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Miscellaneous

Antipsychotic medication for challenging behaviour in people with learning disability

  1. J Brylewski Consultant*,
  2. L Duggan

Editorial Group: Cochrane Developmental, Psychosocial and Learning Problems Group

Published Online: 23 JUL 2001

DOI: 10.1002/14651858.CD000377


How to Cite

Brylewski J, Duggan L. Antipsychotic medication for challenging behaviour in people with learning disability. The Cochrane Database of Systematic Reviews 2001, Issue 3. Art. No.: CD000377. DOI: 10.1002/14651858.CD000377.

Author Information

  1. Oxfordshire Learning Disability Trust, Headington, Oxford, UK

*J Brylewski, Consultant, Oxfordshire Learning Disability Trust, Slade House, Horspath Driftway, Headington, Oxford, OX3 7JH, UK. Jane.b@btinternet.com.

Publication History

  1. Published Online: 23 JUL 2001

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Abstract

  1. Top of page
  2. Abstract
  3. Synopsis

Background

The term 'challenging behaviour', in the absence of psychiatric disorder, encompasses a wide range of behaviours that may be harmful to people or property, may be difficult to manage and may limit access to community facilities. Antipsychotic medications have been used to modify such behaviours in people with learning disability, but there is little evidence to suggest that the benefits outweigh the risks.

Objectives

To determine the effectiveness of antipsychotic medication for people with learning disability and challenging behaviour without additional mental illness.

Search strategy

Biological Abstracts, the Cochrane Library, EMBASE, MEDLINE and PsycINFO were searched. Further references were sought from published trials and pharmaceutical companies. Trials were reliably identified and data extracted.

Selection criteria

All randomised controlled trials of antipsychotic medication versus placebo.

Data collection and analysis

Reviewers independently evaluated and analysed data on an intention to treat basis. Data were evaluated at 4 and 8 weeks as longer follow-up data were not available. Reviewers assumed that those subjects lost to follow-up had a bad outcome.

Main results

Only eight randomised controlled trials could be included in the analyses. These provided no evidence of whether antipsychotic medication helps or harms adults with learning disability and challenging behaviour.

Reviewers' conclusions

There are limited data on this important issue and more research is urgently needed.

 

Synopsis

  1. Top of page
  2. Abstract
  3. Synopsis

Synopsis

Synopsis pending.