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ADHD med - Crossref

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Last Updated: 10 June 2022

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‘I think my son is a wonderful chap’: working-class and middle-class fathers’ narratives of their son’s ADHD diagnosis and medication

"This essay contributes to the emerging body of classed fathering by investigating how middle-class and working-class fathers respond to their sons' autism diagnosis"u2019 ADHD. As a case to investigate how diverse fathering habits are influenced by class and gender. In-depth interviews with 16 fathers of boys with ADHD were based on this article. "This opposition is much stronger in the working-class fathers'u2019 stories than in the middle-class fathers'u2019 narratives. ".

Source link: https://doi.org/10.1332/204674317x15034051559819


Working memory and reaction time variability mediate the relationship between polygenic risk and ADHD traits in a general population sample

"The genetic risk of ADHD was estimated using polygenic risk scores, whereas ADHD characteristics were determined as a dimensional continuum using Bartlett factor score estimates from the Early Adolescent Temperament Questionnaire-Revised's Attention Problems items. " Higher ADHD scores, poorer working memory skills, and increased reaction time variability were all associated with higher ADHD characteristics, as well as poorer working memory quality, and increased reaction time variability. According to 14% and 16% of the association, working memory and reaction time variability partially solved the relationship between ADHD PRS and ADHD traits, explaining 14% and 16% of the relationship, respectively. The mediation effect was specific to ADHD's genetic risk, and did not generalize to the risk of four other common psychiatric disorders. These results, together with comprehensive results from a large general population sample, show that working memory and reaction time variability can be considered endophenotypes for ADHD that mediate the relationship between ADHD PRS and ADHD characteristics.

Source link: https://doi.org/10.1101/2022.05.31.494251


A meta-analytic review of the impact of ADHD medications on anxiety and depression in children and adolescents

"This meta-analytic analysis of randomised controlled trials aimed to see the effect of medications on child and teen ADHD symptoms of anxiety and depression. " No significant effect of medication was found for symptoms of anxiety or depression in randomised controlled trials of ADHD drugs in children and adolescents, according to placebo control. This report illustrates the systemic lack of mental health outcome reporting in child and adolescent ADHD drug trials. "The importance of widespread introduction of standardised measures of mental health outcomes in future trials is discussed. ".

Source link: https://doi.org/10.1007/s00787-022-02004-8


Dorsal-to-ventral imbalance in the superior longitudinal fasciculus mediates methylphenidate’s effect on beta oscillations in ADHD

"We found that MPH in ADHD normalizes beta depression in anticipation of motor responses in a previous MEG report. " Methods We introduced a double-blind placebo-controlled crossover study, where boys diagnosed with ADHD underwent behavioral and MEG testing during a spatial attention task while on and off MPH. Lower fractional anisotropy in the ATR was associated with lower fractional anisotropy. In addition, people with a higher FA in SLFp relative to SLFt had faster and more accurate behavioral responses to MPH than those with less familiar SLFp. Moreover, the same parieto-temporal FA gradient explained the effects of MPH on beta modulation: subjects with ADHD with elevated FA in SLFp increased FA in SLFp compared to SLFt with greater effects of MPH on beta strength during response preparation.

Source link: https://doi.org/10.1101/2020.09.23.309526


Prenatal Acetaminophen, Adverse Birth Outcomes, and ADHD: Mediation Analysis in a Prospective Cohort

Background information can be helpful in determining ADHD-related causes Although we previously reported a correlation between prenatal acetaminophen exposure and more than twofold higher risk of child ADHD, it is unknown if maternal acetaminophen exposure is linked to adverse birth outcomes, and if birth outcomes can help reduce the correlation of prenatal acetaminophen with ADHD. At their first prenatal care visit or delivery, mothers with no thyroid disease were accepted. At delivery, Acetaminophen was measured in meconium for 393 children. When children were 6-7 years old, doctors' diagnosis of ADHD was established. We first tested links of prenatal acetaminophen with birthweight, preterm birth, gestational age, and a large number for gestational age. ADHD is a product of prenatal acetaminophenience. We then investigated whether these birth results mediate the correlation of prenatal acetaminophen with ADHD. Acetaminophen was found in 222 meconium samples, according to the researchers. There were no reports for adverse birth outcomes reporting the association of prenatal acetaminophen and child ADHD. ".

Source link: https://doi.org/10.1101/2021.06.08.21258568


Callous-Unemotional Traits and Face-Emotion Recognition as Mediators in Conduct Problems of Children With ADHD

"It is unclear, however, if CUt and poor fidelity in FER may have contributed to ADHD's risk for CP. " This pilot study u2019s included 31 children aged 7 - 19 years, who were diagnosed with ADHD, and hospitalized in a psychiatric outpatient clinic. Parents were rated on the ADHD Rating Scale, Inventory of Callous-Unemotional Traits, and the Child Behavior Checklist-Conduct Problems scale by parents. Participants in the Eyes Test completed the Hebrew version of the Children's Reading the Mind in the Eyes Test u2014a Theory of Mind. CP's findings: ADHD symptoms were linked to CP. CUts were also linked with CP, regardless of ADHD symptom severity. Conclusions: In children with ADHD, ADHD symptoms and CUt should be considered when determining the danger of CP and establishing a treatment strategy. "CrMET and CUt mediate between ADHD symptoms and CP, according to the present findings, but did not support the theory that crMET and CUt mediate between ADHD symptoms and CP. ".

