Trial Outcomes & Findings for Group-Based Behavioral Therapy Combined With Stimulant Medication for Treating Children With Attention Deficit Hyperactivity Disorder and Impaired Mood (NCT NCT00632619)

NCT ID: NCT00632619

Last Updated: 2013-05-21

Results Overview

averaged Composite of endpoint ratings from the Children's Depression Rating Scale (CDRS used to measure depressive symptoms) and Young mania rating scale (MRS used to measure manic like symptoms) that has been used before as primary outcome in treatment studies of children with a mixture of affective symptoms (Fristad, et al., 2009). Prior to commencement of data collection, we elected to use it as the primary mood measure for the therapy phase of the trial over the initially selected YMRS as subjects either had to have elevations on the YMRS or CDRS but not necessarily both to be eligible. Hence, some subjects had very low YMRS scores at baseline which is why we chose the MSI over the YMRS.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

68 participants

Primary outcome timeframe

measured at week 12 (endpoint)

Results posted on

2013-05-21

Participant Flow

Subjects were recruited as two cohorts- 50% in each wave. Wave one was recruited in Buffalo NY in the summer of 2009, from referrals from local pediatricians and therapists and mailings to families. The study was then moved to Florida International University where the second cohort was recruited from 9/10 to 12/10 using similar procedures.

Subjects were assessed at intake on the current ADHD medication regimen to make sure that they needed additional treatment beyond what they were currently receiving. There was no washout prior to enrollment.

Participant milestones

Participant milestones
Measure
Medication and Community Treatment Group
Participants will receive stimulant medication therapy and referrals to community-based psychosocial treatments. Stimulant medication therapy : All participants will be stabilized on an FDA-approved stimulant medication for 4 to 8 weeks prior to therapy assignment. Community-based psychosocial treatment : Participants will receive referrals to community-based psychosocial treatments that will focus on ADHD symptoms and management of aggression.
Medication and Novel Therapy Group
Participants will receive stimulant medication therapy and group-based behavior therapy. Stimulant medication therapy : All participants will be stabilized on an FDA-approved stimulant medication for 4 to 8 weeks prior to therapy assignment. Group-based behavior therapy : Group-based behavior therapy with a parenting class will include 12 weeks of sessions that focus on reducing oppositional and aggressive behaviors. Children will participate in 12 weeks of social skills training integrated with a cognitive behavioral therapy (CBT) component to target mood symptoms. Parents will learn ways to identify and address their child's mood problems, communicate better with their child, and work with school staff to address academic and behavioral problems.
Overall Study
STARTED
33
35
Overall Study
COMPLETED
25
31
Overall Study
NOT COMPLETED
8
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Group-Based Behavioral Therapy Combined With Stimulant Medication for Treating Children With Attention Deficit Hyperactivity Disorder and Impaired Mood

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Medication and Community Treatment Group
n=33 Participants
Participants will receive stimulant medication therapy and referrals to community-based psychosocial treatments. Stimulant medication therapy : All participants will be stabilized on an FDA-approved stimulant medication for 4 to 8 weeks prior to therapy assignment. Community-based psychosocial treatment : Participants will receive referrals to community-based psychosocial treatments that will focus on ADHD symptoms and management of aggression.
Medication and Novel Therapy Group
n=35 Participants
Participants will receive stimulant medication therapy and group-based behavior therapy. Stimulant medication therapy : All participants will be stabilized on an FDA-approved stimulant medication for 4 to 8 weeks prior to therapy assignment. Group-based behavior therapy : Group-based behavior therapy with a parenting class will include 12 weeks of sessions that focus on reducing oppositional and aggressive behaviors. Children will participate in 12 weeks of social skills training integrated with a cognitive behavioral therapy (CBT) component to target mood symptoms. Parents will learn ways to identify and address their child's mood problems, communicate better with their child, and work with school staff to address academic and behavioral problems.
Total
n=68 Participants
Total of all reporting groups
Age, Categorical
<=18 years
33 Participants
n=5 Participants
35 Participants
n=7 Participants
68 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age Continuous
9.4 years
STANDARD_DEVIATION 1.5 • n=5 Participants
9.3 years
STANDARD_DEVIATION 1.6 • n=7 Participants
9.3 years
STANDARD_DEVIATION 1.5 • n=5 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
11 Participants
n=7 Participants
18 Participants
n=5 Participants
Sex: Female, Male
Male
26 Participants
n=5 Participants
24 Participants
n=7 Participants
50 Participants
n=5 Participants
Region of Enrollment
United States
33 participants
n=5 Participants
35 participants
n=7 Participants
68 participants
n=5 Participants

