Adaptive skills are useful for evaluating the effect of pharmacological treatment in children with attention-deficit/hyperactivity disorder

Lindblad, I., Nasic, S., Landgren, M., Svensson, L., Gillberg, C. and Fernell, E. (2016) Adaptive skills are useful for evaluating the effect of pharmacological treatment in children with attention-deficit/hyperactivity disorder. Acta Paediatrica, 106(1), pp. 96-100. (doi: 10.1111/apa.13631) (PMID:27743498)

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Abstract

Aim: There are few long‐term studies of adaptive functions as an outcome measure of pharmacological treatment in attention‐deficit/hyperactivity disorder (ADHD). This study assessed the adaptive abilities of children with ADHD before and after several years of pharmacological treatment. Method: We studied 12 children with a mean age of 15 years – seven boys and five girls – who had continued pharmacological treatment for ADHD for more than four years. The Adaptive Behaviour Assessment Scales – Second Edition ratings by their teachers were compared before and after they had received treatment for ADHD. Results: On a group level, the conceptual, practical and general adaptive composite domains improved significantly between the baseline and follow‐up study. There were clear individual variations: more than half of the group increased from an adaptive level far below average to average, a minority displayed no major changes, and one individual deteriorated. The girls tended to have better outcomes than the boys. Conclusion: This study was nonrandomised and only analysed within‐group changes in a small number of participants. However, the findings suggest that four to five years of stimulant treatment had markedly positive effects on adaptive functioning in more than half of the school‐age children with ADHD.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Gillberg, Professor Christopher
Authors: Lindblad, I., Nasic, S., Landgren, M., Svensson, L., Gillberg, C., and Fernell, E.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Mental Health and Wellbeing
Journal Name:Acta Paediatrica
Publisher:Wiley
ISSN:0803-5253
ISSN (Online):1651-2227
Published Online:11 November 2016

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