Thorell 2009.
Methods | A cross‐sectional study of children on stimulant treatment studying positive and negative effects | |
Participants | Number of participants screened/questionnaires sent out to: 132 Number of participants included/returned questionnaires: 79 Diagnosis of ADHD: DSM‐IV (subtype: not stated) Age: mean 13.14 years old (range 9‐17) IQ: above 70, except for 2 children with mild mental retardation Sex: 62 males, 17 females Methylphenidate‐naïve: none Ethnicity: not stated Country: Sweden Comorbidity: Aspergers (7.6%), Tourette syndrome (13.9%), obsessive‐compulsive disorder (2.5%), mild mental retardation (2.5%), oppositional defiant disorder/conduct disorder (2.5%) Comedication: no Sociodemographics: not stated Inclusion criteria:
|
|
Interventions | Methylphenidate type: 96% were taking methylphenidate and 4% amphetamine Dosage: not stated Administration schedule: not stated Duration of intervention: mean 3.12 years (range: 6 months to 12 years) Treatment compliance: most children knew how it felt to be off medication. Only 8% of the parents in the present study indicated that the child never forgot to take his or her medication |
|
Outcomes |
Non‐serious adverse events Children's and parents questionnaire of negative events (4‐point Likert‐type scale), parent and self‐reported |
|
Notes | Sample calculation: none reported Ethics approval: yes, the study was approved by the local ethics committee Funding: the study was supported by a grant from Majblommans Riksförbund Vested interests/authors' affiliations: no affiliations to pharmaceutical companies stated Key conclusions of the study authors: Swedish children treated with stimulants generally experienced positive treatment effects in many areas, especially in the school setting, and a majority wished to continue taking their medication. There was, however a small group of children who reported a relatively large number of negative effects. Few differences between parents and children were found for positive effects, although parents reported higher levels of negative effects Comments from the study authors: excluding the children with comorbid diagnoses did not make any significant changes in the results. The 4 participants not taking methylphenidate and who were mentally retarded are excluded from the data Exclusion of methylphenidate non‐responders/children who have previously experienced adverse events on methylphenidate: no Supplemental information regarding adverse event data for patients taking methylphenidate without intellectual disability (n = 75) received through personal email correspondence with the authors in October 2013 (Thorell 2013 [pers comm]) |