Attention Deficit Hyperactivity Disorder Medication Use Among Teens and Young Adults

Johansen, Michael E.; Matic, Kathleen; McAlearney, Ann Scheck

doi:10.1016/j.jadohealth.2015.04.009

Cited by 21 publications

(15 citation statements)

References 29 publications

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“…In 2008, NICE estimated that 1.2% of UK adults with ADHD were currently receiving ADHD medication, compared to our finding that 14-15% of adults over 20 had a prescription. This rise has been reported in previous studies covering earlier and overlapping time periods in the UK, as well as worldwide by Johansen et al (2015), Zetterqvist et al (2013), McCarthy et al (2012a and Raman et al (2018). Therefore, this study, which uses prescribing records from between 2005 and 2013, may underestimate current 2018 rates of prescribing due to rapid changes in practice and service development.…”

Section: Comparison With Existing Literaturementioning

confidence: 66%

“…Whilst this was a UK-based study, there are aspects which are generalizable internationally. For example, the challenges of transition and the fall in prescribing in ADHD medication over this period are described across international health systems (Johansen et al 2015;Broad et al 2017). Primary care physicians in many developed countries including the USA also have an important role in the management of ADHD in this group, meaning that the messages from this research will be relevant to international primary care practice and research (Bolea-Alamanac et al 2014;Patel et al 2017).…”

Section: Implications For Research and Practicementioning

confidence: 99%

“…Sibley et al's (2015) systematic review of persistence suggested that 40-50% of adolescents with ADHD still met criteria for a diagnosis in adulthood where recommended methods such as age-appropriate symptom thresholds were used. However, despite evidence for symptom persistence, internationally, studies of prescribing patterns such as those by Johansen et al (2015) in the USA and Zetterqvist et al (2013) in Sweden indicate that there are high rates of treatment discontinuation in late adolescence. Previous UK studies of primary care prescribing have also reported a steep fall in prescribing prevalence of ADHD medication coinciding with the period during which transition from child to adult services takes place (Wong et al 2009;McCarthy et al 2012a, b), but these studies used data collected before new guidance was issued by the National Institute for Clinical Excellence (NICE) in 2008.…”

Section: Introductionmentioning

confidence: 99%

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Prescribing for young people with attention deficit hyperactivity disorder in UK primary care: analysis of data from the Clinical Practice Research Datalink

Newlove‐Delgado

Hamilton

Ford

et al. 2019

ADHD Atten Def Hyp Disord

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Guidance on management of attention deficit hyperactivity disorder (ADHD) in the UK was issued by the National Institute for Clinical Excellence in 2008. No UK study has examined all psychotropic prescribing in young people with ADHD since the introduction of the guidance; this is especially relevant due to the high prevalence of psychiatric comorbidity in this population. The aim of this study was to describe primary care prescribing of ADHD and other psychotropic medications for young people with ADHD. The analysis of records of patients with an ADHD diagnosis in the UK Clinical Practice Research Datalink from 2005 to 2013 was performed. Estimation of the prevalence of prescribing of ADHD and other psychotropic medications over 8-year follow-up for cases aged 10-20 years in 2005 was carried out. Of 9390 ADHD cases, 61.6% [95% confidence interval (CI) 60.6-62.5%] had a prescription at some point for ADHD medication. Prescribing of other psychotropic medications was higher in girls than in boys (36.4% vs. 22.7%; p < 0.001). ADHD prescribing prevalence declined steeply between the ages of 16 and 18 from 37.8% (95% CI 36.6-38.9) to 23.7% (95% CI 22.7-24.6%). There was a parallel increase in prescribing of other psychotropics from 3.8% (95% CI 3.4-4.3%) to 6.6% (95% CI 6.0-7.3%). There is scope to optimise the management of ADHD and psychiatric comorbidities in young people, and there is a need for sustainable models of ADHD care for young adults, supported by appropriate training and specialist services.

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Section: Comparison With Existing Literaturementioning

confidence: 66%

Section: Implications For Research and Practicementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prescribing for young people with attention deficit hyperactivity disorder in UK primary care: analysis of data from the Clinical Practice Research Datalink

Newlove‐Delgado

Hamilton

Ford

et al. 2019

ADHD Atten Def Hyp Disord

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show abstract

“…The use of stimulants has substantially increased over the last decade 10 and now these medications are prescribed to patients in a wider age range, with increased use in preschoolers 11 and adults 12 . Given the large number of patients currently prescribed stimulants, the risk of somnambulism may be significant, even if only a small proportion of patients are affected.…”

Section: Discussionmentioning

confidence: 99%

Somnambulism During Monotherapy With Mixed Amphetamine Salts

Pinnaka

Gosai

Czekierdowski

et al. 2016

Journal of Clinical Psychopharmacology

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“…The number of children on drug treatment has increased in several countries in recent years [57][58][59]. This increase in drug treatment is seen in all ages, ranging from young children to adolescents, and the use of medical increase also continues into adulthood [59,60]. Yet, research on the long-term effects of stimulant medicines is scant [57,61].…”

Section: Introductionmentioning

confidence: 99%

Parental Discussions Online through the Medical Discourse-lens

Lundin¹,

Erlandsson²

2017

J Child Dev Disord

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In the present study the research objective was to gain insights into parental communication on an open Internet forum where parents had the opportunity to discuss issues related to ADHD. In order for clinicians to help troubled children brought to the health clinic it may be important to learn more about the life situations of these troubled families as treatment options can require complex interventions for the whole family. Our aim was thus to go beyond the neurobiological medical model of ADHD, which does not take into account contextual factors. In today's society specialized online discussion forums are available for parents who seek support for various difficulties that arise in the family. The online forums are sources of research data. As research tools we used the narrative psychological approach for the analysis of 72 online narratives. These narratives provided support for that the parents embraced medical explanations for the difficulties experienced when raising children, despite obvious challenging life circumstances, such as for example being a single parent without social support. Even very young children had been given serious psychiatric medical diagnoses such as ADHD, Bipolar disorder, Mood disorders and Obsessive Compulsive Disorder. Some of them had been diagnosed with more than one of these disorders. The complexity of the parental narratives in the present study indicates that the neurobiological model is not sufficient enough to form the basis of a personalized and comprehensive care for vulnerable families.

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Attention Deficit Hyperactivity Disorder Medication Use Among Teens and Young Adults

Cited by 21 publications

References 29 publications

Prescribing for young people with attention deficit hyperactivity disorder in UK primary care: analysis of data from the Clinical Practice Research Datalink

Prescribing for young people with attention deficit hyperactivity disorder in UK primary care: analysis of data from the Clinical Practice Research Datalink

Somnambulism During Monotherapy With Mixed Amphetamine Salts

Parental Discussions Online through the Medical Discourse-lens

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