Latest & greatest articles for adhd

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ADHD

ADHD (or Attention deficit hyperactivity disorder) is a neurodevelopmental type mental disorder. It is characterised two main categories of two types of behavioural problems:

  • inattentiveness
  • hyperactivity and impulsiveness

Most people with ADHD have problems that fall into both categories, but it doesn’t have to be the case. If a person just has inattentiveness it is referred to as attention deficit disorder (ADD).

Methylphenidate is a commonly used medication used to treat patients suffering from attention-deficit hyperactivity disorder. Methylphenidate is part of a group of drugs known as stimulants. Central nervous system stimulants help change the amounts of natural substances in the brain. But it is not the only intervention; others include Bupropion, exercise and CBT (Cognitive behavioural therapy).

Extensive ADHD research and case studies have been carried out over numerous years. Trip has unrivalled coverage of the evidence base including systematic reviews, clinical trials, clinical guidelines and case studies.

Studies are ongoing to assess the safety and effectiveness of stimulants used on children with ADHD and intellectual disabilities as well as in other populations and other interventions. Trip also includes ongoing controlled trials and ongoing systematic reviews (via the PROSPERO database).

Top results for adhd

141. Provision of brief paediatrician training and computer-assisted medication management does not improve symptoms in children with ADHD

in children with ADHD Article Text Therapeutics Provision of brief paediatrician training and computer-assisted medication management does not improve symptoms in children with ADHD Statistics from Altmetric.com Question Question Does provision of brief physician training and computer-assisted medicine management improve symptoms in children with attention-deficit hyperactivity disorder (ADHD) compared with treatment as usual (TAU)? Patients 270 children (77% boys; age range 5.9–11.11 years; mean age 8.2 (...) years) with ADHD diagnosed according to DSM-V criteria (combined type: 49%, hyperactive/impulsive type: 9.8% and inattentive type: 41.2%) and attending participating paediatric practices. Main exclusions: taking an antipsychotic or medication for ADHD in the previous 2 months; intolerance to stimulants or taking medication not compatible with stimulants; not living with their primary care giver for the previous 6 months; an IQ<70 or attending classes for children with intellectual disabilities

2011 Evidence-Based Mental Health

142. Siblings of adolescents with ADHD who themselves have ADHD are more likely to have psychiatric comorbidities than are unaffected siblings or controls without ADHD

are more likely to have psychiatric comorbidities than are unaffected siblings or controls without ADHD Article Text Prevalence Siblings of adolescents with ADHD who themselves have ADHD are more likely to have psychiatric comorbidities than are unaffected siblings or controls without ADHD Statistics from Altmetric.com Question Question What is the rate of psychiatric comorbidities in adolescents with attention-deficit hyperactivity disorder (ADHD) and their siblings? Population 136 adolescent probands (...) (mean age 12.8 years, 85% male) with ADHD (Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) criteria), 136 siblings of the probands (selected sibling closest in age to the proband if more than one sibling; mean age 11.5 years for ADHD-affected siblings and 13.1 years for unaffected siblings) and 136 control participants who were age- and sex-matched to the proband and did not have a diagnosis of ADHD (mean age 12.4 years). Adolescents with autistic spectrum disorders

2011 Evidence-Based Mental Health

143. Comparative efficacy and acceptability of methylphenidate and atomoxetine in treatment of attention deficit hyperactivity disorder in children and adolescents: a meta-analysis

Comparative efficacy and acceptability of methylphenidate and atomoxetine in treatment of attention deficit hyperactivity disorder in children and adolescents: a meta-analysis Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2011 DARE.

