Zespół nadpobudliwości psychoruchowej z deficytem uwagi (adhd)
Zapobieganie i profilaktyka
Zespół nadpobudliwości psychoruchowej z deficytem uwagi (ADHD) dotyka około 11% dzieci w wieku 3-17 lat i charakteryzuje się impulsywnością, nadaktywnością oraz deficytami uwagi, co wpływa na funkcjonowanie w środowisku szkolnym, domowym i społecznym. Etiologia ADHD jest wieloczynnikowa, obejmująca czynniki genetyczne, prenatalne (np. przedwczesny poród, stan przedrzucawkowy, ekspozycja na dym papierosowy, toksyny środowiskowe takie jak ołów, fluor, pestycydy) oraz postnatalne (np. objawy ADHD u rodziców, depresja matki). Profilaktyka wtórna i wczesna interwencja, zwłaszcza u dzieci w wieku przedszkolnym, są kluczowe dla ograniczenia długoterminowych powikłań. Zalecane działania obejmują unikanie alkoholu, narkotyków, palenia i toksyn w ciąży, odpowiednie odżywianie i aktywność fizyczną, ograniczenie ekspozycji na stres i zanieczyszczenia po urodzeniu oraz wczesne wdrożenie terapii behawioralnych, takich jak trening zarządzania zachowaniem dla rodziców, które są rekomendowane jako pierwsza linia leczenia u dzieci poniżej 6 roku życia.
- Definicja i znaczenie profilaktyki Zespołu nadpobudliwości psychoruchowej z deficytem uwagi (ADHD)
- Czynniki ryzyka ADHD u dzieci i młodzieży
- Strategie profilaktyczne ADHD
- Metody leczenia jako element profilaktyki wtórnej
- Strategie profilaktyczne w szkole i domu
- Profilaktyka powikłań ADHD
- Rola rodziców i opiekunów w profilaktyce ADHD
- Przyszłe kierunki w profilaktyce ADHD
Definicja i znaczenie profilaktyki Zespołu nadpobudliwości psychoruchowej z deficytem uwagi (ADHD)
Zespół nadpobudliwości psychoruchowej z deficytem uwagi (ADHD) jest jednym z najczęstszych zaburzeń neurorozwojowych występujących u dzieci i młodzieży, dotykającym około 11% dzieci w wieku od 3 do 17 lat.1 ADHD charakteryzuje się objawami takimi jak impulsywność, nadaktywność i problemy z utrzymaniem uwagi, które mogą znacząco wpływać na funkcjonowanie dziecka w środowisku szkolnym, domowym oraz społecznym.2 Biorąc pod uwagę powszechność występowania oraz potencjalne długoterminowe konsekwencje nieleczonego ADHD, profilaktyka i wczesna interwencja stają się kluczowymi elementami opieki nad dziećmi z grupy ryzyka.
Eksperci coraz częściej podkreślają, że nadszedł czas na rozwój wtórnych interwencji profilaktycznych dla ADHD. Szczególnie istotne jest ukierunkowanie działań na dzieci w wieku przedszkolnym, kiedy objawy ADHD po raz pierwszy stają się widoczne u większości dzieci z tym zaburzeniem. Działania profilaktyczne podejmowane na tym etapie mogą pomóc uniknąć wielu długoterminowych negatywnych konsekwencji, które zwykle towarzyszą trajektorii rozwoju ADHD.34
Czynniki ryzyka ADHD u dzieci i młodzieży
Chociaż dokładne przyczyny ADHD nie są w pełni poznane, badania wskazują na wieloczynnikową etiologię tego zaburzenia, obejmującą zarówno czynniki genetyczne, jak i środowiskowe. Zrozumienie tych czynników ryzyka stanowi podstawę skutecznych działań profilaktycznych.5
Czynniki genetyczne i prenatalne
ADHD u dzieci jest spowodowane przez kilka czynników, w tym genetykę i środowisko, przedwczesny poród, stan przedrzucawkowy, nadciśnienie, nadwagę i otyłość u kobiet w ciąży, a także ekspozycję na dym papierosowy w okresie prenatalnym.6 Badania wskazują, że geny i środowisko prenatalne wchodzą w dwukierunkowe interakcje – geny wpływają na środowisko prenatalne, a środowisko poprzez mechanizmy epigenetyczne wpływa na funkcje genów.7
Czynniki środowiskowe
Narażenie na toksyny środowiskowe może zwiększać ryzyko rozwoju ADHD. Badania wskazują, że ekspozycja na fluor, ołów, pestycydy, chemikalia używane w pralni chemicznej i inne substancje chemiczne może zwiększać prawdopodobieństwo rozwoju ADHD u dziecka.8 Dodatkowo, badania sugerują, że matki, które stosują paracetamol (Tylenol) w czasie ciąży, mogą być narażone na wyższe ryzyko posiadania dziecka z ADHD, szczególnie przy częstszym stosowaniu i podczas więcej niż jednego trymestru ciąży.9
Czynniki rodzinne i psychospołeczne
Chociaż jakość rodzicielstwa prawdopodobnie nie jest główną przyczyną ADHD, znajduje się ona wśród kilku postnatalnych środowiskowych czynników ryzyka, które mogą wpływać na ciężkość i/lub upośledzenie funkcjonowania dziecka.10 W szczególności objawy ADHD u rodziców i matczyne objawy depresyjne są związane z rozwojem ADHD u dzieci.11
Strategie profilaktyczne ADHD
Mimo że eksperci nie znają sposobów na całkowite zapobieganie ADHD u dzieci, istnieje wiele działań, które mogą zmniejszyć ryzyko jego wystąpienia lub złagodzić objawy.1213
Profilaktyka w okresie prenatalnym
Podczas ciąży zaleca się unikanie wszystkiego, co mogłoby zaszkodzić rozwojowi dziecka przed urodzeniem:14
- Unikanie spożywania alkoholu, używania narkotyków i palenia papierosów1516
- Regularne wizyty lekarskie i zdrowa, zbilansowana dieta1718
- Przyjmowanie witamin prenatalnych i spożywanie pożywnych pokarmów19
- Ograniczenie ekspozycji na toksyny środowiskowe20
Profilaktyka poporodowa
Po urodzeniu dziecka zaleca się następujące działania profilaktyczne:
- Ochrona dziecka przed ekspozycją na zanieczyszczenia i toksyny, w tym dym papierosowy i farby zawierające ołów21
- Ograniczenie czasu spędzanego przed ekranem, zwłaszcza u małych dzieci2223
- Zapewnienie odpowiedniej ochrony przed urazami głowy, np. stosowanie kasków podczas jazdy na rowerze lub uprawiania sportów24
- Zapewnienie odpowiedniego odżywiania w pierwszych 1000 dniach życia, co jest kluczowe dla rozwoju mózgu dziecka25
- Regularna aktywność fizyczna, która może stymulować wzrost mózgu i poprawiać koncentrację u dzieci26
- Ograniczenie ekspozycji dziecka na stres, który może powodować zaburzenia hormonalne i zwiększać ryzyko zaburzeń zdrowia psychicznego i behawioralnego27
Wczesna interwencja
Wczesna interwencja jest kluczowa w profilaktyce ADHD. Badania pokazują, że wczesna interwencja może mieć trwałą skuteczność wykraczającą poza zakończenie aktywnego leczenia.28 Dla dzieci z ADHD poniżej 6 roku życia, Amerykańska Akademia Pediatrii (AAP) zaleca trening behawioralny dla rodziców jako pierwszą linię leczenia, przed zastosowaniem leków.29
Metody leczenia jako element profilaktyki wtórnej
Leczenie ADHD u dzieci i młodzieży stanowi istotny element profilaktyki wtórnej, której celem jest zapobieganie rozwojowi powikłań i długoterminowych negatywnych konsekwencji tego zaburzenia.30
Terapia behawioralna
Terapie behawioralne są zalecane dla dzieci w wieku przedszkolnym i mogą być pomocne również w starszym wieku:31
- Trening behawioralny dla rodziców daje im umiejętności i strategie pomagające dziecku32
- Trening behawioralny dla rodziców okazał się działać równie skutecznie jak leki na ADHD u małych dzieci33
- Skuteczne terapie behawioralne obejmują: trening zarządzania zachowaniem dla rodziców, interwencje w klasie oraz wsparcie szkolne34
- Terapie te są najbardziej skuteczne, gdy są stosowane razem, w zależności od potrzeb danego dziecka i rodziny35
Szczególnie ważne jest, aby dzieci były zachęcane do rozwijania i uczenia się zachowań i umiejętności radzenia sobie, a rodzice i nauczyciele odgrywają kluczową rolę w pomaganiu im w nauce i praktykowaniu tych nowych umiejętności.36
Farmakoterapia w profilaktyce
Leki są skuteczne w leczeniu objawów ADHD u większości dzieci i mogą odgrywać istotną rolę w profilaktyce wtórnej:37
- Psychostymulanty (np. metylofenidat [Ritalin], dekstroamfetamina) są najbardziej skuteczną i bezpieczną opcją, i są pierwszym wyborem w leczeniu ADHD w krajowych wytycznych i przeglądach38
- Atomoksetyna (Strattera) i agoniści receptora alfa-2 (np. guanfacyna [Tenex], klonidyna [Catapres]) są również skuteczne, ale mają mniej badań potwierdzających i są mniej skuteczne niż psychostymulanty39
- Badania wskazują, że przyjmowanie leków na ADHD może zmniejszać ryzyko niezamierzonych urazów (w tym urazów mózgu) u dzieci i młodzieży4041
- Obecne badania pokazują, że leki na ADHD nie są związane ze zwiększonym wskaźnikiem nadużywania substancji psychoaktywnych42
Aktualne badania pokazują nawet, że zwiększone stosowanie leków na ADHD może w rzeczywistości zmniejszać, a nie zwiększać ryzyko samobójstw u nastolatków.43 Randomizowane badania kontrolowane wykazały, że leki na ADHD łagodzą typowe objawy nadaktywności i deficytu uwagi. Wiązało się to również z poprawą wyników w szkole, lepszą samooceną oraz zmniejszeniem zaburzeń zachowania, nadużywania narkotyków i ciąż u dziewcząt.44
Podejście kompleksowe
Dla dzieci w wieku 6 lat i starszych, AAP zaleca połączenie leczenia farmakologicznego z terapią behawioralną.45 Połączenie leków i terapii pomaga osiągnąć najlepszą skuteczność ogólną.46 W przypadku dzieci poniżej 6 roku życia eksperci zalecają stosowanie leków dopiero po wypróbowaniu terapii behawioralnej, ponieważ leki mogą nie być tak skuteczne, a skutki uboczne mogą być bardziej nasilone.47
Strategie profilaktyczne w szkole i domu
Skuteczna profilaktyka ADHD obejmuje również strategie wdrażane w środowisku szkolnym i domowym, które pomagają dziecku lepiej funkcjonować i zapobiegają rozwojowi powikłań.48
Strategie szkolne
Szkoły mogą być częścią leczenia poprzez dodanie interwencji behawioralnej w klasie i wsparcia szkolnego.49 Niektóre strategie, które mogą być przydatne we wspieraniu dzieci z ADHD w szkole, to:
- Posadzenie dziecka w miejscu z jak najmniejszą liczbą rozpraszających elementów, a nie obok ruchliwego okna lub z tyłu klasy50
- Tworzenie zindywidualizowanych planów nauczania, wydłużenie czasu na testy, preferencyjne miejsca siedzące i częste przypomnienia51
- Współpraca z nauczycielami dziecka i innymi edukatorami w szkole w celu zapewnienia skutecznych dostosowań w klasie dla ADHD52
Rodzice mogą zaprosić nauczycieli do współpracy w celu opracowania rutyn i strategii, które będą wspierać ich dziecko w klasie, oraz poprosić o wyższy poziom interwencji reprezentowany przez plan 504 lub indywidualny program edukacyjny (IEP).53
Strategie domowe
Dla rodzin/whānau osoby z ADHD przydatne są następujące strategie:
- Zapewnienie codziennych rutyn w domu54
- Ustalenie dobrych rutyn i spójnych codziennych harmonogramów 2-3 tygodnie przed rozpoczęciem roku szkolnego55
- Poszukiwanie treningu zarządzania behawioralnego/konsultacji behawioralnych w celu promowania lepszego radzenia sobie i adaptacyjnego funkcjonowania dziecka (i rodziny)56
- Wszystkie dzieci, a zwłaszcza te z ADHD, mogą skorzystać z ustrukturyzowanych rutyn i jasnych oczekiwań57
- Wdrożenie systemów zarządzania zachowaniem, w tym pozytywnego wzmacniania za dobre zachowanie58
Jeśli nauczyciel dziecka stosuje system behawioralny lub system nagród w szkole, warto spróbować wdrożyć podobny system w domu.59 Dla skuteczności terapii behawioralnej należy często przypominać dzieciom z ADHD o oczekiwanym zachowaniu i konsekwencjach.60
Profilaktyka powikłań ADHD
Nieleczone ADHD może prowadzić do szeregu poważnych powikłań, dlatego profilaktyka wtórna jest tak istotna.61
Zapobieganie urazom
Dzieci z diagnozą ADHD są znacznie bardziej narażone na niezamierzone urazy.62 Badania pokazują, że dzieci z nieleczonym ADHD mają więcej wizyt na oddziale ratunkowym i są bardziej narażone na samookaleczenia niż te leczone z powodu tego zaburzenia.63 Nieleczeni nastolatkowie (dzieci w wieku 10-18 lat) z ADHD są bardziej skłonni do podejmowania ryzyka, takiego jak picie i prowadzenie pojazdów, oraz mają dwa razy więcej wypadków samochodowych niż ci, którzy są leczeni.64
Stosowanie leków na ADHD wiąże się z niższym ryzykiem wizyty na oddziale ratunkowym z powodu niezamierzonych urazów i urazów mózgu zarówno u dzieci, jak i u nastolatków, zarówno u chłopców, jak i u dziewcząt.65
Zapobieganie problemom zdrowia psychicznego
Nieleczone ADHD może prowadzić do niskiej samooceny, demoralizacji, nadużywania alkoholu lub innych substancji oraz łamania prawa.66 Dzieci z ADHD są bardziej narażone na doświadczanie złych wyników zdrowotnych jako dorośli, w tym otyłości, chorób przewlekłych i przypadkowych urazów.67
ADHD zwiększa prawdopodobieństwo używania substancji psychoaktywnych z powodu zachowań impulsywnych oraz dysregulacji emocjonalnej.68 Strategie takie jak terapia, leki i zarządzanie stylem życia mogą pomóc nastolatkom z ADHD w profilaktyce używania substancji psychoaktywnych.69
Zdrowie jamy ustnej
Literatura dotycząca dzieci z ADHD sugeruje, że częstość występowania próchnicy jest zwiększona w tej grupie.70 Autorzy badań podkreślają, że na rozwój próchnicy wpływa znacznie częstsze spożywanie kariogennych węglowodanów, nieregularność w nawykach żywieniowych, a także mniej systematyczne i krótsze szczotkowanie zębów.71
Strategie profilaktyczne obejmują szczotkowanie zębów odpowiednią szczoteczką i pastą do zębów, stosowanie płukanek do ust i żeli do jamy ustnej, a także czyszczenie przestrzeni międzyzębowych za pomocą na przykład nici dentystycznej lub szczoteczek międzyzębowych.72 Dane kliniczne z badań nad ADHD sugerują, że skuteczna profilaktyka może zależeć od poziomu ryzyka próchnicy, współpracy pacjenta i postępowania terapeutycznego.73
Rola rodziców i opiekunów w profilaktyce ADHD
Rodzice i opiekunowie odgrywają kluczową rolę w profilaktyce ADHD i jego powikłań.74
Trening rodzicielski
Trening rodzicielski jest skutecznym sposobem zapobiegania i łagodzenia objawów ADHD u dzieci:
- Trening behawioralny dla rodziców jest zalecanym leczeniem pierwszego rzutu dla dzieci poniżej 6 roku życia75
- Terapia Interakcji Rodzic-Dziecko (PCIT) jest opartą na dowodach modalności terapeutyczną pomagającą małym dzieciom z ADHD i zaburzeniem opozycyjno-buntowniczym76
- W przypadku przedszkolaków zawsze zaczynamy od terapii interakcji rodzic-dziecko, rodzaju terapii behawioralnej, która uczy rodziców, jak wchodzić w interakcje z dziećmi z problemami behawioralnymi lub emocjonalnymi77
Trening rodzicielski w zakresie umiejętności zarządzania zachowaniem może obniżyć stres dla wszystkich członków rodziny. Takie szkolenie często odbywa się w środowisku grupowym, które zachęca do wzajemnego wsparcia rodziców. Techniki zarządzania zachowaniem mają tendencję do poprawy ukierunkowanych zachowań u dziecka, takich jak odrabianie lekcji.78
Wczesne rozpoznanie i interwencja
Wczesna interwencja ma kluczowe znaczenie dla pozytywnych wyników u dziecka. Im wcześniej zajmiesz się problemami swojego dziecka, tym bardziej prawdopodobne jest, że będziesz w stanie zapobiec niepowodzeniom szkolnym i społecznym oraz związanym z nimi problemom, takim jak niedostateczne osiągnięcia i niska samoocena, które mogą prowadzić do przestępczości lub nadużywania narkotyków i alkoholu.79
Chociaż skuteczne zarządzanie objawami ADHD twojego dziecka może wpłynąć zarówno na nasilenie zaburzenia, jak i na rozwój poważniejszych problemów w czasie, wczesna interwencja jest kluczem do pozytywnych wyników.80
Przyszłe kierunki w profilaktyce ADHD
Zważywszy na rosnącą liczbę diagnoz ADHD, istnieje pilna potrzeba dalszych badań i rozwoju skutecznych strategii profilaktycznych.8182
Podnoszenie świadomości
Podnoszenie świadomości na temat ADHD poprawia jakość życia osób z ADHD i osób z ich otoczenia.83 Kampanie uświadamiające mogą pomóc. Badanie z 2020 roku wykazało, że interwencja promująca świadomość ADHD wśród lekarzy podstawowej opieki zdrowotnej zwiększyła ich wiedzę na temat tego schorzenia. Sugeruje to, że kampanie uświadamiające skierowane do lekarzy mogą poprawić dostęp do jakościowego, opartego na dowodach leczenia.84
Świadomość ADHD pomaga obalić mity, dzięki czemu osoby żyjące z ADHD mogą uzyskać wsparcie, dostęp do leczenia i realizować swój pełny potencjał.85
Innowacyjne podejścia profilaktyczne
Istnieje potrzeba opracowania nowych, bardziej skutecznych strategii profilaktycznych. Niektóre obiecujące kierunki obejmują:
- Wzbogacenie środowiskowe, przede wszystkim w formie wzmocnienia neurokognitywnego i ćwiczeń fizycznych, może być wykorzystane do wzmocnienia rozwoju neuronalnego, co z kolei będzie miało trwały wpływ na trajektorię ADHD86
- Strategie zapobiegania błędom medycznym związanym z lekami na ADHD, w tym większa uwaga poświęcana edukacji pacjentów i opiekunów oraz opracowanie ulepszonych systemów wydawania i śledzenia leków odpornych na dzieci87
- Biorąc pod uwagę, że ADHD jest wysoce rozpowszechnione i powoduje znaczne upośledzenia w prawie wszystkich obszarach życia, przyszłe programy profilaktyki i wczesnej interwencji powinny koncentrować się na wspieraniu dostępności dobrego wsparcia społecznego i na wzmacnianiu umiejętności społecznych, szczególnie u dzieci psychicznie chorych rodziców88
Znaczenie kompleksowego podejścia
Zarządzanie ADHD wykracza poza wdrażanie wytycznych i powinno być postrzegane jako partnerstwo z pacjentami i ich rodzicami, poparte psychoedukacją i wspólnym, uzgodnionym planem zarządzania, który uwzględnia indywidualne priorytety i preferencje leczenia.89
ADHD jest ważnym zaburzeniem, które należy leczyć i którym należy zarządzać w czasie, w odniesieniu do głównych objawów, współwystępujących problemów i poprawy wyników w rzeczywistym świecie. Klinicyści powinni oczekiwać znaczącej poprawy przy leczeniu opartym na dowodach, ale powinni robić to w partnerstwie i z naciskiem na wyniki, które są znaczące dla pacjentów.90
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Materiały źródłowe
- #1 ADHD cases are up. 7 million U.S. kids have gotten a diagnosis, study finds : Shots – Health News : NPRhttps://www.npr.org/sections/shots-health-news/2024/05/23/1252941968/adhd-diagnoses-are-rising-1-in-9-u-s-kids-have-gotten-one-new-study-finds
About 1 in 9 children in the U.S., between the ages of 3 and 17, have been diagnosed with ADHD. That’s according to a new report from the Centers for Disease Control and Prevention that calls attention-deficit/hyperactivity disorder an „expanding public health concern.” […] The increase in diagnoses also comes amid growing awareness of ADHD and the different ways that it can manifest in children. […] The report also found that nearly 78% percent of children diagnosed with ADHD had at least one other diagnosed disorder. […] Kids with ADHD are at increased risk for other conditions including depression, anxiety and substance abuse and if left untreated, ADHD can raise the risk of serious health concerns in adulthood. This includes a higher risk of diabetes, heart disease and shortened life span, Wiznitzer says which is why increased awareness and diagnosis is important. […] Danielson says parents can also find information on treatment and services at CHADD Children And Adults with ADHD, a non-profit resources organization where Wiznitzer serves on the advisory board.
- #2 Diagnosis and Management of ADHD in Children | AAFPhttps://www.aafp.org/pubs/afp/issues/2014/1001/p456.html
Attention-deficit/hyperactivity disorder (ADHD) is the most common behavioral disorder in children, and the prevalence is increasing. […] Behavioral treatments are recommended for preschool-aged children and may be helpful at older ages. […] Treatment of ADHD in children six years and older should start with medication. […] Medication is effective for treating ADHD symptoms, and studies suggest that earlier identification and treatment may improve longer-term educational, work, and social outcomes. […] The goal of ADHD treatment is to improve symptoms, optimize functional performance, and remove behavioral obstacles. […] Treatment of children younger than six years should begin with behavioral therapy. […] Behavioral treatments are also recommended for older children; however, they are particularly helpful if medication response is poor or associated with adverse effects.
- #3 Preventive Interventions for ADHD: A Neurodevelopmental Perspectivehttps://pmc.ncbi.nlm.nih.gov/articles/PMC3441940/
It is proposed that the time is ripe for the development of secondary preventive interventions for attention-deficit/hyperactivity disorder (ADHD). […] By targeting preschool children, a developmental stage during which ADHD symptoms first become evident in most children with the disorder, many of the adverse long-term consequences that typify the trajectory of ADHD may be avoided. […] The case is made for initiating such an intervention during the preschool years, when the brain is likely to be more plastic and perhaps susceptible to lasting modifications, and before complicating factors, such as comorbid psychiatric disorders, academic failure, and poor social and family relationships emerge, making successful treatment more difficult. […] We believe, as has been suggested elsewhere, that the time is ripe for the development of secondary preventive interventions for ADHD.
