Coşkun 2010.
Methods | Cohort study of methylphenidate treatment in participants with ADHD and comorbid anxiety‐ or depressive disorders | |
Participants | Number of participants screened: not stated Number of participants included: 7 Number of participants followed up: not stated Number of withdrawals: not stated Diagnosis of ADHD: DSM‐IV (subtype: combined (57%), inattentive (43%)) Age: mean 11.85 (SD 2.91), range: 8‐16 years old IQ: normal Sex: 4 males, 3 females Methylphenidate‐naïve: none Ethnicity: Turkish Country: Turkey Comorbidity: generalised anxiety (86%), social anxiety (86%), panic (29%), separation anxiety (29%), obsessive‐compulsive (29%) and major depressive disorder (14%), special phobia (29%) and agoraphobia (14%) Comedication: SSRIs (57%) Sociodemographics: not stated Inclusion criteria
|
|
Interventions | Methylphenidate type and dosage: immediate release (15‐20 mg/day), osmotic release oral system (18‐54 mg/day), IR/OROS (10‐18 mg) Administration schedule: not stated Duration of intervention: 4‐30 months, mean 14.28 (SD 9.41) Treatment compliance: not stated |
|
Outcomes |
Non‐serious adverse events:
|
|
Notes | Sample calculation: not stated Ethics approval: not stated Funding/vested interests: the authors reported no conflict of interest related to this article Key conclusions of the study authors: young participants with diagnosis of ADHD and comorbid anxiety and depressive disorders may benefit from mirtazepine addition particularly in the presence of methylphenidate‐ or SSRI‐related sleep and/or appetite problems Comments from the review authors: the adverse events reported here are from before the start of the mirtazepine treatment which means the participants are under no treatment but methylphenidate Exclusion of methylphenidate non‐responders/children who have previously experienced adverse events on methylphenidate: no Supplemental information received through personal email correspondence with the authors in August 2013 (Coşkun 2013c [pers comm]) |