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Artigos Científicos

quinta-feira, 19 maio 2016 21:42

Physician Perceptions of ADHD Stimulant Diversion and Misuse

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Natalie M. Colaneri1,Sarah A. Keim2Andrew Adesman1

1
Cohen Children’s Medical Center of New York, New Hyde Park, NY, USA
2
Nationwide Children’s Hospital, Columbus, OH, USA

Journal of Attention Disorders: SAGE Journals

May 19, 2016


ABSTRACT:

Objective: The recent rise in ADHD has prompted concerns about adolescents with ADHD diverting and/or misusing stimulants. This is the first study to assess physician perceptions of the pervasiveness of these issues.

Method: Questionnaires were mailed to a national sample of pediatric subspecialists. Responses were analyzed (n = 826; 18% response rate) using descriptive statistics and regression analyses.

Results: In the past year, 59% of physicians suspected ≥1 patient(s) with ADHD diverted stimulants. Seventy-four percent believed ≥1 patient(s) feigned symptoms to obtain an initial ADHD diagnosis; 66% believed ≥1 patient(s) wanted stimulants to improve academic performance. Child and adolescent psychiatrists were most likely to suspect diversion and feigning symptoms. Thirty-nine percent of physicians believed diversion was at least “common.”

Conclusion: Although many physicians suspected stimulant diversion and misuse, a substantial number were unaware of these issues, and subspecialist perceptions varied. These findings support the potential pervasiveness of these issues and the need for increased physician awareness.


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