Methylphenidate Use for Emotional Dysregulation in Children and Adolescents with ADHD and ADHD and ASD: A Naturalistic Study

Journal of Clinical Medicine

Concetta de Giambattista¹  Patrizia Ventura¹  Lucia Margari¹  Maddalena Cavone¹  Alessandra Di Gioia¹  Paolo Trerotoli² 

[1] Child Neuropsychiatric Unit, University of Bari Aldo Moro, Piazza Giulio Cesare, 70121 Bari, Italy;Department of Biomedical Sciences and Human Oncology, University of Bari, 70010 Bari, Italy;

关键词: methylphenidate;    MPH;    emotional dysregulation;    ED;    autism spectrum disorder;    ASD;   

DOI  :  10.3390/jcm11102922

来源: DOAJ

【 摘 要 】

Emotional dysregulation (ED) is common in attention-deficit/hyperactivity disorder (ADHD). Nonetheless, research on ADHD in children with autism spectrum disorder (ASD) and ADHD is still ongoing. Several studies suggest that methylphenidate (MPH) may be effective for ED in ADHD, while there is not enough evidence about its use in ASD with comorbid ADHD. This naturalistic study aims to investigate the effectiveness of immediate- and extended-release MPH in the treatment of ED in 70 children and adolescents (6–18 years), with a diagnosis of ADHD (n = 41) and of ASD with comorbid ADHD (n = 29), using the Child Behavior Checklist—Attention/Aggressive/Anxious (CBCL-AAA). Their parents completed the CBCL twice—first during the summer medication-free period, that is, at least one month after drug interruption; and again after three months of treatment restart. Results demonstrate that MPH is associated with a statistically significant reduction in ED in ADHD and ASD, without substantial adverse events, supporting the use of psychostimulants for the treatment of ED in these neurodevelopmental disorders.

【 授权许可】

Unknown