Long-term stimulant treatment of children with attention-deficit hyperactivity disorder symptoms. A randomized, double-blind, placebo-controlled trial.

• Background: We wanted to study the effects of amphetamine on symptoms of attention-deficit hyperactivity disorder (ADHD) over a longer period than has been reported in previous studies of central stimulants in this condition. Methods: Sixty-two children, aged 6 to 11 years, meeting DSM-III-R symptom criteria for ADHD participated in a parallel-group design, randomized, double-blind, placebo-controlled study of amphetamine treatment. Treatment was not restricted to children with "pure" ADHD, ie, some had comorbid diagnoses. In the amphetamine group, children received active treatment for 15 months. Results: Amphetamine was clearly superior to placebo in reducing inattention, hyperactivity, and other disruptive behavior problems and tended to lead to improved results on the Wechsler Intelligence Scale for Children—Revised. Treatment failure rate was considerably lower and time to treatment failure was longer in the amphetamine group. Adverse effects were few and relatively mild. Conclusion: The results of this long-term, placebo-controlled study of the central stimulant amphetamine in the treatment of ADHD indicate that there are remaining positive effects of the drug 15 months after starting treatment.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Psykiatri (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Psychiatry (hsv//eng)

Nyckelord

Abdominal Pain

chemically induced

epidemiology

Amphetamine

adverse effects

therapeutic use

Attention Deficit Disorder with Hyperactivity

drug therapy

psychology

Bipolar Disorder

chemically induced

epidemiology

Central Nervous System Stimulants

adverse effects

therapeutic use

Child

Comorbidity

Double-Blind Method

Female

Follow-Up Studies

Headache

chemically induced

epidemiology

Humans

Male

Placebos

Sleep Disorders

chemically induced

epidemiology

Treatment Outcome

Wechsler Scales

Publikations- och innehållstyp

ref (ämneskategori)

art (ämneskategori)