PRIMARY outcome

Timeframe: measured at week 12 (endpoint)

Population: all subjects who were successfully stabilized on stimulant medication and then entered therapy phase; subjects not able to tolerate stimulant med for ADHD or whose mood symptoms resolved with optimization of their stimulant dose were not included in the therapy phase.

averaged Composite of endpoint ratings from the Children's Depression Rating Scale (CDRS used to measure depressive symptoms) and Young mania rating scale (MRS used to measure manic like symptoms) that has been used before as primary outcome in treatment studies of children with a mixture of affective symptoms (Fristad, et al., 2009). Prior to commencement of data collection, we elected to use it as the primary mood measure for the therapy phase of the trial over the initially selected YMRS as subjects either had to have elevations on the YMRS or CDRS but not necessarily both to be eligible. Hence, some subjects had very low YMRS scores at baseline which is why we chose the MSI over the YMRS.

Outcome measures

Outcome measures
Measure
Medication and Community Treatment Group
n=25 Participants
Participants will receive stimulant medication therapy and referrals to community-based psychosocial treatments. Stimulant medication therapy : All participants will be stabilized on an FDA-approved stimulant medication for 4 to 8 weeks prior to therapy assignment. Community-based psychosocial treatment : Participants will receive referrals to community-based psychosocial treatments that will focus on ADHD symptoms and management of aggression.
Medication and Novel Therapy Group
n=31 Participants
Participants will receive stimulant medication therapy and group-based behavior therapy. Stimulant medication therapy : All participants will be stabilized on an FDA-approved stimulant medication for 4 to 8 weeks prior to therapy assignment. Group-based behavior therapy : Group-based behavior therapy with a parenting class will include 12 weeks of sessions that focus on reducing oppositional and aggressive behaviors. Children will participate in 12 weeks of social skills training integrated with a cognitive behavioral therapy (CBT) component to target mood symptoms. Parents will learn ways to identify and address their child's mood problems, communicate better with their child, and work with school staff to address academic and behavioral problems.
Mood Severity Index Measures Severity of Mood Symptoms (MSI).Range of 0-116; Clinicians Give to Parents and Child to Get Composite Score; Higher Scores=Greater Severity; 0-10=no Symptoms, 11-20=Mild Symptoms, 21to 35 =Moderate Symptoms and >35 is Severe
17.33 units on a scale
Standard Deviation 7.29
13.82 units on a scale
Standard Deviation 6.03

SECONDARY outcome

Timeframe: Measured at weeks 12 (endpoint)

Population: all subjects who were successfully stabilized on stimulant medication and then entered therapy phase; subjects not able to tolerate stimulant med for ADHD or whose mood symptoms resolved with optimization of their stimulant dose were not included in the therapy phase.

rates manic like symptoms in children; 7 items ranging from 0-4 and 4 items on a 0-8 scale; higher scores indicate more severe symptom severity (min total score=0, max=60). There are no subscales. Symptom severity information is obtained from direct interview of parent and child. It was initially selected as the primary outcome but prior to commencement of data collection the Mood Severity Index (MSI) was chosen instead based on recently published work in a related study (see above).