144. Adding 8 weeks of behavioural therapy to atomoxetine does not improve classroom behaviour in children with ADHD

therapy to atomoxetine does not improve classroom behaviour in children with ADHD Statistics from Altmetric.com Question Question Is the combination of atomoxetine and behavioural therapy (BT) more effective than drug treatment alone for children with attention-deficit hyperactivity disorder (ADHD)? Patients 56 children (45 boys) aged 6–12 years with DSM-IV-TR ADHD of moderate severity (mean Clinical Global Impressions–Severity of Illness Score 4.3). Exclusions : history of seizures, contraindication (...) Adding 8 weeks of behavioural therapy to atomoxetine does not improve classroom behaviour in children with ADHD Adding 8 weeks of behavioural therapy to atomoxetine does not improve classroom behaviour in children with ADHD | Evidence-Based Mental Health We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username

2011 Evidence-Based Mental Health

145. Review: childhood ADHD increases the risk of nicotine use in adolescence and alcohol use in young adulthood

of nicotine use in adolescence and alcohol use in young adulthood Statistics from Altmetric.com Question Question Does childhood attention-deficit/hyperactivity disorder (ADHD) increase the risk of substance use disorders (SUDs) in adolescence and young adulthood? Outcomes Persistent substance use, abuse or dependence meeting DSM-IV TR (Diagnostic and Statistical Manual, Fourth Edition, Text Revision) criteria for SUDs. Single substance categories included alcohol, cannabis, cigarettes, tobacco (...) children (≤12 years) with and without ADHD (DSM-III, DSM-III-R, DSM-IV criteria or DSM-II hyperkinetic disorder) and following participants to a mean age of 18 years or older. Inclusion criteria for nicotine use were extended to include adolescents aged 14–16 years because of the few eligible studies. A single reviewer selected studies and assessed internal validity with a second reviewer appraising a random sample. Studies of historical cohorts or … Request Permissions If you wish to reuse any or all

2011 Evidence-Based Mental Health

146. Guidelines and recommendations for ADHD in children and adolescents

medications had exceeded $35 million (or 77% of total expenditures on ADHD medications) by public drug plans in Canada. Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Adolescent; Attention Deficit Disorder with Hyperactivity; Child; Child, Preschool; Practice Guidelines as Topics Language Published English Country of organisation Canada Province or state Ontario English summary An English language summary is available. Address for correspondence Canadian Agency for Drugs (...) Guidelines and recommendations for ADHD in children and adolescents Guidelines and recommendations for ADHD in children and adolescents Guidelines and recommendations for ADHD in children and adolescents CADTH Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation CADTH. Guidelines and recommendations for ADHD in children and adolescents. Ottawa

2011 Health Technology Assessment (HTA) Database.

147. CBT is effective in reducing symptoms in adults with ADHD whose symptoms persist following pharmacotherapy

with ADHD whose symptoms persist following pharmacotherapy Statistics from Altmetric.com Question Question Is cognitive–behavioural therapy (CBT) effective at symptom reduction in adults with attention-deficit/hyperactivity disorder (ADHD) who are already using medication? Patients 86 adults with ADHD diagnosed according to DSM-IV criteria. All participants were taking psychiatrist-prescribed medications and were still reporting clinically significant symptoms. Setting A US hospital, November 2004 (...) to June 2008 (follow-up to July 2009). Intervention CBT versus time- and attention-matched relaxation with educational support. Both treatments were delivered via 12 individual 50-min sessions. The CBT programme was delivered consistently with manuals and comprised a combination of core and optional modules. The relaxation therapy involved training in relaxation techniques appropriate to ADHD management, combined with education and psychotherapy. Therapists saw patients in both treatment groups; 14

2011 Evidence-Based Mental Health

148. Young children with ADHD are at increased risk of depression and suicidal behaviour in adolescence

and suicidal behaviour in adolescence Statistics from Altmetric.com Question Question Are young children with attention-deficit/hyperactivity disorder (ADHD) at increased risk for depression and suicidal ideation and attempts during adolescence? Population 125 children with DSM -IV ADHD at 4–6 years of age and a control group of 123 children without ADHD who were matched to the children with ADHD for gender, race/ethnicity and age, and were from similar neighbourhoods and schools. Exclusions Children (...) not living with their biological mothers, pervasive developmental disorder, intellectual disability or seizure disorder. Setting Chicago, Illinois and Pittsburgh, Pennsylvania, USA; time period not stated. Prognostic factors DSM -IV ADHD diagnosis at age 4–6 years made using the Diagnostic Interview Schedule for Children completed by the primary care giver and the teacher-completed Disruptive Behavior Disorders Rating Scale. Children were considered to have ADHD if they met diagnostic criteria according

