Izlaganje sa skupa
EFFECTIVENESS OF SEROTONERGIC DRUGS IN THE MANAGEMENT OF PROBLEM BEHAVIORS IN PATIENTS WITH NEURODEVELOPMENTAL DISORDERS
Moreno Marchiafava
; Istituto Serafico, Assisi, Perugia, Italy
Massimo Piccirilli
; Istituto Serafico, Assisi, Perugia, Italy; Department of Experimental Medicine, University of Perugia, Perugia, Italy
Chiara Bedetti
; Istituto Serafico, Assisi, Perugia, Italy
Antonella Baglioni
; Istituto Serafico, Assisi, Perugia, Italy
Marina Menna
; Istituto Serafico, Assisi, Perugia, Italy
Sandro Elisei
; Istituto Serafico, Assisi, Perugia, Italy; Department of Philosophy, Social and Human Sciences and Education, University of Perugia, Perugia, Italy
Sažetak
Neurodevelopmental disorders often result in disabilities associated with auto- and / or hetero-aggressive behaviors, that can be defined as "problem behaviors" (Lacy 2007). Therapeutic interventions are mainly directed towards the use of neuroleptic drugs or benzodiazepines, to ensure a rapid and significant sedation in most of cases. These pharmacological devices exposes the patient to clinical risks and/or long-term management difficulties. The main problem of the chronic use of benzodiazepines is the development of tolerance and dependence; furthermore benzodiazepine withdrawal or their abrupt reduction may lead to rebound effect. Regarding the long-term effects of neuroleptics, it is necessary to focus on extrapyramidal effects, motor restlessness and akathisia, anticholinergic effects, as well as endocrine and metabolic alterations. Several studies have shown that the reduction of serotonergic receptor activity is associated with the appearance of aggressive behavior (Farnam et al. 2017), especially impulsive behaviors (Manchia et al. 2017, Takahashi et al. 2012). The dynamics that subtend these data are still not fully clarified, however there are evidences that the use of selective serotonin reuptake inhibitors (SSRI) is helpful in the treatment of aggressive behavior in mental disabilities (Sterke et al. 2012, Janowsky et al. 2015). In this study we observe the behavioral response to sertraline, for minors, and to vortioxetine, for adults, considering that the literature shows significant evidence of modulation of synaptic neuroplasticity (Waller et al. 2017). To support the observation we used behavioural scales to collect the data, before the administration of the drug, during the course of treatment, at 3 months from the start of the
administration. We detected the improve of behavioral disorders with the less use neuroleptic drugs and benzodiazepines.
Ključne riječi
SSRI; problem behaviors; self-aggressivity; neurodevelopment
Hrčak ID:
263027
URI
Datum izdavanja:
21.11.2018.
Posjeta: 268 *