Does methylphenidate improve academic performance? A systematic review and meta-analysis.

Academic improvement is amongst the most common treatment targets when prescribing stimulants to children with ADHD. Previous reviews on stimulant-related academic improvements are inconclusive and focus on task engagement. Recent literature suggests outcome-domain-specific medication effects that a...

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Publicado en:European Child & Adolescent Psychiatry Vol. 28; no. 2; pp. 155 - 165
Autores principales: Kortekaas-Rijlaarsdam, Anne Fleur, Luman, Marjolein, Sonuga-Barke, Edmund, Oosterlaan, Jaap
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Springer Nature Feb2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2019
      vid: 28
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00787-018-1106-3
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        atl: Does methylphenidate improve academic performance? A systematic review and meta-analysis.
      aug:
        au:
          Kortekaas-Rijlaarsdam, Anne Fleur
          Luman, Marjolein
          Sonuga-Barke, Edmund
          Oosterlaan, Jaap
        affil: Clinical Neuropsychology section, Vrije Universiteit Amsterdam, Van der Boechorststraat 1, 1081 BT, Amsterdam, The Netherlands
      sug:
        subj:
          Methylphenidate Therapeutic Use
          Academic Performance
          Validity
          Human
          Mathematics Evaluation
          Reading
          Spelling
          PubMed
          Embase
          ERIC Database
          Psycinfo
          Productivity
          Systematic Review
          Meta Analysis
      ab: Academic improvement is amongst the most common treatment targets when prescribing stimulants to children with ADHD. Previous reviews on stimulant-related academic improvements are inconclusive and focus on task engagement. Recent literature suggests outcome-domain-specific medication effects that are larger for productivity than for accuracy. The aims of this study are quantifying methylphenidate effects on academic productivity and accuracy for math, reading, spelling; exploring the mediating or moderating effects of symptom improvements, demographic-, design- and disorder-related variables. PubMed, EMBASE, ERIC and PsycINFO were searched for articles reporting methylphenidate effects on academic productivity and accuracy. Thirty-four studies met entry criteria. Methylphenidate improved math productivity (7.8% increase, p < .001); math accuracy (3.0% increase, p = .001); increased reading speed (SMD.47, p < .001) but not reading accuracy. None of the mediators or moderators tested affected methylphenidate efficacy. Academic improvements were small compared to symptom improvements; qualitative changes limited to math. Clinicians should take this discrepancy into account when prescribing medication for ADHD.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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