Evidence map›Paper›PMID 28722481›Full record

ReviewJournal of child and adolescent psychopharmacology2017

Clinical Management of Pediatric Acute-Onset Neuropsychiatric Syndrome: Part I-Psychiatric and Behavioral Interventions.

Margo Thienemann, Tanya Murphy, James Leckman, Richard Shaw, Kyle Williams, Cynthia Kapphahn, Jennifer Frankovich, Daniel Geller, Gail Bernstein, Kiki Chang and 2 more

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of child and adolescent psychopharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 1 pooled it
15.4field-weighted citation impact, top 1% 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

62 citing papers in PubMed, 1 synthesis or guideline pooled it, 140 citations in OpenAlex.

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  18. Psychometric Properties of the PANS 31-Item Symptom Rating Scale.Journal of child and adolescent psychopharmacology · 2024
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  20. Review

2 more citing papers are in PubMed but not listed here.

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

12 authors at 7 institutions in 1 country.

Margo Thienemann1 Stanford University , Stanford, California.
Tanya Murphy2 University of South Florida , St. Petersburg, Florida.
James Leckman3 Yale University , New Haven, Connecticut.
Richard Shaw1 Stanford University , Stanford, California.
Kyle Williams4 Massachusetts General Hospital , Boston, Massachusetts.
Cynthia Kapphahn1 Stanford University , Stanford, California.
Jennifer Frankovich1 Stanford University , Stanford, California.
Daniel Geller5 Harvard Medical School , Boston, Massachusetts.
Gail Bernstein6 University of Minnesota , Minneapolis, Minnesota.
Kiki Chang1 Stanford University , Stanford, California.
Josephine Elia7 Nemours, Alfred I dupont Hospital for Children , Wilmington, Delaware.
Susan Swedo8 National Institute of Mental Health , Bethesda, Maryland.
Stanford University · USHarvard University · USMassachusetts General Hospital · USNational Institute of Mental Health · USUniversity of Minnesota System · USUniversity of South Florida St. Petersburg · USYale University · US

Funding

Evaluation and Treatment of Obsessive Compulsive and Related DisordersZIAMH002666 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI SWEDO, SUSAN · 2009 to 2019
$7.6M
Research Training for Medical Students & Physician-Scientists in Child PsychiatryR25MH077823 · NIMH · YALE UNIVERSITY · PI ANDRES S MARTIN · 2006 to 2026
$4.0M
NIMH NIH HHS R25 MH077823
6 · The paper itself

Abstract

objectiveThis article outlines the consensus guidelines for symptomatic treatment for children with Pediatric Acute-Onset Neuropsychiatric Syndrome (PANS) and Pediatric Autoimmune Neuropsychiatric Syndrome Associated with Streptococcal Infection (PANDAS).

methodsExtant literature on behavioral, psychotherapeutic, and psychopharmacologic treatments for PANS and PANDAS was reviewed. Members of the PANS Research Consortium pooled their clinical experiences to find agreement on treatment of PANS and PANDAS symptoms.

resultsCurrent guidelines result from consensus among the Consortium members.

conclusionWhile underlying infectious and inflammatory processes in PANS and PANDAS patients are treated, psychiatric and behavioral symptoms need simultaneous treatment to decrease suffering and improve adherence to therapeutic intervention. Psychological, behavioral, and psychopharmacologic interventions tailored to each child's presentation can provide symptom improvement and improve functioning during both the acute and chronic stages of illness. In general, typical evidence-based interventions are appropriate for the varied symptoms of PANS and PANDAS. Individual differences in expected response to psychotropic medication may require marked reduction of initial treatment dose. Antimicrobials and immunomodulatory therapies may be indicated, as discussed in Parts 2 and 3 of this guideline series.

Indexed as

ImmunomodulationAcute DiseaseAutoimmune DiseasesBehavior TherapyChildChild Behavior DisordersChild, PreschoolDisease ManagementHumansNeurodevelopmental DisordersStreptococcal InfectionsSyndromeconsensus guidelinespediatric acute-onset neuropsychiatric syndromepediatric autoimmune neuropsychiatric syndrome associated with streptococcal infectionpsychotherapy

Identifiers

PMID28722481
PMCPMC5610394
OpenAlexW2738337914

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.