The risks versus the benefits of pharmacological intervention in social anxiety disorder in children.

IF 4.3 2区 医学 Q2 CLINICAL NEUROLOGY Expert Review of Neurotherapeutics Pub Date : 2025-02-12 DOI:10.1080/14737175.2025.2461763
Stefan G Hofmann, Chantal Kasch, Bruno Pereira, Carolina Barbosa, Giovanbattista Andreoli
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Abstract

Introduction: Many children are affected by social anxiety disorder (SAD). Pharmacotherapy, such as selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs), may be indicated, but a clear understanding of the risks and benefits associated with these pharmacological treatments is needed.

Areas covered: This expert review explores the risks and benefits of pharmacotherapy for treating SAD in children.

Expert opinion: Pharmacotherapy may be considered as a treatment when symptoms are complex or severe or when effective psychotherapy, such as cognitive behavioral therapy (CBT), is not accessible. We recommend that clinicians collaborate closely with parents, pediatricians, and psychiatrists in the treatment planning process, while monitoring the effects of pharmacotherapy. Future research should prioritize the personalization of treatments.

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儿童社交焦虑障碍药物干预的风险与益处。
许多儿童受到社交焦虑障碍(SAD)的影响。可能需要药物治疗,如选择性5 -羟色胺再摄取抑制剂(SSRIs)和5 -羟色胺-去甲肾上腺素再摄取抑制剂(SNRIs),但需要清楚地了解与这些药物治疗相关的风险和益处。涵盖领域:本专家综述探讨了药物治疗儿童SAD的风险和益处。专家意见:当症状复杂或严重,或无法获得有效的心理治疗(如认知行为疗法(CBT))时,可考虑将药物治疗作为一种治疗方法。我们建议临床医生在治疗计划过程中与家长、儿科医生和精神科医生密切合作,同时监测药物治疗的效果。未来的研究应优先考虑治疗的个性化。
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来源期刊
Expert Review of Neurotherapeutics
Expert Review of Neurotherapeutics Medicine-Neurology (clinical)
CiteScore
7.00
自引率
2.30%
发文量
61
审稿时长
4-8 weeks
期刊介绍: Expert Review of Neurotherapeutics (ISSN 1473-7175) provides expert reviews on the use of drugs and medicines in clinical neurology and neuropsychiatry. Coverage includes disease management, new medicines and drugs in neurology, therapeutic indications, diagnostics, medical treatment guidelines and neurological diseases such as stroke, epilepsy, Alzheimer''s and Parkinson''s. Comprehensive coverage in each review is complemented by the unique Expert Review format and includes the following sections: Expert Opinion - a personal view of the data presented in the article, a discussion on the developments that are likely to be important in the future, and the avenues of research likely to become exciting as further studies yield more detailed results Article Highlights – an executive summary of the author’s most critical points
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