Abstract | BACKGROUND: METHODS: Randomized controlled trials (RCTs), quasi-RCTs and control studies evaluating aripiprazole for children with tic disorders were identified from PubMed, Embase, Cochrane library, Cochrane Central, four Chinese database and relevant reference lists. Quality assessment referred to the Cochrane Handbook for Systematic Reviews of Interventions. RESULTS: Twelve studies involving 935 participants were included. The general quality of included studies was poor. Only one study used placebo as a control and others used positive drug controls. Participants were aged between 4 and 18 years. The period of treatment ranged from 8 to 12 weeks. Seven studies (N = 600 patients) used the YGTSS scale as the outcome measurement, and there was no significant difference in reduction of the total YGTSS score between the aripiprazole and positive control groups (MD = -0.48, 95 % CI [-6.22, 5.26], P = 0.87, I(2) = 87 %). Meta-analysis of four of the studies (N = 285 patients) that compared aripiprazole with haloperidol showed that there was no significant difference in reduction of the total YGTSS score (MD = 2.50, 95 % CI [-6.93, 11.92], P = 0.60, I(2) = 88 %). Meta-analysis of two studies (N = 255 patients) that compared aripiprazole with tiapride showed that there was no significant difference in reduction of the total YGTSS score (MD = -3.15, 95 % CI [-11.38, 5.09], P = 0.45, I(2) = 86 %). Adverse events (AEs) were reported in 11 studies. Drowsiness (5.1 %-58.1 %), increased appetite (3.2 %-25.8 %), nausea (2 %-18.8 %) and headache (2 %-16.1 %) were common AEs. CONCLUSION: In conclusion, aripiprazole appears to be a promising therapy for children with TDs. Further well-conducted RCTs are required to confirm this issue.
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Authors | Chun-Song Yang, Hong Huang, Ling-Li Zhang, Cai-Rong Zhu, Qin Guo |
Journal | BMC psychiatry
(BMC Psychiatry)
Vol. 15
Pg. 179
(Jul 29 2015)
ISSN: 1471-244X [Electronic] England |
PMID | 26220447
(Publication Type: Journal Article, Meta-Analysis, Research Support, Non-U.S. Gov't, Review, Systematic Review)
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Chemical References |
- Antipsychotic Agents
- Aripiprazole
- Haloperidol
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Topics |
- Adolescent
- Antipsychotic Agents
(therapeutic use)
- Aripiprazole
(therapeutic use)
- Child
- Child, Preschool
- Haloperidol
(therapeutic use)
- Humans
- Randomized Controlled Trials as Topic
(methods)
- Tic Disorders
(diagnosis, drug therapy, psychology)
- Treatment Outcome
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