Source link: https://doi.org/10.1177/13591045221093876


Regular medication reviews for children and young people with ADHD

Children and young people with a diagnosis of ADHD are expected to attend regular review sessions with a consultant child and adolescent psychiatrist or specialist nurse under shared care policies with general policies, and it has long been known that properly trained nurses can aid with ADHD diagnosis and care. Teenagers with ADHD can participate in heroin diversion, according to a growing body of evidence, and should be investigated during assessment. The number of misusing prescription stimulants is on the rise, and adolescents and young people with ADHD may use ADHD to enhance cognitive skills for educational use. The following example reveals some of the challenges and opportunities for independent nurse prescribers working in child and adolescent mental health services.

Source link: https://doi.org/10.12968/npre.2015.13.11.562


Screening for ADHD in male medium secure psychiatric services

"Medium secure psychiatric services receive a significant number of referrals from the prison service. " Inattention, hyperactivity, and impulsivity are three main signs of ADHD. Untreated ADHD may have a detrimental effect on therapeutic interventions, as well as increased instances of abuse, violence, and other sexually offensive conduct. Two goals are set: Using a validated screening system, the Spinney Hospital in Atherton, United Kingdom, has been assessed for ADHD. This will result in further structured medical evaluation for ADHD; to perform ADHD screening as a part of the Admission Care Plan within medium secure services at the Spinney. Method The study was conducted at The Spinney Hospital in Atherton, which is the medium-secure hospital. 52 male service users at the time of the survey were identified as 52 male service users. 1 of the 52 service users had a recent diagnosis of ADHD and was being treated with drugs. ADHD that had lapsed in adulthood and were untreated in three of the 52 service users had childhood diagnoses of ADHD that had not resolved in adulthood and were untreated. 9 of the remaining 51 service users without a current diagnosis of ADHD, 9 were keen on screening as worthy of further investigation. Conclusion Based on the service user population and the findings listed above, there seems to be ample reason for routine testing for ADHD within medium safe psychiatric services. The B-BAARS will be integrated into the Admission Care Plan of all new admissions to medium secure services as a Quality Improvement Intervention, as a result of this research.

Source link: https://doi.org/10.1192/bjo.2021.89


Audit of ADHD medication prescription and monitoring in intellectual disability services, Greater Glasgow & Clyde

According to "Aims Studies, people with intellectual impairment have a greater risk of experiencing attention deficit hyperactivity disorder and atypical presentation, as well as being at a higher risk of experiencing comorbidities, such as challenging behaviour, fear, tic disorders, and sleep difficulties. " ADHD is predicted that 1. 5% of patients with ID will have a clinical diagnosis of ADHD. According to NICE and the Royal College of Psychiatrists, this inquiry sought to determine whether people with ID and ADHD, who are prescribed drugs for ADHD, are properly monitored and reviewed in accordance with the ADHD medication prescription guidelines. Method This review examined ADHD medication prescription for the ID population of Greater Glasgow & Clyde NHS. As per NICE/RCPsych prescription instructions, 100% of patients should have all components of the ADHD audit kit detailed. 32 patients were found to be suffering with ADHD-prescribed medications, according to the study. 75% of respondents had mild intellectual impairment, 19% had moderate, and 6 percent had severe, with no cases of profound intellectual disability. In 84% of patients, blood pressure/pulse was present in 84%. In 81% of patients, height/weight/BMI was recorded in 81%. Patients with ADHD symptoms, medication use, side effects, the need for ongoing care, and frequency of review were among the study findings. Patients' physical fitness issues are also related to their comorbidities, but also as a result of the psychotropic medications we prescribe them. ".

Source link: https://doi.org/10.1192/bjo.2021.218


Do you mind if I take your blood pressure? Physical health monitoring of children and young people on ADHD medication amidst a pandemic

According to NICE's recommendation, "Aims To determine if physical fitness testing for CYP on ADHD drugs is sufficient. " To determine the effect of COVID-19 pandemic restrictions on physical fitness testing for CYP on ADHD drugs, we need to know how to determine the effects of COVID-19 pandemic prohibitions on ADHD medication use. Attention deficit hyperactivity disorder is a common developmental disorder characterized by a persistent pattern of inattention and/or hyperactivity-impulsivity, which has a direct effect on educational, occupational, or social life. Pharmacological therapy can be included in CYP if such conditions are fulfilled, where approved drugs include methylphenidate, dexamfetamine, lisdexamfetamine, atomoxetine, and guanfacine. Due to side effects such as an increase in blood pressure and/or heart rate, appetite loss, growth inhibition, and tics, stimulant and non-stimulant drugs require frequent physical examination. The NICE recommendations were derived from the NICE guidelines, but no local trust policies were updated, exposing discrepancies. During March-November 2020, electronic patient data from a representative cohort of CYP reviewed by clinicians in a community CAMHS program was reviewed retrospectively. Just 4 had heart rate and blood pressure monitored before and after each dose change, while only 4 had these values measured every 6 months. Five patients were evaluated by telephone/video call, where 5 patients provided physical health information. Conclusion Across all dimensions, the mandatory physical health screening for CYP on ADHD medications is not being carried out. The COVID-19 pandemic has dramatically changed the working conditions for community teams, impacting face to face evaluations and raising concerns for physical health monitoring. ".

Source link: https://doi.org/10.1192/bjo.2021.497

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions