Impairment and Deportment Responses to Different Methylphenidate Doses in Children With ADHD: The MTA Titration Trial
Journal of the American Academy of Child & Adolescent PsychiatryPublished 1 February 2001
LAURENCE L. GREENHILL, James M. Swanson, BENEDETTO VITIELLO, Mark Davies, Walter Clevenger, Min Wu
Citations290
SJR quartileQ1
SJR score3.00
SNIP2.88
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The MTA titration protocol validated the efficacy of weekend MPH dosing and established a total daily dose limit of 35 mg of MPH for children weighing less than 25 kg.
Abstract
The MTA titration protocol validated the efficacy of weekend MPH dosing and established a total daily dose limit of 35 mg of MPH for children weighing less than 25 kg. It replicated previously reported MPH response rates (77%), distribution of best doses (10-50 mg/day) across subjects, effect sizes on impairment and deportment, as well as dose-related adverse events.
Keywords
PsychologyMedicine
BiometricsRandom-Effects Models for Longitudinal Data
8,915 Citations1982Nan M. Laird, James H. Ware
A unified approach to fitting these models, based on a combination of empirical Bayes and maximum likelihood estimation of model parameters and using the EM algorithm, is discussed.
Archives of General PsychiatryA 14-Month Randomized Clinical Trial of Treatment Strategies for Attention-Deficit/Hyperactivity Disorder
3,365 Citations1999
The authors' carefully crafted medication management was superior to behavioral treatment and to routine community care that included medication for ADHD symptoms, and may have provided modest advantages for non-ADHD symptom and positive functioning outcomes.
Journal of the American Academy of Child & Adolescent PsychiatryPharmacotherapy of Attention-Deficit Hyperactivity Disorder across the Life Cycle
838 Citations1996Thomas Spencer, JOSEPH BIEDERMAN +4 more
The available literature indicates the important role of psychopharmacological agents in the reduction of the core symptoms of ADHD and associated impairments.
The LancetAttention-deficit hyperactivity disorder and hyperkinetic disorder
603 Citations1998Swanson Jm, J.A. Sergeant +4 more
A user-friendly introduction to the diagnosis, evaluation, and treatment of ADHD is provided.
Attention-deficit hyperactivity disorder and hyperkinetic disorder
574 Citations2001James M. Swanson, Joseph A. Sergeant +4 more
PubMedSide effects of methylphenidate in children with attention deficit hyperactivity disorder: a systemic, placebo-controlled evaluation.
433 Citations1990Russell A. Barkley, Mary B. McMurray +2 more
Stimulant medication within this therapeutic range, therefore, results in few, generally mild side effects, and Surprisingly, a high frequency of these behavior side effects were reported during the placebo condition.
PEDIATRICSIncreased Methylphenidate Usage for Attention Deficit Disorder in the 1990s
412 Citations1996Daniel J. Safer, Julie M. Zito +1 more
The database findings presented serve to correct exaggerated media claims of a 6-fold expansion of methylphenidate treatment, although they do not clarify the issue of the appropriateness of this treatment.
PEDIATRICSSide Effects of Metlyiphenidate in Children With Attention Deficit Hyperactivity Disorder: A Systemic, Placebo-Controlled Evaluation
371 Citations1990Russell A. Barkley, Mary B. McMurray +2 more
Journal of the American Academy of Child & Adolescent PsychiatryMedication Treatment Strategies in the MTA Study: Relevance to Clinicians and Researchers
297 Citations1996LAURENCE L. GREENHILL, Howard Abikoff +15 more
Although the titration protocol is complex, the study's individual dosing approach and algorithms for openly managing ADHD children's medication over time will be of interest to clinicians in office practice.
Journal of the American Academy of Child & Adolescent PsychiatryEffect of Anxiety on Cognition, Behavior, and Stimulant Response in ADHD
294 Citations1989Steven R. Pliszka
The results suggest that ADHD with comorbid ANX may represent children with primary anxiety who develop secondary inattentiveness, or they may represent a different subtype of ADHD, perhaps similar to the condition of attention deficit disorder without hyperactivity under DSM-III.
Journal of the American Academy of Child & Adolescent PsychiatryStimulant Medications
271 Citations1999Laurence L. Greenhill, Jeffrey M. Halperin +1 more
Journal of Consulting and Clinical PsychologySeparate and combined effects of methylphenidate and behavior modification on boys with attention deficit-hyperactivity disorder in the classroom.
268 Citations1993William E. Pelham, Caryn L. Carlson +4 more
Comparisons of individual responsiveness showed that boys who responded to one treatment also responded to the other, and group effects reflected those obtained in analyses of individual differences.
