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Prescription patterns and medication adherence in preadolescent children with attention deficit hyperactivity
Ajita S Nayak1, Hrishikesh Bipin Nachane2, Prerna Keshari1
1Department of Psychiatry, KEM Hospital and Seth GS Medical College, Mumbai, Maharashtra, India.
Insights
Medication adherence in preadolescent children with Attention Deficit Hyperactivity Disorder (ADHD) is generally good. Factors like shorter illness duration and stimulant prescriptions positively influence adherence rates.
Area of Science:
- Pediatric Psychiatry
- Neurodevelopmental Disorders
- Pharmacological Adherence
Background:
- High nonadherence rates (up to 80%) in Attention Deficit Hyperactivity Disorder (ADHD) underscore the need for adherence studies.
- Limited research exists on medication adherence in preadolescent children with ADHD.
- Recent data on ADHD prescription patterns in India are scarce.
Purpose of the Study:
- To evaluate prescription patterns for Attention Deficit Hyperactivity Disorder (ADHD) in preadolescent children.
- To assess medication adherence rates among preadolescent children diagnosed with ADHD.
Main Methods:
- A cohort of 50 children aged 5-12 years with ADHD, on medication for over 6 months, was studied.
- Sociodemographic data and prescription details were collected.
- Standardized rating scales (Vanderbilt ADHD Diagnostic Parent Rating Scale, Compliance Rating Scale) were utilized.
Main Results:
- Good compliance was observed in 62% of children; 38% exhibited reluctance.
- Adherence was positively correlated with shorter illness duration, lower severity, absence of side effects, and stimulant use.
- Non-stimulant combinations (40%) were more frequent than stimulants (28%); atomoxetine and risperidone were most prescribed.
Conclusions:
- Medication adherence in preadolescent children with ADHD is generally favorable.
- Factors influencing adherence and clinical implications are discussed.
Background:
Nonadherence in attention deficit hyperactivity disorder (ADHD) can be as high as 80%, yet studies on adherence to medications in preadolescent children are few. Recent Indian trends in prescription patterns are lacking.
Aim:
The present study assesses prescription patterns and adherence to medications in preadolescent children with ADHD.
Materials And Methods:
Fifty children aged 5-12 years with ADHD, who were on medications for at least 6 months, were enrolled. Their sociodemographic factors and prescription details were noted. Vanderbilt ADHD Diagnostic Parents Rating Scale and Compliance Rating Scale were administered.
Results:
Sixty-two percent of the children had good compliance, whereas 38% showed reluctance. Adherence was better in children with shorter duration of illness, lesser severity, absence of side effects, and stimulant prescription. Non-stimulant-based combination (40%) was more common compared to stimulants (28%), with atomoxetine and risperidone being the most commonly prescribed medications.
Conclusions:
Adherence to medications in preadolescent children with ADHD is good. Associated factors and implications are discussed.
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