Evidence map›Paper›PMID 24392262›Full record

ArticleThe primary care companion for CNS disorders2013

Neuropsychiatric and behavioral profiles of 2 adults with williams syndrome: response to antidepressant intake.

Diego Urgeles, Victoria Alonso, Tania Ramos-Moreno

Open access · greenAbstract read
In one paragraph

Article in The primary care companion for CNS disorders, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Diego UrgelesClinica San Juan de Dios and Clinica Nuestra Señora de La Paz, Madrid, Spain (Dr Urgeles and Ms Alonso); Department of Molecular Biology and Center of Molecular Biology "Severo Ochoa," Universidad Autónoma de Madrid, Cantoblanco, Madrid, Spain; and Department of Clinical Sciences, Division of Neurology, Experimental Epilepsy Group, Wallenberg Neuroscience Center, Lund University, Lund, Sweden (Dr Ramos-Moreno).
Victoria AlonsoClinica San Juan de Dios and Clinica Nuestra Señora de La Paz, Madrid, Spain (Dr Urgeles and Ms Alonso); Department of Molecular Biology and Center of Molecular Biology "Severo Ochoa," Universidad Autónoma de Madrid, Cantoblanco, Madrid, Spain; and Department of Clinical Sciences, Division of Neurology, Experimental Epilepsy Group, Wallenberg Neuroscience Center, Lund University, Lund, Sweden (Dr Ramos-Moreno).
Tania Ramos-MorenoClinica San Juan de Dios and Clinica Nuestra Señora de La Paz, Madrid, Spain (Dr Urgeles and Ms Alonso); Department of Molecular Biology and Center of Molecular Biology "Severo Ochoa," Universidad Autónoma de Madrid, Cantoblanco, Madrid, Spain; and Department of Clinical Sciences, Division of Neurology, Experimental Epilepsy Group, Wallenberg Neuroscience Center, Lund University, Lund, Sweden (Dr Ramos-Moreno).
Centro de Biología Molecular Severo Ochoa · ESClínica Subiza · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals with Williams syndrome, a rare genetic disorder, are characterized by specific medical, cognitive, and behavioral phenotypes and often have high anxiety levels as well as phobia. Studies of the psychiatric phenotype in adults affected by Williams syndrome or literature on the management of their mental pathologies are lacking.

methodIn this article, we report the neuropsychiatric profile of 2 adult patients with Williams syndrome who also have generalized anxiety disorder and depressive symptoms (DSM-IV-TR criteria), along with their anxiety profiles and the strategies that were adopted for pharmacologic intervention.

resultsNeuropsychiatric profiles revealed a prefrontal cortex affliction that includes an alteration in executive functions. The patients had high scores for trait-anxiety and responded to treatment with a low-potency antipsychotic. A selective serotonin reuptake inhibitor (SSRI) was coadministered with the antipsychotic to alleviate the depressive symptoms. The treatment led to an improvement in self-control, mental concentration, and social skills, as well as decreased irritability and aggressiveness and stabilization of mood.

conclusionsThe combination of SSRIs and low doses of low-potency antipsychotics seems to be the most suitable medication to treat generalized anxiety disorder and related disorders in individuals with Williams syndrome. Manic reactions and increase in anxiety must be closely monitored during treatment. Control of anxiety and sleep should be a priority in these patients, even as a preventative measure.

Identifiers

PMID24392262
PMCPMC3869614
OpenAlexW2003256339

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.