hyperactivity disorder

hyperactivity disorder

Disponible en ligne sur www.sciencedirect.com Neuropsychiatrie de l’enfance et de l’adolescence 60S (2012) S254–S309 IACAPAP 2012 – 20th World congr...

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Disponible en ligne sur

www.sciencedirect.com Neuropsychiatrie de l’enfance et de l’adolescence 60S (2012) S254–S309

IACAPAP 2012 – 20th World congress

Communications affichées – Session 3 Posters – session 3

Attention deficit hyperactivity disorder We-P-3001

Why should we treat ADHD S. Sankar The Sett, Northamptonshire Healthcare Trust, 6UH, UK

dence risk (OR 7.47; CI95% 1.29–43.25). For children who receive normal dosage, the dependence risk factor is treatment duration (OR 1.52 per year of treatment; CI95% 1.08–2.16). Moreover, for half the patients, non-therapeutical effects (disinhibiting, doping. . .) tend to spur intake. Conclusion.– In most cases, clinical practice does not comply with French drug monograph recommendations, thus increasing the dependence risk. Compliance to dosage and duration limits is paramount to achieve a good benefit/risk ratio. http://dx.doi.org/10.1016/j.neurenf.2012.04.647

ADHD is one of the most researched psychiatric conditions today. However there’s there is a regular onslaught from the media as to whether the diagnosis exists. And if it exists of how it should be treated. The talk seeks to look at the neurological evidence for the changes in ADHD. To present the diagnosis with the specific neurological signature, the talk will also seek to look at the evidence base for treating these conditions with both pharmacological and nonpharmacological techniques. It will look at the sequel of treating as well as not to treating the condition. The author also will present the health economic papers looking at the economic argument for treating this condition and the cost to the economy of not treating this disorder. We also seek to present evidence looking at the socioeconomic distribution of ADHD to show that this is not a disorder of the affluent. http://dx.doi.org/10.1016/j.neurenf.2012.04.646 We-P-3002

Methylphenidate prescription: Important recommendations to mitigate dependence A. Chéron-Blumel a,∗ , C. Victorri-Vigneau a , J. Hardouin b , M. Bronnec c , M. Rousselet a , P. Frick d , P. Jolliet a , M. Amar d a Phamacology Department, Nantes University Hospital, Nantes cedex, France b EA 4275 Biostatitistic, Pharmacoepidemiology and Clinical Research, Nantes University, Nantes cedex, France c Addictology, Nantes University, Nantes cedex 1, France d University Unit of Pedopsychiatry, Nantes University Hospital, Nantes cedex 1, France ∗ Corresponding author. Introduction.– Its dependence potential makes methylphenidate a closely monitored drug in France. The pedopsychiatry department of Nantes University Hospital launched a systematic evaluation of all patients under methylphenidate treatment who consulted in 2011. Method.– Drug dependence DSMIV criteria were adapted to children. Both usual statistical analysis and regression models were used. Results.– Nearly half the 96 patients displayed 3 or more items of dependence. We highlighted the major impact of excessive dosage (> 1 mg/kg) on the depen-

0222-9617/$ – see front matter

We-P-3004

Predictors of depression in children with attention deficit/hyperactivity disorder

J. Song ∗ , D. Ye , M. Koo Psychiatry, Kwandong University College of Medicine, Myongji Hospital, Goyang-si, Korea ∗ Corresponding author. Object.– The object of our study was to investigate the psychosocial factors that predict depression in children with Attention deficit/hyperactivity disorder. Method.– We recruited 4th grade, 741 subjects. We selected 75 children among them whose Korean Attention-deficit/hyperactivity disorder Rating Scale (KARS) score was more than 19; 49 were boys and 26 were girls. We conducted multiple regression analysis for Child depression inventory (CDI) score. We used demographic variables (single parent family, socioeconomic status), the Korean version of the children of alcoholics screening test (CAST-K) and social skill rating scale (with 4 factors which are cooperation, assertion, empathy and self-control) as independent variables and CDI score as a dependent variable. Result.– Regression analysis indicated that CAST-K (beta = 0.254, P = 0.021), cooperation factor of social skill rating scale (beta = –0.499, P = 0.010) were significant predictors of depression. Conclusion.– Our study identified that parental alcohol problem and children’s social skill, especially cooperation, were significant predictors of depression in children with ADHD. http://dx.doi.org/10.1016/j.neurenf.2012.04.648 We-P-3005

Association between the DAT1 gene and executive function in attention deficit hyperactivity disorder C. Shang a,∗ , S.S. Gau b a Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan