Abstract:
BACKGROUND:Data on the long-term efficacy, safety, and tolerability of risperidone in adolescents with schizophrenia are limited. The objective of this study was to evaluate the efficacy and safety of maintenance risperidone treatment in adolescents with schizophrenia. METHODS:This open-label study of adolescents aged 13 to 17 years with schizophrenia was a single extension study of two short-term double-blind risperidone studies and also enrolled subjects directly in open-label risperidone treatment. The risperidone dose was flexible and ranged from 2 to 6 mg/day. Most subjects enrolled for 6 months; a subset enrolled for 12 months. Assessment tools included the Positive and Negative Syndrome Scale total and factor scores, Clinical Global Impressions, Children's Global Assessment Scale, adverse event (AE) monitoring, vital signs, laboratory testing, and extrapyramidal symptom rating scales. RESULTS:A total of 390 subjects were enrolled; 48 subjects had received placebo in a previous double-blind study; 292 subjects had received risperidone as part of their participation in one of two previous controlled studies; and 50 subjects were enrolled directly for this study. A total of 279 subjects enrolled for 6 months of treatment, and 111 subjects enrolled for 12 months of treatment. Overall, 264 (67.7%) subjects completed this study: 209 of the 279 subjects (75%) in the 6-month group and 55 of the 111 subjects (50%) in the 12-month group. The median mode dose was 3.8 mg/day. At 6 months, all three groups experienced improvement from open-label baseline in symptoms of schizophrenia as well as general assessments of global functioning. Improvements were generally maintained for the duration of treatment. The most common AEs (≥10% of subjects) were somnolence, headache, weight increase, hypertonia, insomnia, tremor, and psychosis. Potentially prolactin-related AEs (PPAEs) were reported by 36 (9%) subjects. The AE profile in this study was qualitatively similar to those of other studies in adult subjects with schizophrenia and in other psychiatric studies of risperidone in pediatric populations. CONCLUSIONS:Risperidone maintenance treatment in adolescents over 6 to 12 months was well tolerated, consistent with related studies in this clinical population, and associated with continued efficacy. CLINICAL TRIALS:ClinicalTrials.gov registration number: NCT00246285 http://clinicaltrials.gov/ct2/show/NCT00246285?term=NCT00246285&rank=1.
journal_name
Child Adolesc Psychiatry Ment Healthjournal_title
Child and adolescent psychiatry and mental healthauthors
Pandina G,Kushner S,Karcher K,Haas Mdoi
10.1186/1753-2000-6-23subject
Has Abstractpub_date
2012-06-07 00:00:00pages
23issue
1issn
1753-2000pii
1753-2000-6-23journal_volume
6pub_type
杂志文章abstract::The situation of crisis produced by the Coronavirus (COVID-19) pandemic poses major challenges to societies all over the world. While efforts to contain the virus are vital to protect global health, these same efforts are exposing children and adolescents to an increased risk of family violence. Various criminological...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章,评审
doi:10.1186/s13034-020-00347-1
更新日期:2020-10-20 00:00:00
abstract:BACKGROUND:'Almajiris' are children and adolescents sent far away from their homes to study in Islamic schools under the care of Muslim scholars. Over the years, there has been a decline in the capacity of the scholars to cater to these pupils. Consequently, Almajiris spend significant periods of time on the streets be...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/s13034-017-0166-3
更新日期:2017-06-08 00:00:00
abstract:BACKGROUND:Population level data regarding the general mental health status, and the socio-demographic factors associated with the mental health status of adolescents in Australia aged 12-16 years is limited. This study assessed prevalence of mental health problems in a regional population of Australian students in Gra...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/s13034-016-0120-9
更新日期:2016-09-13 00:00:00
abstract:BACKGROUND:Evaluating youth welfare services is vital, both because of the considerable influence they have on the development of children and adolescents, as well as owing to the extensive financial costs involved, especially for child residential care. In this naturalistic study we have undertaken to evaluate changes...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/1753-2000-7-33
更新日期:2013-09-13 00:00:00
abstract:BACKGROUND:Adolescents rarely seek psychiatric help; they even hesitate to disclose their feelings to their parents. However; the adolescents especially the females experience depressive symptoms more frequently than general population. Do they experience classic depressive symptoms? Are there symptoms specific to this...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/1753-2000-4-26
更新日期:2010-10-10 00:00:00
