Professional Documents
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English105
Nov/15/2016
StephanieMaherPalenque,M.A.
children, being able to extend during adolescence even in cases and symptoms continue into
adulthood.
ADHD has a very strong negative impact on the individual, extending to all areas of life.
Due to the symptoms of the disorder, which can be added to the other symptoms associated with
it, patients are psychologically affected, in their academic performance, family and social
have a greater possibility of suffering accidents, abusing substances or having problems with the
law; In line, their quality of life and self-esteem may be greatly diminished. The economic cost
associated with the disorder is high and not only due too medical or health costs, but also to
indirect costs resulting from loss of labor productivity, legal problems or educational
repercussions.
The treatment reduces the negative impact of the disorder on these areas and in many
cases determines that they will not be affected, so that the establishment of a personalized
symptoms that cause functional deterioration and the area in which the patient develops. The
participation of patients and their parents, as well as information and collaboration of teachers, is
important in establishing the most appropriate therapy according to individual circumstances and
multimodal therapy and is more effective than isolated psychosocial treatment; beneficial effects
on the symptoms surrounding ADHD and its functional impact are observed.
To assess whether a drug is effective requires previously and individually define the goals
for the patient both short and long term. These drugs usually control the clinically more striking
may have important functional significance. Therefore, defining what should be understood by
inadequate response or lack of improvement is one of the most relevant aspects to improve the
prognosis of patients
Although in general the drugs used are safe, effective and well tolerated, some moderate
adverse effects may lead to patients diminishing their adherence to them, especially in the
adolescent group. The variability in the occurrence of adverse effects, which could be due to the
patients 'or their parents' subjective perception of the usefulness of the drug and compromise
consider that the patient does not respond optimally or achieving clinical remission.
CONCLUSIONS
There is a high variability in the effect of medications for ADHD. The efficacy of short-
acting and long-acting stimulants does not differ greatly in clinical trials, although both groups
Differences in effect size and other characteristics (lower number of doses per day, longer
duration of action) translate into cost differences when treating large numbers of patients.
Reference:
Kessler RC, Adler L, Barkley R, et al. The prevalence and correlates of adult ADHD in
the United States: results from the National Comorbidity Survey Replication. Am J
Psychiatry 2006; 163: 716-723.
Friedrichs B, Igl W, Larsson H, et al. Coexisting psychiatric problems and stressful life
events in adults with symptoms of ADHD--a large Swedish population-based study of
twins. J Atten Disord 2012; 16: 13-22.
Polanczyk GV, Willcutt EG, Salum GA, et al. ADHD prevalence estimates across three
decades: an updated systematic review and meta-regression analysis. Int J Epidemiol
2014; 43: 434-442.