NDLI: Attention-deficit/hyperactivity disorder: Are we medicating for social disadvantage? (Against)

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Attention-deficit/hyperactivity disorder: Are we medicating for social disadvantage? (Against)

Content Provider	Scilit
Author	Efron, Daryl
Copyright Year	2006
Description	Journal: Journal of Paediatrics and Child Health The functional impairments seen in attention deficit hyperactivity disorder (ADHD) are the result of a complex interplay between biological vulnerability and environmental influences. In children with ADHD from social disadvantaged families the latter often appear to predominate. Stimulant medication is the intervention with the largest demonstrable effect size in decreasing the core symptoms of ADHD, irrespective of social context. However, medication alone will not effectively treat common comorbidities, such as oppositional behaviour, anxiety, or learning disabilities. Nor can medication be expected to diminish major family discord or psychosocial adversity. Stimulant medication is one key therapy modality in children with ADHD. Data on prescribing rates do not support the assertion that there is systematic overprescribing of stimulants in Australia. There is, however, a serious problem with access to family support and appropriate services in schools for children with ADHD. Paediatricians have a responsibility to provide evidence-based medical treatment for children with ADHD (i.e. stimulant medication), while advocating across sectors for services to enhance family resilience and function.
Ending Page	551
Starting Page	548
ISSN	2573508X
e-ISSN	14401754
DOI	10.1111/j.1440-1754.2006.00920.x
Journal	Journal of Paediatrics and Child Health
Issue Number	9
Volume Number	42
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2006-09-01
Access Restriction	Open
Subject Keyword	Journal: Journal of Paediatrics and Child Health Special Education Clinical Psychology Attention‐deficit/hyperactivity Disorder Child Psychiatry Stimulant Medication
Content Type	Text
Resource Type	Article

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