Polypharmacy profiles and predictors among adults with autism spectrum disorders

被引:29
作者
Lake, Johanna K. [2 ]
Balogh, Robert [2 ]
Lunsky, Yona [1 ,2 ]
机构
[1] Ctr Addict & Mental Hlth, Dual Diag Program, Toronto, ON M5V 2B4, Canada
[2] Univ Toronto, Dept Psychiat, Toronto, ON M5S 1A1, Canada
基金
加拿大健康研究院;
关键词
Autism spectrum disorder; Medication; Polypharmacy; Psychotropic medication; PERVASIVE DEVELOPMENTAL DISORDERS; PSYCHOTROPIC MEDICATION USE; DOUBLE-BLIND; PSYCHOACTIVE MEDICINES; PATTERNS; PHARMACOTHERAPY; ADOLESCENTS; CHILDREN; PREVALENCE; CLOMIPRAMINE;
D O I
10.1016/j.rasd.2012.03.005
中图分类号
G76 [特殊教育];
学科分类号
040109 ;
摘要
Pharmacological interventions are frequently used to treat commonly associated mental health and behavioural issues in individuals with autism spectrum disorders (ASD). Despite high rates of psychotropic drug use documented in children with ASD, very few studies have examined medication profiles, side effects, and rates of polypharmacy in adolescents and adults with ASD. To address this, we examined medication profiles and predictors of polypharmacy among 142 adults with ASD who had experienced a psychiatric crisis. Of the 142 adults sampled, 91 (64.1%) were prescribed at least 1 psychotropic medication and 41 (28.9%) were taking 3 or more psychotropic medications. Variables associated with and predictive of polypharmacy included history of aggression, residence, and psychiatric support. Adults with ASD are a highly medicated population and polypharmacy is a significant concern in this vulnerable group of individuals. (C) 2012 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1142 / 1149
页数:8
相关论文
共 44 条
  • [1] Allen MH., 2002, APA Task Force on Psychiatric Emergency Services
  • [2] Medication patterns in patients with autism: Temporal, regional, and demographic influences
    Aman, MG
    Lam, KSL
    Van Bourgondien, ME
    [J]. JOURNAL OF CHILD AND ADOLESCENT PSYCHOPHARMACOLOGY, 2005, 15 (01) : 116 - 126
  • [3] PSYCHOTROPIC AND ANTICONVULSANT DRUGS IN SUBJECTS WITH AUTISM - PREVALENCE AND PATTERNS OF USE
    AMAN, MG
    VANBOURGONDIEN, ME
    WOLFORD, PL
    SARPHARE, G
    [J]. JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1995, 34 (12) : 1672 - 1681
  • [4] Pharmacotherapy for hyperactivity in children with autism and other pervasive developmental disorders
    Aman, MG
    Langworthy, KS
    [J]. JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS, 2000, 30 (05) : 451 - 459
  • [5] Prevalence and patterns of use of psychoactive medicines among individuals with autism in the Autism Society of Ohio
    Aman, MG
    Lam, KSL
    Collier-Crespin, A
    [J]. JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS, 2003, 33 (05) : 527 - 534
  • [6] Medication and Parent Training in Children With Pervasive Developmental Disorders and Serious Behavior Problems: Results From a Randomized Clinical Trial
    Aman, Michael G.
    McDougle, Christopher J.
    Scahill, Lawrence
    Handen, Benjamin
    Arnold, L. Eugene
    Johnson, Cynthia
    Stigler, Kimberly A.
    Bearss, Karen
    Butter, Eric
    Swiezy, Naomi B.
    Sukhodolsky, Denis D.
    Ramadan, Yaser
    Pozdol, Stacie L.
    Nikolov, Roumen
    Lecavalier, Luc
    Kohn, Arlene E.
    Koenig, Kathleen
    Hollway, Jill A.
    Korzekwa, Patricia
    Gavaletz, Allison
    Mulick, James A.
    Hall, Kristy L.
    Dziura, James
    Ritz, Louise
    Trollinger, Stacte
    Yu, Sunkyung
    Vitiello, Benedetto
    Wagner, Ann
    [J]. JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2009, 48 (12) : 1143 - 1154
  • [7] [Anonymous], 2001, NAT ASS STAT MENT HL
  • [8] [Anonymous], ADV PSYCHIAT TREAT
  • [9] Systematic review of the effectiveness of pharmacological treatments for adolescents and adults with autism spectrum disorder
    Broadstock, Marita
    Doughty, Carolyn
    Eggleston, Matt
    [J]. AUTISM, 2007, 11 (04) : 335 - 348
  • [10] Clomipramine in adults with pervasive developmental disorders: A prospective open-label investigation
    Brodkin, ES
    McDougle, CJ
    Naylor, ST
    Cohen, DJ
    Price, LH
    [J]. JOURNAL OF CHILD AND ADOLESCENT PSYCHOPHARMACOLOGY, 1997, 7 (02) : 109 - 121