Investigation of the compliance of attention deficient hyperactivity disorder children on methylphenidate therapy
- ZHU Da-qian, GAO Hong-yun, ZHU Yong-yong
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Abstract
【Objective】 To study the compliance of attention deficient hyperactivity disorder(ADHD) patients on methylphenidate(MPH) and its possible influencing factors. 【Methods】 All patients diagnosed as ADHD in psychological counseling clinic of Children's Hospital of Fudan University during Jan 1999 to Jan 2007, and should be prescribed MPH at first time were enrolled. A self-designed questionnaire was administered by telephone. 【Results】 There were 325 ADHD patients in 8 years. 204 patients were successfully followed, 84.31% patients accepted MPH therapy, 71.52% in the MPH therapy group adhered to the medicine for more than 6 months. Only 28.4% of the whole studied population had good compliance. The main cause for families to refuse or stop MPH therapy was afraid of the side effects of medicine. The form of medicine and whether accompanied with parents education/group therapy had relation with MPH compliance. 【Conclusion】 The compliance of medicine therapy in ADHD families is low, and long-acting form and parents or group intervention will like to improve compliance.
Key words
attention deficient hyperactivity disorder / compliance / medicine therapy
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References
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[2] American Academy of Pediatrics. Clinical practice guideline: treatment of the school-aged child with attention-deficit/hyperactivity disorder[J]. Pediatrics,2001,108:1033-1044.
[3] Mayes R, Bagwell C, Erkulwater J. ADHD and the rise in stimulant use among children[J]. Harv Rev Psychiatry,2008,16:151-166.
[4] Gau S, Shen H, Chou M. Determinants of adherence to methylphenidate and the impact of poor adherence on maternal and family measures[J]. Journal of Child and Adolescent Psychopharmacology,2006,16(3):286-279.
[5] Hack S, Chow B. Pediatric psychotropic medication compliance: a literature review and research-based suggestions for improving treatment compliance[J]. J Child Adolesc Psychomarmacol,2001,11:59-67.
[6] Maayan L, Paykina N, Fried J. The open-label treatment of attention-dificit/hyperactivity disorder in 4- and 5-year-old children with beaded methylphenidate[J]. Journal of Child and Adolescent Psychopharmacology,2009,19(2),147-153.
[7] Adler LD, Nierenberg AA. Review of medication adherence in children and adults with ADHD[J]. Postgraduate Medicine,2010,122(1):184-191.
[8] 胡正,谢玲,毛春婷,等.系统性家长培训对注意缺陷多动障碍儿童干预效果评估与分析[J].中国儿童保健杂志,2010,18(1):9-10.
