Drug therapy in ADHD in people with intellectual disabilities
Author:
Courtenay Kenneth,Elstner Samuel
Abstract
Purpose
– Attention disorders in people with intellectual disabilities (ID) is common. Current drug treatments are based on the literature in people without ID. The purpose of this paper is to present a review of the drug treatment of Attention Deficit Hyperactivity Disorder (ADHD) in people with ID in the German and English languages literature with the aim of exploring the current evidence base.
Design/methodology/approach
– The paper provides a general review of the evidence base on drug treatment of ADHD in people with ID from the German and English language literature.
Findings
– Studies and practice guidance on ADHD in both languages are similar with more information published in English. Much of the evidence on drug therapy to treat ADHD in people with ID is based on studies in children. The literature on ADHD in children without ID is helpful but not specific to all people with ID who have ADHD. The response rates to medication to treat ADHD in people with ID are lower than in people without ID. The occurrence of side effects from medication is more common in people with ID. Co-morbid disorders are often present in people with ADHD that could affect study findings.
Practical implications
– Medication used to treat ADHD is effective when treating ADHD in people with ID. Prescribers should be aware of guidelines on medication and their potential drug interactions and side effects. Newer drugs could offer more effective treatments because of fewer adverse effects than current medications.
Originality/value
– The general review offers an insight in to the literature in German and English on ADHD in ID comparing what is published in both languages.
Subject
Psychiatry and Mental health
Reference50 articles.
1. Aman, M.G.
,
Buican, B.
and
Arnold, L.E.
(2003), “Methylphenidate treatment in children with borderline IQ and mental retardation: analyses of three aggregated studies”,
Journal of Child and Adolescent Psychopharmacology
, Vol. 13 No. 1, pp. 29-40. 2. Aman, M.G.
,
Pejeau, C.
,
Osborne, P.
,
Rojahn, J.
and
Handen, B.
(1996), “Four-year follow-up of children with low intelligence and ADHD”,
Research in Developmental Disabilities
, Vol. 17 No. 6, pp. 417-32. 3. Aman, M.G.
,
Smith, T.
,
Arnold, L.E.
,
Corbett-Dick, P.
,
Tumuluru, R.
,
Hollway, J.A.
,
Hymanb, S.L.
,
Marissa Mendoza-Burcham, M.
,
Pan, X.
,
Mruzek, D.W.
,
Lecavalier, L.
,
Levato, L.
,
Silverman, L.B.
and
Handen, B.
(2014), “A review of Atomoxetine effects in young people with developmental disabilities”,
Research in Developmental Disabilities
, Vol. 35 No. 6, pp. 1412-24. 4. American Psychiatric Association
(2013),
Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
, American Psychiatric Association, Washington, DC. 5. Arnold, L.E.
(2013), “Commentary: filling out the evidence base for treatment of attention-deficit hyperactivity disorder symptoms in children with intellectual and developmental disability: conclusions for clinicians – a response to Simonoff et al.
”,
Journal of Child Psychology and Psychiatry
, Vol. 54 No. 6, pp. 701-4.
Cited by
10 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献
|
|