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Texas Children's Medication Algorithm Project: Update from Texas Consensus Conference Panel on Medication Treatment of Childhood Major Depressive Disorder

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Title: Texas Children's Medication Algorithm Project: Update from Texas Consensus Conference Panel on Medication Treatment of Childhood Major Depressive Disorder
Language: English
Authors: Hughes, Carroll W., Emslie, Graham J., Crismon, M. Lynn, Posner, Kelly, Birmaher, Boris, Ryan, Neal, Jensen, Peter, Curry, John, Vitiello, Benedetto, Lopez, Molly, Shon, Steve P., Pliszka, Steven R., Trivedi, Madhukar H.
Source: Journal of the American Academy of Child & Adolescent Psychiatry. Jun 2007 46(6):667-667.
Availability: Lippincott Williams & Wilkins. P.O. Box 1600, Hagerstown, MD 21741. Tel: 800-638-3030; Tel: 301-223-2300; Fax: 301-223-2400; Web site: http://www.lww.com/product/?0890-8567
Peer Reviewed: Y
Page Count: 20
Publication Date: 2007
Document Type: Information Analyses
Journal Articles
Descriptors: Guidelines, Psychosis, Depression (Psychology), Clinical Experience, Children, Drug Therapy, Attention Deficit Disorders, Hyperactivity, Adolescents, Suicide, Aggression, Psychological Patterns, Therapy, Cognitive Restructuring, Behavior Modification
Geographic Terms: Texas
ISSN: 0890-8567
Abstract: Objective: To revise and update consensus guidelines for medication treatment algorithms for childhood major depressive disorder based on new scientific evidence and expert clinical consensus when evidence is lacking. Method: A consensus conference was held January 13-14, 2005, that included academic clinicians and researchers, practicing clinicians, administrators, consumers, and families. The focus was to review, update, and incorporate the most current data to inform and recommend specific pharmacological approaches and clinical guidance for treatment of major depressive disorder in children and adolescents. Results: Consensually agreed on medication algorithms for major depression (with and without psychosis) and comorbid attention-deficit disorders were updated. These revised algorithms also incorporated approaches to address issues of suicidality, aggression, and irritability. Stages 1, 2, and 3 of the algorithm consist of selective serotonin reuptake inhibitor and norepinephrine serotonin reuptake inhibitor medications whose use is supported by controlled, acute clinical trials and clinical experience. Recent studies provide support that selective serotonin reuptake inhibitors in addition to fluoxetine are still encouraged as first-line interventions. The need for additional assessments, precautions, and monitoring is emphasized, as well as continuation and maintenance treatment. Conclusions: Evidence and expert clinical consensus support the use of selected antidepressants in the treatment of depression in youths. The use of the recommended antidepressant medications requires appropriate monitoring of suicidality and potential adverse effects and consideration of other evidence-based treatment alternatives such as cognitive behavioral therapies. (Contains 1 table and 2 figures.)
