Journal
JOURNAL OF ATTENTION DISORDERS
Volume 15, Issue 1, Pages 36-45Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/1087054709356188
Keywords
adult; ADHD; methylphenidate; long-term; clinical trial; social adjustment
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Funding
- NIMH [MH4 1935]
- Mood Disorders Clinic of the University of Utah
- Abbott Research Laboratories
- Abbott
- McNeil
- Shire
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Objective: To determine the effects of long-term methylphenidate treatment on symptom severity and social adjustment in adult ADHD. Method: Adults (n = 116) meeting operational diagnostic criteria for ADHD (the Utah Criteria) entered a randomized double-blind crossover trial of methylphenidate and placebo. Participants who improved on immediate-release methylphenidate entered a 12-month, open-label trial. Outcomes were assessed using the Wender-Reimherr Adult Attention Deficit Disorder Scale (WRAADDS), Clinical Global Impression-Improvement (CGI-I), global assessment of functioning (GAF), and the Weissman Social Adjustment Scale (WSAS). Results: In the double-blind trial more patients improved (50% reduction of symptoms) receiving methylphenidate (74%) than placebo (21%, p = .001). During the open-label trial, symptom severity decreased 80% from baseline, and the WSAS decreased >50% in all subscales. The average GAF improved significantly (p < .0001). Conclusion: ADHD adults, who responded to methylphenidate in a short-tem, placebo-controlled trial, responded to long-term treatment with marked improvements in ADHD symptoms and psychosocial functioning.
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