abstract:BACKGROUND:Studies on gender differences in attention-deficit/hyperactivity disorder (ADHD) comorbidities in the Asian populations have been limited and previous studies have shown inconclusive findings. Singapore is a city-state country in Southeast Asia with a population of 5.7 million. This study examined gender dif...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/s13034-021-00356-8
更新日期:2021-01-22 00:00:00
abstract:BACKGROUND:Loneliness is associated with peer victimization, and the two adverse experiences are both related to ill health in childhood and adolescence. There is, however, a lack of knowledge on the importance of loneliness among victimized children. Therefore, possible modifying effects of loneliness on victimized sc...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/1753-2000-6-20
更新日期:2012-05-29 00:00:00
abstract:OBJECTIVE:To present the design, methods, and rationale of the Child/Adolescent Anxiety Multimodal Study (CAMS), a recently completed federally-funded, multi-site, randomized placebo-controlled trial that examined the relative efficacy of cognitive-behavior therapy (CBT), sertraline (SRT), and their combination (COMB) ...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/1753-2000-4-1
更新日期:2010-01-05 00:00:00
abstract:Background:Nepal is a developing low-income country in Southeast Asia. There is a huge burden of child and adolescent mental health (CAMH) in Nepal which has a population of around 29 million and 40-50% of the population comprises of children and adolescents. Child and Adolescent Psychiatry (CAP) has not been formally ...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/s13034-020-00319-5
更新日期:2020-04-06 00:00:00
abstract:Background:During adolescence, middle school students facing psychophysical changes are vulnerable to psychological problems. The present study aimed to investigate mental health status and associated school interpersonal relationships among adolescents in China, which may help to inform effective prevention strategies...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/s13034-020-00318-6
更新日期:2020-03-30 00:00:00
abstract::The Hastings Center, a bioethics research institute, is holding a series of 5 workshops to examine the controversies surrounding the use of medication to treat emotional and behavioral disturbances in children. These workshops bring together clinicians, researchers, scholars, and advocates with diverse perspectives an...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/1753-2000-3-1
更新日期:2009-01-19 00:00:00
abstract:BACKGROUND:Discrepancies between multiple informants often create considerable uncertainties in delivering services to youth. The present study assessed the ability of the parent and youth scales of the Strength and Difficulties Questionnaire (SDQ) to predict mental health problems/disorders across several mental healt...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/s13034-017-0160-9
更新日期:2017-04-28 00:00:00
abstract:BACKGROUND:Although child welfare youth and juvenile offenders in residential care have different judicial placement reasons, there seems to be overlap in their demographic and psychosocial backgrounds. This could raise the question whether these adolescents should be placed in strictly separated institutions based on ...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/s13034-020-00355-1
更新日期:2021-01-21 00:00:00
abstract:Background:Diagnostic interviews and questionnaires are commonly used in the assessment of adolescents referred to child and adolescent mental health services. Many of these rating scales are constructed for adults and focus on symptoms related to diagnosis. Psychodynamic Functioning Scales (PFS) focus on relational as...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/s13034-018-0246-z
更新日期:2018-07-30 00:00:00
abstract:Background:Research on effective recruitment and retention strategies for adolescents and young adults suffering from posttraumatic stress disorder is scarce. The aim of the current study was to provide data on recruitment sources, barriers, and facilitators for participation in a randomized controlled trial for young ...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/s13034-020-00320-y
更新日期:2020-04-16 00:00:00
abstract:BACKGROUND:As children's mental health problems become more complex, more effective prevention is needed. Though various anxiety and depression prevention programmes based on cognitive behavioural therapy (CBT) were developed and evaluated in Europe, North America, and Australia recently, there are no programmes in Jap...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/s13034-016-0091-x
更新日期:2016-02-15 00:00:00
abstract:Background:The population in juvenile justice institutions is heterogeneous, as juveniles display a large variety of individual, psychological and social problems. This variety of risk factors and personal characteristics complicates treatment planning. Insight into subgroups and specific profiles of problems in seriou...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/s13034-017-0201-4
更新日期:2017-12-22 00:00:00
