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  1. Jan 30, 2015 · Activation syndrome may be related to self-injury via diminished serotonergic activity which could compromise the ability of patients to self-regulate their behavior [9, 19]. The activation-related disinhibition may also lead to impulse control problems [ 27 ].

    • Maya Amitai, Alon Chen, Alon Chen, Abraham Weizman, Alan Apter
    • 2015
  2. Despite the recognition of antidepressant-related activation as a risk factor for medication discontinuation and suicidality, the activation syndrome lacks a clear definition. 2,14 Currently, several symptoms are considered to be activation-related adverse events: disinhibition, impulsivity, insomnia, restlessness, hyperactivity, and irritability. Moreover, these symptoms frequently co-occur.

  3. Apr 2, 2024 · However, during the 12-week follow-up, 14% of participants experienced an SE and 9% had a nonsuicidal self-injury event. The median time to an SE was 3 weeks. 5 Like TORDIA contrary to TADS, the Adolescent Depression Antidepressants and Psychotherapy Trial (ADAPT) in the United Kingdom 7 did not find evidence for SSRI-associated treatment-emergent suicidality or the protective effects of CBT.

  4. It is unclear if AC-AEs are related to akathisia, which may have a similar clinical presentation. Moreover, it is hypothesized in one case report that activation is related to self-injurious behavior via serotonergic-mediated effects that could compromise a patient's ability to self-regulate their behavior (King et al. 1991).

    • Shauna P. Reinblatt, Susan dosReis, John T. Walkup, Mark A. Riddle
    • 10.1089/cap.2008.040
    • 2009
    • 2009/04
  5. Abstract. Evidence from diverse literatures supports the viewpoint that two modes of self-regulation exist, a lower-order system that responds quickly to associative cues of the moment and a higher-order system that responds more reflectively and planfully; that low serotonergic function is linked to relative dominance of the lower-order system; that how dominance of the lower-order system is ...

  6. Feb 2, 2010 · The initial version of the TE-ASAP—from which the present data were collected—consists of the following subscales 1: (a) Irritability (12 items), (b) Akathisia, Hyperkinesis, and Somatic Anxiety (10 items), (c) Disinhibition and Impulsivity (7 items), (d) Mania (10 items), and (e) Self-injury, Suicidality, and Harm to Others (8 items). For each item, parents were asked to separately rate ...

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  8. Apr 1, 2024 · Activation syndrome has received little attention, which is why it can be overlooked. This is due to the lack of a precise definition and the possibility of confusing it with a worsening of the underlying psychiatric disorder or mania triggered by the antidepressants. In these circumstances, activation syndrome is a serious adverse event.

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