,1, 398–410.

    PubMed  Google Scholar 

  • Campbell, M., Wolman, S. R., Breuer, H., Miller, F. T., & Perlman, B. B. Klinefelter's syndrome in a three-year-old severely disturbed child.Journal of Autism and Childhood Schizophrenia, 1972,2, 34–48.

    PubMed  Google Scholar 

  • Coleman, M. Serotonin levels in infant hypothyroidism.Lancet, 1970,7668, 365.

    Google Scholar 

  • Danziger, L. Thyroid therapy of schizophrenia.Diseases of the Nervous System. 1958,19, 373–378.

    PubMed  Google Scholar 

  • Danziger, L., & Elmergreen, G. L. Mechanism of periodic catatonia.Confinia Neurologica, 1958,18, 159–166.

    PubMed  Google Scholar 

  • Danziger, L., & Kindwall, J. A. Thyroid therapy in some mental disorders.Diseases of the Nervous System, 1953,14, 3–13.

    PubMed  Google Scholar 

  • Durell, J., Libow, L. S., Kellam, S. G., & Shader, R. I. Interrelationships between regulation of thyroid gland function and psychosis.Association for Research in Nervous and Mental Diseases. 1963,43, 387–399.

    Google Scholar 

  • Eayrs, J. T. Developmental relationships between brain and thyroid. In R. P. Michael (Ed.),Endocrinology and human behavior. London: Oxford University Press, 1968.

    Google Scholar 

  • Fish, B. Methodology in child psychopharmacology. In D. H. Efron, J. O. Cole, J. Levine, & J. R. Wittenborn (Eds.),Psychopharmacology, review of progress (Public Health Service Publication No. 1836). Washington, D.C.: Government Printing Office, 1968.

    Google Scholar 

  • Fish, B. The “one child, one drug” myth of stimulants in hyperkinesis. Importance of diagnostic categories in evaluating treatment.Archives of General Psychiatry, 1971,25, 193–203.

    Google Scholar 

  • Fish, B., Campbell, M., Shapiro, T., & Floyd, A., Jr. Comparison of trifluperidol, trifluoperazine and chlorpromazine in preschool schizophrenic children: The value of less sedative antipsychotic agents.Current Therapeutic Research, 1969,11, 589–595. (a)

    PubMed  Google Scholar 

  • Fish, B., Campbell, M., Shapiro, T., & Floyd, A., Jr. Schizophrenic children treated with methysergide (Sansert).Diseases of the Nervous System, 1969,30, 534–540. (b)

    PubMed  Google Scholar 

  • Fish, B., Shapiro, T., & Campbell, M. Long term prognosis and the response of schizophrenic children to drug therapy: A controlled study of trifluoperazine.American Journal of Psychiatry, 1966,123, 32–39.

    PubMed  Google Scholar 

  • Fish, B., Shapiro, T., Campbell, M., & Wile, R. A classification of schizophrenic children under five years.American Journal of Psychiatry, 1968,124, 1415–1423.

    PubMed  Google Scholar 

  • Flach, F. F., Celian, C. I., & Rawson, R. W. Treatment of psychiatric disorders with triiodothyronine.American Journal of Psychiatry, 1958,114, 841–842.

    PubMed  Google Scholar 

  • Gjessing, R. Disturbances of somatic functions in catatonia with a periodic course, and their compensation.Journal of Mental Science, 1938,84, 608–621.

    Google Scholar 

  • Gjessing, R. Beitrage zur Somatologie der Periodischen Katatonie.Archive fur Psychiatrie und Zeitschrift Neurologie, 1953,191, 191–326.

    Google Scholar 

  • Greulich, W. W., & Pyle, S. I.Radiographic atlas of skeletal development of the hand and wrist. (2nd ed.) Stanford, Calif.: Stanford University Press, 1959.

    Google Scholar 

  • Hoskins, R. G.The biology of schizophrenia. New York: Norton & Co., 1946.

    Google Scholar 

  • McCann, S. Mechanism of action of hypothalamic-hypophyseal stimulating and inhibiting hormones. In L. Martini & W. F. Ganong (Eds.),Frontiers in neuroendocrinology. London: Oxford University Press, 1971.

    Google Scholar 

  • Rey, J. H. Metabolism in recurrent schizophrenia. In D. Richter (Ed.),Schizophrenia, somatic aspects. New York: Pergamon Press, 1957.

    Google Scholar 

  • Ritvo, E. R., Yuwiler, A., Geller, E., Ornitz, E. M., Saeger, K., & Plotkin, S. Increased blood serotonin and platelets in early infantile autism.Archives of General Psychiatry, 1970,23, 566–572.

    PubMed  Google Scholar 

  • Schain, R. J., & Freedman, D. X. Studies on 5-hydroxyindole metabolism in autistic and other mentally retarded children.Journal of Pediatrics, 1961,58, 315–320.

    PubMed  Google Scholar 

  • Sherwin, A. C., Flach, F. F., & Stokes, P. E. Treatment of psychoses in early childhood with triiodothyronine.American Journal of Psychiatry, 1958,115, 166–167.

    PubMed  Google Scholar 

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This study was supported in part by Public Health Service Grant MH-04665 from the National Institute of Mental Health and in part by a grant from the Harriett Ames Charitable Trust.

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Campbell, M., Fish, B., David, R. et al. Response to triiodothyronine and dextroamphetamine: A study of preschool schizophrenic children. J Autism Dev Disord 2, 343–358 (1972). https://doi.org/10.1007/BF01538168

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