Investigating the efficacy of paroxetine in developmental stuttering

Pierpaolo Busan, Piero Paolo Battaglini, Massimo Borelli, Pasquale Evaristo, Fabrizio Monti, Giovanna Pelamatti

Research output: Contribution to journalArticle

Abstract

Objectives:: Paroxetine has been reported to be useful for management of stuttering symptoms, but only a few reports have examined its effects. We have investigated the efficacy of paroxetine in a randomized, placebo-controlled study. Methods:: Five stuttering subjects received paroxetine at 20 mg once daily at night for 12 weeks, and 5 received placebo. The percentages of stuttered words and stuttering-associated movements during speech were measured at baseline and after 6 and 12 weeks of treatment. Moreover, left primary motor cortex excitability was measured using transcranial magnetic stimulation. Specifically, resting and active motor thresholds and the cortical silent period (CSP) were obtained at the same periods in both groups. Results:: Paroxetine did not affect the percentage of stuttered words between groups. Stuttering-associated movements, however, during speech in facial muscular districts were significantly reduced in subjects treated with paroxetine. Finally, paroxetine administration shortened the CSP with no effect on motor thresholds. Conclusion:: Paroxetine may be useful in qualitative management of stuttering symptoms and may act on the stuttering brain by diminution of intracortical inhibition, as revealed by the shortening of the CSP after paroxetine administration.

Original languageEnglish
Pages (from-to)183-188
Number of pages6
JournalClinical Neuropharmacology
Volume32
Issue number4
DOIs
Publication statusPublished - Jul 2009

Keywords

  • Associated movements
  • Paroxetine
  • Silent period
  • Stuttering
  • Transcranial magnetic stimulation

ASJC Scopus subject areas

  • Pharmacology (medical)
  • Pharmacology
  • Clinical Neurology

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  • Cite this

    Busan, P., Battaglini, P. P., Borelli, M., Evaristo, P., Monti, F., & Pelamatti, G. (2009). Investigating the efficacy of paroxetine in developmental stuttering. Clinical Neuropharmacology, 32(4), 183-188. https://doi.org/10.1097/WNF.0b013e31819817eb