Attention Deficit Hyperactivity Disorder Clinical Trial
Official title:
Study of the Link Between Psychosocial Treatments and the Need of Pharmacological Treatments in Children With Attention Deficit Hyperactivity Disorder : a Retrospective Online Study for Parents
The Attention Deficit and Hyperactivity Disorder (ADHD) is a frequent disorder in children
and adolescents. The diagnosis is clinical with the input of several informants (child,
family, teachers, …). ADHD is a risk factor for academic difficulties, school dropout, social
isolation, injury, oppositional behaviour. In school-age children and adolescents having
moderate to high or persistent impairment despite psycho-educational support and
environmental modification, the first-line treatment is methylphenidate. Group or individual
cognitive behavioural therapy for parents and/or children and adolescents is recommended for
co-occurring disorders and persistent impairment. In France, the initiation of
methylphenidate requires an annual hospital prescription by a paediatrician or psychiatrist,
and a regular medical supervision (weight, heart rate, blood pressure, …). At least once a
year, the indication of methyphenidate needs to be re-evaluated and confirmed at the
hospital. In case of lack of efficiency and/or poor tolerance, therapeutic alternatives
including non-psychostimulants should be considered.
A randomized controlled trial evaluated the dose of methylphenidate received over a period of
13 months. It was observed that the "combined treatment" group (methylphenidate +
psychosocial treatments) received a lower average dose of methylphenidate than the
"methylphenidate alone" group. These results are difficult to extrapolate to the general
population, due to the study protocol (regular monitoring of ADHD symptoms with the aim of
total remission).
For a global consideration of children's needs, it is important to better understand the
interactions between these two therapeutic approaches.
To participate in the study, parents will have to complete an online questionnaire. This
questionnaire contains anamnestic data collection, questionnaires to assess ADHD symptoms and
parenting practices.
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