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Original Abstract of the Article

Major Research Findings

Many studies have investigated the effectiveness of various approaches to treating attention deficit hyperactivity disorder (ADHD), including medication, cognitive behavioral therapy, and exercise therapy. 14 points out that the effectiveness and safety of pharmacological treatments in patients with ADHD and drug dependence are unclear. 6 is a pilot study that tested the hypothesis that transdermal nicotine would be effective for treating children and adolescents with ADHD. 1 assessed the experimental noradrenergic compound tomoxetine as an alternative treatment for adult ADHD. 8 presents a systematic review and economic model that assesses the clinical and cost-effectiveness of oral methylphenidate hydrochloride (MPH), dexamfetaminesulphate (DEX), and atomoxetine (ATX) in children and adolescents (<18 years of age) diagnosed with ADHD (including hyperkinetic disorder). 3 is a controlled study that investigated the efficacy and tolerability of nortriptyline (NT) in treating pediatric ADHD. 13 is a study protocol for a randomized controlled trial investigating the efficacy of integrated cognitive behavioral therapy for adult treatment-seeking substance use disorder patients with comorbid ADHD. 17 is a protocol for a systematic review and network meta-analysis of randomized controlled trials that will evaluate the comparative efficacy and safety of pharmacological and non-pharmacological treatments in children and adolescents with ADHD. 25 explores the effectiveness of cognitive behavioral therapy (CBT) in treating adults with ADHD. 22 is a randomized clinical trial that investigated the effects of cognitively and physically demanding exergaming on executive functions in children with ADHD. 21 is a randomized clinical trial that examined the effects of behavioral, psychostimulant, and combined treatments on homework problems in children with ADHD. 26 investigates the clinical effects of psychological and behavioral intervention combined with biofeedback in the treatment of preschool children with ADHD. 28 discusses the effectiveness of extended-release methylphenidate in adults with ADHD. 11 is a systematic review and meta-analysis that assessed the effectiveness of acupuncture as a treatment option for ADHD. 12 is a meta-analysis of randomized clinical trials that investigated treatment discontinuation with methylphenidate in adults with ADHD. 4 is a placebo-controlled study that evaluated the efficacy and safety of guanfacine in treating children with tic disorders and ADHD. 29 is a systematic review and meta-analysis that investigated the relationship between BDNF levels in ADHD before and after treatment with stimulants in childhood. 15 discusses the use of tricyclic antidepressants in children and adolescents with ADHD. 18 is a meta-analysis that investigated family risk factors for ADHD. 27 is a systematic review and meta-analysis that assessed the efficacy of acupuncture in treating ADHD in children and adolescents. 5 is a randomized placebo-controlled study that assessed the efficacy of once-daily atomoxetine administration in treating children and adolescents with ADHD. 9 discusses the use of risperidone in people with intellectual disabilities and ADHD. 16 is a study that investigated the dynamics of behavioral indicators, attention, and memory in children with ADHD treated with noofen (capsules 250 mg). 10 discusses pharmacological treatment for ADHD in children with comorbid tic disorders. 7 discusses pharmacotherapy for adult ADHD. 23 discusses the use of bupropion in adults with ADHD. 20 is a systematic review that examined alternative pharmacological strategies for adult ADHD treatment. 2 evaluated the perceptions of children and their parents about stimulant medication treatment for ADHD. 19 is a study protocol for a randomized controlled trial that will investigate the effectiveness of cognitive computer training in children with ADHD. 24 discusses the use of methylphenidate in children and adolescents with autism spectrum disorder.

