Document Detail


Using the Diagnostic Assessment of the Severely Handicapped-II (DASH-II) to measure the therapeutic effects of risperidone.
MedLine Citation:
PMID:  14675232     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Within the scope of a double-blind, placebo-controlled, crossover medication study, the Diagnostic Assessment of the Severely Handicapped-II (DASH-II) was evaluated as a measurement for determining the effectiveness of the medication risperidone in treating the problem behaviour of 21 people with intellectual disabilities (ID). METHOD: Participants' caregivers completed the DASH-II during the placebo/baseline phase of the study and the maintenance phase of the study, and completed the Aberrant Behavior Checklist - Community (ABC-C) weekly throughout the entire study. The results obtained using the DASH-II were compared to those obtained using the ABC-C, an instrument shown to be well correlated with the DASH-II. RESULTS: Results suggest that while the DASH-II and the ABC-C were well correlated during the placebo/baseline phase of the current study, they were not well correlated at completion of the 6-month maintenance phase of the medication trial. CONCLUSION: The DASH-II, while appropriate for assisting in the diagnosis of psychopathology in people with ID, does not appear to monitor changes in problem behaviour as a result of risperidone use as well as the ABC-C. Differences in the frequency of problem behaviour that each measure evaluated and the applicability of using the DASH-II to measure medication effects on problem behaviour are discussed.
Authors:
M G Valdovinos; J R Zarcone; J A Hellings; G Kim; S R Schroeder
Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of intellectual disability research : JIDR     Volume:  48     ISSN:  0964-2633     ISO Abbreviation:  J Intellect Disabil Res     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2003-12-16     Completed Date:  2004-05-17     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9206090     Medline TA:  J Intellect Disabil Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  53-9     Citation Subset:  IM    
Affiliation:
University of Kansas, KS, USA University of Kansas Medical Center, KS, USA. maria.g.valdovinos@vanderbilt.edu
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MeSH Terms
Descriptor/Qualifier:
Antipsychotic Agents / therapeutic use*
Cross-Over Studies
Disabled Persons*
Double-Blind Method
Humans
Mental Disorders / classification,  diagnosis*,  drug therapy*
Questionnaires*
Risperidone / therapeutic use*
Severity of Illness Index
Treatment Outcome
Grant Support
ID/Acronym/Agency:
HD02528/HD/NICHD NIH HHS; HD23042/HD/NICHD NIH HHS; HD26927/HD/NICHD NIH HHS
Chemical
Reg. No./Substance:
0/Antipsychotic Agents; 106266-06-2/Risperidone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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