- #4 Preventive Interventions for ADHD: A Neurodevelopmental Perspectivehttps://pmc.ncbi.nlm.nih.gov/articles/PMC3441940/
Perhaps, by systematically targeting postnatal environmental influences, enduring effects on the emergence and trajectory of ADHD can be achieved. […] In summary, ADHD is a neurodevelopmental disorder, the symptoms of which often emerge during the preschool years. […] Early intervention may be crucial for addressing an array of neurodevelopmental disorders, including ADHD. […] Intervention at an early age, by which ADHD can be detected, but prior to the emergence of many of the more chronic and impairing comorbidities and associated features that result in poor long-term outcome, may also be critical to altering the common course of lifelong impairment. […] Importantly, recent data from clinical trials demonstrate preliminary evidence that intervening early in ADHD can have persisting efficacy beyond the termination of active treatment.
- #5 Risk and protective factors for the development of ADHD symptoms in children and adolescents: Results of the longitudinal BELLA study | PLOS Onehttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0214412
Attention-deficit/hyperactivity disorder (ADHD) is one of the most common neurodevelopmental disorders in childhood worldwide, and causes significant impairments in overall functioning. In order to develop effective prevention and intervention programs, knowledge of the determinants that have an impact on the onset and development of ADHD symptoms is essential. […] The findings of the study provide important information concerning risk and protective factors in the context of ADHD. Hence, the results may be integrated into the planning and implementation of future prevention and early intervention strategies that target affected children and adolescents. […] The summarized findings highlight the importance of effective prevention and intervention programs for children suffering from ADHD in order to prevent the onset of ADHD symptoms and the associated long-term consequences.
- #6 The global prevalence of ADHD in children and adolescents: a systematic review and meta-analysis | Italian Journal of Pediatrics | Full Texthttps://ijponline.biomedcentral.com/articles/10.1186/s13052-023-01456-1
The findings of this study demonstrate the importance of management and policy in the treatment and control of ADHD in children and adolescents. […] ADHD in children is caused by several factors, including genetics and environment, premature birth, preeclampsia, hypertension, overweight, and obesity in pregnant women, as well as maternal smoking exposure. […] The findings of this study based on meta-analysis demonstrate the significant prevalence of attention deficit hyperactivity disorder (ADHD). […] The results of this investigation corroborate prior research and highlight the importance of planning and policy-making in the treatment and control of ADHD in children and adolescents.
- #7 Preventive Interventions for ADHD: A Neurodevelopmental Perspectivehttps://pmc.ncbi.nlm.nih.gov/articles/PMC3441940/
In making this argument, we will first present a dynamic/interactive model of the biological and environmental factors that contribute to the emergence of ADHD in early childhood and to its persistence throughout life. […] We will argue that environmental enrichment, primarily in the form of neurocognitive enhancement and physical exercise, can be used to enhance neural development, which, in turn, will have an enduring impact on the trajectory of ADHD. […] We posit that genes and the prenatal environment interact bi-directionally, so that genes influence the prenatal environment and the environment, via epigenetic mechanisms, influences gene functions. […] Although the quality of parenting is unlikely to be a primary cause of ADHD, it is among several postnatal environmental risk factors that may influence severity and/or impairment.
- #8 ADHD in Children: Symptoms, Treatment, Testshttps://www.medicinenet.com/adhd_in_children/article.htm
Is it possible to prevent ADHD in children? […] Studies indicate that breastfeeding up to 6 months of age may help protect individuals from developing ADHD. […] As environmental and social insults like maternal drug use and exposure to community violence, medical, and emotional issues are risk factors for developing ADHD, prevention or treatment of those issues can help prevent or decrease the severity of this condition. […] Much of the latest research on ADHD in children focuses on how exposure to environmental toxins may increase the risk of developing this condition. […] For example, studies indicate that exposure to fluoride, lead, pesticides, dry cleaning chemicals, and other chemicals can increase the likelihood that a child develops ADHD. […] Also, research indicates that mothers who use acetaminophen (Tylenol) during pregnancy may be at higher risk of having a child with ADHD, particularly with more frequent use and during more than one trimester of the pregnancy.
- #9 ADHD in Children: Symptoms, Treatment, Testshttps://www.medicinenet.com/adhd_in_children/article.htm
Is it possible to prevent ADHD in children? […] Studies indicate that breastfeeding up to 6 months of age may help protect individuals from developing ADHD. […] As environmental and social insults like maternal drug use and exposure to community violence, medical, and emotional issues are risk factors for developing ADHD, prevention or treatment of those issues can help prevent or decrease the severity of this condition. […] Much of the latest research on ADHD in children focuses on how exposure to environmental toxins may increase the risk of developing this condition. […] For example, studies indicate that exposure to fluoride, lead, pesticides, dry cleaning chemicals, and other chemicals can increase the likelihood that a child develops ADHD. […] Also, research indicates that mothers who use acetaminophen (Tylenol) during pregnancy may be at higher risk of having a child with ADHD, particularly with more frequent use and during more than one trimester of the pregnancy.
- #10 Preventive Interventions for ADHD: A Neurodevelopmental Perspectivehttps://pmc.ncbi.nlm.nih.gov/articles/PMC3441940/
In making this argument, we will first present a dynamic/interactive model of the biological and environmental factors that contribute to the emergence of ADHD in early childhood and to its persistence throughout life. […] We will argue that environmental enrichment, primarily in the form of neurocognitive enhancement and physical exercise, can be used to enhance neural development, which, in turn, will have an enduring impact on the trajectory of ADHD. […] We posit that genes and the prenatal environment interact bi-directionally, so that genes influence the prenatal environment and the environment, via epigenetic mechanisms, influences gene functions. […] Although the quality of parenting is unlikely to be a primary cause of ADHD, it is among several postnatal environmental risk factors that may influence severity and/or impairment.
- #11 Risk and protective factors for the development of ADHD symptoms in children and adolescents: Results of the longitudinal BELLA study | PLOS Onehttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0214412
While risk factors increase the probability of mental health problems, protective factors can strengthen children’s mental health when being exposed to risks. […] Only few studies have investigated the effects of psychosocial risk and protective factors in the context of ADHD so far. […] In particular, parental ADHD symptoms and maternal depressive symptoms have been associated with the development of childhood ADHD. […] Consequently, our results support the approach of family-based interventions that address dysfunctional family processes and increase mutual support and communication. […] Strengthening resources such as the availability of good social support in children and adolescents with a mentally ill parent is particularly important to support children and adolescents in coping with the mental illness of their parent.
- #12 Attention-Deficit/Hyperactivity Disorder (ADHD) in Childrenhttps://healthlibrary.ecuhealth.org/library/Wellness/Prevention/90,P02552
How can I help prevent ADHD in my child? Experts dont know how to prevent ADHD in children. But spotting and treating it early can lessen symptoms and enhance your childs normal development. It can also improve your childs quality of life. […] Treatment will depend on your childs symptoms, age, and general health. It will also depend on how severe the condition is. […] Treatment for ADHD may include: Psychostimulant medicines. These medicines help balance chemicals in the brain. They help the brain focus and may reduce the major symptoms of ADHD. […] Other treatment. Self-management, education programs, and assistance through your childs school can also help.
- #13 Attention-Deficit/Hyperactivity Disorder (ADHD) in Children – Stanford Medicine Children’s Healthhttps://www.stanfordchildrens.org/en/topic/default?id=attention-deficithyperactivity-disorder-adhd-in-children-90-P02552
Experts dont know how to prevent ADHD in children. But spotting and treating it early can lessen symptoms and enhance your childs normal development. […] Treatment often includes medicine. Parents may also get training in behavior management skills. Your child may also be able to take self-management training at school.
- #14 Attention-deficit/hyperactivity disorder (ADHD) in children – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/adhd/symptoms-causes/syc-20350889
To help lower your child’s risk of ADHD: […] During pregnancy, avoid anything that could harm your baby’s development before birth. For example, don’t drink alcohol, use drugs or smoke cigarettes. […] Protect your child from exposure to pollutants and toxins, including cigarette smoke and lead paint. […] Limit screen time. Although still not proved, it may be a good idea for young children to limit TV, video games and other screen time.
- #15 Attention-deficit/hyperactivity disorder (ADHD) in children – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/adhd/symptoms-causes/syc-20350889
To help lower your child’s risk of ADHD: […] During pregnancy, avoid anything that could harm your baby’s development before birth. For example, don’t drink alcohol, use drugs or smoke cigarettes. […] Protect your child from exposure to pollutants and toxins, including cigarette smoke and lead paint. […] Limit screen time. Although still not proved, it may be a good idea for young children to limit TV, video games and other screen time.
- #16 Preventing ADHD: Exploring Diet, Parenting, Behavior Management and Other Strategieshttps://www.webmd.com/add-adhd/childhood-adhd/preventing-adhd
Though there is no way to prevent ADHD, there are ways to help all children feel and do their best at home and at school. […] Complications of pregnancy are linked to ADHD. A healthy diet and regular doctor visits are important. So is avoiding the use of alcohol and drugs. […] Children whose mothers smoked while they were pregnant are twice as likely to develop ADHD. […] Giving your child a healthy, balanced diet from an early age is good for all children, whether or not they have ADHD. […] Some experts believe that altering a child’s diet may reduce hyperactive behavior. […] Parents are encouraged to try cutting certain foods from their children’s diet if they feel the foods affect behavior negatively. […] Its important to weigh the risks and benefits of elimination diets, particularly for children who may be experiencing decreased appetite as a side effect of many medications commonly used to treat ADHD.
- #17 Preventing ADHD: Exploring Diet, Parenting, Behavior Management and Other Strategieshttps://www.webmd.com/add-adhd/childhood-adhd/preventing-adhd
Though there is no way to prevent ADHD, there are ways to help all children feel and do their best at home and at school. […] Complications of pregnancy are linked to ADHD. A healthy diet and regular doctor visits are important. So is avoiding the use of alcohol and drugs. […] Children whose mothers smoked while they were pregnant are twice as likely to develop ADHD. […] Giving your child a healthy, balanced diet from an early age is good for all children, whether or not they have ADHD. […] Some experts believe that altering a child’s diet may reduce hyperactive behavior. […] Parents are encouraged to try cutting certain foods from their children’s diet if they feel the foods affect behavior negatively. […] Its important to weigh the risks and benefits of elimination diets, particularly for children who may be experiencing decreased appetite as a side effect of many medications commonly used to treat ADHD.
- #18 Is It Possible For Parents To Prevent ADHD In Children? – Lompoc Valley Medical Centerhttps://www.lompocvmc.com/blogs/2021/october/is-it-possible-for-parents-to-prevent-adhd-in-ch/
Parents who practice healthy lifestyle behaviors during pregnancy and beyond may be able to reduce their childrens risk for ADHD. […] Some doctors and researchers say that ADHD cannot be prevented. However, it is possible to reduce your childs risk for this disorder by taking steps to promote good brain health. […] Living a healthy lifestyle and setting a good example for your children is the best way you can reduce their risk for ADHD. […] During pregnancy, talk to your doctor or midwife about ways to encourage healthy brain development in your baby. This usually involves taking prenatal vitamins and eating nutritious foods. […] Do not use cigarettes, alcohol, or illicit drugs while you are pregnant. All these substances can interfere with your babys brain development. […] Reduce your exposure to these environmental toxins, and protect your children from them as well.
