McDougle Christopher J, Stigler Kimberly A, Posey David J
Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
J Clin Psychiatry. 2003;64 Suppl 4:16-25.
The optimal clinical management of aggression in children and adolescents involves both behavioral and pharmacologic intervention strategies. This article reviews medication treatments for youngsters with autistic disorder and conduct disorder, conditions for which the pharmacologic management of aggression is often necessary. Efficacy results and associated adverse effects from selected clinical trials of most classes of psychotropic medications are discussed. While preliminary progress has been made in the development of medication treatments for these serious disorders of youth, additional controlled research and longitudinal studies are needed to better understand the efficacy and tolerability of currently available compounds within each diagnostic group.
儿童和青少年攻击行为的最佳临床管理涉及行为和药物干预策略。本文综述了针对患有自闭症谱系障碍和品行障碍的青少年的药物治疗,对于这些病症,药物治疗攻击行为往往是必要的。文中讨论了大多数精神类药物选定临床试验的疗效结果及相关不良反应。虽然在针对这些青少年严重疾病的药物治疗开发方面已取得初步进展,但仍需要更多的对照研究和纵向研究,以更好地了解每个诊断组内现有药物的疗效和耐受性。