Archives of General PsychiatryNational Institute of Mental Health Collaborative Multimodal Treatment Study of Children With ADHD (the MTA)
239 Citations1997L. Eugene Arnold
The Collaborative Multimodal Treatment Study of Children with Attention Deficit Hyperactivity Disorder (ADHD), the MTA, is the first child multisite cooperative agreement treatment study of children conducted by the National Institute of Mental Health and compares state-of-the-art treatment with routine community care.
Journal of the American Academy of Child & Adolescent PsychiatryBehavioral, Situational, and Temporal Effects of Treatment of ADHD With Methylphenidate
220 Citations1997Russell Schachar, Rosemary Tannock +2 more
Positive effects of MPH on behavior are evident in the classroom, but with MPH given twice daily, parents do not report that MPH improves behavior at home, and greater impact on home behavior may require three times daily MPH and combined treatments.
Journal of the American Academy of Child & Adolescent PsychiatryAnalog Classroom Assessment of Adderall® in Children With ADHD
218 Citations1998James M. Swanson, Sharon B. Wigal +11 more
This documentation of efficacy in a controlled study supports the addition of Adderall to the armamentarium of psychotropic medications for the treatment of ADHD.
Clinical Pharmacology & TherapeuticsAcute tolerance to methylphenidate in the treatment of attention deficit hyperactivity disorder in children*
214 Citations1999James M. Swanson, Suneel Gupta +7 more
To evaluate the efficacy of several drug delivery patterns of methylphenidate and to determine whether acute tolerance develops to this widely used stimulant medication in the treatment of children with attention deficit hyperactivity disorder.
School Psychology ReviewPharmacotherapy for Children with Attention-Deficit Hyperactivity Disorder
207 Citations1993William E. Pelham
Journal of Attention DisordersComprehensive assessment of childhood Attention-Deficit Hyperactivity Disorder in the context of a multisite, multimodal clinical trial
166 Citations1997Stephen P. Hinshaw, John S. March +20 more
The MTA's multiple-gating procedures for recruitment, screening, and diagnosis of a diverse sample, and the cross-domain assessment battery for tracking the sample before, during, and after 14 months of active intervention are described.
Journal of the American Academy of Child & Adolescent PsychiatryMethylphenidate Dosage for Children With ADHD Over Time Under Controlled Conditions: Lessons From the MTA
165 Citations2001Benedetto Vitiello, Joanne B. Severe +12 more
For most children, initial titration found a dose of MPH in the general range of the effective maintenance dose, but did not prevent the need for subsequent maintenance adjustments.
Zhonghua wai ke za zhi [Chinese journal of surgery]Ritalin: Theory and Patient Management
164 Citations1991Laurence L. Greenhill
Journal of the American Academy of Child & Adolescent PsychiatryResponse to Methylphenidate in Children With ADHD and Comorbid Anxiety
135 Citations1999IVAN R. DIAMOND, Rosemary Tannock +1 more
Comorbid anxiety does not appear to influence development of side effects or behavioral response to MPH when dose is titrated as in standard clinical practice, and the dose of drug did not differ among the groups after 4 months of treatment.
PubMedReliability and validity of the SKAMP rating scale in a laboratory school setting.
131 Citations1998S B Wigal, Suneel Gupta +2 more
In children with attention deficit hyperactivity disorder (ADHD), the effects of methylphenidate were investigated in a pharmacodynamic comparison of placebo and the standard b.i.d. administration ofmethylphenidate, which revealed the expected differences between the two conditions in the laboratory classroom setting.
Journal of the American Academy of Child & Adolescent PsychiatryThe Texas Children's Medication Algorithm Project: Report of the Texas Consensus Conference Panel on Medication Treatment of Childhood Attention-Deficit/Hyperactivity Disorder. Part II: Tactics
107 Citations2000Steven R. Pliszka, LAWRENCE L. GREENHILL +10 more
Tactics for psychopharmacological management of ADHD can be developed with consensus and are designed to be practical for implementation in the public mental health sector, but they may have utility in many practice settings, including the private practice environment.
PubMedObjective and subjective measures of the pharmacodynamic effects of Adderall in the treatment of children with ADHD in a controlled laboratory classroom setting.
74 Citations1998James M. Swanson, S.B. Wigal +12 more
In a randomized double-blind crossover study of children with attention deficit hyperactivity disorder (ADHD), the time course effects of four doses of Adderall and an inactive (placebo) control, and an active (Ritalin) control were evaluated.
Journal of Child and Adolescent PsychopharmacologyStatistical Analysis of Single Case Studies in the Clinical Setting: The Example of Methylphenidate Trials in Children with Attention-Deficit Hyperactivity Disorder
12 Citations1994Amy E. Wallace, Lial Kofoed
Clinicians' treatment decisions appeared to be based on the size of treatment effects rather than on statistical significance, and Clinicians' decisions were frequently made in response to statistical artifacts before the collection of sufficient data to permit a sound decision.
