Antipsychotics versus no antipsychotics – continuous outcomes | ||||||
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Population: children and adolescents with ASD Setting: outpatients and inpatients Intervention: antipsychotics Comparator: no antipsychotics | ||||||
Outcomes | Anticipated absolute effects* (95% CI) | Relative effect (95% CI) | № of participants (studies) | Certainty of the evidence (GRADE) | Comments | |
Risk with no Antipsychotics | Risk with Antipsychotics | |||||
Restricted and repetitive interests and behaviors | – | SMD 0.21 SD lower (0.35 lower to 0.07 lower) | – | 823 (9 RCTs) | ⨁⨁⨁◯ MODERATE a | Antipsychotics probably slightly reduce restricted and repetitive interests and behaviors |
Hyperactivity, inattention, oppositional, disruptive behavior | – | SMD 0.67 SD lower (0.92 lower to 0.42 lower) | – | 783 (8 RCTs) | ⨁⨁⨁◯ MODERATE a | Antipsychotics probably reduce Hyperactivity, inattention, oppositional, disruptive behavior disorders |
Self-harm | – | SMD 0.14 SD lower (0.58 lower to 0.30 higher) | – | 77 (1 RCT) | ⨁◯◯◯ VERY LOW b,c | There are some uncertainties about the effect of Antipsychotics on self-harm |
Social communication, social interaction | – | SMD 0.38 SD lower (0.59 lower to 0.16 lower) | – | 854 (10 RCTs) | ⨁⨁⨁◯ MODERATE a | Antipsychotics probably slightly improve social communication, social interaction |
Emotional dysregulation/irritability | – | SMD 0.71 SD lower (0.98 lower to 0.43 lower) | – | 879 (9 RCTs) | ⨁⨁◯◯ LOW a,d | Antipsychotics administration may result in a large reduction of emotional dysregulation/irritability |
Anxiety | – | SMD 0.38 SD lower (0.82 lower to 0.07 higher) | – | 77 (1 RCT) | ⨁◯◯◯ VERY LOW b,c | There are some uncertainties about the effect of Antipsychotics on anxiety |
Global functioning, global improvement | – | SMD 0.64 SD lower (0.96 lower to 0.33 lower) | – | 839 (10 RCTs) | ⨁⨁◯◯ LOW e,f | Antipsychotics may influence positively Global functioning, global improvement |
Obsessions, compulsions | – | SMD 0.30 SD lower (0.55 lower to 0.06 lower) | – | 548 (4 RCTs) | ⨁⨁⨁◯ MODERATE g | Antipsychotics probably slightly reduce obsessions, compulsions |