Autism Therapy: controlled study

definition of controlled study: Experiment using good scientific methods, including double-blind procedures and placebo controls.

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J Am Acad Child Adolesc Psychiatry, by Marcus, RN, Owen R., Kamen L., Manos G., McQuade RD, Carson WH, and Aman MG, published in 2009, summarized May 13, 2010

Aripiprazole may help to treat irritability in children with autism.

This double-blind, placebo-controlled study compared the atypical antipsychotic aripiprazole with placebo in terms of being able to reduce irritability in children (aged 6 to 17 years) with autism. This eight week study found that aripiprazole was able to reduce irritability in children with autism. Children who received aripiprazole also had decreased hyperactivity. There was a high placebo response rate of 35% on this study. The authors also note that this was a fixed-dose study and therefore doctors were not able to change the dose of the drug based upon the patient’s response to the drug.


Journal of the American Academy of Child and Adolescent Psychiatry, by King, BH, Wright DM, Handen BL, and Sickich L., published in 2001, summarized Sep 16, 2009

Amantadine may improve behaviors in some children with autism.

This article reported results of a double-blind, placebo-controlled study of amantadine (drug that acts on the brain). There were 39 children (5-19 years old) in the study. Children received either amantadine (2.5 mg/kg for one week, and then 5.0 mg/kg for 3 weeks) or placebo (sugar pill). The researchers measured the children's behaviors using one standard test and the parents measured behaviors using a different standard test. The researchers found that treatment with amantadine decreased hyperactivity and inappropriate speech. The parents in both the placebo group and the amantadine group found improvements in behaviors. It was about the same degree of improvements in both groups. In other words, there was a noticeable "placebo effect" because parents reported improvements for 37% of children on placebo. In comparison, parents reported improvements for 47% of the children taking amantadine. The difference between the two groups with parent-measured tests was not large enough to be important. The authors talked about placebo effects reported in other studies of drug therapy for autism.


Journal of Attention Disorders, by Johnson, M., Ostlund S., Fransson G., Kadesjo B., and Gillberg C., published in 2009, summarized Jul 13, 2009

Omega-3/omega-6 fatty acid supplements may help children with autism and/or attention deficit hyperactivity disorder (ADHD).

This article describes a randomized, placebo-controlled study of 75 children and adolescents (8-18 years old) diagnosed with ADHD. Children had ADHD symptoms including poor concentration (attention deficit) and/or hyperactivity. Some of the children had other symptoms in addition to ADHD, including Asperger's and autism-like symptoms. The authors described the autism-like symptoms as deficits in motor control and perception. Children received a daily dose of 732 mg omega-3 fatty acids, 60 mg omega-6 fatty acids, and 10.8 mg vitamin E. Some children improved after 3 months of supplements, and more improved after 6 months of supplements. For people with inattention or autism-like symptoms, 58% improved after 6 months. The authors think that essential fatty acid supplements may help children with autism who show deficits in attention, motor control, and perception ("DAMP syndrome").


BMC Pediatric, by Rossignol, DA, Rossignol LW, Smith S., Schneider C., Logerquist S., Usman A., Neubrander J., Madren EM, Hintz G., Grushkin B., et al., published in 2009, summarized May 25, 2009

Hyperbaric treatment (40 hourly sessions) may improve function, language, social skills, eye contact, and sensory awareness in children with autism.

Many children with autism have poor blood flow and low levels of oxygen in their brains. While this has been measured, no one knows why the brains of children with autism are different from the brains of other children. This study was done to see if hyperbaric treatment could help relieve the symptoms of autism. This trial is the first controlled study of hyperbaric treatment in children with autism. The use of hyperbaric treatment at 1.3 atm and 24% oxygen was safe with no side effects.


Results of a small, evidence-based study have shown that oxytocin may help children with autism. Thirteen young people with high-functioning autism or Asperger’s and 13 young neuro-typical people were all given small amounts of oxytocin. Scientists measured social responses to both ball tossing and identifying social cues in pictures of human faces; they also measured the amount of oxytocin in the blood. Oxytocin is hormone that helps in childbirth and breastfeeding, but also may be important in regulating emotions. There are studies that have shown that children with autism may have lower levels of oxytocin. The important and exciting thing about this new study is that the scientists are testing in a controlled and rigorous way. This means that parents will soon be able to make decisions for their children based on science and not merely anecdotal evidence. Other supplements undergoing controlled study include methyl B12, omega-3 fatty acids, and a drug for Alzheimer, Namenda.

Read original article: Oxytocin-Autism Study: The Kind of Evidence-Based Research Parents Need


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