scholarly journals Cancellation of outpatient appointments in patients with attention-deficit/hyperactivity disorder

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0260431
Author(s):  
Kensuke Nomura ◽  
Ryosuke Tarumi ◽  
Kazunari Yoshida ◽  
Mitsuhiro Sado ◽  
Takefumi Suzuki ◽  
...  
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Psychiatric Disorders ◽  
Attention Deficit ◽  
Pervasive Developmental Disorders ◽  
Communication Disorders ◽  
Psychiatric Clinic ◽  
Hyperactivity Disorder ◽  
Cancellation Rate ◽  
Outpatient Appointments ◽  
The Impact

Background Regular visit to psychiatric clinic is essential for successful treatment of any psychiatric condition including attention-deficit/hyperactivity disorder (AD/HD). However, cancellation of outpatient appointments in patients with AD/HD, which represents a significant medical loss, has not been systematically investigated to our knowledge. Methods A systematic chart review was conducted for patients visiting the Shimada Ryoiku medical Center for Challenged Children in Japan at the age of ≤15 years from January to December 2013. The primary outcome measure was the cancellation rate, defined as the number of missed visits divided by the number of scheduled visits. The cancellation rates during 24 months after the first visit were compared between outpatients with AD/HD and other psychiatric disorders, including pervasive developmental disorders (PDD), and developmental coordination disorders and/or communication disorders (DCD-CD). A generalized linear model with binomial distribution was used to examine factors associated with cancellation rates exclusively in the AD/HD group. Results We included 589 patients (mean ± SD age, 5.6 ± 3.4 years; 432 males) in the analysis. The cancellation rate in patients with AD/HD was 12.3% (95% confidence interval [CI]: 10.0–15.1), which was significantly higher than in those with PDD (5.6%, 95% CI: 3.8–8.3) and DCD-CD (5.3%, 95% CI: 3.6–7.8). Prescriptions of osmotic-release oral system-methylphenidate (OROS-MPH) and antipsychotics were associated with fewer cancellations in AD/HD patients (odds ratios: 0.61, 95% CI: 0.39–0.95 and 0.49, 95% CI: 0.25–0.95, respectively), although these significances did not find in the subgroup analysis including only patients with ≥ 6 years old. Conclusions Patients with AD/HD were more likely to miss appointments compared to those with other psychiatric disorders. The impact of AD/HD medications as well as potential psychiatric symptoms of their parents or caregivers on appointment cancellations needs to be evaluated in more detail in future investigations.

The Impact of Copper in Children with Attention Deficit Hyperactivity Disorder

2017 ◽  
Vol 68 (2) ◽  
pp. 279-283
Author(s):  
Mihail Silviu Tudosie ◽  
Elena Truta ◽  
Ana Maria Davitoiu ◽  
Luminita Stanciulescu ◽  
George Jinescu ◽  
...  
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Attention Deficit ◽  
Copper Concentration ◽  
Graphite Furnace ◽  
Urine Samples ◽  
Health State ◽  
Adhd Symptoms ◽  
Children With Adhd ◽  
Hyperactivity Disorder ◽  
The Impact

During one year (september 2013 � september 2014), 50 children from the residential institution for children SOS Satele Copiilor Bucharest, where included in our research. The children were distributed in two groups: Group A which consisted of 25 children (12 girls, 13 boys) who were not diagnosed with attention deficit hyperactivity disorder (ADHD) and Group B which consisted of 25 children (14 boys, 11 girls) who were diagnosed with ADHD. Initially, the two groups were subjected at a psycho-diagnostic battery of tests, one of them being the Evaluating the Health State of children with ADHD questionnaire elaborated by us, particularly for this research, with the purpose of highlighting the direct link between the children health state and their ADHD symptoms. This study sought to determine the concentration of copper in urine samples from a group of children with ADHD and a group of normal children, to highlight the role of copper in the development of ADHD symptoms. Levels of copper concentration in urine samples from the two groups were processed by Student�s t-Test. Statistical analysis showed that the arithmetic averages of copper concentration in urine samples, of the two groups do not differ significantly, so copper may be causing ADHD symptoms occur. The copper content in urine samples has been determined using atomic absorption spectrometry with graphite furnace.

scholarly journals Genetic variations influence brain changes in patients with attention-deficit hyperactivity disorder

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Santosh K. Yadav ◽  
Ajaz A. Bhat ◽  
Sheema Hashem ◽  
Sabah Nisar ◽  
Madeeha Kamal ◽  
...  
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Brain Imaging ◽  
Attention Deficit ◽  
Genetic Variations ◽  
Imaging Genetics ◽  
Treatment Modalities ◽  
Genetic Studies ◽  
Hyperactivity Disorder ◽  
Clinical Biomarkers ◽  
The Impact

