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

Park 2013.

Methods A cohort study of methylphenidate use for 2 weeks
Participants Number of participants screened: not stated
Number of participants included: 96
Number of participants followed up: 96
Number of withdrawals: 0
Diagnosis of ADHD: DSM‐IV‐TR (subtype: combined (62.5%), hyperactive‐impulsive (5.2%), inattentive (27.1%), NOS (5.2%))
Age: mean: 8.70 (SD 1.41) years old (range: 6‐12)
IQ: not stated
Sex: 79 males, 17 females
Methylphenidate‐naïve: 100%
Ethnicity: not stated
Country: Korea
Comorbidity: tic disorder: 10.4%, anxiety disorder: 8.3%, oppositional defiant disorder: 9.4%, enuresis: 6.3%, depression: 1.0%
Co‐medication: no
Sociodemographics: not stated
Inclusion criteria:
  1. DSM‐IV‐TR diagnosis of ADHD

  2. Aged 6‐12 years

  3. ≥ moderate symptom severity on the Clinical Global Impression‐Severity (CGI‐S) scale and severe enough to warrant treatment with medication

  4. No previous exposure to psychostimulants


Exclusion criteria:
  1. Other mental disorders, except for transient tic disorder, oppositional defiant disorder, mild anxiety disorder, and enuresis

  2. Current or previous brain damage or convulsive disorder

  3. Mental retardation, autism, language difficulties, or developmental problems, including learning disabilities

Interventions Methylphenidate type: osmotic release oral system (OROS) methylphenidate
Methylphenidate dosage: children weighing less than 30 kg were treated with 18 mg per day, and children weighing more than 30 kg were treated with 27 mg/day
Administration schedule: not stated
Duration of intervention: 2 weeks
Treatment compliance: not stated
Outcomes Barkley Symptom Rating Scale: a 17‐item list of methylphenidate‐related adverse event symptoms, rated from 0 (nothing) to 9 (severe) for symptoms during the past 2 weeks. Any negative sign, symptom, syndrome, or new illness that appeared or worsened after treatment began was counted as a treatment‐emergent adverse event
Notes Sample calculation: no
Ethics approval: approved by the institutional review board (IRB) for human subjects at the Seoul National University Hospital and other hospitals
Funding/vested interests: the authors declare that there are no conflict of interest. The study was supported by a grant from the Korean Health Technology R&D Project, Ministry of Health & Welfare, Republic of Korea (A111523) and by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology, Republic of Korea (20110023888)
Authors' affiliations: Seoul National University College of Medicine
Key conclusions of the study authors: ADHD participants with the A/a genotype at the NTF3 rs6332 polymorphism showed the highest 'proneness to crying' and 'nail biting' item scores, followed by those with the G/a genotype and those with the G/G genotype (P = 0.047 and P = 0.017, respectively). These data provide preliminary evidence that genetic variation in the NTF3 gene is related to susceptibility to emotional side effects in response to methylphenidate treatment in Korean children with ADHD
Exclusion of methylphenidate non‐responders/children who have previously experienced adverse events on methylphenidate: no