Golestan University of Medical Sciences Repository

Pharmacological treatment and demographic characteristics of pediatric patients with Attention Deficit Hyperactivity Disorder, Sweden

Bahmanyar, S. and Sundström, A. and Kaijser, M. and Von Knorring, A.-L. and Kieler, H. (2013) Pharmacological treatment and demographic characteristics of pediatric patients with Attention Deficit Hyperactivity Disorder, Sweden. European Neuropsychopharmacology, 23 (12). pp. 1732-1738. ISSN 0924977X (ISSN)

Full text not available from this repository.

Abstract

The aim of this study was to describe the pediatric population with ADHD and their pharmacological treatment. Using the Swedish National Patient Register and the Prescribed Drug Register we identified individuals below 19 years of age who were diagnosed or medically treated for ADHD for the first time 2006-2007. The unique patient identifiers were used to link information from the two registers to describe demographic characteristics, hospital care and drug treatments. Logistic regression model estimated the association between age, sex, frequency of hospitalization, diagnosis or treatment for other mental disorders and risk of gap in the treatment. Totally the study included 7931 patients of whom 74% were males. The mean age at first diagnosis was 12 years. Some 84% were medically treated for ADHD and approximately 90% received methylphenidate as the first substance. Combination therapy was rare and the most common combination was methylphenidate and atomoxetine. More than 55% of the patients, which could be followed up for two years after start of treatment, had at least one treatment gap of six months. Older age at diagnosis, lower number of hospitalizations and comorbidity with other mental disorders increased risks of gaps in medication. Approximately one fifth of the patients recorded in the National Patient Register as diagnosed with ADHD did not receive pharmacological treatment. Medication adherence seems to be low, when measured as gaps in treatment. © 2013 Elsevier B.V. and ECNP.

Item Type: Article
Additional Information: Unmapped bibliographic data: LA - English [Field not mapped to EPrints] J2 - Eur. Neuropsychopharmacol. [Field not mapped to EPrints] C2 - 23953271 [Field not mapped to EPrints] AD - Centre for Pharmacoepidemiology and Clinical Epidemiology Unit, Department of Medicine, Karolinska Institutet, SE-171 76 Stockholm, Sweden [Field not mapped to EPrints] AD - Faculty of Medicine, Golestan University of Medical Sciences, Gorgan, Iran [Field not mapped to EPrints] AD - Department of Neuroscience, Child and Adolescent Psychiatry, Uppsala University, Uppsala, Sweden [Field not mapped to EPrints] DB - Scopus [Field not mapped to EPrints]
Uncontrolled Keywords: Amphetamine, Atomoxetine, Attention Deficit Disorder with Hyperactivity, Cohort study, Dextroamphetamine, Methylphenidate, Pediatrics, amphetamine, analgesic agent, anesthetic agent, anticonvulsive agent, antidepressant agent, antiparkinson agent, anxiolytic agent, atomoxetine, dexamphetamine, hypnotic sedative agent, methylphenidate, neuroleptic agent, nootropic agent, psychostimulant agent, adolescent, adult, article, attention deficit disorder, child, combination chemotherapy, comorbidity, controlled study, demography, disease association, female, hospital care, hospitalization, human, major clinical study, male, medication compliance, mental disease, outcome assessment, patient compliance, preschool child, priority journal, risk assessment, school child, Sweden, treatment outcome, Amphetamine, Atomoxetine, Attention Deficit Disorder with Hyperactivity, Cohort study, Dextroamphetamine, Methylphenidate, Pediatrics, Adolescent, Age Factors, Attention Deficit Disorder with Hyperactivity, Child, Child, Preschool, Demography, Female, Humans, Logistic Models, Male, Medication Adherence, Pediatrics, Retrospective Studies, Sweden
Subjects: مقالات نمایه شده محققین دانشگاه در سایت ,Web of Science ,Scopus
Divisions: معاونت تحقیقات و فناوری
Depositing User: GOUMS
Date Deposited: 18 Apr 2015 04:09
Last Modified: 15 Jun 2015 07:11
URI: http://eprints.goums.ac.ir/id/eprint/1816

Actions (login required)

View Item View Item