Outcome measures

Outcome measures
Measure
Medication and Community Treatment Group
n=25 Participants
Participants will receive stimulant medication therapy and referrals to community-based psychosocial treatments. Stimulant medication therapy : All participants will be stabilized on an FDA-approved stimulant medication for 4 to 8 weeks prior to therapy assignment. Community-based psychosocial treatment : Participants will receive referrals to community-based psychosocial treatments that will focus on ADHD symptoms and management of aggression.
Medication and Novel Therapy Group
n=31 Participants
Participants will receive stimulant medication therapy and group-based behavior therapy. Stimulant medication therapy : All participants will be stabilized on an FDA-approved stimulant medication for 4 to 8 weeks prior to therapy assignment. Group-based behavior therapy : Group-based behavior therapy with a parenting class will include 12 weeks of sessions that focus on reducing oppositional and aggressive behaviors. Children will participate in 12 weeks of social skills training integrated with a cognitive behavioral therapy (CBT) component to target mood symptoms. Parents will learn ways to identify and address their child's mood problems, communicate better with their child, and work with school staff to address academic and behavioral problems.
Young Mania Rating Scale (YMRS) Score
10.08 units on a scale
Standard Deviation 4.65
8.58 units on a scale
Standard Deviation 5.05

SECONDARY outcome

Timeframe: Measured at Week12 (endpoint)

Population: all subjects who were successfully stabilized on stimulant medication and then entered therapy phase; subjects not able to tolerate stimulant med for ADHD or whose mood symptoms resolved with optimization of their stimulant dose were not included in the therapy phase.

sum of severity rating for all 18 DSM (Diagnostic and Statistics Manual for Mental Disorders) IV ADHD symptoms and two from DSM 3R on a 0 to 3 scale obtained from parent rating; range is from 0 to 60 with higher numbers indicating more severe symptoms

Outcome measures

Outcome measures
Measure
Medication and Community Treatment Group
n=25 Participants
Participants will receive stimulant medication therapy and referrals to community-based psychosocial treatments. Stimulant medication therapy : All participants will be stabilized on an FDA-approved stimulant medication for 4 to 8 weeks prior to therapy assignment. Community-based psychosocial treatment : Participants will receive referrals to community-based psychosocial treatments that will focus on ADHD symptoms and management of aggression.
Medication and Novel Therapy Group
n=31 Participants
Participants will receive stimulant medication therapy and group-based behavior therapy. Stimulant medication therapy : All participants will be stabilized on an FDA-approved stimulant medication for 4 to 8 weeks prior to therapy assignment. Group-based behavior therapy : Group-based behavior therapy with a parenting class will include 12 weeks of sessions that focus on reducing oppositional and aggressive behaviors. Children will participate in 12 weeks of social skills training integrated with a cognitive behavioral therapy (CBT) component to target mood symptoms. Parents will learn ways to identify and address their child's mood problems, communicate better with their child, and work with school staff to address academic and behavioral problems.
Disruptive Behavior Disorder Scale Score for ADHD Symptoms
25.5 units on a scale
Standard Deviation 10.94
25.10 units on a scale
Standard Deviation 9.12

SECONDARY outcome

Timeframe: Measured at Week 12 (endpoint)

Population: all subjects who were successfully stabilized on stimulant medication and then entered therapy phase; subjects not able to tolerate stimulant med for ADHD or whose mood symptoms resolved with optimization of their stimulant dose were not included in the therapy phase.

rates 17 items of depression on a severity scale using information obtained from parent and child. Higher numbers indicate more severity symptoms and range is from 17 to 113.

