Antidepressant-Induced Activation in Children and Adolescents: Risk, Recognition and Management.

Antidepressant-Induced Activation in Children and Adolescents: Risk, Recognition and Management.
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DOI:
10.1016/j.cppeds.2017.12.001
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发表时间:
2018-03
影响因子:
1.6
通讯作者:
Strawn JR
Strawn JR
中科院分区:
医学4区
文献类型:
--
作者:
Luft MJ;Lamy M;DelBello MP;McNamara RK;Strawn JR

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抗抑郁药的耐受性在患有抑郁和焦虑障碍的儿童和青少年中表现不佳。在影响抗抑郁药耐受性的不良事件中,年轻人的激活是一组症状,代表了以冲动、不安和/或失眠为特征的过度觉醒事件。这一系列症状在20世纪90年代初首次被确定为选择性5-羟色胺和选择性5-羟色胺去甲肾上腺素抑制剂(SSRI和SSNRI)的副作用;然而,激活在患病率,风险因素和病理生理学方面仍然缺乏特征。本文描述了抗抑郁药相关激活的病理生理学、激活的预测因素以及患有抑郁症和焦虑症的青少年的临床管理。
The tolerability of antidepressants is poorly characterized in children and adolescents with depressive and anxiety disorders. Among adverse events that affect the tolerability of antidepressants in youth is activation, a cluster of symptoms that represent a hyperarousal event characterized by impulsivity, restlessness, and/or insomnia. This cluster of symptoms was first identified as a side effect of selective serotonin and selective serotonin norepinephrine inhibitors (SSRIs and SSNRIs) in the early 1990s; however, activation remains poorly characterized in terms of prevalence, risk factors, and pathophysiology. This paper describes the pathophysiology of antidepressant-related activation, predictors of activation and clinical management in youth with depressive and anxiety disorders.
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