Sertraline as a treatment option for temper outbursts in Prader–Willi syndrome
| Autor: | Maximilian Michael Jakob, Maximilian Deest, Christian Eberlein, Helge Frieling, Stefan Bleich, Johanna Seifert |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Adolescent Young Adult Chromosome 15 Neurodevelopmental disorder Quality of life Sertraline Genetics Humans Medicine In patient Genetics (clinical) Retrospective Studies Problem Behavior business.industry Treatment options Middle Aged Serotonin reuptake Prognosis medicine.disease Antidepressive Agents humanities Sleep abnormalities Aggression Quality of Life Female business Prader-Willi Syndrome Self-Injurious Behavior Follow-Up Studies medicine.drug |
| Zdroj: | American Journal of Medical Genetics Part A. 185:790-797 |
| ISSN: | 1552-4833 1552-4825 |
| DOI: | 10.1002/ajmg.a.62041 |
| Popis: | Prader-Willi syndrome (PWS) is a rare neurodevelopmental disorder caused by lack of the paternal copy of maternally imprinted, paternally expressed genes at the chromosome 15q11-13 region. In most cases, it is caused by a paternal deletion or a maternal disomy of chromosome 15. Behavioral problems with temper outbursts are common and often combined with physical aggressiveness and self-injury. They are the most frequent cause for a reduced quality of life in adulthood and represent a serious challenge for the individual and those surrounding the individual in everyday life. Until now, no promising pharmaceutical treatment option has been established, and only a few case reports on treatment with selective serotonin reuptake inhibitors (SSRIs) have been reported. In this case series, we investigated the effect of the SSRI sertraline in 14 individuals with PWS frequently showing severe temper outbursts with aggressiveness and self-injuries. After 6 months of treatment with sertraline, 13 of 14 patients (92.6%) either no longer displayed temper outbursts or showed a significant decrease in frequency and severity of temper outbursts. In one case, treatment was stopped due to severe sleep abnormalities. We conclude that sertraline is a promising and safe treatment option for severe temper outbursts in patients with PWS. |
| Databáze: | OpenAIRE |
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