Outcome measures

Outcome measures
Measure
Medication and Community Treatment Group
n=25 Participants
Participants will receive stimulant medication therapy and referrals to community-based psychosocial treatments. Stimulant medication therapy : All participants will be stabilized on an FDA-approved stimulant medication for 4 to 8 weeks prior to therapy assignment. Community-based psychosocial treatment : Participants will receive referrals to community-based psychosocial treatments that will focus on ADHD symptoms and management of aggression.
Medication and Novel Therapy Group
n=31 Participants
Participants will receive stimulant medication therapy and group-based behavior therapy. Stimulant medication therapy : All participants will be stabilized on an FDA-approved stimulant medication for 4 to 8 weeks prior to therapy assignment. Group-based behavior therapy : Group-based behavior therapy with a parenting class will include 12 weeks of sessions that focus on reducing oppositional and aggressive behaviors. Children will participate in 12 weeks of social skills training integrated with a cognitive behavioral therapy (CBT) component to target mood symptoms. Parents will learn ways to identify and address their child's mood problems, communicate better with their child, and work with school staff to address academic and behavioral problems.
Children's Depression Rating Scale-Revised (CDRS-R) Total Score
28.20 units on a scale
Standard Deviation 6.46
25.10 units on a scale
Standard Deviation 3.96

SECONDARY outcome

Timeframe: week 12 (endpoint)

Population: all subjects who were successfully stabilized on stimulant medication and then entered therapy phase; subjects not able to tolerate stimulant med for ADHD or whose mood symptoms resolved with optimization of their stimulant dose were not included in the therapy phase.

parents rating all DSM symptoms of Oppositional Defiant Disorder on a 0-3 severity scale with higher scores indicating more severe symptoms and range is from 0-27 (8 DSM IV items and I item from DSM 3R)

Outcome measures

Outcome measures
Measure
Medication and Community Treatment Group
n=25 Participants
Participants will receive stimulant medication therapy and referrals to community-based psychosocial treatments. Stimulant medication therapy : All participants will be stabilized on an FDA-approved stimulant medication for 4 to 8 weeks prior to therapy assignment. Community-based psychosocial treatment : Participants will receive referrals to community-based psychosocial treatments that will focus on ADHD symptoms and management of aggression.
Medication and Novel Therapy Group
n=31 Participants
Participants will receive stimulant medication therapy and group-based behavior therapy. Stimulant medication therapy : All participants will be stabilized on an FDA-approved stimulant medication for 4 to 8 weeks prior to therapy assignment. Group-based behavior therapy : Group-based behavior therapy with a parenting class will include 12 weeks of sessions that focus on reducing oppositional and aggressive behaviors. Children will participate in 12 weeks of social skills training integrated with a cognitive behavioral therapy (CBT) component to target mood symptoms. Parents will learn ways to identify and address their child's mood problems, communicate better with their child, and work with school staff to address academic and behavioral problems.
Disruptive Behavior Disorder Scale Score for ODD Symptoms
11.13 units on a scale
Standard Deviation 6.22
10.31 units on a scale
Standard Deviation 4.73

Adverse Events

Medication and Community Treatment Group

Serious events: 1 serious events
Other events: 16 other events
Deaths: 0 deaths

Medication and Novel Therapy Group

Serious events: 4 serious events
Other events: 20 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Medication and Community Treatment Group
n=30 participants at risk
Participants will receive stimulant medication therapy and referrals to community-based psychosocial treatments. Stimulant medication therapy : All participants will be stabilized on an FDA-approved stimulant medication for 4 to 8 weeks prior to therapy assignment. Community-based psychosocial treatment : Participants will receive referrals to community-based psychosocial treatments that will focus on ADHD symptoms and management of aggression.
Medication and Novel Therapy Group
n=35 participants at risk
Participants will receive stimulant medication therapy and group-based behavior therapy. Stimulant medication therapy : All participants will be stabilized on an FDA-approved stimulant medication for 4 to 8 weeks prior to therapy assignment. Group-based behavior therapy : Group-based behavior therapy with a parenting class will include 12 weeks of sessions that focus on reducing oppositional and aggressive behaviors. Children will participate in 12 weeks of social skills training integrated with a cognitive behavioral therapy (CBT) component to target mood symptoms. Parents will learn ways to identify and address their child's mood problems, communicate better with their child, and work with school staff to address academic and behavioral problems.
Respiratory, thoracic and mediastinal disorders
asthma exacerbation
0.00%
0/30 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
2.9%
1/35 • Number of events 1 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
Psychiatric disorders
threat of self injurious behavior
3.3%
1/30 • Number of events 1 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
0.00%
0/35 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
Gastrointestinal disorders
appendix removed
0.00%
0/30 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
2.9%
1/35 • Number of events 1 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
Psychiatric disorders
aggression towards other
0.00%
0/30 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
2.9%
1/35 • Number of events 1 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
Psychiatric disorders
expresssed suicial ideation
0.00%
0/30 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
2.9%
1/35 • Number of events 1 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.

