tailieunhanh - Báo cáo y học: "Pharmacotherapeutic intervention in impulsive preschool children: The need for a comprehensive therapeutic approach"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Pharmacotherapeutic intervention in impulsive preschool children: The need for a comprehensive therapeutic approach. | Stadler et al. Child and Adolescent Psychiatry and Mental Health 2011 5 11 http content 5 1 11 CHILD ADOLESCENT PSYCHIATRY MENTAL HEALTH COMMENTARY Open Access Pharmacotherapeutic intervention in impulsive preschool children The need for a comprehensive therapeutic approach Christina Stadler1 Margarete Bolten2 and Klaus Schmeck1 Abstract Impulsive and aggressive behaviour symptoms often are serious problems in children even already at preschool age. Thus effective treatment approaches are requested. In this comment pharmacotherapeutic treatment approaches first of all risperidone their limitations and alternative psychotherapeutic approaches are outlined. Limitations of phamacotherapeutic approaches in preschool age Given the high prevalence and chronicity of oppositional defiant disorder ODD and conduct disorder CD their effective treatment is a major public health challenge. Psychopharmacotherapeutic approaches to disruptive behaviour disorders like ODD and CD comprise antipsychotics and mood stabilizers and in ADHD mostly psychostimulants. The number of children receiving second-generation antipsychotics is constantly rising and has doubled in the United States in a five year period from 2001 to 2005 1 . However the prevalence of psychotropic medication in young children is quite different between countries. In a US-MEDICAID sample of 11 700 children and adolescents 2 4 of children aged 0-3 and even 9 4 of children aged 4-5 became new users of second-generation antipsychotics between 2001 and 2005 1 . In comparison the prevalence of psychotropic medication in a German general population sample of 17 450 children was 0 18 in 0-2 year olds and 0 26 in 3-6 year olds about one third of the medication were antipsychotics 2 . Psychopharmacotherapy with risperidone appears effective in the first instance for reactive types of aggression as its effectiveness is mediated by a reduction of impulsivity which is biologically determined to a certain extent 3 .