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

Congologlu 2009.

Methods A cohort study of voice recordings before and after methylphenidate use
Participants Number of patients screened: not stated
Number included: 22
Number followed up: 22
Number of withdrawals: not stated
Diagnosis of ADHD: DSM‐IV (subtype: combined 100%)
Age: mean 9.05 (SD 1.43) years (range 7‐12)
IQ: not stated
Sex: 22 males
Methylpenidate‐naïve: none
Ethnicity: Turkish
Country: Turkey
Comorbidity: no
Comedication: none
Sociodemographics: not stated
Inclusion criteria:
  1. Boys aged 7‐12 years (prepubertal)

  2. ≥ 1 year of methylphenidate use and drug‐responsive

  3. No history of specific speech and language impairments and voice‐related disorders

  4. No history of other psychiatric disorders (conduct disorder, any anxiety disorder, depressive disorder, learning disorder etc.) except oppositional defiant disorder

  5. No mental retardation, neurological disorders, sensorimotor handicaps, and chronic medical illness (respiratory diseases etc.)


Exclusion criteria:
  1. Those who took medication other than methylphenidate before and at the time of recording were excluded

  2. At the time of recording, none of the participants had cold, allergy, or flu symptoms

Interventions Methylphenidate type: not stated
Methylphenidate dosage: 0.5 mg/kg 1 hour before recording voice sample
Mean MPH dosage: not stated
Duration of intervention: single voice measurement after single dose of methylphenidate
Treatment compliance: not stated
Outcomes Non‐serious adverse events:
Speech samples using Multi Dimensional Voice Program (MDVP) Model 5105 Version 2.3 of the Computerized Speech, developed by Kay Elemetrics
Speech recordings for acoustic analysis were made from the participants in 2 sessions held before noon: no‐medication baseline session and the medication session after methylphenidate administration of 0.5 mg/kg (approximately 60 minutes later)
We have not used these data
Notes Ethics approval: the study was approved by the Human Subject Review Committee at the Gülhane Military Medical Academy
Funding/vested interest/authors' affiliations: not stated
Any withdrawals due to adverse events: no
Key conclusions of the study authors: this clinical trial is the only study that examined the effects of stimulant medication on vocal acoustic parameters in children with ADHD and evaluated a small sample on and off their clinical doses of methylphenidate. We suggest that methylphenidate decreases fundamental frequency in children with ADHD, but our findings should be replicated under blind drug administration and by supporting other vocal analyses
Exclusion of methylphenidate non‐responders/children who have previously experienced adverse events on methylphenidate: no