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Table 1 Characteristics of study participants and treatment outcome.

From: Aripiprazole treatment for temper outbursts in Prader–Willi syndrome

ID

Sex

Age

Genetic subtype

Symptoms baseline

CGI

Course

CGI-I

Dose

Side effects

BMI baseline kg/m2

BMI after 6 month kg/m2

Psychiatric medication

Notes

1

f

28

Unknown

Perseveration, obsessions. Treated with risperidone but severe daytime sleepiness. After stop of risperidone: massive temper outbursts

7

Decrease of intensity and frequency of outbursts

2

5 mg

Daytime sleepiness but less than with risperidone

22.19

22.60

 

Medication changed to dose in the evening to improve daytime sleepiness

2

m

31

delPWS 2

Irritability, temper outbursts

6

Irritability improved, nearly no more temper outbursts

1

5 mg

Daytime sleepiness

21.11

21.66

 

Medication changed to dose in the evening to improve daytime sleepiness

3

m

30

delPWS 1

Irritability, temper outbursts

6

Slight reduction in frequency and intensity of outbursts

3

5 mg

Mild increase of daytime sleepiness

26.12

24.82

  

4

m

30

unknown

Irritability with severe temper outbursts, perseverations, obsessions, mistrust,

6

Improvement of outbursts, obsessions, mistrust

1

10 mg

 

26.34

26.96

risperidone 4 mg sertraline 100 mg (stopped at start of aripiprazole)

After 1 month significant improvement, then deterioration. After increase of dose again significant improvement

5

f

35

unknown

Irritability with temper outbursts

6

Improvement of irritability and temper outbursts

2

10 mg

 

21.78

20.47

milnacipram 50 mg (stopped at start of aripiprazole)

 

6

m

52

delPWS 1

Irritability with temper outbursts with destruction of property. Conflicts with people

5

Improvement of irritability and temper outbursts

3

10 mg

Mild increase of daytime sleepiness

26.35

25.33

  

7

f

46

delPWS 2

Irritability with temper outbursts

6

Improvement of irritability and outbursts

2

5 mg

Daytime sleepiness

25.11

/

 

Stopped because of side effects

8

m

25

delPWS

Irritability, temper outbursts with physical attacks

6

No conflicts anymore

1

5 mg

 

22.43

22.57

sertraline 50 mg risperidone 0.5 mg

Under Sertraline and Risperidone no treatment success, change of Risperidone to Aripiprazole lead to a massive improvement

9

f

37

Unknown

Irritability with temper outbursts

6

No change

4

5 mg

 

39.48

/

 

Stopped because no success

10

m

44

delPWS 2

Irritability with temper outbursts

5

Decrease of frequency & intensity of outbursts

2

5 mg

Daytime sleepiness

24.91

/

 

Stopped because of side effects

  1. CGI clinical global impression scale; CGI-I clinical global improvement scale; delPWS paternal deletion