2011 Evidence-Based Mental Health

149. Effects of a restricted elimination diet on the behaviour of children with attention-deficit hyperactivity disorder (INCA study): a randomised controlled trial. (Abstract)

Effects of a restricted elimination diet on the behaviour of children with attention-deficit hyperactivity disorder (INCA study): a randomised controlled trial. The effects of a restricted elimination diet in children with attention-deficit hyperactivity disorder (ADHD) have mainly been investigated in selected subgroups of patients. We aimed to investigate whether there is a connection between diet and behaviour in an unselected group of children.The Impact of Nutrition on Children with ADHD (...) (INCA) study was a randomised controlled trial that consisted of an open-label phase with masked measurements followed by a double-blind crossover phase. Patients in the Netherlands and Belgium were enrolled via announcements in medical health centres and through media announcements. Randomisation in both phases was individually done by random sampling. In the open-label phase (first phase), children aged 4-8 years who were diagnosed with ADHD were randomly assigned to 5 weeks of a restricted

2011 Lancet Controlled trial quality: predicted high

150. [Effect of vitamins, minerals and other dietary supplements on mental health symptoms for people with ADHD, anxiety disorders, bipolar disorder or depression]

of mental disorders. •The documentation was too limited to draw any conclusions about the effect of inositol, folate, and vitamin B-6. •The documentation was too limited to draw any conclusions about adverse events from dietary supplements. •Several of the systematic reviews were published more than six years ago. Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Anxiety; Attention Deficit Disorder with Hyperactivity; Bipolar Disorder; Depression; Dietary Supplements; Mental (...) [Effect of vitamins, minerals and other dietary supplements on mental health symptoms for people with ADHD, anxiety disorders, bipolar disorder or depression] Effekten av vitaminer, mineraler og andre kosttilskudd på psykiske symptomer hos personer med ADHD, angstlidelser, bipolar lidelse eller depresjon [Effect of vitamins, minerals and other dietary supplements on mental health symptoms for people with ADHD, anxiety disorders, bipolar disorder or depression] Effekten av vitaminer, mineraler

2011 Health Technology Assessment (HTA) Database.

151. OROS methylphenidate (Concerta) for the treatment of children and adults with ADHD

RE, Mestas R et al. A double-blind, placebo-controlled, crossover study of osmotic release oral system methylphenidate in adults with ADHD with assessment of oppositional and emotional dimensions of the disorder. Journal of Clinical Psychiatry 2007; 68: 93-101. Stein MA et al. A dose-response study of OROS methylphenidate in children with attention-deficit/hyperactivity disorder. Pediatrics 2003; 112: 404. Swanson J et al. Development of a new once-a-day formulation of methylphenidate (...) . www.FdaAdvisoryCommittee.com/FDC/Advisory_Committee/ U.S. FDA NDA 21-121 Concerta Medical Review. Avail at www.fda.gov/cder Wilens T, McBurnett K, Stein M, Lerner M et al. ADHD treatment with once-daily OROS methylphenidate: final results from a long-term open-label study. Journal of the Academy of Child and Adolescent Pyschiatry 2005; 44(10): 1015-1023. Wilens TE et al. Multisite controlled study of OROS MPH in the treatment of adolescents with attention-deficit/hyperactivity disorder. Arch Pediatr Adolesc Med 2006; 160

2010 Therapeutics Letter

152. Should a child with ADHD and epilepsy be given Ritalin?

with epilepsy and ADHD] does [methylphenidate (MPH)compared with placebo or no MPH] increase [the number of seizures]? Clinical Scenario A 10-year-old boy with well controlled epilepsy on sodium valproate attends your clinic. On a previous clinic visit his mother complained that he was hyperactive, impulsive and could not concentrate. This was affecting his school work. You sent Conners' Questionnaires to his parents and the school, and asked the attention deficit hyperactivity disorder (ADHD) nurse (...) , may have a particularly important role, as clinician biases are unlikely to affect the rates of adverse reactions. It is also important to note that antiepileptic drugs (AEDs) can cause behavioural disturbances and doses or drug type may need to be adjusted. Editor Comment ADHD, attention deficit hyperactivity disorder; AED, antiepileptic drug; MPH, methylphenidate. Clinical Bottom Line There is no good evidence to suggest an increase in seizure frequency in a child with well controlled epilepsy

