Professional Documents
Culture Documents
activities
Autistic
Disorder
Asperger
s Disorder
PDD
not
otherwis
e
specifie
d
Retts
Disorder
Childhood
Disintegrat
ive
Disorder
(CDD)
Age at onset
< 3 yrs
Variable
Variable
5-30
mos
2-10 yrs
Presence of
regression
Mild;
in minority
No
No
Yes
Yes
Gender
M>F
M>F
M>F
prima
rily
Mental
retardation
Present
in majority
Absent
in
majority
Variable
Often
severe
Often
severe
Social
impairment
Yes
Yes
Yes
Yes
Yes
Social Interactions
Repetitive
behaviors
Language
AUTISM
Irritability/tantrums
Hyperactivity
Self-injurious behavior
Odd responses to sensory stimuli
Lack of fear or excessive fearfulness
Laboratory findings:
medical condition
Fragile X syndrome
adolescence)
Microcephaly and Macrocephaly
Preoccupation with abnormal (in focus or intensity) interests that are restricted
and stereotyped (such as spinning things).
Rigidly sticks to routines or rituals that don't appear to have a function.
Has stereotyped, repetitive motor mannerisms, such as hand flapping.
Persistently preoccupied with parts of objects.
Additionally:
Social interaction
Language used in social communication
Imaginative or symbolic play
These symptoms exhibited by the patient are not better
explained by a diagnosis of Childhood Disintegrative
Disorder or Rett's Disorder.
Behavioral
Risperidone
Aripiprazole
Small, mostly open-label trials with the others
Treatment Pharmacologic
Treatment Pharmacologic
Antipsychotic medications:
Most widely studied of psychopharmacologic
agents in autism
Developed for treating schizophrenia and found
to decrease hyperactivity, stereotypical
behaviors, withdrawal and agression in
individuals with autism
Treatment Pharmacologic
Stimulants:
2.
3.
4.
5.
6.
7.
9.
10.
Temper tantrum/outbursts
11.
12.
13.
14.
1.
8.
15.
17.
18.
19.
16.
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21.
22.
23.
24.
25.
26.
27.
28.
29.
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31.
32.
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43.
44.
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46.
47.
Disturbs others
Repetitive speech
Does nothing but sit and watch others
Uncooperative
Depressed mood
Resists any form of phisical contacts
Moves or rolls head back and forth repetitively
Does not pay attention to instruction
Demands must be met immediately
Isolates himself/herself from other children or adults
Disrupts group activities
Sits or stands in one position for a long time
Talks to self loudly
Cries over minor annoyances and hurts
Repetitive hand,body, or head movements
Mood changes quickly
Unresponsive to structured activities (does not react)
Does not stay in seat (e.g during lesson or training periods, meals, ect)
Will not sit still for any length of time
Is difficult to reach, contact or get through to
Cries and scream appropriately
Prefers to be alone
Does not try to communicate by word or gestures
Easily distractable
Waves or shakes the extremities repeatedly
Repeats a word of phrase over and over
Stamps feet or bangs objects or slams doors
48.
49.
50.
51.
52.
53.
54.
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58.
***
***
***
Week
Mean baseline scores (SE): Pbo = 30.8 (1.0); Ari = 29.6 (1.0)
* p < 0.05, ** p < 0.005, *** p < 0.001 vs. placebo
*
**
***
**
***
***
**
Mean baseline scores (SE): Pbo = 26.9 (1.0); Ari 5 mg = 28.3 (1.0), 10 mg = 27.6 (0.9), 15 mg = 28.3
* p < 0.05, 15 mg arm only, ** p < 0.05 all arms, ***(1.0)
p < 0.01 all arms vs. placebo
*
**
***
**
***
***
**
Mean baseline scores (SE): Pbo = 26.9 (1.0); Ari 5 mg = 28.3 (1.0), 10 mg = 27.6 (0.9), 15 mg = 28.3
* p < 0.05, 15 mg arm only, ** p < 0.05 all arms, ***(1.0)
p < 0.01 all arms vs. placebo
**
NS
**
***
**
NS
NS
Aripiprazole 5 mg
**
NS
NS
Placebo
**
Aripiprazole 10 mg
Aripiprazole 15 mg
**
NS
**
***
**
NS
NS
Aripiprazole 5 mg
**
NS
NS
Placebo
**
Aripiprazole 10 mg
Aripiprazole 15 mg
8-week Autistic-Study
ABILIFY
IRRITABILITIY
Mean Change in
Aberrant Behavior Checklist
placebo 5mg
10mg
(Week-8)
15mg
Abilify
COMPULSION
Mean Change in
Children Yale-Brown
Obsessive Compulsive Scale
15mg 10mg 5mg placebo
-1.7
-2.4
-8.4
-2.6
-3.2
-12.4
-13.2
-14.4
** *
(LOCF)
vs. placebo