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Risperidone maintenance treatment increases time to symptom recurrence in young people with disruptive behaviour disorders

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 Q Does long term risperidone maintenance improve symptoms in children and adolescents with disruptive behaviour disorders?

METHODS

Embedded ImageDesign:

Randomised controlled trial.

Embedded ImageAllocation:

Concealed.

Embedded ImageBlinding:

Double blind.

Embedded ImageFollow up period:

Six months.

Embedded ImageSetting:

Twenty five centres in six European countries, Israel, and South Africa; 2001–03.

Embedded ImagePatients:

335 children and adolescents (aged 5–17 years) with conduct disorder, oppositional defiant disorder, or disruptive behaviour disorder not otherwise specified (DSM-IV and Schedule for Affective Disorders and Schizophrenia for School-Age Children - Present and Lifetime Version criteria) who responded to 12 weeks of risperidone (0.25 to 1.5 mg/day). Exclusions: moderate or severe intellectual impairment (IQ <55); Nisonger Child Behavior Rating Form - parent version (NCBRF) conduct problem subscale score <24; schizophrenia; bipolar disorder; other serious psychological or medical conditions; use of antispychotics, lithium, anticonvulsants, or antidepressants; or with no responsible caregiver.

Embedded ImageIntervention:

Participants were randomised to continuing risperidone treatment (0.25 to 1.5 mg/day) or placebo for six months.

Embedded ImageOutcomes:

Time to symptom recurrence (defined as a worsening of …

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