A Controlled Trial of Methylphenidate in Black Adolescents

Author:

Brown Ronald T.1,Sexson Sandra B.1

Affiliation:

1. Division of Child and Adolescent Psychiatry, Emory University School of Medicine, Atlanta, Georgia

Abstract

The short-term effects of methylphenidate were examined on behavioral, laboratory, academic, and physiological measures in 11 black male adolescents diagnosed as having attention deficit disorder (ADD). In a double-blind, crossover design with randomized order, the subjects received placebo and each of three methylphenidate doses (0.15 mg/kg, 0.30 mg/kg, and 0.50 mg/kg) for a period of 2 weeks per medication dosage. Significant drug effects were found for the majority of measures. In general, the higher doses resulted in the most beneficial response in behavioral, academic, and laboratory measures of attention and impulsivity. However, a significant linear increase occurred in diastolic blood pressure. The results suggest that methylphenidate is an effective adjunct to the treatment of ADD in adolescents.

Publisher

SAGE Publications

Subject

Pediatrics, Perinatology, and Child Health

Reference27 articles.

1. American Psychological Association. Diagnostic and statistical manual of mental disorders. 3rd ed. (revised). Washington: D.C.: American Psychological Association, 1986:41-5.

2. Weiss G., Hechtman LT Hyperactive children grown up. New York: Guilford Press, 1986:50-8.

3. Attention deficit disorder in adolescents

4. The hyperactive child at adolescence: Cognitive, emotional, and social functioning

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