» Articles » PMID: 23468071

Systematic Review and Meta-analysis of Pharmacological Treatment of the Symptoms of Attention-deficit/hyperactivity Disorder in Children with Pervasive Developmental Disorders

Overview
Publisher Springer
Date 2013 Mar 8
PMID 23468071
Citations 40
Authors
Affiliations
Soon will be listed here.
Abstract

Many children with pervasive developmental disorders (PDD) exhibit behaviors and symptoms of attention-deficit/hyperactivity disorder (ADHD). We sought to determine the relative efficacy of medications for treating ADHD symptoms in children with PDD by identifying all double-blind, randomized, placebo-controlled trials examining the efficacy of medications for treating ADHD symptoms in children with PDD. We located seven trials involving 225 children. A random effects meta-analysis of four methylphenidate trials showed methylphenidate to be effective for treating ADHD symptoms in children with PDD (ES = .67). Several adverse events were greater for children were taking methylphenidate compared to placebo. An individual trial of clonidine and two trials of atomoxetine suggest these agents may also be effective in treating ADHD symptoms in children with PDD.

Citing Articles

The SASOP/PsychMg child and adolescent attention-deficit/hyperactivity disorder guidelines.

Belsham B, Kelly L, Schoeman R S Afr J Psychiatr. 2025; 31:2357.

PMID: 40061576 PMC: 11886469. DOI: 10.4102/sajpsychiatry.v31i0.2357.


Observing the behavioural effects of methylphenidate in children and adolescents with ASD-ADHD dual diagnosis: A mini review.

Dimitri D, Delia G, Arduino M, Turco N, Fioretto F Front Child Adolesc Psychiatry. 2025; 2():1052115.

PMID: 39816881 PMC: 11732115. DOI: 10.3389/frcha.2023.1052115.


Pharmacological treatment in autism: a proposal for guidelines on common co-occurring psychiatric symptoms.

Manter M, Birtwell K, Bath J, Friedman N, Keary C, Neumeyer A BMC Med. 2025; 23(1):11.

PMID: 39773705 PMC: 11705908. DOI: 10.1186/s12916-024-03814-0.


Response inhibition as a critical executive function in differentiating attention-deficit/hyperactivity disorder from autism spectrum disorder: a comprehensive attention test study.

Lee K, Cho I, Park J, Choi H, Cheon K Front Psychiatry. 2024; 15:1426376.

PMID: 39564462 PMC: 11574416. DOI: 10.3389/fpsyt.2024.1426376.


Stimulant medication and symptom interrelations in children, adolescents and adults with attention-deficit/hyperactivity disorder.

van der Pal Z, Geurts H, Haslbeck J, van Keeken A, Bruijn A, Douw L Eur Child Adolesc Psychiatry. 2024; .

PMID: 39527154 DOI: 10.1007/s00787-024-02610-8.


References
1.
Lecavalier L . Behavioral and emotional problems in young people with pervasive developmental disorders: relative prevalence, effects of subject characteristics, and empirical classification. J Autism Dev Disord. 2006; 36(8):1101-14. DOI: 10.1007/s10803-006-0147-5. View

2.
Rosenberg R, Mandell D, Farmer J, Law J, Marvin A, Law P . Psychotropic medication use among children with autism spectrum disorders enrolled in a national registry, 2007-2008. J Autism Dev Disord. 2009; 40(3):342-51. DOI: 10.1007/s10803-009-0878-1. View

3.
Jaselskis C, Cook Jr E, Fletcher K, Leventhal B . Clonidine treatment of hyperactive and impulsive children with autistic disorder. J Clin Psychopharmacol. 1992; 12(5):322-7. View

4.
Connor D, Fletcher K, Swanson J . A meta-analysis of clonidine for symptoms of attention-deficit hyperactivity disorder. J Am Acad Child Adolesc Psychiatry. 1999; 38(12):1551-9. DOI: 10.1097/00004583-199912000-00017. View

5.
Holtmann M, Bolte S, Poustka F . Attention deficit hyperactivity disorder symptoms in pervasive developmental disorders: association with autistic behavior domains and coexisting psychopathology. Psychopathology. 2007; 40(3):172-7. DOI: 10.1159/000100007. View