- #19 Is It Possible For Parents To Prevent ADHD In Children? – Lompoc Valley Medical Centerhttps://www.lompocvmc.com/blogs/2021/october/is-it-possible-for-parents-to-prevent-adhd-in-ch/
Parents who practice healthy lifestyle behaviors during pregnancy and beyond may be able to reduce their childrens risk for ADHD. […] Some doctors and researchers say that ADHD cannot be prevented. However, it is possible to reduce your childs risk for this disorder by taking steps to promote good brain health. […] Living a healthy lifestyle and setting a good example for your children is the best way you can reduce their risk for ADHD. […] During pregnancy, talk to your doctor or midwife about ways to encourage healthy brain development in your baby. This usually involves taking prenatal vitamins and eating nutritious foods. […] Do not use cigarettes, alcohol, or illicit drugs while you are pregnant. All these substances can interfere with your babys brain development. […] Reduce your exposure to these environmental toxins, and protect your children from them as well.
- #20 Is It Possible For Parents To Prevent ADHD In Children? – Lompoc Valley Medical Centerhttps://www.lompocvmc.com/blogs/2021/october/is-it-possible-for-parents-to-prevent-adhd-in-ch/
Parents who practice healthy lifestyle behaviors during pregnancy and beyond may be able to reduce their childrens risk for ADHD. […] Some doctors and researchers say that ADHD cannot be prevented. However, it is possible to reduce your childs risk for this disorder by taking steps to promote good brain health. […] Living a healthy lifestyle and setting a good example for your children is the best way you can reduce their risk for ADHD. […] During pregnancy, talk to your doctor or midwife about ways to encourage healthy brain development in your baby. This usually involves taking prenatal vitamins and eating nutritious foods. […] Do not use cigarettes, alcohol, or illicit drugs while you are pregnant. All these substances can interfere with your babys brain development. […] Reduce your exposure to these environmental toxins, and protect your children from them as well.
- #21 Attention-deficit/hyperactivity disorder (ADHD) in children – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/adhd/symptoms-causes/syc-20350889
To help lower your child’s risk of ADHD: […] During pregnancy, avoid anything that could harm your baby’s development before birth. For example, don’t drink alcohol, use drugs or smoke cigarettes. […] Protect your child from exposure to pollutants and toxins, including cigarette smoke and lead paint. […] Limit screen time. Although still not proved, it may be a good idea for young children to limit TV, video games and other screen time.
- #22 Attention-deficit/hyperactivity disorder (ADHD) in children – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/adhd/symptoms-causes/syc-20350889
To help lower your child’s risk of ADHD: […] During pregnancy, avoid anything that could harm your baby’s development before birth. For example, don’t drink alcohol, use drugs or smoke cigarettes. […] Protect your child from exposure to pollutants and toxins, including cigarette smoke and lead paint. […] Limit screen time. Although still not proved, it may be a good idea for young children to limit TV, video games and other screen time.
- #23 What Is ADHD? Symptoms, Treatment, and Morehttps://www.everydayhealth.com/adhd/guide/
Although genetics are thought to be one of the main risk factors for ADHD, there are a few health behaviors that may reduce the likelihood that a child will have the disorder, according to the Mayo Clinic. […] During pregnancy, avoid any activities or substances that could harm the development of the fetus. Examples include alcohol, smoking, and recreational drugs. […] Children should be protected from pollutants and toxins such as lead paint or cigarette smoke. […] Although a direct link between screen time and ADHD has not been established, experts recommend limiting the amount of TV and video games in the first five years of life.
- #24 Is It Possible For Parents To Prevent ADHD In Children? – Lompoc Valley Medical Centerhttps://www.lompocvmc.com/blogs/2021/october/is-it-possible-for-parents-to-prevent-adhd-in-ch/
Make your children wear protective gear like helmets when riding their bikes or playing sports. […] Research from Harvard Medical School shows that nutrition during the first 1,000 days of life is crucial to a childs brain development. […] Several studies show that exercise can stimulate brain growth and improve focus in children. […] Reduce your childrens exposure to stress as best as possible. Long-term stress can cause hormonal imbalances in people of all ages. This increases the risk of mental and behavioral health disorders.
- #25 Is It Possible For Parents To Prevent ADHD In Children? – Lompoc Valley Medical Centerhttps://www.lompocvmc.com/blogs/2021/october/is-it-possible-for-parents-to-prevent-adhd-in-ch/
Make your children wear protective gear like helmets when riding their bikes or playing sports. […] Research from Harvard Medical School shows that nutrition during the first 1,000 days of life is crucial to a childs brain development. […] Several studies show that exercise can stimulate brain growth and improve focus in children. […] Reduce your childrens exposure to stress as best as possible. Long-term stress can cause hormonal imbalances in people of all ages. This increases the risk of mental and behavioral health disorders.
- #26 Is It Possible For Parents To Prevent ADHD In Children? – Lompoc Valley Medical Centerhttps://www.lompocvmc.com/blogs/2021/october/is-it-possible-for-parents-to-prevent-adhd-in-ch/
Make your children wear protective gear like helmets when riding their bikes or playing sports. […] Research from Harvard Medical School shows that nutrition during the first 1,000 days of life is crucial to a childs brain development. […] Several studies show that exercise can stimulate brain growth and improve focus in children. […] Reduce your childrens exposure to stress as best as possible. Long-term stress can cause hormonal imbalances in people of all ages. This increases the risk of mental and behavioral health disorders.
- #27 Is It Possible For Parents To Prevent ADHD In Children? – Lompoc Valley Medical Centerhttps://www.lompocvmc.com/blogs/2021/october/is-it-possible-for-parents-to-prevent-adhd-in-ch/
Make your children wear protective gear like helmets when riding their bikes or playing sports. […] Research from Harvard Medical School shows that nutrition during the first 1,000 days of life is crucial to a childs brain development. […] Several studies show that exercise can stimulate brain growth and improve focus in children. […] Reduce your childrens exposure to stress as best as possible. Long-term stress can cause hormonal imbalances in people of all ages. This increases the risk of mental and behavioral health disorders.
- #28 Preventive Interventions for ADHD: A Neurodevelopmental Perspectivehttps://pmc.ncbi.nlm.nih.gov/articles/PMC3441940/
Perhaps, by systematically targeting postnatal environmental influences, enduring effects on the emergence and trajectory of ADHD can be achieved. […] In summary, ADHD is a neurodevelopmental disorder, the symptoms of which often emerge during the preschool years. […] Early intervention may be crucial for addressing an array of neurodevelopmental disorders, including ADHD. […] Intervention at an early age, by which ADHD can be detected, but prior to the emergence of many of the more chronic and impairing comorbidities and associated features that result in poor long-term outcome, may also be critical to altering the common course of lifelong impairment. […] Importantly, recent data from clinical trials demonstrate preliminary evidence that intervening early in ADHD can have persisting efficacy beyond the termination of active treatment.
- #29 Treatment of ADHD | Attention-Deficit / Hyperactivity Disorder (ADHD) | CDChttps://www.cdc.gov/adhd/treatment/index.html
For children with ADHD younger than 6 years of age, the American Academy of Pediatrics (AAP) recommends parent training in behavior management as the first line of treatment, before medication is tried. […] For children 6 years of age and older, the recommendations include medication and behavior therapy togetherparent training in behavior management for children up to age 12 and other types of behavior therapy and training for adolescents. Schools can be part of the treatment as well. AAP recommendations also include adding behavioral classroom intervention and school supports. […] For young children with ADHD, behavior therapy is an important first step before trying medication because: Parent training in behavior management gives parents the skills and strategies to help their child.
- #30 Diagnosis and Management of ADHD in Children | AAFPhttps://www.aafp.org/pubs/afp/issues/2014/1001/p456.html
Attention-deficit/hyperactivity disorder (ADHD) is the most common behavioral disorder in children, and the prevalence is increasing. […] Behavioral treatments are recommended for preschool-aged children and may be helpful at older ages. […] Treatment of ADHD in children six years and older should start with medication. […] Medication is effective for treating ADHD symptoms, and studies suggest that earlier identification and treatment may improve longer-term educational, work, and social outcomes. […] The goal of ADHD treatment is to improve symptoms, optimize functional performance, and remove behavioral obstacles. […] Treatment of children younger than six years should begin with behavioral therapy. […] Behavioral treatments are also recommended for older children; however, they are particularly helpful if medication response is poor or associated with adverse effects.
- #31 Diagnosis and Management of ADHD in Children | AAFPhttps://www.aafp.org/pubs/afp/issues/2014/1001/p456.html
Attention-deficit/hyperactivity disorder (ADHD) is the most common behavioral disorder in children, and the prevalence is increasing. […] Behavioral treatments are recommended for preschool-aged children and may be helpful at older ages. […] Treatment of ADHD in children six years and older should start with medication. […] Medication is effective for treating ADHD symptoms, and studies suggest that earlier identification and treatment may improve longer-term educational, work, and social outcomes. […] The goal of ADHD treatment is to improve symptoms, optimize functional performance, and remove behavioral obstacles. […] Treatment of children younger than six years should begin with behavioral therapy. […] Behavioral treatments are also recommended for older children; however, they are particularly helpful if medication response is poor or associated with adverse effects.
- #32 Treatment of ADHD | Attention-Deficit / Hyperactivity Disorder (ADHD) | CDChttps://www.cdc.gov/adhd/treatment/index.html
For children with ADHD younger than 6 years of age, the American Academy of Pediatrics (AAP) recommends parent training in behavior management as the first line of treatment, before medication is tried. […] For children 6 years of age and older, the recommendations include medication and behavior therapy togetherparent training in behavior management for children up to age 12 and other types of behavior therapy and training for adolescents. Schools can be part of the treatment as well. AAP recommendations also include adding behavioral classroom intervention and school supports. […] For young children with ADHD, behavior therapy is an important first step before trying medication because: Parent training in behavior management gives parents the skills and strategies to help their child.
- #33 Treatment of ADHD | Attention-Deficit / Hyperactivity Disorder (ADHD) | CDChttps://www.cdc.gov/adhd/treatment/index.html
Parent training in behavior management has been shown to work as well as medication for ADHD in young children. […] For children ages 6 years and older, AAP recommends combining medication treatment with behavior therapy. Several types of behavior therapies are considered effective, including: Parent training in behavior management; […] These approaches are often most effective if they are used together, depending on the needs of the individual child and the family. […] For children under 6 years of age, experts recommend using medication only after behavior therapy has been tried because the medication may not be as effective, and the side effects may be more severe.
- #34 Treatment of ADHD | Attention-Deficit / Hyperactivity Disorder (ADHD) | CDChttps://www.cdc.gov/adhd/treatment/index.html
Parent training in behavior management has been shown to work as well as medication for ADHD in young children. […] For children ages 6 years and older, AAP recommends combining medication treatment with behavior therapy. Several types of behavior therapies are considered effective, including: Parent training in behavior management; […] These approaches are often most effective if they are used together, depending on the needs of the individual child and the family. […] For children under 6 years of age, experts recommend using medication only after behavior therapy has been tried because the medication may not be as effective, and the side effects may be more severe.
- #35 Treatment of ADHD | Attention-Deficit / Hyperactivity Disorder (ADHD) | CDChttps://www.cdc.gov/adhd/treatment/index.html
Parent training in behavior management has been shown to work as well as medication for ADHD in young children. […] For children ages 6 years and older, AAP recommends combining medication treatment with behavior therapy. Several types of behavior therapies are considered effective, including: Parent training in behavior management; […] These approaches are often most effective if they are used together, depending on the needs of the individual child and the family. […] For children under 6 years of age, experts recommend using medication only after behavior therapy has been tried because the medication may not be as effective, and the side effects may be more severe.
