Abstract
In a double-blind methylphenidate placebo trial for children with Attention Deficit Hyperactivity Disorder (ADHD), side effects were reported on both placebo and methylphenidate (MPH), and many side effects were similar to the symptoms of ADHD. We suggest that parents and teachers may mistake the symptoms of ADHD for side effects of MPH, and this misconstrual may contribute to the poor acceptance of and compliance with taking MPH.
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References
Greenhill LL: Methylphenidate in the Clinical Office Practice of Child Psychiatry in Greenhill LL, Osman BB (Eds). Ritalin Theory and Patient Management, New York, Mary Ann Liebert Inc., pp. 97–117, 1991.
Safer DJ, Krager JM: A Survey of Medication Treatment for Hyperactive/Inattentive Students. J Amer Med Ass. 260:2256–2258, 1988.
Barkley RA, McMurray MB, Edelbrock CS, Robbins K: The Side Effects of Ritalin: A Systematic Placebo Controlled Evaluation of Two Doses. Pediatr 86:184–192, 1990.
Barkley RA: Attention Deficit Hyperactivity Disorder. A Handbook for Diagnosis and Treatment. New York, Guildford, 1990.
Johnston C, Fine S: Methods of Evaluating Methylphenidate in Children with Attention Deficit Hyperactivity Disorder: Acceptability, Satisfaction and Compliance. J Pediatr Psychol, accepted for publication.
Goyette CH, Conners CK, Ulrich RF: Normative Data on the Revised Conners Parent and Teacher Rating Scales. J Abnorm Child Psychol 6:221–236, 1978.
Ullmann RK, Sleater EK, Sprague RL: A Change of Mind: The Conners Abbreviated Rating Scales Reconsidered. J Abnorm Child Psychol 13:553–566, 1985.
Fischer M, Newby RF: Assessment of Stimulant Response in ADHD Children Using a Refined Multimethod Clinical Protocol. J Clin Child Psychol 20:232–244, 1991.
Barkley, RA: Ritalin, Russia and Other Ruminations. Clin Child Psychol Newsletter 3, 1988.
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This research was supported by a grant from CIBA-Geigy Canada.
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Fine, S., Johnston, C. Drug and placebo side effects in methylphenidate-placebo trial for attention deficit hyperactivity disorder. Child Psych Hum Dev 24, 25–30 (1993). https://doi.org/10.1007/BF02353715
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DOI: https://doi.org/10.1007/BF02353715