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. 2018 May 10;2018(5):CD012069. doi: 10.1002/14651858.CD012069.pub2

Famularo 1987.

Methods A naturalistic observational study, where the effectiveness of drug treatment (methylphenidate) were tested by a drug treatment during a grading period and no drug treatment for the next grading period
Participants Number of patients screened: not stated
Number of participants included: 13
Number of participants followed up: 10
Number of withdrawals: 3
Diagnosis of ADHD: DSM‐III diagnosis of ADD (subtype: inattentive)
Age: mean: 9.4, range 7‐12 years old
IQ: above 90
Sex: 4 males, 6 females
Methylphenidate‐naïve: not stated
Ethnicity: not stated
Country: USA
Comorbidity: not stated, but see exclusion criteria
Comedication: not stated
Sociodemographics: not stated
Inclusion criteria
  1. ADD disorder according to DSM III


Exclusion criteria
  1. IQ < 90

  2. Anxiety or panic disorder

  3. Seizure disorder

  4. Major affective disorder

  5. Thought disorder

  6. Post‐traumatic stress syndrome, or medical or neurological disease

  7. No other DSM III diagnosis

Interventions Methylphenidate type: not stated
Methylphenidate dosage: 0.4 to 1.2 mg/kg/day
Administration schedule: twice daily
Duration of intervention: not stated
Treatment compliance: not stated
Outcomes Non‐serious adverse events:
1 child reported decreased appetite without weight loss
Another child's sleep onset was 15‐20 minutes later than usual after initiation of pharmacological treatment
There were minimal and clinically insignificant increases in pulse
Notes Sample calculation: not stated
Any withdrawals due to adverse events: no
Ethics approval: not stated
Funding/vested interest/authors' affiliations: not stated
Key conclusions of the study authors: the results of this study provide tentative support for 2 conclusions: ADD without hyperactivity appears to be a potentially stimulant‐treatable condition, even though hyperactivity is specifically excluded from its symptomatology; and school grades in children with ADD without hyperactivity may be influenced by the use of stimulants
Comments from the study authors: the fact that significant results were obtained with such a small sample reflects the consistency with which the effects of the medication were exhibited across participants. However, it cannot be argued that these 10 participants adequately represent all ADD without hyperactivity children. In addition, the results may have been affected by factors such as teacher bias, student motivation, and parental encouragement
Supplemental information requested through personal email correspondence with the authors in August 2013 and January 2014. No reply