Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.14365/6283
Title: The Effect of Treatment Duration on the Prognosis of ADHD: a Multi-Center Naturalistic Follow-Up Study
Authors: Ercan, Eyuep Sabri
Bilgic, Ayhan
Tufan, Ali Evren
Akca, Omer Faruk
Yazici, Ipek Percinel
Bilac, Oznur
Ozyurek, Suleyman Emre
Keywords: ADHD
Medication
Treatment Duration
Prognosis
Clinical Outcomes
Publisher: Elsevier Ireland Ltd
Abstract: Objective: This study aimed to evaluate the effect of medication duration over a 5-year period on the prognosis of Attention-Deficit/ Hyperactivity Disorder (ADHD) and the accompanying disruptive behavioral symptoms using a naturalistic methodology. Methods: The sample comprised 576 ADHD cases referred to 16 Child and Adolescent Psychiatry Clinics in 13 cities in T & uuml;rkiye, aged between 7-12 five years ago and 12-18 currently. Baseline and current Turgay DSM-IV Disruptive Behavior Disorders Rating Scale (T-DSM-IV-S) scores completed by parents were compared. Sociodemographic data, treatment processes, life events, and habits were recorded. Disorder severity and recovery levels were determined using the Clinical Global Impression Scale (CGI). Results: All current T-DSM-IV-S scores were significantly lower than the baseline scores. Longer duration of medication use, receiving psychotherapy, and higher socioeconomic status were associated with better CGI scores in the present study. However, increased baseline conduct disorder symptoms, being bullied, longer duration of Internet usage, dropping out of school, smoking, and older age were associated with worse CGI scores. Conclusion: Our study indicates that a longer duration of medication use is associated with better global improvement in children with ADHD. Better identification of the factors that may directly or indirectly affect the general improvement in ADHD cases and changing these factors may enable a more positive prognosis.
URI: https://doi.org/10.1016/j.psychres.2025.116588
https://hdl.handle.net/20.500.14365/6283
ISSN: 0165-1781
1872-7123
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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