Other adverse events

Other adverse events
Measure
Medication and Community Treatment Group
n=30 participants at risk
Participants will receive stimulant medication therapy and referrals to community-based psychosocial treatments. Stimulant medication therapy : All participants will be stabilized on an FDA-approved stimulant medication for 4 to 8 weeks prior to therapy assignment. Community-based psychosocial treatment : Participants will receive referrals to community-based psychosocial treatments that will focus on ADHD symptoms and management of aggression.
Medication and Novel Therapy Group
n=35 participants at risk
Participants will receive stimulant medication therapy and group-based behavior therapy. Stimulant medication therapy : All participants will be stabilized on an FDA-approved stimulant medication for 4 to 8 weeks prior to therapy assignment. Group-based behavior therapy : Group-based behavior therapy with a parenting class will include 12 weeks of sessions that focus on reducing oppositional and aggressive behaviors. Children will participate in 12 weeks of social skills training integrated with a cognitive behavioral therapy (CBT) component to target mood symptoms. Parents will learn ways to identify and address their child's mood problems, communicate better with their child, and work with school staff to address academic and behavioral problems.
Psychiatric disorders
worried/anxious
10.0%
3/30 • Number of events 3 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
17.1%
6/35 • Number of events 6 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
Skin and subcutaneous tissue disorders
picking at skin, fingers, nails, lips
20.0%
6/30 • Number of events 6 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
17.1%
6/35 • Number of events 6 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
Nervous system disorders
repetitive movements/motor tics
3.3%
1/30 • Number of events 1 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
8.6%
3/35 • Number of events 3 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
General disorders
dull/tired
6.7%
2/30 • Number of events 2 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
2.9%
1/35 • Number of events 1 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
Gastrointestinal disorders
stomachaches
3.3%
1/30 • Number of events 1 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
5.7%
2/35 • Number of events 2 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
Psychiatric disorders
crabby or irritable
16.7%
5/30 • Number of events 5 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
25.7%
9/35 • Number of events 9 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
General disorders
loss of appetite
16.7%
5/30 • Number of events 5 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
17.1%
6/35 • Number of events 6 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
General disorders
insomnia
10.0%
3/30 • Number of events 3 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
17.1%
6/35 • Number of events 6 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
Psychiatric disorders
tearful/sad affect
6.7%
2/30 • Number of events 2 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
2.9%
1/35 • Number of events 1 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
Psychiatric disorders
dull or tired looking
6.7%
2/30 • Number of events 2 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.
2.9%
1/35 • Number of events 1 • for two years- from first subject enrolling in summer of 2009 to last follow up assessment done summer of 2011. Three controls dropped prior to any study treatments so they are not included in the adverse event analysis which is why the N is 30 not 33.
Pittsburgh side effect rating scale given at every assessment point to assess medication related side effects. It lists 13 common (appetite loss, insomnia) and rare (hallucinations) adverse events associated with stimulants on a 0-3 likert with 3 being severe. The suicide item from the CDRS was used to systematically measure suicidal ideation.

Additional Information

James G Waxmonsky

Florida International University

Phone: 305 348 3258

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place