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.
Abstract

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