Risperidone treatment for ADHD in children and adolescents with bipolar disorder

Joseph Biederman, Paul Hammerness, Robert Doyle, Gagan Joshi, Megan Aleardi, Eric MickPediatric Psychopharmacology Research Department, Massachusetts General Hospital, Boston, MA, USAObjective: Children and adolescents with bipolar disorder are also at high risk of having comorbid attention-deficit...

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Autores principales: Joseph Biederman, Paul Hammerness, Robert Doyle, Gagan Joshi, Megan Aleardi, Eric Mick
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Lenguaje:EN
Publicado: Dove Medical Press 2008
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Acceso en línea:https://doaj.org/article/24957c38ae5f4f7886f609075aebb447
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spelling oai:doaj.org-article:24957c38ae5f4f7886f609075aebb4472021-12-02T00:51:09ZRisperidone treatment for ADHD in children and adolescents with bipolar disorder1176-63281178-2021https://doaj.org/article/24957c38ae5f4f7886f609075aebb4472008-03-01T00:00:00Zhttp://www.dovepress.com/risperidone-treatment-for-adhd-in-children-and-adolescents-with-bipola-a986https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Joseph Biederman, Paul Hammerness, Robert Doyle, Gagan Joshi, Megan Aleardi, Eric MickPediatric Psychopharmacology Research Department, Massachusetts General Hospital, Boston, MA, USAObjective: Children and adolescents with bipolar disorder are also at high risk of having comorbid attention-deficit hyperactivity disorder (ADHD). The objective of this study was to estimate improvement in ADHD symptoms in children with bipolar disorder.Methods: This was an open-label, study of risperidone monotherapy for the treatment of pediatric bipolar disorder. Thirty-one children and adolescents 4–15 years of age (7.2 ± 2.8 years) of both sexes (71%, N = 22 male) with pediatric bipolar disorder (YMRS score = 32.9 ± 8.8) and ADHD (ADHD-RS score = 37.9 ± 8.9) were included in these analyses.Results: Improvement in ADHD symptoms was contingent on improvement in manic symptoms. Although both hyperactive/impulsive (−7.5 ± 5.5.6, p < 0.05) and inattentive (−6.8 ± 5.0, p < 0.05) ADHD symptoms were significantly improved with risperidone, improvement was modest, and only 29% of subjects (N = 6) showed a 30% reduction in ADHD rating scale scores and had a CGI-I ≤ 2.Conclusions: These results suggest that that treatment with risperidone is associated with tangible but generally modest improvement of symptoms of ADHD in children with bipolar disorder.Keywords: ADHD, bipolar disorder, children, risperidone Joseph BiedermanPaul HammernessRobert DoyleGagan JoshiMegan AleardiEric MickDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2008, Iss Issue 1, Pp 203-207 (2008)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Joseph Biederman
Paul Hammerness
Robert Doyle
Gagan Joshi
Megan Aleardi
Eric Mick
Risperidone treatment for ADHD in children and adolescents with bipolar disorder
description Joseph Biederman, Paul Hammerness, Robert Doyle, Gagan Joshi, Megan Aleardi, Eric MickPediatric Psychopharmacology Research Department, Massachusetts General Hospital, Boston, MA, USAObjective: Children and adolescents with bipolar disorder are also at high risk of having comorbid attention-deficit hyperactivity disorder (ADHD). The objective of this study was to estimate improvement in ADHD symptoms in children with bipolar disorder.Methods: This was an open-label, study of risperidone monotherapy for the treatment of pediatric bipolar disorder. Thirty-one children and adolescents 4–15 years of age (7.2 ± 2.8 years) of both sexes (71%, N = 22 male) with pediatric bipolar disorder (YMRS score = 32.9 ± 8.8) and ADHD (ADHD-RS score = 37.9 ± 8.9) were included in these analyses.Results: Improvement in ADHD symptoms was contingent on improvement in manic symptoms. Although both hyperactive/impulsive (−7.5 ± 5.5.6, p < 0.05) and inattentive (−6.8 ± 5.0, p < 0.05) ADHD symptoms were significantly improved with risperidone, improvement was modest, and only 29% of subjects (N = 6) showed a 30% reduction in ADHD rating scale scores and had a CGI-I ≤ 2.Conclusions: These results suggest that that treatment with risperidone is associated with tangible but generally modest improvement of symptoms of ADHD in children with bipolar disorder.Keywords: ADHD, bipolar disorder, children, risperidone
format article
author Joseph Biederman
Paul Hammerness
Robert Doyle
Gagan Joshi
Megan Aleardi
Eric Mick
author_facet Joseph Biederman
Paul Hammerness
Robert Doyle
Gagan Joshi
Megan Aleardi
Eric Mick
author_sort Joseph Biederman
title Risperidone treatment for ADHD in children and adolescents with bipolar disorder
title_short Risperidone treatment for ADHD in children and adolescents with bipolar disorder
title_full Risperidone treatment for ADHD in children and adolescents with bipolar disorder
title_fullStr Risperidone treatment for ADHD in children and adolescents with bipolar disorder
title_full_unstemmed Risperidone treatment for ADHD in children and adolescents with bipolar disorder
title_sort risperidone treatment for adhd in children and adolescents with bipolar disorder
publisher Dove Medical Press
publishDate 2008
url https://doaj.org/article/24957c38ae5f4f7886f609075aebb447
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