"Everything's a Challenge": An Interview Study of ADHD Individuals in the Midst of the Prescription Stimulant Shortage.

IF 2.7 3区 医学 Q2 PSYCHIATRY
Journal of Attention Disorders Pub Date : 2025-01-01 Epub Date: 2024-10-08 DOI:10.1177/10870547241288351
Benjamin Johnson, Daniel Stjepanovic, Janni Leung, Gary C K Chan
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引用次数: 0

Abstract

Background: The shortage of prescription stimulants is an ongoing issue that is impacting the ability of individuals with ADHD to access their medication. Amidst concerns that this shortage may have a substantial impact on individuals' ability to manage their symptoms effectively, this research seeks to understand the experiences and consequences for those affected.

Methods: In this study, we interviewed individuals with ADHD who have been directly impacted by the stimulant shortage. Thematic analysis focused on identifying common themes related to challenges with medication access and the resulting effects on daily living.

Results: The study uncovered significant difficulties in accessing ADHD medication due to current shortages, leading to disruptions in the management of ADHD symptoms and subsequent detriments to individuals' professional, educational, and personal lives. Systematic controls aimed at reducing non-medical use were found to exacerbate these access issues, inadvertently compounding the challenges faced by those using medication for legitimate medical needs. Individuals also described ways they coped with the shortage, with some seeking ADHD medication via unofficial channels.

Conclusion: Our findings highlight the urgency of addressing stimulant shortages to safeguard the wellbeing of individuals with ADHD. This study also calls for a critical review of policy measures regulating stimulant medication access, and their effectiveness at reducing non-medical use given the unintended consequences these regulations appear to have on individuals prescribed these medications for therapeutic purposes.

"一切都是挑战":处方兴奋剂短缺时期多动症患者访谈研究》。
背景:处方兴奋剂短缺是一个持续存在的问题,影响了多动症患者获得药物治疗的能力。人们担心药物短缺可能会严重影响患者有效控制症状的能力,本研究试图了解受影响者的经历和后果:在这项研究中,我们采访了受到兴奋剂短缺直接影响的多动症患者。主题分析的重点是找出与获得药物方面的挑战以及由此对日常生活造成的影响有关的共同主题:研究发现,由于目前药物短缺,ADHD 患者在获得药物治疗方面面临巨大困难,导致 ADHD 症状的治疗中断,进而对患者的职业、教育和个人生活造成损害。研究发现,旨在减少非医疗用药的系统控制措施加剧了这些用药问题,无意中加重了因合法医疗需求而用药者所面临的挑战。个别人还描述了他们应对药物短缺的方法,其中一些人通过非官方渠道寻求多动症药物:我们的研究结果凸显了解决兴奋剂短缺问题以保障多动症患者福祉的紧迫性。本研究还呼吁对规范兴奋剂药物获取的政策措施及其在减少非医疗用药方面的有效性进行严格审查,因为这些法规似乎会对为治疗目的而处方这些药物的患者造成意想不到的后果。
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
CiteScore
7.60
自引率
6.70%
发文量
71
审稿时长
6-12 weeks
期刊介绍: Journal of Attention Disorders (JAD) focuses on basic and applied science concerning attention and related functions in children, adolescents, and adults. JAD publishes articles on diagnosis, comorbidity, neuropsychological functioning, psychopharmacology, and psychosocial issues. The journal also addresses practice, policy, and theory, as well as review articles, commentaries, in-depth analyses, empirical research articles, and case presentations or program evaluations.
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