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ADHD takes a toll well into adulthood

Only 37.5 percent of the children we contacted as adults were free of these really worrisome outcomes ," says lead investigator William Barbaresi, M.D., of Boston Children's Hospital, who started the study when he was at Mayo. "That's a sobering statistic that speaks to the need to greatly improve the long-term treatment of children with ADHD and provide a mechanism for treating them as adults." The study is unique because it followed a large group of ADHD patients from childhood to adulthood, says Slavica Katusic, M.D., an epidemiologist and Mayo Clinic's lead researcher on the study. ADHD is the most common neuro-developmental disorder of childhood, affecting about 7 percent of all children and three times as many boys as girls. Most prior follow-up studies of ADHD have been small and focused on the severe end of the spectrum -- such as boys referred to pediatric psychiatric treatment facilities -- rather than a cross-section of the ADHD population. ...

Teachers in Ireland regard medication for ADHD as last resort

This is the finding of a study conducted by Niamh Skelly and DrJuliet Foster from the University of Cambridge, funded by a Gates Cambridge Scholarship. The finding presented today, Tuesday 9 April, at the Annual Conference of the British Psychological Society (BPS) in Harrogate, suggest that teachers are resistant to medication use for children with ADHD. The researchers conducted focus groups with primary school teachers across three schools in the Republic of Ireland. The teachers who participated in the study supported a variety of different approaches to the management o f ADHD The most consistently expressed view on treatment was resistance to medication and its positioning as a 'last resort'. The study found that teachers commonly believed that children who take medication move from being controlled by their disorder to being controlled by their medication. Teachers perceived medication as potentially dangerous and to be avoided. Niamh Skelly said: "The theme...

Examine social factors to explain rise in diagnoses of mental disorders

Their conclusions, which appear in the latest issue of the journa l  Health Affairs , comes ahead of the May release of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-5), a comprehensive guide that sets the classification, diagnosis, and treatment of mental disorders across the United States and the world. The study included researchers from New York University, Columbia University, the University of California, Berkeley, and Rutgers University. In their analysis and commentary, the authors argue that the forthcoming DSM-5, which is used by all psychiatrists, psychologists, and mental health workers in the U.S., has missed crucial population-level and social determinants of mental health disorders and their diagnosis. As a result, the DSM may be mischaracterizing the rates of certain afflictions. "If we are to believe current reports, there are 12 times more children with Attention Deficit Hyperactivity Disorder (ADH...

Methylphenidate 'normalizes' activation in key brain areas in kids with ADHD, study suggests

Studies using functional magnet ic resonance imaging (fMRI) show increased activation of key brain areas after a dose of methylphenidate in young patients with ADHD, according to the systematic review by Constance A. Moore, PhD, and colleagues of the University of Massachusetts Medical School. They write, "In most cases, this increase 'normalized' activation of at least some brain areas to levels seen in typically developing children." How Do ADHD Medications Affect the Brain in ADHD Patients? In a research review, Dr Moore and colleagues identified nine previous studies using fMRI to study patterns of brain activation in response to a single dose of methylphenidate. Perhaps best known by the brand name Ritalin, methylphenidate is a common and effective treatment for ADHD. "Although methylphenidate has been shown to significantly improve the behavioral symptoms associated with ADHD, both the mechanism behind its therapeutic effect and its direct effects on ...

90 percent of pediatric specialists not following clinical guidelines when treating preschoolers with ADHD

"It is unclear why so many physicians who specialize in the management of ADHD -- child neurologists, psychiatrists and developmental pediatricians -- fail to comply with recently published treatment guidelines," said Andrew Adesman, MD, senior investigator and chief of developmental and behavioral pediatrics at Cohen Children's Medical Center in New Hyde Park. "With the AAP now extending its diagnosis and treatment guidelines down to preschoolers, it is likely that more young children will be diagnosed with ADHD even before entering kindergarten. Primary care physicians and pediatric specialists should recommend behavior therapy as the first line treatment." Current clinical guidelines for pediatricians and child psychiatrists associated with the American Academy of Child & Adolescent Psychiatry (AACAP) recommend that behavior therapy be the initial treatment approach for preschoolers with ADHD, and that treatment with medication should only be pursue...

One in 10 teens using 'study drugs,' but parents aren't paying attention

Study drugs refer to stimulant medications typically prescribed for the treatment of attention deficit hyperactivity disorder (ADHD); commonly prescribed medicines in this category include Adderall, Concerta, Ritalin, and Vyvanse. Among parents of teens who have not been prescribed a stimulant medication for ADHD, just 1% said they believe their teen has used a study drug to help study or improve grades, according to the latest University of Michigan Mott Children's Hospital National Poll on Children's Health. However, recent national data from Monitoring the Future indicate that 10% of high school sophomores and 12% of high school seniors say they've used an amphetamine or stimulant medication not prescribed by their doctor. Sometimes students without ADHD take someone else's medication, to try to stay awake and alert and try to improve their scores on exams or assignments. Taking study drugs has not been proven to improve students' grades, and it can be very...

Link between childhood ADHD and obesity revealed in first long-term study

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A brand new examine discovered males recognized as kids with attention-deficit/hyperactivity dysfunction (ADHD) have been twice as prone to be overweight in a 33-year follow-up examine in comparison with males who weren't recognized with the situation. Credit score: © Yuri Arcurs / Fotolia A brand new examine performed by researchers on the Youngster Examine Heart at NYU Langone Medical Heart discovered males recognized as kids with attention-deficit/hyperactivity dysfunction (ADHD) have been twice as prone to be overweight in a 33-year follow-up examine in comparison with males who weren't recognized with the situation. The examine seems within the Might 20 on-line version of  Pediatrics . "Few research have targeted on long-term outcomes for sufferers recognized with ADHD in childhood. On this examine, we needed to evaluate the well being outcomes of kids recognized with ADHD, specializing in weight problems charges and Physique Mass Inde...