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Showing posts from September, 2017

Energy drinks significantly increase hyperactivity in schoolchildren, study finds

The finding has implications for school success and lends support to existing recommendations to limit the amount of sweetened beverages schoolchildren drink. The authors also recommend that children avoid energy drinks, which in addition to high levels of sugar also often contain caffeine. The study is published in the journal  Academic Pediatrics. The research team -- led by professor Jeannette Ickovics, director of CARE (Community Alliance for Research and Engagement) at the School of Public Health -- surveyed 1,649 middle-school students randomly selected from a single urban school district in Connecticut. The researchers found that boys were more likely to consume energy drinks than girls and that black and Hispanic boys were more likely to drink the beverages than their white peers. The average age of the student participants was 12.4 years old. The study controlled for the number and type of other sugar-sweetened drinks consumed. "As the total number of sugar-sweete...

People with ADHD are twice as likely to die prematurely, often due to accidents

Led by Søren Dalsgaard from Aarhus University in Denmark, the large nationwide  cohort study followed nearly 2 million individuals from the Danish national registers, including more than 32000 people with ADHD, from their first birthday to 2013 (a maximum of 32 years). The causes of premature death were assessed to compare individuals with and without ADHD. During follow-up, 107 individuals with ADHD died. People diagnosed with ADHD were about twice as likely to die prematurely as people without the disorder, even after adjusting for factors known to affect the risk of early death including age, sex, family history of psychiatric disorders, maternal and paternal age, and parental education. This increased risk of premature death  in people with ADHD was mainly driven by deaths from unnatural causes, more than half of which were caused by accidents (42 deaths among 79 people for whom the cause of death was known). The risk of dying prematurely increased with age at diagno...

ADHD plus childhood trauma heightens risk for self-harm, suicide

The findings, just reported in the journal  Development and Psychopathology , add to a growing body of evidence that environmental factors, including maltreatment in childhood, can have a significant bearing on the negative psychosocial outcomes of attention-deficit hyperactivity disorder. "While ADHD is clearly a heritable and biologically based disorder, and can be treated with medications, it is very important for clinicians and treatment providers to pay close attention to the trauma experiences of individuals, particularly women, with ADHD," said Maya Guendelman, a Ph.D. student in psychology at UC Berkeley, and lead author of the study. The results also raise the question of whether children with ADHD are more vulnerable to maltreatment due to family stress. A neurodevelopmental disorder, ADHD is estimated to afflict at least 6 million children and teenagers in the United States and is characterized by poor concentration, distractibility, hyperactivity, impulsive...

Mood, anxiety disorders common in Tourette patients, emerge at a young age

t has long been known that TS, which emerges in childhood and is characterized by troublesome motor and vocal tics, is often accompanied by other disorders, especially attention-deficit hyperactivity disorder (ADHD) and obsessive-compulsive disorder (OCD). In many patients these "comorbid" conditions cause more distress and disability for patients than TS tics themselves. But the size and rigor of the new study, conducted by an international group of researchers known as the Tourette Syndrome Association International Consortium for Genetics (TSAICG) and published in the February 11, 2015 online edition of JAMA Psychiatry, provides the most comprehensive and reliable picture of TS comorbidities to date, said Carol A. Mathews, MD, professor of psychiatry at UCSF and co-senior author of the new report. "This is the biggest data set of its kind that I know of," Mathews said. "We've interviewed thousands of people and collected a huge wealth of clinical d...

One in six college students misuse ADHD stimulant drugs

Senior psychology major Kari Benson has seen that firsthand with fellow students. As a sophomore, she had started working with associate professor Kate Flory in the University of South Carolina's Parenting and Family Research Center, studying social impairment in children with ADHD. Friends would ask her what she was up to, and once word got around that she was doing ADHD research, a few acquaintances that didn't know her very well started making requests. "People would ask me if I could get them Adderall or Ritalin," Benson says. "I realized that this was a pretty prevalent issue on campus, and I wanted to see what I could do about it." She set out to analyze collegiate misuse of stimulant ADHD drugs, earning a grant as a Magellan Scholar from the Office of Undergraduate Research to help put together a survey of Carolina students. To familiarize herself with previous work in the area, she prepared a literature review that Flory thought merited publ...