Treatment Summary

Medication therapy, including methylphenidate, dextroamphetamine, and atomoxetine, is commonly used in ADHD treatment. 8 These drugs have been shown to be effective in improving attention, concentration, and impulsivity. However, medication therapy may have side effects such as decreased appetite, insomnia, anxiety, and tics. 8 Additionally, in cases where ADHD and drug dependence coexist, medication therapy should be carefully considered due to the uncertain effectiveness and safety. 14 Tricyclic antidepressants such as nortriptyline are sometimes used as a second-line treatment option for ADHD. 15 Alpha-2 agonists such as guanfacine are also used in ADHD treatment. 4 Cognitive behavioral therapy (CBT) has shown promise as a non-pharmacological treatment approach. 25 CBT aims to teach people techniques to control core ADHD symptoms by changing thoughts and behaviors that reinforce harmful effects of the disorder. Exergaming may improve executive functions in children. 22 Acupuncture may also be effective in treating ADHD. 11 27 It is crucial to select the appropriate treatment for each patient, considering their individual symptoms and circumstances.

Benefits and Risks

Benefit Summary

ADHD treatments may offer various benefits, such as improving attention, concentration, and impulsivity; enhancing academic performance; and improving social adaptability. 8 21 Exergaming may also improve executive functions in children. 22 CBT aims to teach people techniques to control core ADHD symptoms by changing thoughts and behaviors that reinforce harmful effects of the disorder. 25 Acupuncture may help alleviate ADHD symptoms. 11 27

Risk Summary

ADHD treatments may carry the risk of side effects. 8 Medication therapy can cause side effects such as decreased appetite, insomnia, anxiety, and tics. 8 In cases where ADHD and drug dependence coexist, medication therapy should be carefully considered. 14

Comparison of Studies

Commonalities of Studies

Multiple studies have investigated the effectiveness of medication and non-medication therapy for ADHD. 8 17 25 22 21 11 27 These studies suggest that choosing the right treatment for each patient, considering their individual symptoms and circumstances, is crucial.

Differences in Studies

Each study differs in its target age group, treatment method, and evaluation approach. 8 17 25 22 21 11 27 Therefore, directly comparing study results can be challenging.

Consistency and Contradictions in Results

The study results exhibit both consistency and contradictions. 8 17 25 22 21 11 27 For example, medication therapy has been shown to be effective in improving attention, concentration, and impulsivity, but it also carries the risk of side effects. 8 Additionally, in cases where ADHD and drug dependence coexist, medication therapy should be carefully considered due to the uncertain effectiveness and safety. 14 Non-medication therapy can be promising but not effective for all patients. 25 22 11 27 It is crucial to comprehensively evaluate research results and select the appropriate treatment for each patient, considering their individual symptoms and circumstances.

Practical Application Notes

The effectiveness of ADHD treatments varies depending on the individual symptoms and circumstances of each patient. 8 17 25 22 21 11 27 Therefore, consulting a physician or specialist is essential when choosing a treatment approach. Additionally, it is crucial to monitor treatment effectiveness continuously and adjust treatment methods as needed.

Limitations of Current Research

Current research has several limitations. 8 17 25 22 21 11 27 For example, some studies have a small sample size or do not track treatment effectiveness over the long term. Additionally, differences in research methods and evaluation approaches make it challenging to directly compare study results.

Future Research Directions

Further research on ADHD treatment is necessary. 8 17 25 22 21 11 27 Research on ADHD and drug dependence, long-term treatment effectiveness, and developing optimal treatment methods tailored to individual symptoms and circumstances is particularly crucial.

Conclusion

ADHD treatments may be effective in improving attention, concentration, and impulsivity, but they can also carry the risk of side effects. 8 Consulting a physician or specialist is crucial when choosing a treatment. Continuously monitoring treatment effectiveness and adjusting treatment methods as needed is also essential. Future research is expected to provide further insights into ADHD treatment. 8 17 25 22 21 11 27

Treatment List

Medication Therapy: methylphenidate, dextroamphetamine, atomoxetine, nortriptyline, guanfacine, risperidone, noofen Non-Medication Therapy: cognitive behavioral therapy (CBT), exergaming, acupuncture


Literature analysis of 29 papers
Positive Content
26
Neutral Content
2
Negative Content
1
Article Type
13
11
14
14
28

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