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Showing posts from September, 2017

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...

Brain activity in sleep may impact emotional disturbances in children with ADHD

For the study, healthy adults, healthy children and children with ADHD were s hown pictures that had emotional relevance, such as a scary animal, or neutral pictures showing an umbrella or lamp. Participants were shown pictures in the evening, their brain activity was monitored as they slept, and recollections were tested the following morning. The researchers found that during sleep, regions of the brain thought to support consolidation of emotional memories were most active in healthy children, less so in healthy adults and least active in children with ADHD. The study states, "While several studies reported a benefit from sleep with respect to emotional memory in healthy individuals, our results showed for the first time that healthy children outperform healthy adults." However, the authors add that this may be, in part, attributable to the child-oriented pictures used as stimuli. Their results support the idea that frontal brain activity is critically to the con...

Are children who take Ritalin for ADHD at greater risk of future drug abuse?

UCLA psychologists have conducted the most comprehensive assessment ever on this question and have found that children with ADHD who take medications such as Ritalin and Adderall are at no greater risk of using alcohol, marijuana, nicotine or cocaine later in life than kids with ADHD who don't take these medications. The psychologists analyzed 15 long-term studies, including data from three studies not yet published. These studies followed more than 2,500 children with ADHD from childhood into adolescence and young adulthood. "We found the children were neither more likely nor less likely to develop alcohol and substance-use disorders as a result of being treated with stimulant medication," said Kathryn Humphreys, a doctoral candidate in UCLA's Department of Psychology and lead author of the study. "We found no association between the use of medication such as Ritalin and future abuse of alcohol, nicotine, marijuana and cocaine." The children asses...

Nearly one-third of children with autism also have ADHD

Published in  Autism: The International Journal and Practice  (Epub ahead of print), the study also found that children with both ASD and ADHD are significantly more impaired on measures of cognitive, social and adaptive functioning compared to children with ASD only. Distinct from existing research, the current study offers novel insights because most of the children entered the study as infants or toddlers, well before ADHD is typically diagnosed. Previous studies on the co-occurrence of ASD and ADHD are based on patients seeking care from clinics, making them biased towards having more multi-faceted or severe impairments. By recruiting patients as infants or toddlers, the likelihood of bias in the current study is significantly reduced. "We are increasingly seeing that these two disorders co-occur and a greater understanding of how they relate to each other could ultimately improve outcomes and quality of life for this subset of children," says Dr. Rebecca Landa, sen...