Citalopram treatment of pediatric recurrent abdominal pain and comorbid internalizing disorders: an exploratory study.

Abstract:

OBJECTIVE:To assess the potential efficacy, tolerability, and safety of citalopram in the treatment of functional pediatric recurrent abdominal pain and comorbid internalizing disorders. METHOD:Twenty-five clinically referred children and adolescents with recurrent abdominal pain aged 7 to 18 years, inclusive, participated in a 12-week, flexible-dose, open-label trial of citalopram. Primary outcome measure was the Clinical Global Impression Scale-Improvement, with responders defined by ratings of 1 (very much improved) or 2 (much improved). Secondary measures included self- and parent reports of abdominal pain, anxiety, depression, other somatic symptoms, and functional impairment. Side effects were assessed using a standardized checklist. Data were analyzed using an intent-to-treat format and the last observation carried forward procedure. RESULTS:Twenty-one subjects (84%) were classified as responders (Clinical Global Impression Scale-Improvement score < or =2). Citalopram was generally well tolerated. Four subjects withdrew prematurely, one due to reported visual side effects. Ratings of abdominal pain, anxiety, depression, other somatic symptoms, and functional impairment all improved significantly over the course of the study compared with baseline. CONCLUSIONS:Citalopram is a promising treatment for functional pediatric recurrent abdominal pain and deserves additional study with a randomized, placebo-controlled clinical trial.

authors

Campo JV,Perel J,Lucas A,Bridge J,Ehmann M,Kalas C,Monk K,Axelson D,Birmaher B,Ryan N,Di Lorenzo C,Brent DA

doi

10.1097/01.chi.0000136563.31709.b0

subject

Has Abstract

pub_date

2004-10-01 00:00:00

pages

1234-42

issue

10

eissn

0890-8567

issn

1527-5418

pii

S0890-8567(09)61577-X

journal_volume

43

pub_type

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