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Artigos Científicos

quinta-feira, 06 dezembro 2018 16:09

Predictors for Receiving Medication and/or Psychotherapy in Children Newly Diagnosed With ADHD: A Longitudinal Population-Based Cohort Study

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Oliver Scholle1,Jörg M. Fegert2Bianca Kollhorst1Eyyub E. Öztürk 1Oliver Riedel1Michael Kölch2,3

1
Leibniz Institute for Prevention Research and Epidemiology – BIPS, Bremen, Germany
2
Department of Child and Adolescent Psychiatry/Psychotherapy, University of Ulm, Germany
3
Brandenburg Medical School Theodore Fontane, Neuruppin, Germany

Journal of Attention Disorders: SAGE Journals

December 6, 2018


ABSTRACT:

Objective: The aim of this study is to identify characteristics predicting the use of medication and/or psychotherapy after a first ADHD diagnosis.

Method: This cohort study was based on German claims data including 12,250 treatment-naïve children aged 5 to 12 years with an incident ADHD diagnosis in 2010. Logistic regression models were used to estimate associations between children’s characteristics at first diagnosis and the chosen treatment within the following 5 years.

Results: Medication use was associated with male sex, an ADHD diagnosis “with hyperactivity,” comorbid depression, and comorbid developmental and conduct disorders. Male sex and comorbid neurotic and somatoform, conduct, and emotional disorders were associated with psychotherapy only. Receiving both treatments—instead of medication only—was associated with comorbid depression, neurotic and somatoform, conduct, and emotional disorders.

Conclusion: In case of equal access to both treatment options, patients, for example, with externalizing symptoms were more prone to receive medication and/or psychotherapy than the average child diagnosed with ADHD.


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