Neuroscientists call for immediate action to determine the dangers and benefits of cognitive-enhancing drug use in healthy people

There is growing 'lifestyle use' of cognitive-enhancing drugs -- such as methylphenidate (marketed as Ritalin) and modafinil (marketed as Provigil) -- by healthy individuals to improve concentration, memory, and other aspects of cognitive performance. But very little is known about the long-term effects of this non-medical use, say the authors. "We simply do not know enough about how many healthy people are using cognitive-enhancing drugs, in what ways and why," explains Professor Sahakian. What evidence there is suggests that healthy individuals use cognitive-enhancing drugs to gain a competitive edge at school, university, or work, and for maintaining attention and performance when sleep derived or jet lagged. Most research has focused on student use in the USA with estimates varying between 5% and 35%. Worryingly, say the authors, this might only be the tip of the iceberg and is unlikely to be representative of usage in professional or older populations. A w...

Rates of ADHD appear to decrease at higher altitudes

In Utah, for example, an analysis of information from two national health surveys correlated with the average state elevation of 6,100 feet showed that the rate of diagnosed ADHD cases is about 50 percent of states at sea level. In Salt Lake City, whose elevation is about 4,300 feet, diagnosed ADHD prevalence is approximately 38 percent less than at sea level. One potential reason for the decreased  rate of ADHD, University of Utah researchers believe, is higher levels of dopamine produced as a reaction to hypobaric hypoxia -- a condition caused when people breathe air with less oxygen at higher elevations. Decreased dopamine levels are associated with ADHD so when levels of the hormone increase with elevation, the risk for getting the disorder diminishes. There are other potential reasons for the disparities in the rates of the disorder, such as regional inconsistencies in diagnosing ADHD. The study findings, published in the Journal of Attention Disorders online, have impor...

Study finds 1. 2 percent of preschoolers on Medicaid use psychotropic drugs

Using 2000-2003 Medicaid Analytic Extract data from 36 states, a group of researchers at the Brown School at Washington University in St. Louis and at Washington University School of Medicine in St. Louis found preschoolers are receiving psychotropic medications  despite limited evidence supporting safety or efficacy. The results of the study are published in the March issue of the  American Journal of Public Health . "Because we don't have indications in our data, it is not entirely clear why these children are receiving psychotropic drugs," said Lauren Garfield, PhD, lead author on the study, who was a postdoctoral research associate at the Brown School when the study was conducted and is now with Mercy Research in St. Louis. "It is possible that some of these children have brain injuries or insults, such as traumatic brain injuries, fetal alcohol syndrome or the like, for which treatment is being provided. But if these medications are being used solely for...

One-third of women with ADHD report being sexually abused during childhood

Among women, 34 per cent of those with ADHD reported they were sexually abused before they turned 18. In contrast, 14 per cent of women without ADHD reported that they had experienced childhood sexual abuse. Twice as many women with ADHD reported that they had experienced childhood physical abuse than women without this condition (44% vs 21%). "These findings suggest there is a silent epidemic of abuse among people and particularly women with ADHD," says co-author Esme Fuller-Thomson, professor and Sandra Rotman Endowed Chair at U of T's Factor-Inwentash Faculty of Social Work and the Faculty of Medicine. Fuller-Thomson's research also noted that a greater percentage of men with ADHD than men without ADHD reported that they were sexually abused (11 per cent vs six per cent) or physically abused (41 per cent vs 31 per cent) during their childhood. Investigators examined a nationally representative sample of 12,877 women and 10,496 men in the 2012 Canadian Comm...

Novel mechanism involved in attention-deficit hyperactivity disorder, study shows

Described for the first time in 1845, but came to the fore only in recent decades, ADHD is a disorder affecting children, generally diagnosed before age seven, with important effects persisting into adulthood. Its main features are frantic hyperactivity, serious difficulties in concentrating on activities, easiness to get distracted and marked impulsivity. Not to be simply confused with a "lively" childhood, it is a neuropsychiatric disorder causing difficulties with peers and, possibly, leading to learning problems. Yet, while currently available pharmacological treatments follow a symptomatic approach, little is known on the causes of the disease. Now a group of researchers from the Neuromed Institute identified a molecular mechanism that, when dysregulated, causes the typical symptoms of children affected by ADHD. It is the PI3K gamma enzyme, involved in intracellular signaling. Already known for some time, this molecule has been studied primarily in the context of th...