2010 BestBETS

153. Efficacy of meta-cognitive therapy for adult ADHD Full Text available with Trip Pro

Efficacy of meta-cognitive therapy for adult ADHD The authors investigated the efficacy of a 12-week manualized meta-cognitive therapy group intervention designed to enhance time management, organization, and planning in adults with attention deficit hyperactivity disorder (ADHD).Eighty-eight clinically referred adults who met DSM-IV criteria for ADHD according to clinical and structured diagnostic interviews and standardized questionnaires were stratified by ADHD medication use and otherwise (...) randomly assigned to receive meta-cognitive therapy or supportive psychotherapy in a group modality. Meta-cognitive therapy uses cognitive-behavioral principles and methods to impart skills and strategies in time management, organization, and planning and to target depressogenic and anxiogenic cognitions that undermine effective self-management. The supportive therapy condition controlled for nonspecific aspects of treatment by providing support while avoiding discussion of cognitive-behavioral

2010 EvidenceUpdates Controlled trial quality: uncertain

154. Rare chromosomal deletions and duplications in attention-deficit hyperactivity disorder: a genome-wide analysis. Full Text available with Trip Pro

Rare chromosomal deletions and duplications in attention-deficit hyperactivity disorder: a genome-wide analysis. Large, rare chromosomal deletions and duplications known as copy number variants (CNVs) have been implicated in neurodevelopmental disorders similar to attention-deficit hyperactivity disorder (ADHD). We aimed to establish whether burden of CNVs was increased in ADHD, and to investigate whether identified CNVs were enriched for loci previously identified in autism (...) and schizophrenia.We undertook a genome-wide analysis of CNVs in 410 children with ADHD and 1156 unrelated ethnically matched controls from the 1958 British Birth Cohort. Children of white UK origin, aged 5-17 years, who met diagnostic criteria for ADHD or hyperkinetic disorder, but not schizophrenia and autism, were recruited from community child psychiatry and paediatric outpatient clinics. Single nucleotide polymorphisms (SNPs) were genotyped in the ADHD and control groups with two arrays; CNV analysis

2010 Lancet

155. Adjunctive divalproex versus placebo for children with ADHD and aggression refractory to stimulant monotherapy Full Text available with Trip Pro

Adjunctive divalproex versus placebo for children with ADHD and aggression refractory to stimulant monotherapy The purpose of the present study was to evaluate the efficacy of divalproex for reducing aggressive behavior among children 6 to 13 years old with attention deficit hyperactivity disorder (ADHD) and a disruptive disorder whose chronic aggression was underresponsive to a prospective psychostimulant trial.Children received open stimulant treatment during a lead-in phase that averaged 5 (...) aggression.A significantly higher proportion of children randomly assigned to divalproex met remission criteria (eight out of 14 [57%]) than those randomly assigned to placebo (two out of 13 [15%]). Divalproex was generally well tolerated.Among children with ADHD whose chronic aggressive behavior is refractory to optimized stimulant treatment, the addition of divalproex increases the likelihood that aggression will remit. A larger trial is necessary to specify with greater precision the magnitude

2010 EvidenceUpdates Controlled trial quality: uncertain

156. Neurofeedback training improves ADHD symptoms more than attention skills training Full Text available with Trip Pro

Question Question: Does neurofeedback training produce greater improvements in attention deficit hyperactivity disorder (ADHD) compared with attention skills training? Patients: 102 children (8–12 years old) with DSM-IV ADHD based on a semi-structured clinical interview (CASCAP-D) and the Diagnostic Checklist for Hyperkinetic Disorders/ADHD. Main exclusions : gross neurological or organic disorders; medication or psychotherapy received within 6 weeks of beginning the intervention. Children (...) Neurofeedback training improves ADHD symptoms more than attention skills training Neurofeedback training improves ADHD symptoms more than attention skills training | Evidence-Based Mental Health We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers of institutional

