Review of Clinical Considerations in the Management of Adolescents with ADHD During Ramadan

IF 0.4 Q4 PEDIATRICS

Adolescent Psychiatry Pub Date : 2024-05-22 DOI:10.2174/0122106766298494240510052101

Faraz Khan, Sarah Mohiuddin

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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.

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斋月期间管理多动症青少年的临床注意事项回顾

斋月是伊斯兰教的神圣月份，斋戒被认为是穆斯林在青春期后的一项宗教义务。斋月期间的斋戒要求从黎明到日落不进食、不饮水、不进行其他活动，包括吸烟和性活动。关于受斋戒月影响的多种病症的治疗已有文献记载，但指导斋戒期间注意力缺陷/多动障碍（ADHD）治疗的文献却很有限。或（（ADHD）和（斋戒））。或（（斋月）和（管理）））和搜索策略来查找有关斋月或斋戒期间多动症管理的现有文献。其中，临床试验、系统回顾、综述、随机对照试验和荟萃分析的全文共有 303 项结果，这些结果均通过标题或摘要筛选出与主题相关的文章。删除了重复的文章。穆斯林青少年在斋月期间可能会面临学业和社会功能方面的挑战，因为他们要适应社会心理的变化。药物治疗方案包括继续目前的治疗方案、调整剂量以减轻副作用的加重、改变药物类别或改变药物配方。对于严重病例或有合并症的病例，可能不建议继续禁食。在这种情况下，患者应尝试与药物提供者合作，向所在社区的宗教学者寻求建议。归根结底，现有数据还存在局限性，需要进一步调查斋月期间禁食对多动症患者的影响以及促进坚持治疗的干预措施的有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Adolescent Psychiatry PEDIATRICS-

CiteScore

0.80

自引率

0.00%

发文量

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.