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Titolo:
A double-blind placebo-controlled study of lithium in hospitalized aggressive children and adolescents with conduct disorder
Autore:
Malone, RP; Delaney, MA; Luebbert, JF; Cater, J; Campbell, M;
Indirizzi:
Med Coll Penn & Hahnemann Univ, Dept Psychiat, Eastern Penn Psychiat Inst,Philadelphia, PA 19129 USA Med Coll Penn & Hahnemann Univ Philadelphia PA USA 19129 ia, PA 19129 USA Biomed Stat Consulting, Wynnewood, PA USA Biomed Stat Consulting Wynnewood PA USA at Consulting, Wynnewood, PA USA NYU, Sch Med, Dept Psychiat, New York, NY USA NYU New York NY USANYU, Sch Med, Dept Psychiat, New York, NY USA
Titolo Testata:
ARCHIVES OF GENERAL PSYCHIATRY
fascicolo: 7, volume: 57, anno: 2000,
pagine: 649 - 654
SICI:
0003-990X(200007)57:7<649:ADPSOL>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
ANTISOCIAL-BEHAVIOR; DOSAGE REQUIREMENTS; HYPERACTIVE BOYS; METHYLPHENIDATE; OVERT; PROGNOSTICATOR; PREDICTORS; CARBONATE; CHILDHOOD; SETTINGS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Life Sciences
Citazioni:
59
Recensione:
Indirizzi per estratti:
Indirizzo: Malone, RP Med Coll Penn & Hahnemann Univ, Dept Psychiat, Eastern Penn Psychiat Inst,3200 Henry Ave, Philadelphia, PA 19129 USA Med Coll Penn & Hahnemann Univ 3200 Henry Ave Philadelphia PA USA 19129
Citazione:
R.P. Malone et al., "A double-blind placebo-controlled study of lithium in hospitalized aggressive children and adolescents with conduct disorder", ARCH G PSYC, 57(7), 2000, pp. 649-654

Abstract

Background: A subgroup of children and adolescents with conduct disorder are characterized by severe and persistent aggression. Although there is no agreed on treatment for such aggression, lithium carbonate has shown promise in some studies involving children. Our study was designed to critically assess the efficacy of lithium in the treatment of aggression in children and adolescents using a measure specific for aggression. Methods: Subjects were inpatients with conduct disorder hospitalized because of severe and chronic aggression. A parallel-groups design was used in this double-blind, placebo-controlled trial with randomization to lithium orplacebo. Only those who met the aggression criterion during the 2-week placebo-baseline period were randomized to 4 weeks of treatment. Outcome measures included Clinical Global Impressions, the Global Clinical Judgements (Consensus) Scale, and the Overt Aggression Scale. Results: Eighty-six inpatients enrolled in the study; 40 (33 male and 7 female; median age, 12.5 years) entered and completed the treatment phase. Lithium was statistically and clinically superior to placebo. Sixteen of 20 subjects in the lithium group were responders on the Consensus ratings vs 6 of 20 in the placebo group (P = .004). Ratings on the Overt Aggression Scale decreased significantly for the lithium group vs the placebo group (P = .04). More than half of the subjects in the lithium group experienced nausea, vomiting, and urinary frequency. Conclusions: Lithium is a safe and effective short-term treatment for aggression in inpatients with conduct disorder, although its use is associated with adverse effects.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 14/07/20 alle ore 10:16:33