2010 Evidence-Based Mental Health

157. Conners? Teacher Rating Scale has limited ability to predict DSM-IV ADHD in referred schoolchildren Full Text available with Trip Pro

-IV ADHD in referred schoolchildren Statistics from Altmetric.com Question Question: What is the predictive validity of the revised Conners’ Teacher Rating Scale (CTRS-R) for identifying children with attention deficit hyperactivity disorder (ADHD) in a clinical sample compared with the Telephone Teacher Interview (T TI-IV)? Patients: 1038 children aged 6–12 years referred for assessment of attention, learning and behavioural problems to a pae-diatric clinic (mean age 8.8 years, 75.5% male (...) Conners? Teacher Rating Scale has limited ability to predict DSM-IV ADHD in referred schoolchildren Conners’ Teacher Rating Scale has limited ability to predict DSM-IV ADHD in referred schoolchildren | Evidence-Based Mental Health We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal

2010 Evidence-Based Mental Health

158. Lisdexamfetamine dimesylate - Attention deficit hyperactivity disorder

with other long acting agents. Background: Lisdexamfetamine is approved by Health Canada for the treatment of attention deficit hyperactivity disorder (ADHD) in children aged six to 12 years. It is a prodrug of dextroamphetamine. Following oral administration, lisdexamfetamine is rapidly absorbed in the gastrointestinal tract and converted to the active form, dextroamphetamine. The recommended starting dose of lisdexamfetamine is 30 mg daily with titration to a maximum of 50 mg daily. It is available (...) Lisdexamfetamine dimesylate - Attention deficit hyperactivity disorder Common Drug Review CEDAC Meeting – November 18, 2009 Page 1 of 5 Notice of CEDAC Final Recommendation – December 18, 2009 © 2009 CADTH CEDAC FINAL RECOMMENDATION LISDEXAMFETAMINE DIMESYLATE (Vyvanse – Shire Canada Inc.) Indication: Attention Deficit Hyperactivity Disorder Recommendation: The Canadian Expert Drug Advisory Committee (CEDAC) recommends that lisdexamfetamine not be listed. Reason for the Recommendation

2010 Canadian Agency for Drugs and Technologies in Health - Common Drug Review

159. Early school-based screening and intervention programmes for ADHD did not improve children's outcomes at age 10

and intervention programmes for ADHD did not improve children's outcomes at age 10 Statistics from Altmetric.com Question Question How do early school-based screening and educational interventions affect the long-term outcomes for children at risk for attention deficit hyperactivity disorder (ADHD)? Patients 487 children (age 10–11) from 308 schools who had been screened for ADHD symptoms between 4 and 5 years of age. Initially 68 711 children aged 4–5 years old were screened in 2040 schools from 24 local (...) education authority (LEA) areas in England; 7570 children were identified as having high teacher-rated hyperactivity/inattention scores (six or more ADHD symptoms as defined in Diagnostic and Statistical Manual, Fourth Edition criteria). These schools were randomised to receive one of four interventions (see Intervention below). The current study asked a sample of 549 schools from the 20 LEA areas with ≥20 participating schools, and 1662 children (and their parents) from these schools to participate

2010 Evidence-Based Mental Health

160. Children with ADHD at increased risk of adolescent ADHD, ODD, anxiety or depression and functional impairment

risk of adolescent ADHD, ODD, anxiety or depression and functional impairment Statistics from Altmetric.com Question Question What are the adolescent outcomes of childhood attention-deficit hyperactivity disorder (ADHD)? Population 169 adolescents who had been identified as being at high risk of ADHD in childhood (94 met full Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) ADHD criteria, 75 met subthreshold criteria), and a matched group of 163 peers who had been (...) Children with ADHD at increased risk of adolescent ADHD, ODD, anxiety or depression and functional impairment Children with ADHD at increased risk of adolescent ADHD, ODD, anxiety or depression and functional impairment | Evidence-Based Mental Health We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username

2010 Evidence-Based Mental Health