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Psychopharmacology in children and adolescents: unmet needs and opportunities

  • Samuele Cortese*
  • , Diane Purper-Ouakil
  • , Alan Apter
  • , Celso Arango
  • , Inmaculada Baeza
  • , Tobias Banaschewski
  • , Jan Buitelaar
  • , Josefina Castro-Fornieles
  • , David Coghill
  • , David Cohen
  • , Christoph U. Correll
  • , Edna Grünblatt
  • , Pieter J. Hoekstra
  • , Anthony James
  • , Pia Jeppesen
  • , Péter Nagy
  • , Anne Katrine Pagsberg
  • , Mara Parellada
  • , Antonio M. Persico
  • , Veit Roessner
  • Paramala Santosh, Emily Simonoff, Dejan Stevanovic, Argyris Stringaris, Benedetto Vitiello, Susanne Walitza, Abraham Weizman, Ian C.K. Wong, Gil Zalsman, Alessandro Zuddas, Sara Carucci, Florence Butlen-Ducuing, Maria Tome, Myriam Bea, Christine Getin, Nina Hovén, Asa Konradsson-Geuken, Daphne Lamirell, Nigel Olisa, Begonya Nafria Escalera, Carmen Moreno
*Corresponding author for this work
  • University of Southampton, Faculty of Medicine
  • Solent NHS Trust
  • Hassenfeld Children’s Hospital
  • University of Nottingham Medical School
  • Università degli Studi di Bari
  • Montpellier University Hospital
  • Psychiatrie du développement – Evaluer et traiter les troubles émotionnels et du neurodéveloppement (ETE-ND)
  • Schneider Children's Medical Center of Israel
  • Interdisciplinary Center
  • Hospital General Universitario Gregorio Marañón
  • Universitat Autònoma de Barcelona
  • Heidelberg University
  • Donders Institute for Brain, Cognition and Behaviour
  • Karakter Child and Adolescent Psychiatry University Center
  • University of Melbourne
  • Murdoch Children's Research Institute
  • LENA CNRS UPR640 Hopital de la Salpetriere
  • Sorbonne Université
  • Charite - Universitatsmedizin Berlin
  • Zucker Hillside Hospital
  • Zucker School of Medicine
  • Feinstein Institute for Medical Research
  • Psychiatric University Hospital Zurich
  • Universität Zürich
  • Neuroscience Center Zurich
  • University of Groningen, University Medical Center Groningen
  • Oxford University
  • Oxford Health NHS Foundation Trust
  • University of Copenhagen
  • Capital Region of Denmark
  • Bethesda Children's Hospital
  • Copenhagen University Hospital
  • Universita degli Studi di Modena e Reggio Emilia
  • Technische Universität Dresden
  • King's College London
  • Centre for Interventional Paediatric Psychopharmacology and Rare Diseases (CIPPRD)
  • South London and Maudsley NHS Foundation Trust
  • Maudsley Biomedical Research Centre for Mental Health
  • Clinic for Neurology and Psychiatry for Children and Youth
  • Göteborgs Universitet
  • University College London
  • University of Athens
  • Università degli Studi di Torino
  • Tel Aviv University
  • Columbia University Medical Center
  • Università degli Studi di Cagliari
  • European Medicines Agency
  • ADHD Germany
  • National Association
  • ADHD Europe
  • Uppsala University
  • European Federation of Associations of Families of People with Mental Illness (EUFAMI)
  • Global Alliance of Mental Illness Advocacy Networks-Europe (GAMIAN Europe)
  • Institut de Recerca Sant Joan de Déu
  • Innovation Department Hospital Sant Joan de Déu

Research output: Contribution to journalReview articlepeer-review

30   Link opens in a new tab Citations (SciVal)

Abstract

Psychopharmacological treatment is an important component of the multimodal intervention approach to treating mental health conditions in children and adolescents. Currently, there are many unmet needs but also opportunities, alongside possible risks to consider, regarding the pharmacological treatment of mental health conditions in children and adolescents. In this Position Paper, we highlight and address these unmet needs and opportunities, including the perspectives of clinicians and researchers from the European College of Neuropsychopharmacology–Child and Adolescent Network, alongside those of experts by lived experience from national and international associations, via a survey involving 644 participants from 13 countries, and of regulators, through representation from the European Medicines Agency. We present and discuss the evidence base for medications currently used for mental disorders in children and adolescents, medications in the pipeline, opportunities in the development of novel medications, crucial priorities for the conduct of future clinical studies, challenges and opportunities in terms of the regulatory and legislative framework, and innovations in the way research is conducted, reported, and promoted.

Original languageEnglish
Pages (from-to)143-154
Number of pages12
JournalThe Lancet Psychiatry
Volume11
Issue number2
Early online date7 Dec 2023
DOIs
Publication statusPublished - Feb 2024

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Adolescent
  • Humans
  • Mental Disorders/drug therapy
  • Mental Health
  • Psychopharmacology

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