abstract:BACKGROUND:"The gender gap" refers to a lifelong higher rate of emotional problems in girls, as compared to boys, that appears during adolescence. The gender gap is a well-replicated finding among older adolescents and is assumed to be a cross-cultural phenomenon. However, these cross-cultural studies have not investig...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/1753-2000-5-37
更新日期:2011-11-17 00:00:00
abstract:Background:One in seven members of China's population are migrants. There are an estimated 41 million children left behind in rural areas who are living without one or both of their parents. The impact of two- and single-parent migration on child mental health and risk behaviors is unclear. The aim of this study was to...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/s13034-019-0298-8
更新日期:2019-10-22 00:00:00
abstract:BACKGROUND:Current clinical knowledge suggests that children can have different types of depressive symptoms (irritability and aggression), but presents no theoretical basis for these differences. Using a developmental approach, the present study sought to test the relationship between developmental level (mental age) ...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/1753-2000-1-9
更新日期:2007-08-22 00:00:00
abstract::Childhood maltreatment (CM) is both prevalent and consequential. Unfortunately little is known about the true prevalence of CM in the general population in Germany. The differences between findings from top down vs. bottom up approaches and the problem of the dark field of CM is discussed. Different assessment methods...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章,评审
doi:10.1186/s13034-016-0104-9
更新日期:2016-06-14 00:00:00
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journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/s13034-015-0036-9
更新日期:2015-02-12 00:00:00
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journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/s13034-017-0182-3
更新日期:2017-09-15 00:00:00
abstract::Parents can transmit their anxiety to their child, and just as children can pick up on parental anxiety, they can also respond to a parent's ability to stay calm in stressful situations. Therefore, when treating children, it is important to address parental anxiety and to improve their understanding of their child's a...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/1753-2000-1-7
更新日期:2007-08-02 00:00:00
abstract:OBJECTIVES:Following the end of the Gulf War that resulted in the liberation of Kuwait, there are no reports on the impact of veterans' traumatic exposure and posttraumatic stress disorder (PTSD) on their children. We compared the severity of anxiety, depression, deviant behavior and poor family adjustment among the ch...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/1753-2000-2-12
更新日期:2008-05-29 00:00:00
abstract:BACKGROUND:Parents are the ones who decide whether or not to participate in parent focused prevention trials. Their decisions may be affected by internal factors (e.g., personality, attitudes, sociodemographic characteristics) or external barriers. Some of these barriers are study-related and others are intervention-re...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/1753-2000-4-15
更新日期:2010-05-28 00:00:00
abstract:Background:Studies throughout Europe have shown that asylum-seeking children and adolescents (ASC) are at risk of developing mental disorders. The most common mental-health problems in ASC include posttraumatic stress symptoms (PTSS), internalizing symptoms such as depression and anxiety, and externalizing behaviour. B...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/s13034-019-0268-1
更新日期:2019-01-30 00:00:00
abstract:BACKGROUND:Parents' perspectives on their children's treatment process and outcomes are valuable to treatment development and improvement. Participants' engagement in Routine Outcome Monitoring (ROM) has, however, been difficult and may particularly be so in specialized settings, such as semi-residential psychiatry. In...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/s13034-015-0049-4
更新日期:2015-06-11 00:00:00
abstract:BACKGROUND:Mental health problems (MHPs) in preschoolers are precursors of mental disorders which have shown to be associated with suffering, functional impairment, exposure to stigma and discrimination, as well as enhanced risk of premature death. A better understanding of factors associated with MHPs in preschoolers ...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/s13034-017-0149-4
更新日期:2017-03-08 00:00:00
abstract:BACKGROUND:The transition from high school to post-secondary education and work is difficult for adolescents on the autism spectrum. Transition planning can be an effective way of supporting adolescents on the autism spectrum to prepare for leaving school and to succeed in obtaining employment; however, there is a need...
journal_title:Child and adolescent psychiatry and mental health
pub_type: 杂志文章
doi:10.1186/s13034-016-0137-0
更新日期:2016-12-28 00:00:00