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Aripiprazole in children and adolescents with conduct disorder: a single-center, open-label study.
Pharmacopsychiatry. 2012 Jan; 45(1):13-9.P

Abstract

OBJECTIVE

The aim of this study was to determine the eff ectiveness and safety of aripiprazole in children and adolescents with both attention deficit/hyperactivity disorder (ADHD) and conduct disorder (CD).

METHODS

20 children and adolescents, ranging in age from 6–16 years, participated in a singlecenter, open-label study (19 to completion). We began treating patients with 2.5 mg of aripiprazole in an open-label fashion for 8 weeks. Outcome measures included the Turgay DSM-IVbased child and adolescent behavior disorders screening and rating scale (T-DSM-IV), the clinical global impressions-severity and improvement scales (CGI-S and CGI-I), the child behavior checklist (CBCL), the teachers report form (TRF) and the extrapyramidal symptom rating scale (ESRS), along with laboratory assessments.

RESULTS

The mean daily dosage of aripiprazole at the end of 8 weeks was 8.55 mg (SD = 1.73), with a maximum dosage of 10 mg. Based on the global improvement subscale of the CGI, we classified 12 of 19 patients (63.1 %) as responders (very much or much improved). We observed significant improvements after aripiprazole treatment with regard to inattention, hyperactivity/impulsivity, ODD, and CD subscales of the T-DSMIV (parent, teacher and clinician forms). We also observed significant improvements on many of the CBCL and TRF subscales (e. g., attention problems as well as delinquent and aggressive behavior). The participants tolerated aripiprazole, and no patient was excluded from the study because of adverse drug events.

CONCLUSION

Aripiprazole is an eff ective and well-tolerated treatment for ADHD and CD symptoms; however, additional studies (specifically, placebo-controlled and double-blind studies) are needed to better defi ne the clinical use of aripiprazole in children and adolescents with ADHD-CD.

Authors+Show Affiliations

Department of Child and Adolescent Psychiatry, Ege University School of Medicine, Bornova, Izmir, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

21993869

Citation

Ercan, E S., et al. "Aripiprazole in Children and Adolescents With Conduct Disorder: a Single-center, Open-label Study." Pharmacopsychiatry, vol. 45, no. 1, 2012, pp. 13-9.
Ercan ES, Uysal T, Ercan E, et al. Aripiprazole in children and adolescents with conduct disorder: a single-center, open-label study. Pharmacopsychiatry. 2012;45(1):13-9.
Ercan, E. S., Uysal, T., Ercan, E., Akyol Ardic, U., & Ardıc, U. A. (2012). Aripiprazole in children and adolescents with conduct disorder: a single-center, open-label study. Pharmacopsychiatry, 45(1), 13-9. https://doi.org/10.1055/s-0031-1286348
Ercan ES, et al. Aripiprazole in Children and Adolescents With Conduct Disorder: a Single-center, Open-label Study. Pharmacopsychiatry. 2012;45(1):13-9. PubMed PMID: 21993869.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Aripiprazole in children and adolescents with conduct disorder: a single-center, open-label study. AU - Ercan,E S, AU - Uysal,T, AU - Ercan,E, AU - Akyol Ardic,U, AU - Ardıc,U A, Y1 - 2011/10/12/ PY - 2011/10/14/entrez PY - 2011/10/14/pubmed PY - 2012/5/9/medline SP - 13 EP - 9 JF - Pharmacopsychiatry JO - Pharmacopsychiatry VL - 45 IS - 1 N2 - OBJECTIVE: The aim of this study was to determine the eff ectiveness and safety of aripiprazole in children and adolescents with both attention deficit/hyperactivity disorder (ADHD) and conduct disorder (CD). METHODS: 20 children and adolescents, ranging in age from 6–16 years, participated in a singlecenter, open-label study (19 to completion). We began treating patients with 2.5 mg of aripiprazole in an open-label fashion for 8 weeks. Outcome measures included the Turgay DSM-IVbased child and adolescent behavior disorders screening and rating scale (T-DSM-IV), the clinical global impressions-severity and improvement scales (CGI-S and CGI-I), the child behavior checklist (CBCL), the teachers report form (TRF) and the extrapyramidal symptom rating scale (ESRS), along with laboratory assessments. RESULTS: The mean daily dosage of aripiprazole at the end of 8 weeks was 8.55 mg (SD = 1.73), with a maximum dosage of 10 mg. Based on the global improvement subscale of the CGI, we classified 12 of 19 patients (63.1 %) as responders (very much or much improved). We observed significant improvements after aripiprazole treatment with regard to inattention, hyperactivity/impulsivity, ODD, and CD subscales of the T-DSMIV (parent, teacher and clinician forms). We also observed significant improvements on many of the CBCL and TRF subscales (e. g., attention problems as well as delinquent and aggressive behavior). The participants tolerated aripiprazole, and no patient was excluded from the study because of adverse drug events. CONCLUSION: Aripiprazole is an eff ective and well-tolerated treatment for ADHD and CD symptoms; however, additional studies (specifically, placebo-controlled and double-blind studies) are needed to better defi ne the clinical use of aripiprazole in children and adolescents with ADHD-CD. SN - 1439-0795 UR - https://www.unboundmedicine.com/medline/citation/21993869/Aripiprazole_in_children_and_adolescents_with_conduct_disorder:_a_single_center_open_label_study_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-0031-1286348 DB - PRIME DP - Unbound Medicine ER -