- #36 ADHD in children | Mental Health Foundationhttps://mentalhealth.org.nz/conditions/condition/adhd-in-children
If your child is diagnosed with ADHD, the specialist will then work with you to create a treatment plan. ADHD is a complicated condition, generally best managed by a mixed treatment programme, which may include the following components: […] These are talk-based therapies which look at the child or young person’s thinking, behaviour, relationships and environment. […] Its important that children are encouraged to develop and learn coping behaviours and skills, and parents and teachers play a key role to help them learn and practise these new skills. […] For family/whnau of someone with ADHD, the following strategies are useful: Make sure there are everyday routines in the home. […] Its best to keep up with your child’s school programme and inform the teacher of any changes in behaviour or treatment. […] The following strategies can be useful to support children with ADHD in school: have the child sit in an area with as little distractions as possible not beside a busy window or at the back of the classroom.
- #37 Diagnosis and Management of ADHD in Children | AAFPhttps://www.aafp.org/pubs/afp/issues/2014/1001/p456.html
Effective behavioral therapies include parent training, classroom management, peer interventions, and combinations of these interventions. […] Medications reduce core ADHD symptoms for most children. […] Psychostimulants (e.g., methylphenidate [Ritalin], dextroamphetamine) are the most effective and safe option, and are the first choice for ADHD treatment in national guidelines and reviews. […] Atomoxetine (Strattera) and alpha-2 receptor agonists (e.g., guanfacine [Tenex], clonidine [Catapres]) are also effective but have fewer supporting studies and are less effective than psychostimulants. […] Physician follow-up is recommended one month after initiating treatment.
- #38 Diagnosis and Management of ADHD in Children | AAFPhttps://www.aafp.org/pubs/afp/issues/2014/1001/p456.html
Effective behavioral therapies include parent training, classroom management, peer interventions, and combinations of these interventions. […] Medications reduce core ADHD symptoms for most children. […] Psychostimulants (e.g., methylphenidate [Ritalin], dextroamphetamine) are the most effective and safe option, and are the first choice for ADHD treatment in national guidelines and reviews. […] Atomoxetine (Strattera) and alpha-2 receptor agonists (e.g., guanfacine [Tenex], clonidine [Catapres]) are also effective but have fewer supporting studies and are less effective than psychostimulants. […] Physician follow-up is recommended one month after initiating treatment.
- #39 Diagnosis and Management of ADHD in Children | AAFPhttps://www.aafp.org/pubs/afp/issues/2014/1001/p456.html
Effective behavioral therapies include parent training, classroom management, peer interventions, and combinations of these interventions. […] Medications reduce core ADHD symptoms for most children. […] Psychostimulants (e.g., methylphenidate [Ritalin], dextroamphetamine) are the most effective and safe option, and are the first choice for ADHD treatment in national guidelines and reviews. […] Atomoxetine (Strattera) and alpha-2 receptor agonists (e.g., guanfacine [Tenex], clonidine [Catapres]) are also effective but have fewer supporting studies and are less effective than psychostimulants. […] Physician follow-up is recommended one month after initiating treatment.
- #40 Reducing Unintentional Injuries in Children and Teens with ADHD | CIRPhttps://injury.research.chop.edu/blog/posts/reducing-unintentional-injuries-children-and-teens-adhd
We know that the leading cause of morbidity and mortality among US children is unintentional injury. […] Children with a diagnosis of attention-deficit hyperactivity disorder (ADHD) are at a significantly increased risk of unintentional injury. […] A recent study in the Journal of the American Academy of Child Adolescent Psychiatry, however, did find that ADHD medications reduce the risk of unintentional injury (and specifically traumatic brain injury, or TBI) in both children and adolescents, and in both boys and girls. […] ADHD medication use was associated with a lower risk of having an ED visit for unintentional injuries at a population level (OR = 0.85, 95% CI= 0.84-0.86 in boys, and OR = 0.87, 95% CI = 0.85-0.89 in girls), as well as within individual analyses (OR = 0.71, 95% CI = 0.700.73 for boys and OR = 0.71, 95% CI = 0.680.73 in girls).
- #41 Reducing Unintentional Injuries in Children and Teens with ADHD | CIRPhttps://injury.research.chop.edu/blog/posts/reducing-unintentional-injuries-children-and-teens-adhd
This large population study suggests that ADHD medication use may have a protective effect on both unintentional injuries, including TBI. […] This study validates my thinking that medications can not only help with the core symptoms of ADHD, but also reduce unintentional injury. […] ADHD medication use was associated with a lower risk of having an ED visit for unintentional injuries and TBI in both children and adolescents, both in boys and in girls.
- #42 Substance Use Prevention in Teens With ADHD | Psychology Todayhttps://www.psychologytoday.com/us/blog/revolutionizing-addiction-recovery/202410/substance-use-prevention-in-teens-with-adhd
ADHD increases the likelihood of substance use due to impulsive behaviors. […] Strategies like therapy and medication can help prevent substance use in ADHD teens. […] The emotional dysregulation that accompanies ADHD is another risk factor. […] Fortunately, some protective factors can mitigate risks in ADHD teens. […] Fostering strong executive functioning (EF) may also play a role in helping to deter drug use in ADHD teens. […] If you’re wondering about the role of ADHD medication in substance use prevention, current research shows that ADHD medication is not associated with an increased rate of substance abuse. […] Cognitive behavioral therapy, medications, and lifestyle management can all help teens to thrive. […] Understanding the increased risk of substance use in ADHD teens is the first step in preventing harm. […] By creating an empowering, structured environment that works around ADHD symptoms instead of stigmatizing them, families can set their teens up for substance-free lifestyles.
- #43 Teen suicide: ADHD medication as prevention | ScienceDailyhttps://www.sciencedaily.com/releases/2016/02/160201084407.htm
„Clearly, the increased use of ADHD drugs indicates that they might actually reduce rather than augment the risk of suicide,” says Edouard Kouassi, pharmacist and researcher at the Institut universitaire en sant mentale de Montral (CIUSSS de l’Est-de-l’le-de-Montral) and co-author of the study. […] „Randomized controlled trials have shown ADHD medication to alleviate the usual symptoms of hyperactivity and attention deficit. It has also been associated with improvements in school performance, better self-esteem, and reductions in conduct disorders, drug abuse, and pregnancies in girls. In fact, these disorders or precarious social situations are especially associated with increased risk of suicide, not the actual taking of these drugs, which, on the contrary, may prevent suicide,” say the authors.
- #44 Teen suicide: ADHD medication as prevention | ScienceDailyhttps://www.sciencedaily.com/releases/2016/02/160201084407.htm
„Clearly, the increased use of ADHD drugs indicates that they might actually reduce rather than augment the risk of suicide,” says Edouard Kouassi, pharmacist and researcher at the Institut universitaire en sant mentale de Montral (CIUSSS de l’Est-de-l’le-de-Montral) and co-author of the study. […] „Randomized controlled trials have shown ADHD medication to alleviate the usual symptoms of hyperactivity and attention deficit. It has also been associated with improvements in school performance, better self-esteem, and reductions in conduct disorders, drug abuse, and pregnancies in girls. In fact, these disorders or precarious social situations are especially associated with increased risk of suicide, not the actual taking of these drugs, which, on the contrary, may prevent suicide,” say the authors.
- #45 Treatment of ADHD | Attention-Deficit / Hyperactivity Disorder (ADHD) | CDChttps://www.cdc.gov/adhd/treatment/index.html
Parent training in behavior management has been shown to work as well as medication for ADHD in young children. […] For children ages 6 years and older, AAP recommends combining medication treatment with behavior therapy. Several types of behavior therapies are considered effective, including: Parent training in behavior management; […] These approaches are often most effective if they are used together, depending on the needs of the individual child and the family. […] For children under 6 years of age, experts recommend using medication only after behavior therapy has been tried because the medication may not be as effective, and the side effects may be more severe.
- #46 What To Know About ADHD in Kids – NewYork-Presbyterian – Pediatrics, Psychiatryhttps://healthmatters.nyp.org/what-to-know-about-adhd-in-kids/
There are a lot of great therapies to help treat ADHD. For preschool-aged children, we always start with parent-child interaction therapy, a type of behavioral therapy that coaches parents on how to interact with children with behavioral or emotional issues. […] The combination of medication and therapy helps produce the best efficacy overall. […] Symptoms can change over time and usually do. […] Treatment isnt a set it and forget it plan. Theres always evaluation and follow-up, and a doctor can work with someone to see whats right for them at any stage of life.
- #47 Treatment of ADHD | Attention-Deficit / Hyperactivity Disorder (ADHD) | CDChttps://www.cdc.gov/adhd/treatment/index.html
Parent training in behavior management has been shown to work as well as medication for ADHD in young children. […] For children ages 6 years and older, AAP recommends combining medication treatment with behavior therapy. Several types of behavior therapies are considered effective, including: Parent training in behavior management; […] These approaches are often most effective if they are used together, depending on the needs of the individual child and the family. […] For children under 6 years of age, experts recommend using medication only after behavior therapy has been tried because the medication may not be as effective, and the side effects may be more severe.
- #48 Attention Deficit Hyperactivity Disorder (ADHD) – Seattle Children’shttps://www.seattlechildrens.org/conditions/adhd/
Seattle Childrens child and adolescent mental health providers offer a wide range of services from prevention and early intervention programs to highly specialized treatments for chronic mental health and developmental challenges. […] It is important to diagnose and treat these issues as well. […] Treatment may include a range of options like parenting groups through the Behavior and Attention Management Program to teach you skills for dealing with ADHD, medicines for ADHD, suggestions for your childs school and referrals to other Seattle Childrens clinics and community resources. […] Symptoms improve fastest by using behavior therapy and medicines together. […] Without treatment, teens with ADHD have a higher chance of failing in school and dropping out, having low self-esteem, feeling demoralized, abusing alcohol or other substances and breaking the law. […] With treatment, many young people with ADHD attend college and become successful adults.
- #49 Treatment of ADHD | Attention-Deficit / Hyperactivity Disorder (ADHD) | CDChttps://www.cdc.gov/adhd/treatment/index.html
For children with ADHD younger than 6 years of age, the American Academy of Pediatrics (AAP) recommends parent training in behavior management as the first line of treatment, before medication is tried. […] For children 6 years of age and older, the recommendations include medication and behavior therapy togetherparent training in behavior management for children up to age 12 and other types of behavior therapy and training for adolescents. Schools can be part of the treatment as well. AAP recommendations also include adding behavioral classroom intervention and school supports. […] For young children with ADHD, behavior therapy is an important first step before trying medication because: Parent training in behavior management gives parents the skills and strategies to help their child.
- #50 ADHD in children | Mental Health Foundationhttps://mentalhealth.org.nz/conditions/condition/adhd-in-children
If your child is diagnosed with ADHD, the specialist will then work with you to create a treatment plan. ADHD is a complicated condition, generally best managed by a mixed treatment programme, which may include the following components: […] These are talk-based therapies which look at the child or young person’s thinking, behaviour, relationships and environment. […] Its important that children are encouraged to develop and learn coping behaviours and skills, and parents and teachers play a key role to help them learn and practise these new skills. […] For family/whnau of someone with ADHD, the following strategies are useful: Make sure there are everyday routines in the home. […] Its best to keep up with your child’s school programme and inform the teacher of any changes in behaviour or treatment. […] The following strategies can be useful to support children with ADHD in school: have the child sit in an area with as little distractions as possible not beside a busy window or at the back of the classroom.
- #51 Teens with ADHD: Challenges and Strategies for Success – 02476 – Bain Health and Wellness Centerhttps://bainhwc.com/teens-with-adhd-challenges-and-strategies-for-success
Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder that affects close to 13% of children aged 12 to 17 in the USA, impacting their academic performance, social relationships, and overall well-being (Centers for Disease Control and Prevention, 2024). […] Therapy for Teens in Arlington, MA at The Bain Health and Wellness Center can offer significant benefits for teenagers with ADHD. […] Evidence-based treatment for teens with ADHD extends beyond individual interventions to include the crucial element of parental involvement. […] Parent training programs have demonstrated strong success in enhancing parenting skills and improving parent-child relationships. […] Academic accommodations, such as creating individualized learning plans, extended time on tests, preferential seating, and frequent reminders, can significantly impact their school performance.
