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논문 기본 정보

자료유형
학술저널
저자정보
Hyung Nam Park (eimyung University Dongsan Medical Center) Na Yeong Kong (Keimyung University Dongsan Medical Center) Hee-Cheol Kim (Keimyung University Dongsan Medical Center) Yang Tae Kim (Keimyung University Dongsan Medical Center) Sung-Won Jung (Keimyung University Dongsan Medical Center) Hojun Lee (Keimyung University Dongsan Medical Center)
저널정보
대한소아청소년정신의학회 소아청소년정신의학 소아청소년정신의학 제35권 제1호
발행연도
2024.1
수록면
82 - 89 (8page)

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초록· 키워드

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Objectives: This study aimed to investigate the effectiveness and safety of combining psychostimulants and nonstimulants for patients under treatment for attention deficit hyperactivity disorder (ADHD).
Methods: The study included 96 patients aged 6–12 years who were diagnosed with ADHD, among whom 34 received combination pharmacotherapy, 32 received methylphenidate monotherapy, and 30 received atomoxetine monotherapy. Statistical analysis was conducted to compare treatment and adverse effects among groups and to analyze changes before and after combination pharmacotherapy. The difference between combination pharmacotherapy and monotherapy was investigated. Logistic regression analysis was used to identify the predictors of combination pharmacotherapy.
Results: No significant differences were observed between the groups in terms of age or pretreatment scores. The most common adverse effect experienced by 32% of patients in the combination pharmacotherapy group was decreased appetite. Clinical global impression-severity score decreased significantly after combination pharmacotherapy. All three groups showed significant clinical global impression-severity score improvements over time, with no significant differences among them. The predictive factors for combination pharmacotherapy included the Child Behavior Checklist total score internalizing subscale.
Conclusion: Combination pharmacotherapy with methylphenidate and atomoxetine is a relatively effective and safe option for patients with ADHD who do not respond to monotherapy.

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INTRODUCTION
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RESULTS
DISCUSSION
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