{"title":"Review of Clinical Considerations in the Management of Adolescents with ADHD During Ramadan","authors":"Faraz Khan, Sarah Mohiuddin","doi":"10.2174/0122106766298494240510052101","DOIUrl":null,"url":null,"abstract":"\n\nFasting in Ramadan, a holy month in Islam, is considered a\nreligious obligation to Muslims after puberty. Fasting during Ramadan entails\nabstinence from consuming food and liquids, as well as abstaining from other\nactivities, including smoking and sexual activity, from dawn until sunset. Literature\nexists regarding the management of multiple medical conditions impacted by the\nmonth of fasting; however, limited literature exists to guide the management of\nAttention-Deficit/Hyperactivity Disorder (ADHD) during Ramadan.\n\n\n\nThis systematic review employed a PUBMED search which was\nconducted using keywords ((ADHD) AND (Muslims)) OR ((ADHD) AND\n(FASTING)) OR ((ADHD) AND (RAMADAN)) OR ((RAMADAN) AND\n(MANAGEMENT)) and search strategies to find existing literature on ADHD\nmanagement during Ramadan or while fasting.\n\n\n\nEight hundred and sixty-one results were obtained. Of these, full texts of\nclinical trials, systematic reviews, reviews, randomized control trials, and metaanalyses\nresulted in 303 results that were screened by title or abstract for relevance to\nthe topic. The duplicate articles were removed. Eighty-nine results were incorporated\ninto this paper, including full articles, book excerpts, and online articles.\n\n\n\nMuslim adolescents may face challenges with academic and social\nfunctioning as they navigate psychosocial changes in the context of Ramadan.\nADHD management options should be discussed with individuals who are planning\nto fast. Pharmacologic management options include continuing on the current\nregimen, dose adjustment to mitigate side effect exacerbation, a change in medication\nclass, or a change in medication formulation. For severe cases or cases with comorbid\nconditions, continued fasting may not be recommended. In these cases, the patient\nshould attempt to seek counsel with their community’s religious scholar in\ncollaboration with their medication provider. Ultimately, there are limitations in the\navailable data, and there is a need for further investigation into the impacts of fasting\nduring Ramadan on individuals with ADHD and the effectiveness of interventions to\npromote treatment adherence.\n","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4000,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Adolescent Psychiatry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2174/0122106766298494240510052101","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
Abstract
Fasting in Ramadan, a holy month in Islam, is considered a
religious obligation to Muslims after puberty. Fasting during Ramadan entails
abstinence from consuming food and liquids, as well as abstaining from other
activities, including smoking and sexual activity, from dawn until sunset. Literature
exists regarding the management of multiple medical conditions impacted by the
month of fasting; however, limited literature exists to guide the management of
Attention-Deficit/Hyperactivity Disorder (ADHD) during Ramadan.
This systematic review employed a PUBMED search which was
conducted using keywords ((ADHD) AND (Muslims)) OR ((ADHD) AND
(FASTING)) OR ((ADHD) AND (RAMADAN)) OR ((RAMADAN) AND
(MANAGEMENT)) and search strategies to find existing literature on ADHD
management during Ramadan or while fasting.
Eight hundred and sixty-one results were obtained. Of these, full texts of
clinical trials, systematic reviews, reviews, randomized control trials, and metaanalyses
resulted in 303 results that were screened by title or abstract for relevance to
the topic. The duplicate articles were removed. Eighty-nine results were incorporated
into this paper, including full articles, book excerpts, and online articles.
Muslim adolescents may face challenges with academic and social
functioning as they navigate psychosocial changes in the context of Ramadan.
ADHD management options should be discussed with individuals who are planning
to fast. Pharmacologic management options include continuing on the current
regimen, dose adjustment to mitigate side effect exacerbation, a change in medication
class, or a change in medication formulation. For severe cases or cases with comorbid
conditions, continued fasting may not be recommended. In these cases, the patient
should attempt to seek counsel with their community’s religious scholar in
collaboration with their medication provider. Ultimately, there are limitations in the
available data, and there is a need for further investigation into the impacts of fasting
during Ramadan on individuals with ADHD and the effectiveness of interventions to
promote treatment adherence.
期刊介绍:
Adolescent Psychiatry a peer-reviewed journal, aims to provide mental health professionals who work with adolescents with current information relevant to the diagnosis and treatment of psychiatric disorders in adolescents. Adolescent Psychiatry reports of original research, critical reviews of topics relevant to practitioners, clinical observations with analysis and discussion, analysis of philosophical, ethical or social aspects of the fields of psychiatry and mental health, case reports with discussions, letters, and position papers. Topics include adolescent development and developmental psychopathology, psychotherapy and other psychosocial treatment approaches, psychopharmacology, and service settings and programs. The primary focus of the work should be on adolescents, transition-aged youth, The primary focus of the work should be on adolescents, transition-aged youth, or emerging adults, that is, persons 12-24 years of age . Articles on families of adolescents, or adults who have been followed since adolescence will also be considered.