A Review of Empirical Evidence of Somatic Treatment Options for the MI/DD Population

A Review of Empirical Evidence of Somatic Treatment Options for the MI/DD Population This article reviews recent evidence in the literature for the use of psychotropic and other somatic treatments in the management of patients with mental retardation (MR). The search methodology included peer-reviewed English language publications in PubMed and PsychINFO with the words Mental Retardation, Intellectual Disability, Developmental Disability and Mental Disorders/Drug Therapy or Antipsychotic medications, Psychiatric Somatic therapies, Neuroleptic Drugs, Antidepressants and Electroconvulsive Therapy from 1998 to 2008. The review revealed few randomized controlled trials on the medications frequently prescribed for patients with MR. Three RCTs of Risperidone in children, one combining adults and children and one with adults only are discussed. There was one RCT involving Quetiapine and one on Citalopram. There is little evidence to support the scope of psychotropic medication use in the MR population though the field is advancing. The contribution of psychiatric illness to challenging behaviors is not systematically addressed in the literature. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Psychiatric Quarterly Springer Journals

A Review of Empirical Evidence of Somatic Treatment Options for the MI/DD Population

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Publisher
Springer US
Copyright
Copyright © 2008 by Springer Science+Business Media, LLC
Subject
Medicine & Public Health; Psychiatry; Public Health; Sociology, general
ISSN
0033-2720
eISSN
1573-6709
D.O.I.
10.1007/s11126-008-9077-z
Publisher site
See Article on Publisher Site

Abstract

This article reviews recent evidence in the literature for the use of psychotropic and other somatic treatments in the management of patients with mental retardation (MR). The search methodology included peer-reviewed English language publications in PubMed and PsychINFO with the words Mental Retardation, Intellectual Disability, Developmental Disability and Mental Disorders/Drug Therapy or Antipsychotic medications, Psychiatric Somatic therapies, Neuroleptic Drugs, Antidepressants and Electroconvulsive Therapy from 1998 to 2008. The review revealed few randomized controlled trials on the medications frequently prescribed for patients with MR. Three RCTs of Risperidone in children, one combining adults and children and one with adults only are discussed. There was one RCT involving Quetiapine and one on Citalopram. There is little evidence to support the scope of psychotropic medication use in the MR population though the field is advancing. The contribution of psychiatric illness to challenging behaviors is not systematically addressed in the literature.

Journal

Psychiatric QuarterlySpringer Journals

Published: Aug 23, 2008

References

  • Mental disorder in adults with intellectual disability. 1. Prevalence of functional psychiatric illness among a community-based population aged between 16–64 years
    Deb, S; Thomas, M; Bright, C
  • Longitudinal prescribing patterns for psychoactive medications in community-based individuals with developmental disabilities: Utilization of pharmacy records
    Lott, IT; McGregor, M; Engleman, L
  • Short and long term efficacy and safety of risperidone in adults with disruptive behavior disorders
    Gagiano, C; Read, S; Thorpe, L
  • The use of risperidone among individuals with mental retardation: Clinically supported or not?
    Singh, AN; Matson, JL; Cooper, CL
  • Cyclothymia or unstable mood disorder? A systematic treatment evaluation with valproic acid
    Verhoeven, WMA; Tuinier, S

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