Stimulants May Not Improve Academic Learning in Children With ADHD

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Stimulants May Not Improve Academic Learning in Children With ADHD
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Extended-release methylphenidate had no effect on learning academic material taught in a small group of children with ADHD, a controlled crossover study found.

had no effect on learning academic material taught in a small group of children with attention-deficit/hyperactivity disorder , a controlled crossover study found.did improve seat work productivity and classroom behavior, but these benefits did not translate into better learning of individual academic learning units, according to William E. Pelham Jr., PhD, of the department of psychology at Florida International University in Miami, and colleagues.

Seat work referred to the amount of work a pupil completed in a fixed duration of independent work time, and classroom behavior referred to the frequency of violating classroom rules. Learning was measured by tests, and multilevel models were fit separately to the subject and vocabulary test scores, with four observations per child: pretest and posttest in the two academic subject areas.

Consistent with previous studies, medication slightly helped to improve test scores when taken on the day of a test, but not enough to boost most children's grades. For example, medication helped children increase on average 1.7 percentage points out of 100 on science and social studies tests. In addition, Lessin noted that the authors misstated the AAP's recommendation on small classrooms and a multimodal approach as first-line treatment."We only recommend those first line for children under age 6. For the rest, medication is the recommended first line of treatment, along with all the supportive care used in the study," he said.

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