AbstractAttention-deficit hyperactivity disorder (ADHD) is a neurological and neurodevelopmental childhood-onset disorder characterized by a persistent pattern of inattentiveness, impulsiveness, restlessness, and hyperactivity. These symptoms may continue in 55–66% of cases from childhood into adulthood. Even though the precise etiology of ADHD is not fully understood, it is considered as a multifactorial and heterogeneous disorder with several contributing factors such as heritability, auxiliary to neurodevelopmental issues, severe brain injuries, neuroinflammation, consanguineous marriages, premature birth, and exposure to environmental toxins. Neuroimaging and neurodevelopmental assessments may help to explore the possible role of genetic variations on ADHD neuropsychobiology. Multiple genetic studies have observed a strong genetic association with various aspects of neuropsychobiological functions, including neural abnormalities and delayed neurodevelopment in ADHD. The advancement in neuroimaging and molecular genomics offers the opportunity to analyze the impact of genetic variations alongside its dysregulated pathways on structural and functional derived brain imaging phenotypes in various neurological and psychiatric disorders, including ADHD. Recently, neuroimaging genomic studies observed a significant association of brain imaging phenotypes with genetic susceptibility in ADHD. Integrating the neuroimaging-derived phenotypes with genomics deciphers various neurobiological pathways that can be leveraged for the development of novel clinical biomarkers, new treatment modalities as well as therapeutic interventions for ADHD patients. In this review, we discuss the neurobiology of ADHD with particular emphasis on structural and functional changes in the ADHD brain and their interactions with complex genomic variations utilizing imaging genetics methodologies. We also highlight the genetic variants supposedly allied with the development of ADHD and how these, in turn, may affect the brain circuit function and related behaviors. In addition to reviewing imaging genetic studies, we also examine the need for complementary approaches at various levels of biological complexity and emphasize the importance of combining and integrating results to explore biological pathways involved in ADHD disorder. These approaches include animal models, computational biology, bioinformatics analyses, and multimodal imaging genetics studies.

Risk of attention deficit/hyperactivity disorder (ADHD) and other psychiatric disorders in siblings of ADHD probands

2019 ◽  
Vol 48 (1) ◽  
pp. 44-49 ◽  
Author(s):  
Catalina Hidalgo-López ◽  
Alejandra María Gómez-Álzate ◽  
Jenny García-Valencia ◽  
Juan David Palacio-Ortiz
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Psychiatric Disorders ◽  
Attention Deficit ◽  
Hyperactivity Disorder

scholarly journals Clinical and social factors associated with attention-deficit hyperactivity disorder medication use: population-based longitudinal study

2014 ◽  
Vol 205 (4) ◽  
pp. 291-297 ◽  
Author(s):  
Cédric Galéra ◽  
Jean-Baptiste Pingault ◽  
Grégory Michel ◽  
Manuel-Pierre Bouvard ◽  
Maria Melchior ◽  
...  
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Attention Deficit ◽  
Psychiatric Comorbidity ◽  
Medication Use ◽  
Population Based ◽  
Social Characteristics ◽  
Adhd Medication ◽  
Social Variables ◽  
Hyperactivity Disorder ◽  
The Impact

BackgroundThe impact of longitudinal psychiatric comorbidity, parenting and social characteristics on attention-deficit hyperactivity disorder (ADHD) medication use is still poorly understood.AimsTo assess the baseline and longitudinal influences of behavioural and environmental factors on ADHD medication use.MethodSurvival regressions with time-dependent covariates were used to model data from a population-based longitudinal birth cohort. The sample (n = 1920) was assessed from age 5 months to 10 years. Measures of children's psychiatric symptoms, parenting practices and social characteristics available at baseline and during follow-up were used to identify individual and family-level features associated with subsequent use of ADHD medication.ResultsUse of ADHD medication ranged from 0.2 to 8.6% between ages 3.5 to 10 years. Hyperactivity–inattention was the strongest predictor of medication use (hazard ratio (HR) = 2.75, 95% CI 2.35–3.22). Among all social variables examined, low maternal education increased the likelihood of medication use (HR = 2.09, 95% CI 1.38–3.18) whereas immigrant status lowered this likelihood (HR = 0.40, 95% CI 0.17–0.92).ConclusionsBeyond ADHD symptoms, the likelihood of receiving ADHD medication is predicted by social variables and not by psychiatric comorbidity or by parenting. This emphasises the need to improve global interventions by offering the same therapeutic opportunities (including medication) as those received by the rest of the population to some subgroups (i.e. immigrants) and by diminishing possible unnecessary prescriptions.

