New US care recommendations on the treatment of aggression in ADHD

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This care recommendation produced by Drew H. Barzman (Assistant Professor of Pediatrics and Psychiatry at Cincinnati Children’s Hospital Medical Center) sets out to answer the following question: Among children with ADHD and aggression, is the pharmacological treatment of ADHD, versus no pharmacological treatment of ADHD, effective in reducing aggressive behaviour?

The authors searched Medline, PsychInfo, the National Guidelines Clearinghouse, and the Cochrane Database of Systematic Reviews for meta-analyses, systematic reviews, or practice guidelines related to the treatment of aggression in children and adolescents with attention deficit hyperactivity disorder.

The care recommendations and the levels of evidence that support them are as follows:

  1. It is strongly recommended that appropriate pharmacological treatment for ADHD be first-line pharmacotherapy for aggression in children and adolescents with ADHD (High evidence).
  2. It is recommended that children and adolescents be advised to seek psychotherapy in addition to the pharmacological treatment of ADHD and aggression (Moderate evidence).
  3. It is recommended that when psychosocial interventions and ADHD medications are effective in the control of core ADHD symptoms but fail to reduce aggression, risperidone be added to current treatment (Low to moderate evidence)

List BA, Barzman DH. Evidence-based recommendations for the treatment of aggression in pediatric patients with attention deficit hyperactivity disorder (PDF). Psychiatr Q. 2011 Mar;82(1):33-42.

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Andre Tomlin

André Tomlin is an Information Scientist with 20 years experience working in evidence-based healthcare. He's worked in the NHS, for Oxford University and since 2002 as Managing Director of Minervation Ltd, a consultancy company who do clever digital stuff for charities, universities and the public sector. Most recently André has been the driving force behind the Mental Elf and the National Elf Service; an innovative digital platform that helps professionals keep up to date with simple, clear and engaging summaries of evidence-based research. André is a Trustee at the Centre for Mental Health and an Honorary Research Fellow at University College London Division of Psychiatry. He lives in Bristol, surrounded by dogs, elflings and lots of woodland!

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