Naturalistic exploration of the effect of osmotic release oral system-methylphenidate on remission rate and functional improvement in Taiwanese children with attention-deficit-hyperactivity disorder

R.-F. Tzang, Y.-C. Wang, C.-B. Yeh, C.-D. Hsu, H.-Y. Liang, P.-C. Yang, H.-J. Liu, Yi-Shun Huang, H. Cheng, Y.-C. Hsu, S.-I. Liu, C.-H. Pan, Y.-F. Huang, C.-F. Huang, Y.-Y. Wu, Y.-H. Huang, H.-C. Liu, H.-L. Chang

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Abstract

Aim: To determine the differences in the remission rate, recovery rate, functional improvement, and treatment adherence related to treatment with short-acting immediate-release methylphenidate (IR-MPH) and long-acting osmotic-release oral system-methylphenidate (OROS-MPH) in a naturalistic setting among Taiwanese children with attention-deficit-hyperactivity disorder (ADHD). Methods: A total of 757 children with ADHD, aged 6-18 years, was evaluated using the following in order determine functional improvement and treatment adherence: the Chinese version of the Swanson, Nolan, and Pelham, version IV scale (SNAP-IV-C), Clinical Global Impression-ADHD-Severity (CGI-S) to measure remission and recovery rates, the Chinese version of the Social Adjustment Inventory for Children and Adolescents (CSAICA), and caregiver's satisfaction rate, treatment adherence, and frequency of adverse effects. Results: According to the SNAP-IV-C scores, the remission rate was 30.72%, and the recovery rate was 16.38%. Compared to short-acting IR-MPH, OROS-MPH was associated with greater functional improvement and treatment adherence among children with ADHD. Conclusion: OROS-MPH treatment at the adequate dosage can achieve higher remission and recovery rates, produce greater functional improvement, and result in better treatment adherence than IR-MPH treatment. © 2012 Japanese Society of Psychiatry and Neurology.
Original languageAmerican English
Pages (from-to)53-63
JournalPsychiatry and Clinical Neurosciences
Volume66
Issue number1
DOIs
StatePublished - 2012

Keywords

  • OROS-MPH
  • attention-deficit-hyperactivity disorder
  • functionality
  • recovery rate
  • remission rate

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