Navigation Links
Parent training key to improved treatment of behavior problems in children with autism
Date:11/25/2009

The serious behavior problems that can occur in children with autism and related conditions can be reduced with a treatment plan that includes medication combined with a structured training program for parents, according to Yale University researchers and their colleagues.

Published in the December 2009 issue of the Journal of the American Academy of Child and Adolescent Psychiatry, the study was conducted by the National Institute of Mental Health (NIMH) Research Units on Pediatric Psychopharmacology (RUPP) Autism Network. The 24-week, three-site trial was conducted at Yale, Ohio State University and Indiana University. Lawrence Scahill, professor at Yale School of Nursing and the Yale Child Study Center, is principal investigator at the Yale site.

Results from a 2002 RUPP report showed that the antipsychotic medication risperidone (Risperdal) reduced such behavioral problems as tantrums, aggression and self-injury in children with autism. However, most children's symptoms returned when the medication was discontinued after six months of effective treatment. Also, risperidone is associated with adverse effects such as weight gain, which can lead to obesity and related health problems.

In this new study, the RUPP group tested the benefits of medication alone compared to medication plus a parent training program that actively involves parents in managing their children's severely disruptive and noncompliant behaviors. In a series of 14 sessions over six months, parents were taught to reduce their children's challenging behavior and to enhance daily living skills.

The study included 124 children ages 4 to 13 with pervasive developmental disorders (PDD) such as autism, Asperger's or related disorders accompanied by tantrums, aggression and self-injury. The children were randomly given a combination of risperidone and parent training, or risperidone only.

Although both groups improved over the six-month trial, the group receiving combination therapy showed greater reduction in disruptive behavior, tantrums and aggression compared to the group receiving medication only. The combination therapy group also ended the trial taking an average dose of 1.98 milligrams (mg) per day of risperidone, compared to 2.26 mg per day in the medication-only groupa 14 percent lower dose. However, children in both groups gained weight, indicating "a need to learn more about the metabolic consequences of medications like risperidone," noted Scahill.

"The results show that the parent training intervention can be delivered in a reliable manner and results were the same across all sites," said Scahill. "This is important because it shows that the intervention is exportableand ready for dissemination."

The RUPP group is expecting to launch a multi-site parent training study in preschool-age children with pervasive developmental disorders. "We hope to show that these behavioral problems can be reduced in children without medicationif intervention starts early," Scahill said. "Future studies may also look for ways in which the parent training program can be used in schools and community clinics."


'/>"/>

Contact: Karen N. Peart
karen.peart@yale.edu
203-432-1326
Yale University
Source:Eurekalert

Related medicine news :

1. Parents Worry About Their Kids Safety on the Internet
2. Parents: Holiday Safety Tips from Massachusetts Child Injury Lawyer Thomas M. Kiley
3. Parental Monitoring Can Curb Teen Marijuana Use
4. The straight dope: Studies link parental monitoring with decreased teen marijuana usage
5. Anthem Blue Cross and Blue Shield Offers Newborn and Parenting Resources to Ease New Mothers Transition Back to Work After Maternity Leave
6. WellPoints Affiliated Life and Disability Companies Offer Newborn and Parenting Resources to Ease New Mothers Transition Back to Work After Maternity Leave
7. Attachment & Emotional Development Expert Teams Up with Miracle Industries, LLC. to Launch Valuable Parenting Resource
8. Fitness.com.au Poll Finds 80% Blame Parents For Our Overweight Kids
9. Working Parents Take the Panic Out of Flu Pandemic
10. Planned Parenthood Director Quits Abortion Business, Experiences Conversion at Starting Place of 40 Days for Life
11. Pittsburgh Partners Launch Promising Family-Centered Care Model: Special Focus on Promoting Parental Well-Being and Healthy Child Development
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/2/2016)... ... December 02, 2016 , ... ‘Tis the season for giving! Today, 20 creative ... National Family Partnership and the Drug Enforcement Administration as part of the National Red ... 10 winning schools who decorated their campuses with this year’s Red Ribbon Week theme: ...
(Date:11/30/2016)... , ... November 30, 2016 , ... ... they now offer a comprehensive in-house dental plan for all patients. Understanding that ... a plan that gives patients a number of perks, including discounts on many ...
(Date:11/30/2016)... ... November 30, 2016 , ... ... Deloitte Wisconsin 75, an annual ranking and recognition of the largest closely held ... list, having ranked from 2008-2016. In addition, Standard Process was awarded the Talent ...
(Date:11/30/2016)... ... November 30, 2016 , ... Center For ... announced the opening of a new residential mental health treatment program in Chino ... issues such as severe anxiety, depression, bi-polar disorder, and other related issues. , ...
(Date:11/30/2016)... ... November 30, 2016 , ... ... and stylish design wanted by today’s consumers at an affordable price, is now ... says the new watch is “a game changer” when it comes to the ...
Breaking Medicine News(10 mins):
(Date:12/2/2016)... 2016 bioLytical Laboratories, un líder mundial en test rápidos ... HIV Self Test , a los miembros de la Kenya Pharmaceutical Association. ... ... INSTI HIV Self Test! (PRNewsFoto/bioLytical Laboratories) ...      (Photo: http://photos.prnewswire.com/prnh/20161201/444905 ) bioLytical fue invitada por la ...
(Date:12/2/2016)... GARDENS, N.Y. , Dec. 2, 2016  LifeVac, ... will be included in the Emergency Response Training and ... are very excited to have LifeVac become part of ... Lih , Founder and CEO of LifeVac. "Having an ... LifeVac safely and effectively will help leverage our efforts ...
(Date:12/2/2016)... India , December 2, 2016 ... report "In Vitro Diagnostics/IVD Market by Product (Instruments, ... Hematology), Application (Diabetes, Oncology, Cardiology, Nephrology, Infectious Diseases) ... global market is valued at USD 60.22 Billion ... at a CAGR of 5.5% during the forecast ...
Breaking Medicine Technology: