Efecto de la discontinuación del metilfenidato al comienzo de la adolescencia sobre el trastorno por déficit de atención en la edad adulta

Translated title of the contribution: The effect of discontinuation of methylphenidate at adolescence onset on adult attention deficit hyperactivity disorder

Oscar Papazian, I. Alfonso, V. García

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Introduction. The positive effect of methylphenidate on children and adults with ADHD is well known. However, the effect of discontinuation of methylphenidate at adolescence onset on adult's A DHD is unknown. Objective. To determine the effect of discontinuation of methylphenidate at adolescence onset on adult's attention deficit, hyperactivity, impulsivity and functional disabilities. Patients and methods. Adults and their parents, spouses and/or friends were requested to fill out the same criteria diagnosis form filled out by their parents and teachers before (7 years of age), during (7.5 years of age) and at the end of treatment (12 years of age). They took methylphenidate (0.1-0.5 mg/kg/day) from age 7 to 12 years because ADHD. Inattention, hyperactivity, impulsivity and functional disability were statistically analyzed by the paired sample method before, during at the end of treatment and at age 27 years. Results. Methylphenidate used for 5 years (7.5-12 years of age) improved significantly (p < 0.001) the average score for inattention, hyperactivity, impulsivity and functional impairment compared to pre (7 year of age) and post (27 years of age) treatment. The discontinuation of methylphenidate for 15 years (12-27 year of age) deteriorate significantly the average score for inattention and functional impairment when pre-adolescent and adult values were compared (p < 0.001). Conclusions. The results strongly suggest that methylphenidate must be used throughout the adulthood to avoid the degree of inattention and functional disability found in this study.

Translated title of the contributionThe effect of discontinuation of methylphenidate at adolescence onset on adult attention deficit hyperactivity disorder
Original languageSpanish
Pages (from-to)24-28
Number of pages5
JournalRevista de neurologia
Volume35
Issue number1
DOIs
StatePublished - Jul 1 2002

Keywords

  • Adult attention deficit hyperactivity disorder
  • Functional impairment
  • Inattention
  • Long-term follow-up
  • Methylphenidate

ASJC Scopus subject areas

  • Clinical Neurology

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