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1000 Titel
  • The 10-year trend in drug prescriptions for attention-deficit/hyperactivity disorder (ADHD) in Germany
1000 Autor/in
  1. Grimmsmann, Thomas |
  2. Himmel, Wolfgang |
1000 Erscheinungsjahr 2020
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2020-08-17
1000 Erschienen in
1000 Quellenangabe
  • 77(1):107-115
1000 Copyrightjahr
  • 2020
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00228-020-02948-3 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7782395/ |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Purpose!#!The aim of this study was to analyse whether the global trend in drug prescriptions for attention-deficit hyperactivity disorders (ADHD), as observed during the last years and often criticized as medicalization, have remained stable or shifted.!##!Methods!#!This observational study was based on a secondary analysis of data from a large German database including patients with an ADHD diagnosis between 2008 and 2018. Prescription data comprised all important ADHD drugs.!##!Results!#!A total of 620 practices delivered data from a total of 77,504 patients (31% of them females) with a diagnosis of AHDH. Nearly 38% (29,396/77,504) of all patients received, at least, one prescription for an ADHS medicine between 2008 and 2018. The number of patients receiving a drug steadily increased annually until 2012 and then slowly fell, but unevenly distributed across the age groups. While the number of younger patients ( ≤ 16 years) receiving a prescription fell by 24% and the defined daily doses (DDDs) remained stable, the number of patients between 17 and 24 years receiving a prescription increased by 113% and the DDDs by 150%. Respectively, the number of older adults (≥ 25 years) with a prescription increased by 355% and the DDDs by 515%. Nearly one-third of older adults received an ADHD medicine only once.!##!Conclusion!#!The ever-increasing prescription of ADHD medicines stopped some years ago for children. ADHS and its pharmacological management are increasingly observed among older adolescents and adults, with a different pattern of drug persistence compared with children.
1000 Sacherschließung
lokal Adolescent [MeSH]
lokal Female [MeSH]
lokal Adult [MeSH]
lokal Humans [MeSH]
lokal Methylphenidate/therapeutic use [MeSH]
lokal Drug Prescriptions/statistics
lokal Methylphenidate
lokal Male [MeSH]
lokal Attention Deficit Disorder with Hyperactivity/drug therapy [MeSH]
lokal Drug prescriptions
lokal Germany [MeSH]
lokal Practice Patterns, Physicians'/trends [MeSH]
lokal Young Adult [MeSH]
lokal Attention-deficit disorder with hyperactivity
lokal Guanfacine/therapeutic use [MeSH]
lokal Cohort studies
lokal Ambulatory care
lokal Dextroamphetamine/therapeutic use [MeSH]
lokal Child [MeSH]
lokal Atomoxetine Hydrochloride/therapeutic use [MeSH]
lokal Pharmacoepidemiology and Prescription
lokal Central Nervous System Stimulants/therapeutic use [MeSH]
lokal Child, Preschool [MeSH]
1000 Liste der Beteiligten
  1. https://orcid.org/0000-0002-0886-6162|https://orcid.org/0000-0003-3523-5486
1000 Hinweis
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1000 Erstellt am 2023-11-18T04:35:22.227+0100
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1000 Zuletzt bearbeitet 2023-12-01T11:19:51.960+0100
1000 Objekt bearb. Fri Dec 01 11:19:51 CET 2023
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