scholarly journals Personality Profile of Parents of Children with Attention Deficit Hyperactivity Disorder

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Hossein Dadashzadeh ◽  
Shahrokh Amiri ◽  
Ahmad Atapour ◽  
Salman Abdi ◽  
Mahan Asadian
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Personality Disorders ◽  
Attention Deficit ◽  
Diagnostic Interview ◽  
Psychiatric Clinic ◽  
Personality Profile ◽  
Cross Sectional ◽  
Hyperactivity Disorder ◽  
Millon Clinical Multiaxial Inventory ◽  
Depressive Personality

Objectives.The present study was carried out aiming to identify the personality profile of parents of children with Attention Deficit Hyperactivity Disorder (ADHD).Methods.This study is of a descriptive, analytic, cross-sectional type in which parents of 6–12-year-old children with ADHD who were referred to the Bozorgmehr Psychiatric Clinic, affiliated with Tabriz University of Medical Sciences, were enrolled. ADHD was diagnosed according to the criteria of DSM-IV-TR and a quasi-structured diagnostic interview (K-SADS-PL). The personality profile of the parents was assessed with the Millon Clinical Multiaxial Inventory-III (MCMI-III).Results.According to the findings of this study, the most common personality problems based on the assessment scales in the MCMI-III belonged to the clinical patterns of depressive personality in 43 persons (25.3%), histrionic personality in 34 persons (20%), and compulsive personality in 29 persons (17.1%). According to discriminant analysis, four scales of somatoform, sadistic, dependence, and though disorder were direct and antisocial scale was reverse significant predictors of membership in the women group.Conclusion.According to the findings of this pilot study, personality disorders are prevalent in parents of ADHD children and mothers suffer from personality disorders more than fathers.

scholarly journals PERILAKU ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD) DALAM PROSES PEMBELAJARAN (STUDI KASUS PESERTA DIDIK) DI KELAS IV SD NEGERI GEJAYAN

2018 ◽  
Vol 1 (1) ◽  
pp. 64
Author(s):  
Nugrahini Indra Umratun Wakhaj ◽  
Nurul Hidayati Rofiah
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Learning Process ◽  
Attention Deficit ◽  
Social Aspect ◽  
Impulsive Behavior ◽  
Or Education ◽  
Hyperactivity Disorder ◽  
Using Data ◽  
Primary School Age ◽  
The Impact

The behavior of primary school-age students today is very diverse, one of these behaviors are children who are very difficult to manage, can not be silent and as if not paying attention to the lessons in the classroom. These children usually experience emotional and behavioral disorders in its development of ADHD (Attention Deficit Hyperactivity Disorder). This study aims to describe the behavior and impact of Attention Deficit Hyperactivity Disorder (ADHD) in the learning process in grade 4 students of SD Negeri Gejayan.This type of research is a type of Descriptive Qualitative research, with data collection techniques of observation, interview, and doumentation. The subjects in this research are DA fourth graders of SD Negeri Gejayan. While the data analysis techniques using data reduction, data presentation, and conclusions.The results showed that there was Attention Deficit Hyperactivity Disorder (ADHD) behavior in the learning process in Grade IV of Gejayan State Elementary School which consisted of three behaviors: inattensi, hyperactive and impulsive behavior. The impact of Attention Deficit Hyperactivity Disorder (ADHD) behavior affects three aspects including (1) impact on learning process or education, (2) impact on student's behavior in learning process and, (3) impact to social aspect of student in process learning.

Parenting Children With Attention Deficit Hyperactivity Disorder

2021 ◽  
pp. 159-178
Author(s):  
Dorothy Bhandari Deka
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Children And Adolescents ◽  
Psychiatric Disorders ◽  
Attention Deficit ◽  
Legal Aspects ◽  
Mutual Interaction ◽  
Hyperactivity Disorder ◽  
Integral Role ◽  
Protective Environment

The prevalence of ADHD is estimated at 5–7% worldwide, which makes it one of the most common psychiatric disorders in children and adolescents. Children with Attention deficit hyperactivity disorder can become difficult if the child is not monitored using correct strategies and techniques. Parents play an integral role in shaping a child. Parenting involves biological as well as the legal aspects and other equally if not more important dimensions of care, protection, nurturance, understanding, guidance, mutual interaction, and partnership occurring within the protective environment of a family. Parenting a differently abled child is very demanding and challenging and the role of family and parents in caring for a child is very crucial, especially development, socializing, and protecting the child.

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