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

Williams 2008.

Methods A cohort study of methylphenidate use for 4 weeks
Participants Number of participants screened: not stated
Number of participants included: 51
Number of participants followed up: 33
Number of withdrawals: not stated
Diagnosis of ADHD: DSM‐IV (subtype: combined: 58.8%, inattentive: 37.3%, hyperactive‐impulsive: 3.9%).
Age: mean 13.79 (SD 2.33, range 8‐17) years old
IQ: above 80
Sex: 51 males
Methylphenidate‐naïve: 51%
Ethnicity: not stated
Country: Australia
Comorbidity: not stated
C‐medication: no participant was taking concurrent medications known to affect the CNS
Sociodemographics: not stated
Inclusion criteria
  1. DSM‐IV ADHD diagnosis

  2. IQ ≥ 80


Exclusion criteria
  1. Physical brain injury

  2. Neurological disorder

  3. Other serious medical or genetic condition

  4. Drug or alcohol dependence

Interventions Methylphenidate type: immediate release
Mean methylphenidate dosage: 24.1 mg/day (range 10‐60 mg/day).
26 medication naïve titrated to maximum effective dose (0.4‐1.3 mg/kg) in a week with 10 mg increments then kept on a stable dose for a week. 25 had 3 day washout then resumed optimal methylphenidate dose after baseline testing
Administration schedule: methylphenidate given 60 minutes before testing
Duration of intervention: 4 weeks
Treatment compliance: not stated
Outcomes No adverse events were reported
Notes Sample calculation: not stated
Ethics approval: not stated
Funding: an Australia Research Council (ARC) Linkage Grant with industry partner Brain Resource Company (BRC) (Grant no. LP0349079) supported this work. LMW holds a competitive, peer‐reviewed Pfizer Senior Research Fellowship. We acknowledge the support of the Brain Resource International Database (under the auspices of the Brain Resource Company) for data acquisition and processing. All scientific decisions are made independent of any BRC commercial decisions via the independently operated scientific division, BRAINnet
Vested interests/authors' affiliations: DP, HK, and SC have no conflicts of interest to declare. As an industry partner on the ARC‐linkage grant that supported this research (Grant no. LP0349079), BRC contributed to the salary of DFH as research officer on this grant for 2003‐2005. MK uses BRC computerised cognitive tests in private practice. LMW and CRC hold a few private shares in BRC (1% of the company value), and CRC holds a number of share options in the BRC. EG is the chief executive officer of BRC. However, scientific decisions are made independent of the BRC operations, and access to the Brain Resource International Database for scientific purposes is coordinated via an independent scientific network BRAINnet
Key conclusions of the study authors: methylphenidate normalised neural activity and produced some improvement of emotion recognition but had no impact on negative mood. Disruptions to emotional brain function may be improved with methylphenidate
Supplemental information received through personal email correspondence with the authors in August 2014 (Williams 2014 [pers comm])