- #52 Attention-Deficit / Hyperactivity Disorder (ADHD) in Children | Texas Children’shttps://www.texaschildrens.org/content/conditions/attention-deficit-hyperactivity-disorder-adhd-children
Establish a stable dose of medication (if the child is taking an ADHD medication). Note that pediatricians become very busy toward the end of summer with well-child exams, vaccinations and pre-athletic physicals. Schedule your childâs visit several weeks before the end of summer. […] Make a plan with your childâs teacher and other educators at the school to ensure effective classroom accommodations for ADHD are in place.
- #53 Promoting school success for children with ADHDhttps://health.choc.org/how-caregivers-can-promote-school-success-for-children-with-adhd/
Children with attention-deficit/hyperactivity disorder (ADHD) have more challenges in achieving success at school. The core symptoms of ADHD, such as difficulty paying attention, increased impulsivity and avoidance of tasks that require sustained attention interfere with learning and performance. […] Children who are treated for ADHD are at decreased risk of lower GPAs, lower standardized test scores and lower risk of grade retention. […] Parents can invite teachers to collaborate with them to develop routines and strategies that will support their child in the classroom and request a higher level of intervention represented by a 504 plan or an individualized education program (IEP). […] These school performance barriers can be overcome by following a routine, increasing rewards, and providing more frequent breaks.
- #54 ADHD in children | Mental Health Foundationhttps://mentalhealth.org.nz/conditions/condition/adhd-in-children
If your child is diagnosed with ADHD, the specialist will then work with you to create a treatment plan. ADHD is a complicated condition, generally best managed by a mixed treatment programme, which may include the following components: […] These are talk-based therapies which look at the child or young person’s thinking, behaviour, relationships and environment. […] Its important that children are encouraged to develop and learn coping behaviours and skills, and parents and teachers play a key role to help them learn and practise these new skills. […] For family/whnau of someone with ADHD, the following strategies are useful: Make sure there are everyday routines in the home. […] Its best to keep up with your child’s school programme and inform the teacher of any changes in behaviour or treatment. […] The following strategies can be useful to support children with ADHD in school: have the child sit in an area with as little distractions as possible not beside a busy window or at the back of the classroom.
- #55 Attention-Deficit / Hyperactivity Disorder (ADHD) in Children | Texas Children’shttps://www.texaschildrens.org/content/conditions/attention-deficit-hyperactivity-disorder-adhd-children
Preventive measures to reduce the incidence of ADHD are not known at this time. However, early detection and intervention can reduce the severity of symptoms, decrease the interference of behavioral symptoms on school functioning, enhance the child’s normal growth and development and improve the quality of life experienced by children or adolescents with ADHD. […] One of the best things that parents can do to prevent adjustment problems is to be more proactive before each new school year begins. 4 specific ways that parents can prevent school problems are: […] Set good routines and establish consistent daily schedules 2-3 weeks before school begins. […] Seek parent management training/behavioral consultation to promote better coping and adaptive functioning for your child (and family). If you have already done this, consider scheduling âbooster sessionsâ with your psychologist before the school year begins.
- #56 Attention-Deficit / Hyperactivity Disorder (ADHD) in Children | Texas Children’shttps://www.texaschildrens.org/content/conditions/attention-deficit-hyperactivity-disorder-adhd-children
Preventive measures to reduce the incidence of ADHD are not known at this time. However, early detection and intervention can reduce the severity of symptoms, decrease the interference of behavioral symptoms on school functioning, enhance the child’s normal growth and development and improve the quality of life experienced by children or adolescents with ADHD. […] One of the best things that parents can do to prevent adjustment problems is to be more proactive before each new school year begins. 4 specific ways that parents can prevent school problems are: […] Set good routines and establish consistent daily schedules 2-3 weeks before school begins. […] Seek parent management training/behavioral consultation to promote better coping and adaptive functioning for your child (and family). If you have already done this, consider scheduling âbooster sessionsâ with your psychologist before the school year begins.
- #57 Preventing ADHD: Exploring Diet, Parenting, Behavior Management and Other Strategieshttps://www.webmd.com/add-adhd/childhood-adhd/preventing-adhd
All children, and especially those with ADHD, can benefit from structured routines and clear expectations. […] Though posting a schedule doesn’t prevent ADHD, it should help improve your child’s ability to stay on task. […] Many therapists believe you can impact your child’s behavior by using behavior management. […] The first step is to foster a positive parent-child relationship. […] The next step in behavioral management is to use positive reinforcement when your child behaves well. […] If your child’s teacher is using a behavior or reward system at school, try to implement a similar system at home. […] The last step in behavioral management is providing negative consequences for bad behavior. […] For behavior therapy to work, give children with ADHD frequent reminders of expected behavior and consequences. […] If you have a preschooler, play games, build with blocks, and do puzzles together. It’s good practice for building attention skills. […] Not everyone agrees, but some experts think that television watching can hinder a child’s ability to learn to pay attention.
- #58 Preventing ADHD: Exploring Diet, Parenting, Behavior Management and Other Strategieshttps://www.webmd.com/add-adhd/childhood-adhd/preventing-adhd
All children, and especially those with ADHD, can benefit from structured routines and clear expectations. […] Though posting a schedule doesn’t prevent ADHD, it should help improve your child’s ability to stay on task. […] Many therapists believe you can impact your child’s behavior by using behavior management. […] The first step is to foster a positive parent-child relationship. […] The next step in behavioral management is to use positive reinforcement when your child behaves well. […] If your child’s teacher is using a behavior or reward system at school, try to implement a similar system at home. […] The last step in behavioral management is providing negative consequences for bad behavior. […] For behavior therapy to work, give children with ADHD frequent reminders of expected behavior and consequences. […] If you have a preschooler, play games, build with blocks, and do puzzles together. It’s good practice for building attention skills. […] Not everyone agrees, but some experts think that television watching can hinder a child’s ability to learn to pay attention.
- #59 Preventing ADHD: Exploring Diet, Parenting, Behavior Management and Other Strategieshttps://www.webmd.com/add-adhd/childhood-adhd/preventing-adhd
All children, and especially those with ADHD, can benefit from structured routines and clear expectations. […] Though posting a schedule doesn’t prevent ADHD, it should help improve your child’s ability to stay on task. […] Many therapists believe you can impact your child’s behavior by using behavior management. […] The first step is to foster a positive parent-child relationship. […] The next step in behavioral management is to use positive reinforcement when your child behaves well. […] If your child’s teacher is using a behavior or reward system at school, try to implement a similar system at home. […] The last step in behavioral management is providing negative consequences for bad behavior. […] For behavior therapy to work, give children with ADHD frequent reminders of expected behavior and consequences. […] If you have a preschooler, play games, build with blocks, and do puzzles together. It’s good practice for building attention skills. […] Not everyone agrees, but some experts think that television watching can hinder a child’s ability to learn to pay attention.
- #60 Preventing ADHD: Exploring Diet, Parenting, Behavior Management and Other Strategieshttps://www.webmd.com/add-adhd/childhood-adhd/preventing-adhd
All children, and especially those with ADHD, can benefit from structured routines and clear expectations. […] Though posting a schedule doesn’t prevent ADHD, it should help improve your child’s ability to stay on task. […] Many therapists believe you can impact your child’s behavior by using behavior management. […] The first step is to foster a positive parent-child relationship. […] The next step in behavioral management is to use positive reinforcement when your child behaves well. […] If your child’s teacher is using a behavior or reward system at school, try to implement a similar system at home. […] The last step in behavioral management is providing negative consequences for bad behavior. […] For behavior therapy to work, give children with ADHD frequent reminders of expected behavior and consequences. […] If you have a preschooler, play games, build with blocks, and do puzzles together. It’s good practice for building attention skills. […] Not everyone agrees, but some experts think that television watching can hinder a child’s ability to learn to pay attention.
- #61 Treating and Dealing with ADHD | FDAhttps://www.fda.gov/consumers/consumer-updates/treating-and-dealing-adhd
Attention-deficit/hyperactivity disorder, also known as ADHD, is a condition that often begins between ages 3 and 6, according to the National Institute of Mental Health. […] If you suspect your child might have ADHD, see your pediatrician or health care professional. Also have your childs vision, hearing and anything else that might contribute to inattention checked. A doctor might diagnose ADHD or refer your child to a mental health specialist for evaluation. […] In addition to medication, some children with ADHD receive behavioral therapy to help manage symptoms and provide added coping skills. Moreover, concerned parents can reach out to their childrens schools and community support groups for information and guidance on how to cope with ADHD. […] Left untreated, ADHD can have serious consequences. A child may fall behind in school, encounter difficulties in friendships, and have conflicts with parents, according to the American Academy of Child and Adolescent Psychiatry.
- #62 Reducing Unintentional Injuries in Children and Teens with ADHD | CIRPhttps://injury.research.chop.edu/blog/posts/reducing-unintentional-injuries-children-and-teens-adhd
We know that the leading cause of morbidity and mortality among US children is unintentional injury. […] Children with a diagnosis of attention-deficit hyperactivity disorder (ADHD) are at a significantly increased risk of unintentional injury. […] A recent study in the Journal of the American Academy of Child Adolescent Psychiatry, however, did find that ADHD medications reduce the risk of unintentional injury (and specifically traumatic brain injury, or TBI) in both children and adolescents, and in both boys and girls. […] ADHD medication use was associated with a lower risk of having an ED visit for unintentional injuries at a population level (OR = 0.85, 95% CI= 0.84-0.86 in boys, and OR = 0.87, 95% CI = 0.85-0.89 in girls), as well as within individual analyses (OR = 0.71, 95% CI = 0.700.73 for boys and OR = 0.71, 95% CI = 0.680.73 in girls).
- #63 Treating and Dealing with ADHD | FDAhttps://www.fda.gov/consumers/consumer-updates/treating-and-dealing-adhd
Studies show that children with untreated ADHD have more emergency room visits and are more likely to have self-inflicted injuries than those treated for the disorder. Untreated adolescents (children ages 10 to 18) with ADHD are more likely to take risks such as drinking and driving and have twice as many motor vehicle accidents as those who are treated.
- #64 Treating and Dealing with ADHD | FDAhttps://www.fda.gov/consumers/consumer-updates/treating-and-dealing-adhd
Studies show that children with untreated ADHD have more emergency room visits and are more likely to have self-inflicted injuries than those treated for the disorder. Untreated adolescents (children ages 10 to 18) with ADHD are more likely to take risks such as drinking and driving and have twice as many motor vehicle accidents as those who are treated.
- #65 Reducing Unintentional Injuries in Children and Teens with ADHD | CIRPhttps://injury.research.chop.edu/blog/posts/reducing-unintentional-injuries-children-and-teens-adhd
This large population study suggests that ADHD medication use may have a protective effect on both unintentional injuries, including TBI. […] This study validates my thinking that medications can not only help with the core symptoms of ADHD, but also reduce unintentional injury. […] ADHD medication use was associated with a lower risk of having an ED visit for unintentional injuries and TBI in both children and adolescents, both in boys and in girls.
