Behandling af små børn med psykofarmaka (Guideline)

JAACAPFlere og flere før-skole børn kommer i medicinsk behandling med psykofarmaka for forwskellige psykiatriske lidelser som angst, ADHD, OCD etc.. Der er kun bekrænset forskning på området og der mangler kliniske vejledninger på området. Det første trin mod en standardisering af behandling af børn fra 3 til 6 år med medicin.

Denne guideline er udarbejdet af The Preschool Psychopharmacology Working Group, hvor der deltog fagfolk fra felter som clinicians and researchers in early childhood psychiatric disorders, psychopharmacology, general and behavioral pediatrics, neurodevelopmental processes, and clinical psychology.

“Without established treatment guidelines, clinicians and families face a delicate balancing process. If child continues to have severe or dangerous symptoms after non-medication treatments, the physicians and families must weigh the potential risks of medications with the risks of not intervening in complex clinical situations,” said lead author Mary Margaret Gleason, M.D., of the Bradley Hasbro Children’s Research Center.

“Our goal was to begin to close the gap between practice and evidence by clearly defining the current state of psychopharmacological treatment of preschoolers, encouraging judicious practice, and using existing evidence and clinical consensus to provide treatment guidelines for these young children,” added Gleason, who’s also a clinical assistant professor of psychiatry at The Warren Alpert Medical School of Brown University.

Guidelinen er udgivet i december 2007 udgaven af Journal of the American Academy of Child and Adolescent Psychiatry.

Psychopharmacological Treatment for Very Young Children: Contexts and Guidelines. Journal of the American Academy of Child & Adolescent Psychiatry. 46(12):1532-1572, December 2007. (Abstract)

Hat tip: Child Mental Health Experts Issue Psychiatric Medication Treatment Guidelines for Preschoolers, Lifespan.org og ScienceDaily

Se desuden: American Academy of Child Adolescent Psychiatry: Preschool Psychopharmocology: Evidence and Perspectives

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