Journal of the American Academy of Child & Adolescent Psychiatry
ARTICLESAre Stimulants Overprescribed? Treatment of ADHD in Four U.S. Communities
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Assessing undertreatment and overtreatment/misuse of ADHD medications in children and adolescents across continents: A systematic review and meta-analysis
2021, Neuroscience and Biobehavioral ReviewsCitation Excerpt :Thus, we conservatively assumed this figure (70 %) as the one reflecting the proportion of the children and adolescents with properly diagnosed ADHD who might unequivocally benefit from a trial with ADHD medication. It is important to highlight that we could not exclude from our analysis several groups that might be using stimulants adequately but are otherwise included in the group of non-affected individuals treated with ADHD medication, such as: a) previously diagnosed patients who responded to treatment and did not present anymore full ADHD diagnostic criteria when assessed in the studies (Jensen et al., 1999); b) subthreshold cases of ADHD who might have impairment and treatment indication (Kirova et al., 2019); and c) individuals with other diagnoses that are also indications for stimulant use (e.g., narcolepsy or resistant depression) (Greenhill et al., 2002). Nonetheless, our findings support the presence of over/inadequate treatment in different countries, raising concerns on stimulant overuse/ misuse, as recently suggested by others (Faraone et al., 2019).
Child and adolescent psychopharmacology at the beginning of the 21st century
2019, Clinical Research in Paediatric Psychopharmacology: A Practical Overview of the Ethical, Scientific, and Regulatory AspectsCognitive Behavioral Therapy for Adolescents with ADHD
2014, Child and Adolescent Psychiatric Clinics of North AmericaCitation Excerpt :This finding similarly highlights the need for an effective psychosocial intervention. The relative lack of psychosocial interventions for adolescents with ADHD is also puzzling given that parents of adolescents prefer psychosocial intervention to medication, yet are more likely to have access to medication.52–54 Furthermore, parent satisfaction ratings are higher when parents received psychosocial treatment than when they received medication alone,55 suggesting that despite the lack of research attention, psychosocial treatments may have a place in the treatment of adolescent ADHD.
Neuropsychological performance measures as intermediate phenotypes for attention-deficit/hyperactivity disorder: A multiple mediation analysis
2017, Development and Psychopathology
Reviewed under and accepted by Michael S. Jellinek, M.D., Associate Editor.