- #66 Attention Deficit Hyperactivity Disorder (ADHD) – Seattle Children’shttps://www.seattlechildrens.org/conditions/adhd/
Seattle Childrens child and adolescent mental health providers offer a wide range of services from prevention and early intervention programs to highly specialized treatments for chronic mental health and developmental challenges. […] It is important to diagnose and treat these issues as well. […] Treatment may include a range of options like parenting groups through the Behavior and Attention Management Program to teach you skills for dealing with ADHD, medicines for ADHD, suggestions for your childs school and referrals to other Seattle Childrens clinics and community resources. […] Symptoms improve fastest by using behavior therapy and medicines together. […] Without treatment, teens with ADHD have a higher chance of failing in school and dropping out, having low self-esteem, feeling demoralized, abusing alcohol or other substances and breaking the law. […] With treatment, many young people with ADHD attend college and become successful adults.
- #67https://abcnews.go.com/Health/1-9-us-children-now-adhd-surge-diagnoses/story?id=110584157
Diagnoses of children with attention-deficit/hyperactivity disorder (ADHD) have surged in the United States over the last several years, according to a new study from the Centers for Disease Control and Prevention. […] A diagnosis can be made by a mental health professional, such as a psychologist or psychiatrist, or by a primary care provider, such as a pediatrician. […] Despite behavior therapy often recommended alone or as adjunct to medications, only about half of children with current ADHD, 53.6%, had used medication and 44.4% had received behavioral therapy in the last year, according to parent responses. […] The authors noted that children with ADHD are more likely to experience poor health outcomes as adults including obesity, chronic illness and accidental injury. […] They added that the estimates from the study can be used to help clinicians be on the lookout for ADHD and children not receiving treatment as well as to help „policymakers, government agencies, health care systems, public health practitioners and other partners to plan for the needs of children with ADHD, such as by ensuring access to care and services for ADHD.”
- #68 Substance Use Prevention in Teens With ADHD | Psychology Todayhttps://www.psychologytoday.com/us/blog/revolutionizing-addiction-recovery/202410/substance-use-prevention-in-teens-with-adhd
ADHD increases the likelihood of substance use due to impulsive behaviors. […] Strategies like therapy and medication can help prevent substance use in ADHD teens. […] The emotional dysregulation that accompanies ADHD is another risk factor. […] Fortunately, some protective factors can mitigate risks in ADHD teens. […] Fostering strong executive functioning (EF) may also play a role in helping to deter drug use in ADHD teens. […] If you’re wondering about the role of ADHD medication in substance use prevention, current research shows that ADHD medication is not associated with an increased rate of substance abuse. […] Cognitive behavioral therapy, medications, and lifestyle management can all help teens to thrive. […] Understanding the increased risk of substance use in ADHD teens is the first step in preventing harm. […] By creating an empowering, structured environment that works around ADHD symptoms instead of stigmatizing them, families can set their teens up for substance-free lifestyles.
- #69 Substance Use Prevention in Teens With ADHD | Psychology Todayhttps://www.psychologytoday.com/us/blog/revolutionizing-addiction-recovery/202410/substance-use-prevention-in-teens-with-adhd
ADHD increases the likelihood of substance use due to impulsive behaviors. […] Strategies like therapy and medication can help prevent substance use in ADHD teens. […] The emotional dysregulation that accompanies ADHD is another risk factor. […] Fortunately, some protective factors can mitigate risks in ADHD teens. […] Fostering strong executive functioning (EF) may also play a role in helping to deter drug use in ADHD teens. […] If you’re wondering about the role of ADHD medication in substance use prevention, current research shows that ADHD medication is not associated with an increased rate of substance abuse. […] Cognitive behavioral therapy, medications, and lifestyle management can all help teens to thrive. […] Understanding the increased risk of substance use in ADHD teens is the first step in preventing harm. […] By creating an empowering, structured environment that works around ADHD symptoms instead of stigmatizing them, families can set their teens up for substance-free lifestyles.
- #70 Management for Caries Prevention in ADHD Childrenhttps://www.mdpi.com/1660-4601/19/12/7455
Management for Caries Prevention in ADHD Children […] Emotional Dysregulations (ED) represent a major health risk present in about 5% of children and are associated with diverse forms of childhood psychiatric disorders and symptoms such as Attention-Deficit/Hyperactivity Disorder (ADHD). […] Literature regarding children affected by ADHD suggests that caries prevalence in increased in this group. […] Authors of these and others studies underline that caries development is influenced by a significantly more frequent intake of cariogenic carbohydrates, irregularity in eating patterns as well as less systematic and shorter brushing. […] A higher number of parentâchild conflicts has been reported in families with a child affected by ADHD, which may also influence oral health behaviors. […] According to questionnaire-based studies, the numbers of appointments differ between healthy children and ADHD-affected children. […] ADHD may constitute a risk factor for higher caries incidence; however, the role of medications used in such children should not be overlooked. […] To help accelerate progress related to the extension of the diagnostic framework for ADHD patients, there is a need to monitor children at risk of oral diseases. […] Preventive strategies include toothbrushing with a suitable toothbrush and toothpaste, the use of mouthwashes and oral gels, as well as interdental tooth cleaning using, for example, dental floss or interdental brushes. […] Clinical data of ADHD trials suggest that effective prevention may depend on level of caries risk, patientâs cooperation and therapeutic management. […] Early strategies for individual patient cases and choices of remineralization products are needed to defend the oral health of children with ADHD against dental caries. […] All abovementioned preventive directions may be applied, and longer follow-up periods are suggested to evaluate the clinical approach in oral health among ADHD patients.
- #71 Management for Caries Prevention in ADHD Childrenhttps://www.mdpi.com/1660-4601/19/12/7455
Management for Caries Prevention in ADHD Children […] Emotional Dysregulations (ED) represent a major health risk present in about 5% of children and are associated with diverse forms of childhood psychiatric disorders and symptoms such as Attention-Deficit/Hyperactivity Disorder (ADHD). […] Literature regarding children affected by ADHD suggests that caries prevalence in increased in this group. […] Authors of these and others studies underline that caries development is influenced by a significantly more frequent intake of cariogenic carbohydrates, irregularity in eating patterns as well as less systematic and shorter brushing. […] A higher number of parentâchild conflicts has been reported in families with a child affected by ADHD, which may also influence oral health behaviors. […] According to questionnaire-based studies, the numbers of appointments differ between healthy children and ADHD-affected children. […] ADHD may constitute a risk factor for higher caries incidence; however, the role of medications used in such children should not be overlooked. […] To help accelerate progress related to the extension of the diagnostic framework for ADHD patients, there is a need to monitor children at risk of oral diseases. […] Preventive strategies include toothbrushing with a suitable toothbrush and toothpaste, the use of mouthwashes and oral gels, as well as interdental tooth cleaning using, for example, dental floss or interdental brushes. […] Clinical data of ADHD trials suggest that effective prevention may depend on level of caries risk, patientâs cooperation and therapeutic management. […] Early strategies for individual patient cases and choices of remineralization products are needed to defend the oral health of children with ADHD against dental caries. […] All abovementioned preventive directions may be applied, and longer follow-up periods are suggested to evaluate the clinical approach in oral health among ADHD patients.
- #72 Management for Caries Prevention in ADHD Childrenhttps://www.mdpi.com/1660-4601/19/12/7455
Management for Caries Prevention in ADHD Children […] Emotional Dysregulations (ED) represent a major health risk present in about 5% of children and are associated with diverse forms of childhood psychiatric disorders and symptoms such as Attention-Deficit/Hyperactivity Disorder (ADHD). […] Literature regarding children affected by ADHD suggests that caries prevalence in increased in this group. […] Authors of these and others studies underline that caries development is influenced by a significantly more frequent intake of cariogenic carbohydrates, irregularity in eating patterns as well as less systematic and shorter brushing. […] A higher number of parentâchild conflicts has been reported in families with a child affected by ADHD, which may also influence oral health behaviors. […] According to questionnaire-based studies, the numbers of appointments differ between healthy children and ADHD-affected children. […] ADHD may constitute a risk factor for higher caries incidence; however, the role of medications used in such children should not be overlooked. […] To help accelerate progress related to the extension of the diagnostic framework for ADHD patients, there is a need to monitor children at risk of oral diseases. […] Preventive strategies include toothbrushing with a suitable toothbrush and toothpaste, the use of mouthwashes and oral gels, as well as interdental tooth cleaning using, for example, dental floss or interdental brushes. […] Clinical data of ADHD trials suggest that effective prevention may depend on level of caries risk, patientâs cooperation and therapeutic management. […] Early strategies for individual patient cases and choices of remineralization products are needed to defend the oral health of children with ADHD against dental caries. […] All abovementioned preventive directions may be applied, and longer follow-up periods are suggested to evaluate the clinical approach in oral health among ADHD patients.
- #73 Management for Caries Prevention in ADHD Childrenhttps://www.mdpi.com/1660-4601/19/12/7455
Management for Caries Prevention in ADHD Children […] Emotional Dysregulations (ED) represent a major health risk present in about 5% of children and are associated with diverse forms of childhood psychiatric disorders and symptoms such as Attention-Deficit/Hyperactivity Disorder (ADHD). […] Literature regarding children affected by ADHD suggests that caries prevalence in increased in this group. […] Authors of these and others studies underline that caries development is influenced by a significantly more frequent intake of cariogenic carbohydrates, irregularity in eating patterns as well as less systematic and shorter brushing. […] A higher number of parentâchild conflicts has been reported in families with a child affected by ADHD, which may also influence oral health behaviors. […] According to questionnaire-based studies, the numbers of appointments differ between healthy children and ADHD-affected children. […] ADHD may constitute a risk factor for higher caries incidence; however, the role of medications used in such children should not be overlooked. […] To help accelerate progress related to the extension of the diagnostic framework for ADHD patients, there is a need to monitor children at risk of oral diseases. […] Preventive strategies include toothbrushing with a suitable toothbrush and toothpaste, the use of mouthwashes and oral gels, as well as interdental tooth cleaning using, for example, dental floss or interdental brushes. […] Clinical data of ADHD trials suggest that effective prevention may depend on level of caries risk, patientâs cooperation and therapeutic management. […] Early strategies for individual patient cases and choices of remineralization products are needed to defend the oral health of children with ADHD against dental caries. […] All abovementioned preventive directions may be applied, and longer follow-up periods are suggested to evaluate the clinical approach in oral health among ADHD patients.
- #74 Parenting a Child with ADHD – CHADDhttps://chadd.org/for-parents/overview/
While ADHD is believed to be hereditary, effectively managing your childs symptoms can affect both the severity of the disorder and development of more serious problems over time. Early intervention holds the key to positive outcomes for your child. The earlier you address your childs problems, the more likely you will be able to prevent school and social failure and associated problems such as underachievement and poor self-esteem that may lead to delinquency or drug and alcohol abuse. […] Parent training will teach you strategies to change behaviors and improve your relationship with your child. […] Behavioral techniques have been widely established as a key component of treatment for children with ADHD.
- #75 Psychiatry.org – What is ADHD?https://www.psychiatry.org/patients-families/adhd/what-is-adhd
ADHD treatment usually encompasses a combination of therapy and medication intervention. In preschool-age and younger children, the recommended first-line approach includes behavioral strategies in the form of parent management training and school intervention. Parent-Child Interaction Therapy (PCIT) is an evidence-based therapy modality to help young children with ADHD and oppositional defiant disorder. […] According to current guidelines, psychostimulants (amphetamines and methylphenidate) are first-line pharmacological treatments for the management of ADHD. […] Many children and families can alternate between various medication options depending on the efficacy of treatment and tolerability of the medication. The goal of treatment is to improve symptoms to restore functioning at home and at school.
