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Cognitive Effects of Risperidone in Children with Autism and Irritable Behavior

Aman, Michael G Hollway, Jill AMcDougle, Christopher J Scahill, Lawrence Tierney, Elaine ; et al. Journal of Child and Adolescent Psychopharmacology ; New Rochelle  Vol. 18, Iss. 3,   (Jun 2008): 227-36.DOI:10.1089/cap.2007.0133

Cognitive Effects of Risperidone in Children with Autism and Irritable Behavior

Aman, Michael G; Hollway, Jill A; McDougle, Christopher J; Scahill, Lawrence; Tierney, Elaine; et al.Journal of Child and Adolescent Psychopharmacology; New Rochelle Vol. 18, Iss. 3,  (Jun 2008): 227-36.DOI:10.1089/cap.2007.0133

1. Full text - PDF

2. Abstract/Details

3. References 32

Abstract

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Objective: The objective of this research was to explore the effects of risperidone on cognitive processes in children with autism and irritable behavior.

Method: Thirty-eight children, ages 5-17 years with autism and severe behavioral disturbance, were randomly assigned to risperidone (0.5 to 3.5 mg/day) or placebo for 8 weeks. This sample of 38 was a subset of 101 subjects who participated in the clinical trial; 63 were unable to perform the cognitive tasks. A double-blind placebo-controlled parallel groups design was used. Dependent measures included tests of sustained attention, verbal learning, hand-eye coordination, and spatial memory assessed before, during, and after the 8-week treatment. Changes in performance were compared by repeated measures ANOVA.

Results: Twenty-nine boys and 9 girls with autism and severe behavioral disturbance and a mental age of 18 months or greater completed the cognitive part of the study. No decline in performance occurred with risperidone. Performance on a cancellation task (number of correct detections) and a verbal learning task (word recognition) was better on risperidone than on placebo (without correction for multiplicity). Equivocal improvement also occurred on a spatial memory task. There were no significant differences between treatment conditions on the Purdue Pegboard (hand-eye coordination) task or the Analog Classroom Task (timed math test).

Conclusion: Risperidone given to children with autism at doses up to 3.5 mg for up to 8 weeks appears to have no detrimental effect on cognitive performance. [PUBLICTION ABSTRACT]

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Subject 

Child psychology; Pharmacology; Autism; Behavior disorders; Cognition & reasoning

MeSH 

AdolescentAutistic Disorder -- psychologyChildChild Behavior Disorders -- drug therapyChild Behavior Disorders -- psychologyChild, PreschoolCognition -- physiologyCognition Disorders -- chemically inducedCognition Disorders -- psychologyDouble-Blind MethodFemaleHumansIrritable Mood -- physiologyMalePsychomotor Performance -- drug effectsPsychomotor Performance -- physiologyRisperidone -- adverse effectsRisperidone -- pharmacologyAutistic Disorder -- drug therapy (major), Cognition -- drug effects (major), Irritable Mood -- drug effects (major), Risperidone -- therapeutic use (major)

Substance 

Risperidone

Title 

Cognitive Effects of Risperidone in Children with Autism and Irritable Behavior

Author 

Aman, Michael G; Hollway, Jill A; McDougle, Christopher J; Scahill, Lawrence; Tierney, ElaineMcCracken, James TArnold, L Eugene; Vitiello, Benedetto; Ritz, Louise; Gavaletz, Allison; Cronin, Pegeen; Swiezy, Naomi; Wheeler, CourtneyKoenig, Kathleen; Ghuman, Jaswinder K; Posey, David J

Publication title 

Journal of Child and Adolescent Psychopharmacology; New Rochelle

Volume 

18

Issue 

3

Pages 

227-36

Publication year 

2008

Publication date 

Jun 2008

Publisher 

Mary Ann Liebert, Inc.

Place of publication 

New Rochelle

Country of publication 

United States, New Rochelle

Publication subject 

Pharmacy And Pharmacology

ISSN 

10445463

Source type 

Scholarly Journals

Language of publication 

English

Document type 

Comparative Study

DOI 

http://dx.doi.org.proxy-library.ashford.edu/10.1089/cap.2007.0133

Accession number 

18582177

ProQuest document ID 

204609296

Document URL 

https://search-proquest-com.proxy-library.ashford.edu/docview/204609296?accountid=32521

Copyright 

(©) © 2008 Mary Ann Liebert, Inc.

Last updated 

2014-03-19

Database 

ProQuest Central

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