Peer reviewed
ERIC Number: EJ696236
Record Type: Journal
Publication Date: 2004-May-1
Pages: 9
Abstractor: Author
ISBN: N/A
ISSN: ISSN-0890-8567
EISSN: N/A
Stimulant Treatment over Five Years: Adherence, Effectiveness, and Adverse Effects.
Charach, Alice; Ickowicz, Abel; Schachar, Russell
Journal of the American Academy of Child and Adolescent Psychiatry, v43 n5 p559 May 2004
Objective: To evaluate the impact of adherence and medication status on effectiveness and adverse effects of stimulant use in children with attention-deficit/hyperactivity disorder (ADHD) over 5 years. Method: Seventy-nine of 91 participants in a 12-month randomized controlled trial of methylphenidate and parent groups enrolled in a follow-up study. Adherence to stimulants, treatment response, and adverse effects were evaluated annually for 5 years. Changes in teacher-reported symptoms and parent-reported adverse effects were compared at 2, 3, 4, and 5 years for 3 groups: adherents, nonadherents on medication, or nonadherents off medication. Controlling for age, gender, and baseline severity, adherence status and medication status were evaluated as correlates of teacher-reported ADHD symptom scores at each year using multiple regression analyses. Results: At 2 years, adherents (n = 41) showed greater improvement in teacher-reported symptoms than those off medication (n = 16) and equivalent response to nonadherents on stimulants (n = 16) (p = .02). At 5 years, adherents (n = 16) showed greater improvement in teacher-reported symptoms than nonadherents on stimulants (n = 15) and those off medication (n = 14) (p = .04). At year 2 medication status ([beta] = 4.67 [0.40-8.95, p = .033]) and at year 5 adherence status ([beta] = 7.23 [3.01-11.44, p = .001]) correlated with higher teacher-reported symptom scores. Clinically significant adverse effects were present for 5 years, most commonly loss of appetite. Conclusions: Psychostimulants improve ADHD symptoms for up to 5 years, but adverse effects persist. J. Am. Acad. Child Adolesc. Psychiatry, 2004;43(5):559-567. Key Words: attention-deficit/hyperactivity disorder, stimulant medication, treatment adherence, effectiveness, adverse effects.
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Publication Type: Journal Articles
Education Level: N/A
Audience: N/A
Language: N/A
Sponsor: N/A
Authoring Institution: N/A
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