Assessment & Research

Design and subject characteristics in the federally-funded citalopram trial in children with pervasive developmental disorders.

Scahill et al. (2012) · Journal of autism and developmental disorders 2012
★ The Verdict

This is a planning paper for a citalopram trial—no data, no ABA lessons.

✓ Read this if BCBAs who consult on multi-site medication trials.
✗ Skip if Clinicians looking for ready-to-use ABA procedures.

01Research in Context

01

What this study did

Lawrence and her team wrote the blueprint for a big citalopram study.

They planned to test the drug in 149 kids with autism.

The paper only shows how they would pick families and what they would measure.

No drug results are here.

02

What they found

Nothing yet.

This is a design paper, so it only tells us how the study was set up.

The real outcomes came later in other reports.

03

How this fits with other research

ASutton et al. (2022) looked back at 52 small ABA studies for kids with IDD.

Those studies used graduated exposure plus DRA to help with doctor visits and tooth-brushing.

The citalopram trial and the ABA studies both worked with the same age group, but they asked different questions.

Wong et al. (2005) tried quetiapine in ten youths with PDD and saw calmer behavior.

That small case series gives a hint of what medication might do, while Lawrence’s paper only shows how to run a bigger test.

Maïano et al. (2011) built a picture-based mood scale for teens with ID.

Their tool could have been used in the citalopram trial to track side effects, but the trial team picked other measures.

04

Why it matters

You will not find ABA tips here.

Still, the paper shows how drug studies pick their outcome tools.

If you ever join a medication-plus-ABA project, you can check whether the scales match the behaviors you already track.

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Pull the later citalopram outcome papers to see if any behavior scales match your BIP targets.

02At a glance

Intervention
not applicable
Design
randomized controlled trial
Sample size
149
Population
autism spectrum disorder
Finding
not reported

03Original abstract

The Studies to Advance Autism Research and Treatment Network conducted a randomized trial with citalopram in children with Pervasive developmental disorders (PDDs). We present the rationale, design and sample characteristics of the citalopram trial. Subjects (128 boys, 21 girls) had a mean age of 9.3 (±3.12) years; 132 (88.6%) were diagnosed with autistic disorder (4.7% with Asperger's Disorder; 6.7% with PDD-not otherwise specified). Less than half of the subjects were intellectually disabled; 117 (78.5%) were rated Moderate or Marked on the Clinical Global Impression for Severity. Study measures were similar to previous Research Units on Pediatric Psychopharmacology trials. Subjects in this trial were slightly older and more likely to have complaints of repetitive behavior than participants in RUPP trials.

Journal of autism and developmental disorders, 2012 · doi:10.1007/s10803-011-1251-8