Aripiprazole in children and adolescents with conduct disorder: a single-center, open-label study.

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: E S Ercan, T Uysal, E Ercan, U Akyol Ardic, U A Ardıc
• Journal: Pharmacopsychiatry (Pharmacopsychiatry) Vol. 45 Issue 1 Pg. 13-9 (Jan 2012) ISSN: 1439-0795 [Electronic] Germany
• PMID: 21993869 (Publication Type: Clinical Trial, Journal Article)
• Copyright: © Georg Thieme Verlag KG Stuttgart · New York.

Chemical References

• Antipsychotic Agents
• Dopamine Agonists
• Piperazines
• Quinolones
• Receptors, Dopamine D2
• Serotonin 5-HT1 Receptor Agonists
• Serotonin 5-HT2 Receptor Antagonists
• Aripiprazole

Topics

• Adolescent
• Antipsychotic Agents (adverse effects, therapeutic use)
• Aripiprazole
• Attention Deficit and Disruptive Behavior Disorders (drug therapy, psychology)
• Child
• Diagnostic and Statistical Manual of Mental Disorders
• Dopamine Agonists (adverse effects, therapeutic use)
• Drug Monitoring
• Drug Resistance
• Female
• Humans
• Male
• Piperazines (adverse effects, therapeutic use)
• Psychiatric Status Rating Scales
• Quinolones (adverse effects, therapeutic use)
• Receptors, Dopamine D2 (agonists)
• Serotonin 5-HT1 Receptor Agonists (adverse effects, therapeutic use)
• Serotonin 5-HT2 Receptor Antagonists (adverse effects, therapeutic use)
• Severity of Illness Index
• Turkey