Methylphenidate Improves Autonomic Functioning among Youth with Attention-Deficit/Hyperactivity Disorder

التفاصيل البيبلوغرافية
العنوان: Methylphenidate Improves Autonomic Functioning among Youth with Attention-Deficit/Hyperactivity Disorder
المؤلفون: Erika K. Coles, Rachel B. Tenenbaum, Stephanie S. J. Morris, Joseph S. Raiker, Erica D. Musser, Anthony R. Ward
المصدر: Res Child Adolesc Psychopathol
بيانات النشر: Springer Science and Business Media LLC, 2021.
سنة النشر: 2021
مصطلحات موضوعية: Future studies, Adolescent, Placebo, Article, Double-Blind Method, mental disorders, Developmental and Educational Psychology, medicine, Humans, Attention deficit hyperactivity disorder, Vagal tone, Child, Prescribed medications, Cross-Over Studies, Oros mph, business.industry, Methylphenidate, medicine.disease, Respiratory Sinus Arrhythmia, Psychiatry and Mental health, Autonomic nervous system, Attention Deficit Disorder with Hyperactivity, Child, Preschool, Central Nervous System Stimulants, business, Clinical psychology, medicine.drug
الوصف: Psychostimulants are commonly prescribed medications for youth with attention-deficit/hyperactivity disorder (ADHD). Limited studies have evaluated how psychostimulants (e.g., methylphenidate [MPH]) impact autonomic nervous system (ANS) indexes among youth with ADHD. Understanding the effects of MPH on autonomic functioning is essential, given that youth with ADHD have been shown to experience atypical autonomic functioning (i.e., reduced activity across both sympathetic and parasympathetic branches) compared to typically developing youth. The current study investigated how a specific psychostimulant, Osmotic Release Oral System [OROS] MPH, impacts parasympathetic (indexed by respiratory sinus arrhythmia [RSA]) and sympathetic (indexed by electrodermal activity [EDA]) functioning among youth with ADHD via a within-subjects, double-masked, cross-over design. Two hundred fifty-six participants (157 youth with ADHD), ages 5 to 13 years, completed a two-minute resting baseline task while electrocardiograph and electrodermal data were obtained. Youth with ADHD completed the resting baseline task twice, 3 weeks apart, once during active medication and once during placebo conditions (counterbalanced). Typically developing youth were assessed without medication or placebo. Youth with ADHD during the placebo condition exhibited reduced RSA and EDA compared to typically developing youth. In contrast, youth with ADHD during the medication condition did not differ significantly from typically developing youth with respect to either RSA nor EDA. As such, OROS MPH appears to normalize RSA and EDA levels among youth with ADHD to levels comparable to typically developing youth. Future studies including indexes of the ANS among youth with ADHD are urged to consider the impact of MPH.
تدمد: 2730-7174
2730-7166
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a61bebca3656ed1611ec3186a2f73d9c
https://doi.org/10.1007/s10802-021-00870-5
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....a61bebca3656ed1611ec3186a2f73d9c
قاعدة البيانات: OpenAIRE