ADHD And Methylphenidate
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The topic for review is Attention Deficit/Hyperactivity Disorder (ADHD). ADHD is found in over two million children and is one of the most commonly diagnosed mental health disorders in childhood. ADHD in children has become a major public health concern. ADHD results in impaired relationships, behavioral problems, and academic difficulties. Persistent ADHD results in further problems in adolescence such as conduct disorder and substance abuse. Treatment of ADHD includes the use of methyphenidate in conjunction with behavioral therapies. This medication is a stimulant that affects the nervous system and it remains unclear whether the medication is effective with regard to academic and behavioral problems and what dose is optimal (Evans, Smith, Gnagy, Pelham, Bukstein, Greiner, Altenderfer, & Baron-Myak, 2001; Molina & Pelham, 2003). "Dose-response effects of methylphenidate on ecologically valid measures of academic performance and classroom behavior in adolescents with ADHD" by Evans, Smith, Gnagy, Pelham, Bukstein, Greiner, Altenderfer, and Baron-Myak (2001). The purpose of this study was to fill in the gaps in the literature and examine the effects of methylphenidate on classroom behavior and academic performance in 45 adolescents with ADHD. The authors noted that previous research had presented findings related to whether stimulant medication helped adolescents with ADHD and studies had examined effects of stimula
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h as the range of substance use behaviors relative to age were included and controlled for.
The current study examined 142 children with ADHD who were monitored into adolescence or ages 13 to 18 years. Risk for elevated substance use was measured and findings were compared to 100 same-aged adolescents without ADHD. Findings were that alcohol symptom scores differed between groups but alcohol or marijuana disorder diagnoses did not differ. Severity of childhood inattention symptoms predicted multiple substance use outcomes. ADHD and CD were related to increases substance use behaviors, compared to controls. The authors concluded that ADHD components did predict adolescent substance use and children with the most severe ADHD are most at risk for continued ADHD, CD, and substance use and abuse in adolescence.
Discussion
Each of these studies examined different issues related to ADHD. Evans et al. (2001) studied treatment of ADHD, specifically the effects of methylphenidate on academic functioning and classroom behavior in adolescents. On the other hand, Molina and Pelham (2003) studied ADHD in children and adolescents to determine long-term effects related to substance abuse. The first study included a group of adolesce
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Approximate Word count = 1423
Approximate Pages = 6 (250 words per page)
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