Mark Olfson at Columbia University, New York, has found that prescribing of antipsychotic medications by psychiatrists and primary care physicians has skyrocketed in the United States since the mid-1990s, with treatment of disruptive behavior disorders
, including attention-deficit/hyperactivity disorder, playing a significant role in the increase.
Findling et al (12) analyzed data from 5 clinical trials (total 700 patients) in which children and adolescents age 5 to 15 years with subaverage IQs and conduct or other disruptive behavior disorders
received risperidone for up to 55 weeks.
The children referred to in this survey often exhibit symptoms of Disruptive Behavior Disorders
such as Oppositional Defiant Disorder or Conduct Disorder.
Because parents of children with disruptive behavior disorders
are exposed to such deviant child behavior on a daily basis, these observations suggest that those parents experience chronic interpersonal stressors.
"My approach is that it's a disruptive behavior disorder
until proven otherwise, until we can get at what's underneath the behavior," she said.
Large group community-based parenting programs for families of preschoolers at risk for disruptive behavior disorders
: Utilization, cost effectiveness, and outcome.
After an initial 6-week double-blind study of 77 children aged 5-12 years with a diagnosis of conduct disorder, oppositional defiant disorder, or disruptive behavior disorder
, not otherwise specified, 39 children who received risperidone had a mean score of 17.5 on the conduct problem subscale score of the Nisonger Child Behavior Rating Form, while 38 controls receiving placebo had a mean score of 26.1, compared to a mean pretreatment baseline score of 33 for each group.
The strongest effect sizes were found for aggression/irritability in autism and disruptive behavior disorders
, followed by bipolar mania, and finally, schizophrenia--which is most difficult to treat.
ISTANBUL, TURKEY--Stimulant therapy for boys with attention-deficit/hyperactivity disorder protected them into young adulthood against development of depression, anxiety disorders, and disruptive behavior disorders
in a landmark 10-year prospective case-control study.
-- Risperidone is an effective adjunctive therapy to stimulants in patients with attention-deficit hyperactivity disorder and comorbid disruptive behavior disorders
Like boys with ADHD, the girls were impaired in multiple domains and shared the core symptoms of impulsivity inattention, and hyperactivity Unlike boys, girls were more prone to mood and anxiety disorders than to disruptive behavior disorders
He serves as director of the Links to Learning Program, a school-based intervention for children with school failure and behavioral problems; and the Disruptive Behavior Disorders
Clinic, a clinic for children with school failure, violence, and other problems stemming from disruptive behavior disorders
, both at the Community Mental Health Council Inc., Chicago.