Skip to main content
. 2018 May 10;2018(5):CD012069. doi: 10.1002/14651858.CD012069.pub2

Yang 2004.

Methods A 16 week, open‐label methylphenidate treatment study
Participants Number of participants screened: not stated
Number of participants included: 25
Number of participants followed up: 19
Number of withdrawals: 6
Diagnosis of ADHD: DSM‐IV (subtype: combined (100%))
Age: mean 8.7 (SD 1.7) years (range: 6 years and 4 months ‐ 11 years and 10 months)
IQ: full intelligence quotients available from 10 participants (mean 100, range 86‐129). The other 9 participants were estimated to be normal
Sex: 14 males, 5 females
Methylphenidate‐naïve: not stated
Ethnicity: 100% Asian
Country: Taiwan
Comorbidity: none
Comedication: not stated
Sociodemographics: not stated
Inclusion criteria
  1. 6‐12 years old

  2. Confirmed ADHD diagnosis, combined subtype (DSM‐IV)

  3. Maternal report of developmental history consistent with ADHD

  4. Absence of gross neurological, sensory, or motor impairment determined by paediatric examinations

  5. Attending public elementary school

  6. IQ above 70


Exclusion criteria
  1. Conduct disorder, oppositional defiant disorder, anxiety disorder, bipolar disorder, depressive disorder, dyslexia, autistic disorder, psychosis or Tourette syndrome

Interventions Methylphenidate type: not stated
Methylphenidate dosage: 10 mg/day (starting dose, bodyweight < 30kg) or 20 mg/day (starting dose, bodyweight ≥ 30 kg)
Mean methylphenidate dosage: 18.95 (SD 7.56, range 10‐35) mg/day, equivalent to 0.61 mg/kg of bodyweight (SD 0.15, range 0.38‐0.87 mg/kg)
Administration schedule: twice daily, mornings before school and at 1 pm
Titration period: 3 weeks
Duration of intervention: 16 weeks
Treatment compliance: 4 noncompliant
Outcomes The study does not mention any measuring of adverse events. However it is reported, that 2 participants dropped out due to intolerable medication side effects
Notes Sample calculation: not stated
Ethics approval: not stated
Funding/vested interests: not stated
Authors' affiliations: Department of Psychiatry, Kaohsiung Medical University Hospital and Department of Psychiatry, Chung Shan Medical University Hospital, Taiwan
Key conclusions of the study authors: the methylphenidate treatment demonstrated improvement in domains of classroom/home behaviours and academic performance, but showed minimal change on neuropsychological functioning in Taiwanese ADHD children. The finding of academic gain was unexpected, which might be due to the greater interest in achievement and better compliance to cultural expectations by Taiwanese versus Western students, which translated into more rapid improvement in academic performance
Comments from the study authors: limitations of the study: the present study was conducted in a naturalistic manner, without a placebo controlled or contrast group and without blinding. The diagnoses were made by clinicians, without the benefit of standardised diagnostic instruments administered by a blind clinician. The exclusion criterion dyslexia was not tested
Exclusion of methylphenidate non‐responders/children who have previously experienced adverse events on methylphenidate: no