Pharmacological andNon-pharmacological Treatment of Adults with ADHD by https://padlet.com/hannah_tomlinson1/geka95qhc5c0 What is the main points of this article? How would this piece of research be used to effect practice (EBP)? Is this research trustworthy? Explain and discuss. en-us 2018-09-17 09:48:53 UTC 2018-09-17 11:20:41 UTC hello@padlet.com Main points hannah_tomlinson1 https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282197111 ADHD = Attention-deficient/hyperactivity disorder. ]]> 2018-09-17 09:56:08 UTC https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282197111 Main points hannah_tomlinson1 https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282211870 When diagnosing a person with ADHD there must be at least one adult informant to indicate how that individual functions on a daily basis. ]]> 2018-09-17 10:35:25 UTC https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282211870 Main points hannah_tomlinson1 https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282214674 The aim of this paper is to perform a review of the literature focusing on recent systematic reviews and meta-analyses relevant to the pharmacological and nom pharmacological treatment of adult ADHD, in order to assist clinicians in daily decision-making. ]]> 2018-09-17 10:43:38 UTC https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282214674 Main Points hannah_tomlinson1 https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282216782 Psychostimulants are the most commonly researched medications for ADHD in children, adolescents and adults.]]> 2018-09-17 10:49:26 UTC https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282216782 Main point hannah_tomlinson1 https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282217505 Atomoxetine is a non-psychostimulant pharmacological treatment. It has been found to be the superior to placebo. ]]> 2018-09-17 10:51:37 UTC https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282217505 divaklein93 https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282221435 2018-09-17 11:02:33 UTC https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282221435 Main Points cameron_mcadam https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282222004 · Attention-deficit/hyperactivity disorder (ADHD) is one of the most common neuropsychiatric conditions,1 with a pooled worldwide prevalence estimated at about 5% in school-aged children and persistence of impairing symptoms in adulthood in up to 65% of cases
 
]]> 2018-09-17 11:04:15 UTC https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282222004 Main Points cameron_mcadam https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282222333 All pharmalogical solutions studied prove more effective that placebo effect. ]]> 2018-09-17 11:05:14 UTC https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282222333 Main Points cameron_mcadam https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282223076 · In a meta-analysis on 2665 adults with ADHD, the use of psychostimulants was significantly correlated with a mean increase in resting heart rate of 5.7 bpm and an increased systolic blood pressure of mean 2 mm Hg.3]]> 2018-09-17 11:07:29 UTC https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282223076 Main Points cameron_mcadam https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282223236 ·Although, initially ADHD was considered as only a disorder of childhood, in the last few years it has been possible to definitely validate ADHD in adulthood.4]]> 2018-09-17 11:07:54 UTC https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282223236 Is this trustworthy? hannah_tomlinson1 https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282223314 We believe this review is trustworthy as it has clearly referenced reliable sources. However, this information was recorded in 2017 and some unreliable websites were evident.]]> 2018-09-17 11:08:07 UTC https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282223314 Main Points cameron_mcadam https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282223377 ·Pharmacological treatment may be considered as the first choice and methylphenidate the first-line option (for the number of studies and participants collected).]]> 2018-09-17 11:08:17 UTC https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282223377 How is this used in effective practice? cameron_mcadam https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282223665  
· Different countries can have licensed different medications and regulations may change between children/adolescents and adults. Extended-release clonidine and extended-release guanfacine have been approved by the FDA for the treatment of ADHD, but not specifically for adults. 
]]> 2018-09-17 11:09:05 UTC https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282223665 How is this used in effective practice? cameron_mcadam https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282223826 ·North American practice parameters9 suggesting medication as first choice, and the European guidelines recommending a pharmacological]]> 2018-09-17 11:09:34 UTC https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282223826 How is this used in effective practice? cameron_mcadam https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282223987  
· A systematic review by Castells et al15 suggests that methylphenidate is significantly more efficacious than placebo in reducing ADHD symptoms with a moderately large effect size (SMD 0.49, 95% CI 0.34 to 0.64) in the short term. 
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·Non-pharmacological treatments can be used as add-on to pharmacological treatment, but while we have evidence of efficacy in children and adolescents, we do not have any evidence of efficacy of multimodal treatments in adults. 
]]> 2018-09-17 11:10:38 UTC https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282224190 Is this trustworthy cameron_mcadam https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282224304  
·In terms of non-pharmacological interventions, a series of recent meta-analyses from the European ADHD Guidelines Group (EAGG)8 failed to find solid empirical support for their efficacy for ADHD core symptoms. However, the EAGG concluded that non-pharmacological treatments might still be valuable for the treatment of comorbid conditions such as oppositional-defiant and emotional problems. 
]]> 2018-09-17 11:10:57 UTC https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282224304 Is this trustworthy cameron_mcadam https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282224402 ·We identified a total of 40 papers. Psychostimulants—such as methylphenidate, dexamphetamine, mixed amphetamine salts and lisdexamfetamine—and non-psychostimulants—such as atomoxetine—were the most studied agents.]]> 2018-09-17 11:11:15 UTC https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282224402 Is this trustworthy cameron_mcadam https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282224540 ·A systematic review by Castells et al15 suggests that methylphenidate is significantly more efficacious than placebo in reducing ADHD symptoms with a moderately large effect size (SMD 0.49, 95% CI 0.34 to 0.64) in the short term.]]> 2018-09-17 11:11:36 UTC https://padlet.com/hannah_tomlinson1/geka95qhc5c0/wish/282224540