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

Stein 2002.

Methods A comparative cohort study of 32 non‐medicated ADHD male adolescents, 35 ADHD male adolescents receiving methylphenidate, and 77 controls (no ADHD)
Participants Number of participants screened: 150
Number of participants included: 95 (non‐medicated: 32; medicated: 35; controls: 77)
Number of participants followed up: not stated
Number of withdrawals: not stated
Diagnosis of ADHD: DSM‐III (subtype: not stated)
Age: mean: non‐medicated: 13.06 years; medicated: 13.26 years old (range not stated)
IQ: not stated
Sex: 144 males
Methylphenidate‐naïve: non‐medicated group had not been receiving any medication for the treatment of ADHD for ≥ 6 months prior to the study
Ethnicity: Jewish‐Ashkenazi (European descent) 46%, Jewish‐Sepharadi (Middle Eastern descent) 54%
Country: Israel
Comorbidity: not stated
Comedication: no
Sociodemographics: not stated
Inclusion criteria:
  1. ADHD


Exclusion criteria:
  1. If positive in 1 of 10 items of ICID‐I (no other Axis I disorder)

  2. Current/lifetime neurological disorder

  3. Current/lifetime use of any psychotropic medication

  4. Mental retardation


Controls:
  1. Any current or lifetime medical, neurological, or mental disorder

Interventions Methylphenidate type: immediate release
Mean methylphenidate dosage: 18 mg/day
Administration schedule: once or twice/day (morning/noon)
Duration of intervention: not stated
Treatment compliance: not stated
Outcomes Non‐serious adverse events:
Questionnaires on sleep
Notes Sample calculation: no
Ethics approval: the Israel Ministry of Education and the principals of the 2 participating schools approved the study. Written informed consent was obtained
Funding/vested interests: not stated
Key conclusions of the study authors: the study did not find a greater severity of sleep disturbances among non‐medicated male adolescents diagnosed with ADHD in childhood compared to control participants. Sleep disturbance among male students receiving methylphenidate treatment was significantly greater compared with the non‐medicated group
Exclusion of methylphenidate non‐responders/children who have previously experienced adverse events on methylphenidate: not stated
Supplemental information requested through personal email correspondence with the authors in April 2014. No reply