Evidence-Based Treatments in Child and Adolescent Psychiatry: An Inventory

To provide a list of evidence-based psychopharmacology and psychotherapy treatments for child psychiatry. Published reviews and Medline searches were examined to generate a list of treatments supported by randomized controlled trials. For psychopharmacology, the best evidence to date supports the us...

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Veröffentlicht in:Journal of the American Academy of Child and Adolescent Psychiatry 2003-12, Vol.42 (12), p.1388-1400
Hauptverfasser: McCELLAN, JON M., Werry, JOHN SCOTT
Format: Artikel
Sprache:eng
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Zusammenfassung:To provide a list of evidence-based psychopharmacology and psychotherapy treatments for child psychiatry. Published reviews and Medline searches were examined to generate a list of treatments supported by randomized controlled trials. For psychopharmacology, the best evidence to date supports the use of stimulant medications for attention-deficit/hyperactivity disorder and selective serotonin reuptake inhibitors (SSRIs) for obsessive-compulsive disorder. There is also reasonable evidence addressing SSRIs for anxiety disorders and moderate to severe major depressive disorder, and risperidone for autism. The psychosocial interventions best supported by well-designed studies are cognitive-behavioral and behavioral interventions, especially for mood, anxiety, and behavioral disorders. Family-based and systems of care interventions also have been found effective. Although the number of evidence-based treatments for child psychiatry is growing, much of clinical practice remains based on the adult literature and traditional models of care. Challenges toward adopting evidence-based practices are discussed.
ISSN:0890-8567
1527-5418
DOI:10.1097/00004583-200312000-00005