The influence of methylphenidate on auditory brainstem response patients with attention deficit hyperactivity disorder; an exploratory study.

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Journal of Public Health Research Pub Date : 2023-10-11 eCollection Date: 2023-10-01 DOI:10.1177/22799036231204319
Emma Claesdotter-Knutsson, Johan Källstrand, Katalin Niklasson, Mitchell Andersson, Magnus Lindvall
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引用次数: 0

Abstract

Background: Attention-deficit hyperactivity disorder (ADHD), characterized by periods of inattention, overactivity, and impulsiveness, is the most prevalent neurodevelopmental disorder among children. Auditory Brainstem Response (ABR) is a technique in which clickshaped sounds elicit potentials that are recorded from electrodes placed on a patient's skull. Extant research indicates that ABR is frequently affected in neurodevelopmental disorders such as ADHD. Methylphenidate (MPH), a psychostimulant, is often prescribed to children with ADHD as a first-line pharmacological treatment. The aim of this study was to explore the effects of Methylphenidate treatment on previously observed amplitude alterations in the ABR of patients with ADHD.

Methods: We recruited 32 drug-naïve children and adolescents (19 males and 13 females; mean age 11 years) diagnosed with ADHD and 35 health controls (15 males and 20 females; mean age 12 years). The ADHD group was treated with Methylphenidate, and ABR was recorded before treatment and at a steady state of medical treatment.

Results: Medicated ADHD patients exhibited increased activity in the right side ABR in Wave VI.

Conclusions: A significant increase in activity was found in a part of the ABR thought to correspond to the thalamic area in medicated ADHD patients compared to the same area of non-medicated ADHD patients. The results add to the growing body of research suggesting that specific ABR peaks correlate to certain psychiatric symptoms.

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哌甲酯对注意缺陷多动障碍患者听性脑干反应的影响;探索性研究。
背景:注意力缺陷多动障碍(ADHD)是儿童中最常见的神经发育障碍,其特征是注意力不集中、过度活跃和冲动。听觉脑干反应(ABR)是一种通过放置在患者头骨上的电极记录的点击状声音引发电位的技术。现有研究表明,ABR在多动症等神经发育障碍中经常受到影响。哌甲酯(MPH)是一种精神刺激剂,经常被开给患有多动症的儿童作为一线药物治疗。本研究的目的是探讨哌甲酯治疗对先前观察到的ADHD患者ABR振幅变化的影响 年)和35名健康对照组(15名男性和20名女性;平均年龄12岁 年)。ADHD组用哌甲酯治疗,并在治疗前和药物治疗的稳定状态下记录ABR。结果:药物治疗的ADHD患者在第六波中右侧ABR的活性增加。这一结果增加了越来越多的研究,表明特定的ABR峰值与某些精神症状相关。
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来源期刊
Journal of Public Health Research
Journal of Public Health Research PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.70
自引率
4.30%
发文量
116
审稿时长
10 weeks
期刊介绍: The Journal of Public Health Research (JPHR) is an online Open Access, peer-reviewed journal in the field of public health science. The aim of the journal is to stimulate debate and dissemination of knowledge in the public health field in order to improve efficacy, effectiveness and efficiency of public health interventions to improve health outcomes of populations. This aim can only be achieved by adopting a global and multidisciplinary approach. The Journal of Public Health Research publishes contributions from both the “traditional'' disciplines of public health, including hygiene, epidemiology, health education, environmental health, occupational health, health policy, hospital management, health economics, law and ethics as well as from the area of new health care fields including social science, communication science, eHealth and mHealth philosophy, health technology assessment, genetics research implications, population-mental health, gender and disparity issues, global and migration-related themes. In support of this approach, JPHR strongly encourages the use of real multidisciplinary approaches and analyses in the manuscripts submitted to the journal. In addition to Original research, Systematic Review, Meta-analysis, Meta-synthesis and Perspectives and Debate articles, JPHR publishes newsworthy Brief Reports, Letters and Study Protocols related to public health and public health management activities.
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