Abstractor: Author
Number of References: 131
Entry Date: 2007
Access URL: https://www.lww.com/product/?0890-8567
Accession Number: EJ771523
Database: ERIC
FullText Text:
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  Data: Texas Children's Medication Algorithm Project: Update from Texas Consensus Conference Panel on Medication Treatment of Childhood Major Depressive Disorder
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  Data: <searchLink fieldCode="AR" term="%22Hughes%2C+Carroll+W%2E%22">Hughes, Carroll W.</searchLink><br /><searchLink fieldCode="AR" term="%22Emslie%2C+Graham+J%2E%22">Emslie, Graham J.</searchLink><br /><searchLink fieldCode="AR" term="%22Crismon%2C+M%2E+Lynn%22">Crismon, M. Lynn</searchLink><br /><searchLink fieldCode="AR" term="%22Posner%2C+Kelly%22">Posner, Kelly</searchLink><br /><searchLink fieldCode="AR" term="%22Birmaher%2C+Boris%22">Birmaher, Boris</searchLink><br /><searchLink fieldCode="AR" term="%22Ryan%2C+Neal%22">Ryan, Neal</searchLink><br /><searchLink fieldCode="AR" term="%22Jensen%2C+Peter%22">Jensen, Peter</searchLink><br /><searchLink fieldCode="AR" term="%22Curry%2C+John%22">Curry, John</searchLink><br /><searchLink fieldCode="AR" term="%22Vitiello%2C+Benedetto%22">Vitiello, Benedetto</searchLink><br /><searchLink fieldCode="AR" term="%22Lopez%2C+Molly%22">Lopez, Molly</searchLink><br /><searchLink fieldCode="AR" term="%22Shon%2C+Steve+P%2E%22">Shon, Steve P.</searchLink><br /><searchLink fieldCode="AR" term="%22Pliszka%2C+Steven+R%2E%22">Pliszka, Steven R.</searchLink><br /><searchLink fieldCode="AR" term="%22Trivedi%2C+Madhukar+H%2E%22">Trivedi, Madhukar H.</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+the+American+Academy+of+Child+%26+Adolescent+Psychiatry%22"><i>Journal of the American Academy of Child & Adolescent Psychiatry</i></searchLink>. Jun 2007 46(6):667-667.
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  Data: Lippincott Williams & Wilkins. P.O. Box 1600, Hagerstown, MD 21741. Tel: 800-638-3030; Tel: 301-223-2300; Fax: 301-223-2400; Web site: http://www.lww.com/product/?0890-8567
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  Data: <searchLink fieldCode="DE" term="%22Texas%22">Texas</searchLink>
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– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: To revise and update consensus guidelines for medication treatment algorithms for childhood major depressive disorder based on new scientific evidence and expert clinical consensus when evidence is lacking. Method: A consensus conference was held January 13-14, 2005, that included academic clinicians and researchers, practicing clinicians, administrators, consumers, and families. The focus was to review, update, and incorporate the most current data to inform and recommend specific pharmacological approaches and clinical guidance for treatment of major depressive disorder in children and adolescents. Results: Consensually agreed on medication algorithms for major depression (with and without psychosis) and comorbid attention-deficit disorders were updated. These revised algorithms also incorporated approaches to address issues of suicidality, aggression, and irritability. Stages 1, 2, and 3 of the algorithm consist of selective serotonin reuptake inhibitor and norepinephrine serotonin reuptake inhibitor medications whose use is supported by controlled, acute clinical trials and clinical experience. Recent studies provide support that selective serotonin reuptake inhibitors in addition to fluoxetine are still encouraged as first-line interventions. The need for additional assessments, precautions, and monitoring is emphasized, as well as continuation and maintenance treatment. Conclusions: Evidence and expert clinical consensus support the use of selected antidepressants in the treatment of depression in youths. The use of the recommended antidepressant medications requires appropriate monitoring of suicidality and potential adverse effects and consideration of other evidence-based treatment alternatives such as cognitive behavioral therapies. (Contains 1 table and 2 figures.)
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  BibEntity:
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 20
        StartPage: 667
    Subjects:
      – SubjectFull: Guidelines
        Type: general
      – SubjectFull: Psychosis
        Type: general
      – SubjectFull: Depression (Psychology)
        Type: general
      – SubjectFull: Clinical Experience
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      – SubjectFull: Children
        Type: general
      – SubjectFull: Drug Therapy
        Type: general
      – SubjectFull: Attention Deficit Disorders
        Type: general
      – SubjectFull: Hyperactivity
        Type: general
      – SubjectFull: Adolescents
        Type: general
      – SubjectFull: Suicide
        Type: general
      – SubjectFull: Aggression
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      – SubjectFull: Psychological Patterns
        Type: general
      – SubjectFull: Therapy
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      – SubjectFull: Cognitive Restructuring
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      – SubjectFull: Behavior Modification
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      – SubjectFull: Texas
        Type: general
    Titles:
      – TitleFull: Texas Children's Medication Algorithm Project: Update from Texas Consensus Conference Panel on Medication Treatment of Childhood Major Depressive Disorder
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