Psychopharmacological Treatments for Mental Disorders in Patients with Neuromuscular Diseases: A Scoping Review

Mental disorders are observed in neuromuscular diseases, especially now that patients are living longer. Psychiatric symptoms may be severe and psychopharmacological treatments may be required. However, very little is known about pharmacotherapy in these conditions. We aimed to summarize the current...

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Main Authors: Chiara Brusa, Giulio Gadaleta, Rossella D’Alessandro, Guido Urbano, Martina Vacchetti, Chiara Davico, Benedetto Vitiello, Federica S. Ricci, Tiziana E. Mongini
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/12/2/176
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author Chiara Brusa
Giulio Gadaleta
Rossella D’Alessandro
Guido Urbano
Martina Vacchetti
Chiara Davico
Benedetto Vitiello
Federica S. Ricci
Tiziana E. Mongini
author_facet Chiara Brusa
Giulio Gadaleta
Rossella D’Alessandro
Guido Urbano
Martina Vacchetti
Chiara Davico
Benedetto Vitiello
Federica S. Ricci
Tiziana E. Mongini
author_sort Chiara Brusa
collection DOAJ
description Mental disorders are observed in neuromuscular diseases, especially now that patients are living longer. Psychiatric symptoms may be severe and psychopharmacological treatments may be required. However, very little is known about pharmacotherapy in these conditions. We aimed to summarize the current knowledge on the use of psychopharmacological treatments for mental disorders in patients living with a neuromuscular disease. A scoping review was performed using the methodology of the Joanna Briggs Institute. Four databases were searched from January 2000 to July 2021. Articles were screened based on titles and abstracts. Full-text papers published in peer-reviewed journals in English were selected. Twenty-six articles met eligibility criteria, all being case reports/series focusing on the psychopharmacological control of psychiatric symptoms for the following conditions: myasthenia gravis (<i>n</i> = 11), Duchenne (<i>n</i> = 5) and Becker (<i>n</i> = 3) muscular dystrophy, mitochondrial disorders (<i>n</i> = 3), glycogen storage disease (<i>n</i> = 1), myotonic dystrophy (<i>n</i> = 1), hyperkalemic periodic paralysis (<i>n</i> = 1), and congenital myasthenic syndrome (<i>n</i> = 1). None of the articles provided details on the decision-making process to choose a specific drug/regimen or on follow-up strategies to monitor safety and efficacy. Larger studies showing real-world data would be required to guide consensus-based recommendations, thus improving current standards of care and, ultimately, the quality of life of patients and their families.
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spelling doaj.art-761e82a98812470da9901955fe93034d2023-11-23T19:02:43ZengMDPI AGBrain Sciences2076-34252022-01-0112217610.3390/brainsci12020176Psychopharmacological Treatments for Mental Disorders in Patients with Neuromuscular Diseases: A Scoping ReviewChiara Brusa0Giulio Gadaleta1Rossella D’Alessandro2Guido Urbano3Martina Vacchetti4Chiara Davico5Benedetto Vitiello6Federica S. Ricci7Tiziana E. Mongini8Section of Child and Adolescent Neuropsychiatry, Department of Public Health and Pediatric Sciences, University of Turin, 10126 Turin, ItalyNeuromuscular Unit, Department of Neurosciences “Rita Levi Montalcini”, University of Turin, 10126 Turin, ItalySection of Child and Adolescent Neuropsychiatry, Department of Public Health and Pediatric Sciences, University of Turin, 10126 Turin, ItalyNeuromuscular Unit, Department of Neurosciences “Rita Levi Montalcini”, University of Turin, 10126 Turin, ItalySection of Child and Adolescent Neuropsychiatry, Department of Public Health and Pediatric Sciences, University of Turin, 10126 Turin, ItalySection of Child and Adolescent Neuropsychiatry, Department of Public Health and Pediatric Sciences, University of Turin, 10126 Turin, ItalySection of Child and Adolescent Neuropsychiatry, Department of Public Health and Pediatric Sciences, University of Turin, 10126 Turin, ItalySection of Child and Adolescent Neuropsychiatry, Department of Public Health and Pediatric Sciences, University of Turin, 10126 Turin, ItalyNeuromuscular Unit, Department of Neurosciences “Rita Levi Montalcini”, University of Turin, 10126 Turin, ItalyMental disorders are observed in neuromuscular diseases, especially now that patients are living longer. Psychiatric symptoms may be severe and psychopharmacological treatments may be required. However, very little is known about pharmacotherapy in these conditions. We aimed to summarize the current knowledge on the use of psychopharmacological treatments for mental disorders in patients living with a neuromuscular disease. A scoping review was performed using the methodology of the Joanna Briggs Institute. Four databases were searched from January 2000 to July 2021. Articles were screened based on titles and abstracts. Full-text papers published in peer-reviewed journals in English were selected. Twenty-six articles met eligibility criteria, all being case reports/series focusing on the psychopharmacological control of psychiatric symptoms for the following conditions: myasthenia gravis (<i>n</i> = 11), Duchenne (<i>n</i> = 5) and Becker (<i>n</i> = 3) muscular dystrophy, mitochondrial disorders (<i>n</i> = 3), glycogen storage disease (<i>n</i> = 1), myotonic dystrophy (<i>n</i> = 1), hyperkalemic periodic paralysis (<i>n</i> = 1), and congenital myasthenic syndrome (<i>n</i> = 1). None of the articles provided details on the decision-making process to choose a specific drug/regimen or on follow-up strategies to monitor safety and efficacy. Larger studies showing real-world data would be required to guide consensus-based recommendations, thus improving current standards of care and, ultimately, the quality of life of patients and their families.https://www.mdpi.com/2076-3425/12/2/176neuromuscular diseasesmental disorderspsychiatric symptomspsychopharmacological treatments
spellingShingle Chiara Brusa
Giulio Gadaleta
Rossella D’Alessandro
Guido Urbano
Martina Vacchetti
Chiara Davico
Benedetto Vitiello
Federica S. Ricci
Tiziana E. Mongini
Psychopharmacological Treatments for Mental Disorders in Patients with Neuromuscular Diseases: A Scoping Review
Brain Sciences
neuromuscular diseases
mental disorders
psychiatric symptoms
psychopharmacological treatments
title Psychopharmacological Treatments for Mental Disorders in Patients with Neuromuscular Diseases: A Scoping Review
title_full Psychopharmacological Treatments for Mental Disorders in Patients with Neuromuscular Diseases: A Scoping Review
title_fullStr Psychopharmacological Treatments for Mental Disorders in Patients with Neuromuscular Diseases: A Scoping Review
title_full_unstemmed Psychopharmacological Treatments for Mental Disorders in Patients with Neuromuscular Diseases: A Scoping Review
title_short Psychopharmacological Treatments for Mental Disorders in Patients with Neuromuscular Diseases: A Scoping Review
title_sort psychopharmacological treatments for mental disorders in patients with neuromuscular diseases a scoping review
topic neuromuscular diseases
mental disorders
psychiatric symptoms
psychopharmacological treatments
url https://www.mdpi.com/2076-3425/12/2/176
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