- #76 Psychiatry.org – What is ADHD?https://www.psychiatry.org/patients-families/adhd/what-is-adhd
ADHD treatment usually encompasses a combination of therapy and medication intervention. In preschool-age and younger children, the recommended first-line approach includes behavioral strategies in the form of parent management training and school intervention. Parent-Child Interaction Therapy (PCIT) is an evidence-based therapy modality to help young children with ADHD and oppositional defiant disorder. […] According to current guidelines, psychostimulants (amphetamines and methylphenidate) are first-line pharmacological treatments for the management of ADHD. […] Many children and families can alternate between various medication options depending on the efficacy of treatment and tolerability of the medication. The goal of treatment is to improve symptoms to restore functioning at home and at school.
- #77 What To Know About ADHD in Kids – NewYork-Presbyterian – Pediatrics, Psychiatryhttps://healthmatters.nyp.org/what-to-know-about-adhd-in-kids/
There are a lot of great therapies to help treat ADHD. For preschool-aged children, we always start with parent-child interaction therapy, a type of behavioral therapy that coaches parents on how to interact with children with behavioral or emotional issues. […] The combination of medication and therapy helps produce the best efficacy overall. […] Symptoms can change over time and usually do. […] Treatment isnt a set it and forget it plan. Theres always evaluation and follow-up, and a doctor can work with someone to see whats right for them at any stage of life.
- #78 Attention-Deficit/Hyperactivity Disorder (ADHD) in Childrenhttps://healthlibrary.uwmedicine.org/Library/DiseasesConditions/Adult/EyeCare/90,P02552
Experts dont know how to prevent ADHD in children. But spotting and treating it early can lessen symptoms and enhance your childs normal development. It can also improve your childs quality of life. […] Treatment will depend on your childs symptoms, age, and general health. It will also depend on how severe the condition is. […] Parenting children with ADHD may be hard. ADHD can cause challenges that create stress within the family. Classes in behavior management skills for parents can help lower stress for all family members. This training often happens in a group setting that encourages parent-to-parent support. Behavior management techniques tend to improve targeted behaviors in a child, such as completing schoolwork.
- #79 Parenting a Child with ADHD – CHADDhttps://chadd.org/for-parents/overview/
While ADHD is believed to be hereditary, effectively managing your childs symptoms can affect both the severity of the disorder and development of more serious problems over time. Early intervention holds the key to positive outcomes for your child. The earlier you address your childs problems, the more likely you will be able to prevent school and social failure and associated problems such as underachievement and poor self-esteem that may lead to delinquency or drug and alcohol abuse. […] Parent training will teach you strategies to change behaviors and improve your relationship with your child. […] Behavioral techniques have been widely established as a key component of treatment for children with ADHD.
- #80 Parenting a Child with ADHD – CHADDhttps://chadd.org/for-parents/overview/
While ADHD is believed to be hereditary, effectively managing your childs symptoms can affect both the severity of the disorder and development of more serious problems over time. Early intervention holds the key to positive outcomes for your child. The earlier you address your childs problems, the more likely you will be able to prevent school and social failure and associated problems such as underachievement and poor self-esteem that may lead to delinquency or drug and alcohol abuse. […] Parent training will teach you strategies to change behaviors and improve your relationship with your child. […] Behavioral techniques have been widely established as a key component of treatment for children with ADHD.
- #81 More Diagnoses of A.D.H.D. Causing Concern – The New York Timeshttps://www.nytimes.com/2013/04/01/health/more-diagnoses-of-hyperactivity-causing-concern.html
Nearly one in five high school age boys in the United States and 11 percent of school-age children over all have received a medical diagnosis of attention deficit hyperactivity disorder, according to new data from the federal Centers for Disease Control and Prevention. […] These rates reflect a marked rise over the last decade and could fuel growing concern among many doctors that the A.D.H.D. diagnosis and its medication are overused in American children. […] While some doctors and patient advocates have welcomed rising diagnosis rates as evidence that the disorder is being better recognized and accepted, others said the new rates suggest that millions of children may be taking medication merely to calm behavior or to do better in school. […] The C.D.C. director, Dr. Thomas R. Frieden, likened the rising rates of stimulant prescriptions among children to the overuse of pain medications and antibiotics in adults. […] Experts cited several factors in the rising rates. Some doctors are hastily viewing any complaints of inattention as full-blown A.D.H.D., they said, while pharmaceutical advertising emphasizes how medication can substantially improve a childâs life
- #82 ADHD cases are up. 7 million U.S. kids have gotten a diagnosis, study finds : Shots – Health News : NPRhttps://www.npr.org/sections/shots-health-news/2024/05/23/1252941968/adhd-diagnoses-are-rising-1-in-9-u-s-kids-have-gotten-one-new-study-finds
About 1 in 9 children in the U.S., between the ages of 3 and 17, have been diagnosed with ADHD. That’s according to a new report from the Centers for Disease Control and Prevention that calls attention-deficit/hyperactivity disorder an „expanding public health concern.” […] The increase in diagnoses also comes amid growing awareness of ADHD and the different ways that it can manifest in children. […] The report also found that nearly 78% percent of children diagnosed with ADHD had at least one other diagnosed disorder. […] Kids with ADHD are at increased risk for other conditions including depression, anxiety and substance abuse and if left untreated, ADHD can raise the risk of serious health concerns in adulthood. This includes a higher risk of diabetes, heart disease and shortened life span, Wiznitzer says which is why increased awareness and diagnosis is important. […] Danielson says parents can also find information on treatment and services at CHADD Children And Adults with ADHD, a non-profit resources organization where Wiznitzer serves on the advisory board.
- #83 The importance of ADHD awarenesshttps://www.medicalnewstoday.com/articles/adhd-awareness
Raising awareness of attention deficit hyperactivity disorder (ADHD) helps create welcoming, accessible schools and workplaces. It also ensures doctors can properly treat ADHD, reduces the impact of the condition, and may encourage people with symptoms of ADHD to seek a diagnosis. […] Raising ADHD awareness improves quality of life for people with ADHD and those close to them. […] ADHD symptoms can affect many aspects of life. Raising awareness may increase empathy for people who exhibit ADHD symptoms. It may also increase the likelihood of a person with ADHD getting a diagnosis and treatment. This can improve many aspects of their lives, as well as the lives of those around them. […] Awareness campaigns can help. A 2020 study found that an intervention to promote awareness of ADHD in general practitioners increased their knowledge of the condition. This suggests that awareness campaigns that target doctors may improve access to quality, evidence-based treatment. […] ADHD awareness helps dispel these myths so that people living with ADHD can gain support, access treatment, and realize their full potential.
- #84 The importance of ADHD awarenesshttps://www.medicalnewstoday.com/articles/adhd-awareness
Raising awareness of attention deficit hyperactivity disorder (ADHD) helps create welcoming, accessible schools and workplaces. It also ensures doctors can properly treat ADHD, reduces the impact of the condition, and may encourage people with symptoms of ADHD to seek a diagnosis. […] Raising ADHD awareness improves quality of life for people with ADHD and those close to them. […] ADHD symptoms can affect many aspects of life. Raising awareness may increase empathy for people who exhibit ADHD symptoms. It may also increase the likelihood of a person with ADHD getting a diagnosis and treatment. This can improve many aspects of their lives, as well as the lives of those around them. […] Awareness campaigns can help. A 2020 study found that an intervention to promote awareness of ADHD in general practitioners increased their knowledge of the condition. This suggests that awareness campaigns that target doctors may improve access to quality, evidence-based treatment. […] ADHD awareness helps dispel these myths so that people living with ADHD can gain support, access treatment, and realize their full potential.
- #85 The importance of ADHD awarenesshttps://www.medicalnewstoday.com/articles/adhd-awareness
Raising awareness of attention deficit hyperactivity disorder (ADHD) helps create welcoming, accessible schools and workplaces. It also ensures doctors can properly treat ADHD, reduces the impact of the condition, and may encourage people with symptoms of ADHD to seek a diagnosis. […] Raising ADHD awareness improves quality of life for people with ADHD and those close to them. […] ADHD symptoms can affect many aspects of life. Raising awareness may increase empathy for people who exhibit ADHD symptoms. It may also increase the likelihood of a person with ADHD getting a diagnosis and treatment. This can improve many aspects of their lives, as well as the lives of those around them. […] Awareness campaigns can help. A 2020 study found that an intervention to promote awareness of ADHD in general practitioners increased their knowledge of the condition. This suggests that awareness campaigns that target doctors may improve access to quality, evidence-based treatment. […] ADHD awareness helps dispel these myths so that people living with ADHD can gain support, access treatment, and realize their full potential.
- #86 Preventive Interventions for ADHD: A Neurodevelopmental Perspectivehttps://pmc.ncbi.nlm.nih.gov/articles/PMC3441940/
In making this argument, we will first present a dynamic/interactive model of the biological and environmental factors that contribute to the emergence of ADHD in early childhood and to its persistence throughout life. […] We will argue that environmental enrichment, primarily in the form of neurocognitive enhancement and physical exercise, can be used to enhance neural development, which, in turn, will have an enduring impact on the trajectory of ADHD. […] We posit that genes and the prenatal environment interact bi-directionally, so that genes influence the prenatal environment and the environment, via epigenetic mechanisms, influences gene functions. […] Although the quality of parenting is unlikely to be a primary cause of ADHD, it is among several postnatal environmental risk factors that may influence severity and/or impairment.
- #87 Study Shows Nearly 300% Increase in ADHD Medication Errorshttps://www.nationwidechildrens.org/newsroom/news-releases/2023/09/adhd-medication-errors-study
ADHD is among the most common pediatric neurodevelopmental disorders. In 2019, nearly 10% of United States (U.S.) children had a diagnosis of ADHD. Approximately 3.3 million children, or roughly 5 out of every 100 children in the U.S., are currently prescribed medication for ADHD. […] Because ADHD medication errors are preventable, more attention should be given to patient and caregiver education and development of improved child-resistant medication dispensing and tracking systems, said Gary Smith, MD, DrPH, senior author of the study and director of the Center for Injury Research and Policy at Nationwide Childrens Hospital. Another strategy may be a transition from pill bottles to unit-dose packaging, like blister packs, which may aid in remembering whether a medication has already been taken or given. […] Although prevention efforts should focus on the home setting additional attention should be given to schools and other settings where children and adolescents spend time and receive medication.
- #88 Risk and protective factors for the development of ADHD symptoms in children and adolescents: Results of the longitudinal BELLA study | PLOS Onehttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0214412
Given that ADHD is highly prevalent and causes significant impairments in almost all areas of life, our findings have important implications for prevention and clinical practice. Besides family-based interventions, future prevention and early intervention programs should focus on supporting the availability of good social support and on enhancing social skills, particularly in children of mentally ill parents, in order to reduce risks and prevent the onset of ADHD symptoms.
- #89https://link.springer.com/article/10.1007/s00787-021-01871-x
We will first consider some of the methodological challenges that we encountered when conducting systematic reviews and meta-analyses of ADHD interventions and highlight how these may have affected interpretation of the evidence and discuss some of the approaches that may mitigate these methodological challenges. […] We then discuss how the evidence and guidelines can be translated into high-quality care, and how the clinician can take account of individual symptom profiles, treatment targets, and personal circumstances to provide person- and family-centered approaches to intervention within the current evidence base. […] Management of ADHD extends beyond the implementation of guidelines and should be seen as a partnership with patients and their parents, underpinned by psychoeducation and a shared, agreed-upon management plan that considers individual treatment priorities and preferences.
- #90https://link.springer.com/article/10.1007/s00787-021-01871-x
ADHD is an important disorder to treat and manage over time, in relation to core symptoms, co-occurring problems, and improvement of real-world outcomes. Clinicians should be robust in expecting substantial improvement with evidence-based treatment but should undertake this in partnership and with a focus on outcomes that are meaningful for patients.