Treatment of Previously Undiagnosed Psychiatric Disorders in Persons With Developmental Disabilities Decreased or Eliminated Self-Injurious Behavior
| Autor: | Paul J. Patti, John A. Tsiouris, Ira L. Cohen, William M. Korosh |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty Bipolar Disorder Adolescent Aggression Scale Comorbidity Intellectual Disability medicine Humans Effective treatment Prospective Studies Child Psychiatry Depressive Disorder Major Psychotropic Drugs Mood Disorders Mental Disorders Direct observation Social environment medicine.disease Anxiety Disorders Mental health Disruptive Impulse Control and Conduct Disorders Developmental disorder Psychiatry and Mental health Treatment Outcome Psychotropic drug Drug Therapy Combination Female Psychology Self-Injurious Behavior Anxiety disorder |
| Zdroj: | The Journal of Clinical Psychiatry. 64:1081-1090 |
| ISSN: | 0160-6689 |
| Popis: | Background: Self-injurious behavior (SIB) is one of the most common challenging behaviors in persons with autistic disorder or severe/profound mental retardation. Many psychotropic drugs have been evaluated for their effectiveness in SIB. Results have varied, and no one psychotropic drug has been indicated for SIB. In this prospective, open clinical study, psychotropic drugs were used to treat the previously undiagnosed psychiatric disorder in persons exhibiting SIB. Method: Data were collected from 26 individuals with mental retardation (14 males, 12 females), 7 to 45 years of age (mean = 30.3 years), who exhibited SIB. Psychiatric diagnosis was made according to DSM-III-R and DSM-IV criteria. The Behavior Problem Inventory, Yudofsky's Overt Aggression Scale, repeated direct observation, and information on use of protective devices and Likert scales from log books were used to evaluate degree of SIB. Most of the patients were treated with different psychotropic drugs and behavior modification before they were evaluated for this study, but only 7 of them carried a psychiatric diagnosis. Data were collected between 1987 and 1997. Results: Depressive disorders, impulse-control disorder, and anxiety disorder were the most common final diagnoses. Neuroleptics were discontinued in 5 patients and tapered by 50% to 75% in 14 patients. Antidepressants were added in 12 patients. Treatment of psychiatric disorders produced significant (p |
| Databáze: | OpenAIRE |
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