Stimulant medication in pre-school children in New South Wales.

Abstract:

AIMS:The aims of this study were: (i) to examine the annual treatment rate of children under 4 years from 1997 to 2006; (ii) to compare their treatment rate and attrition with that of children starting treatment at the modal age; (iii) to describe the clinical characteristics of children aged less than 4 years and their response to stimulant medication for the treatment of attention-deficit hyperactivity disorder. METHODS:Retrospective study of electronic prescription and authority records of the New South Wales Department of Health and a review of clinical reports. RESULTS:The annual treatment initiation rate for children under 4 years showed a progressive decline over the decade. In 2001, 13.6% of the children starting treatment were aged 7 years (modal age); those aged <4 years represented 1.1% of the total. There was no significant difference in attrition rate between these two groups. For those aged <4 years with clinical reports available (n= 235), oppositional behaviour and developmental problems were reported frequently (78 and 43%, respectively). Non-pharmacological interventions were implemented in 77% and non-stimulant medications were prescribed in 50%. For 76% of children, an improvement in behaviour was reported after stimulant therapy. CONCLUSIONS:Children treated with stimulant medication aged <4 years were a small subgroup with a high rate of co-morbidity. The majority were perceived to have a favourable response to stimulant medication. However, there was a disturbingly high rate of prescribing of other psychotropic medications of known toxicity and unproven efficacy.

authors

Eysbouts Y,Poulton A,Salmelainen P

doi

10.1111/j.1440-1754.2011.02107.x

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

870-4

issue

12

eissn

1034-4810

issn

1440-1754

journal_volume

47

pub_type

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