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Dr. David Rabiner

Canadian study finds causal link between time playing videogames at age 12 and ADHD symptoms at age 13

March 7, 2022 by Dr. David Rabiner

Recent stud­ies have linked screen time — includ­ing video game play — to con­cern­ing out­comes in chil­dren, includ­ing low self-esteem, low life sat­is­fac­tion, and depres­sive symp­toms. Screen time has also been found to be cor­re­lat­ed with symp­toms of ADHD in chil­dren and ado­les­cents, even when ear­li­er atten­tion dif­fi­cul­ties are tak­en into account.

These find­ings sug­gest that exces­sive video game play may be a risk fac­tor for the devel­op­ment of ADHD symp­toms. Oth­er research sug­gests the pos­si­bil­i­ty of reverse cau­sa­tion, i.e., that ADHD symp­toms pre­dicts the devel­op­ment of exces­sive video game play. [Read more…] about Cana­di­an study finds causal link between time play­ing videogames at age 12 and ADHD symp­toms at age 13

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Filed Under: Brain/ Mental Health, Education & Lifelong Learning, Technology & Innovation Tagged With: adhd, ADHD-symptoms, adolescence, screen time, screens, video-games, videogames

Are ADHD medications overprescribed or underprescribed? (Quick answer: both)

January 25, 2022 by Dr. David Rabiner

Although med­ica­tion treat­ment for ADHD has been shown to sig­nif­i­cant­ly reduce core ADHD symp­toms in hun­dreds of stud­ies, impor­tant con­cerns remain about it being pre­scribed inap­pro­pri­ate­ly to chil­dren and teens who do not have ADHD. There is also evi­dence that many youth with ADHD who could poten­tial­ly ben­e­fit from med­ica­tion treat­ment do not receive it, and may real­ize poor­er out­comes in as a result. [Read more…] about Are ADHD med­ica­tions over­pre­scribed or under­pre­scribed? (Quick answer: both)

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Filed Under: Attention & ADD/ADHD, Brain/ Mental Health

Does ADHD treatment enable long-term academic success? (Yes, especially when pharmacological and non-pharma treatments are combined)

April 14, 2021 by Dr. David Rabiner

Aca­d­e­m­ic dif­fi­cul­ties are one of the most impor­tant adverse con­se­quences of ADHD, and they fre­quent­ly con­tribute to par­ents’ deci­sion to seek treat­ment for their child. Whether treat­ment con­sis­tent­ly yields a pos­i­tive impact on long-term aca­d­e­m­ic suc­cess is thus an impor­tant issue; how­ev­er, the answer to this ques­tion has been some­what controversial.

A study pub­lished recent­ly in the Jour­nal of Atten­tion Dis­or­ders, Long-term out­comes of ADHD: Aca­d­e­m­ic achieve­ment and aca­d­e­m­ic per­for­mance, rep­re­sents the most com­pre­hen­sive effort to date to iden­ti­fy and syn­the­size research relat­ed to this impor­tant question.

The Study:

The authors began by iden­ti­fy­ing all stud­ies pub­lished between 1980 and 2012 that report­ed long-term aca­d­e­m­ic out­comes for youth with ADHD; this was defined as at least 2 years beyond an ini­tial base­line assess­ment. All stud­ies includ­ed a com­par­i­son group — either a nor­ma­tive com­par­i­son sam­ple or youth with ADHD who were not treat­ed — or a com­par­i­son mea­sure, e.g., a pre-treat­ment base­line mea­sure of aca­d­e­m­ic achieve­ment to which sub­se­quent achieve­ment could be com­pared. [Read more…] about Does ADHD treat­ment enable long-term aca­d­e­m­ic suc­cess? (Yes, espe­cial­ly when phar­ma­co­log­i­cal and non-phar­ma treat­ments are combined)

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Filed Under: Attention & ADD/ADHD, Brain/ Mental Health Tagged With: academic difficulties, AD/HD-treatments, adhd, long-term academic success, non-pharmacological, pharmacological

Survey of 2500 families finds what ADHD treatments seem to work/ not work as applied in the real world

December 17, 2020 by Dr. David Rabiner

Cred­it: CDC Vital Signs

While care­ful­ly con­trolled clin­i­cal tri­als are essen­tial for estab­lish­ing sci­en­tif­ic sup­port for dif­fer­ent ADHD treat­ments, it is also impor­tant to exam­ine how par­ents feel about the treat­ments they actu­al­ly select for their child.

How par­ents feel about ADHD treat­ments they have tried for their child pro­vides an impor­tant com­ple­ment to pub­lished clin­i­cal tri­als data, and can also help guide par­ents’ treat­ment choic­es. [Read more…] about Sur­vey of 2500 fam­i­lies finds what ADHD treat­ments seem to work/ not work as applied in the real world

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Filed Under: Attention & ADD/ADHD Tagged With: AD/HD-treatments, ADHD coaching, alternative ADHD treatments, behavior-therapy, brain training, cognitive-abilities, diet, exercise, medication, mindfulness-meditation, minerals, Neurofeedback, parents, prescription, prescription medication, supplements, survey, Vitamins

What should come first to treat ADHD in children, behavior therapy or stimulant medication?

October 7, 2020 by Dr. David Rabiner

Stim­u­lant med­ica­tion treat­ment and behav­ior ther­a­py are cur­rent­ly the two child ADHD treat­ments with the strongest research sup­port. How­ev­er, when par­ents begin treat­ment for their child, or when pro­fes­sion­als are ini­ti­at­ing treat­ment with a new client, there is no research to guide the deci­sion of which approach to begin with.

Is it bet­ter to start with med­ica­tion treat­ment and add behav­ior ther­a­py if need­ed? Or, should behav­ior ther­a­py come first with med­ica­tion added if the child’s response is not suf­fi­cient? Or, is it always prefer­able to begin with com­bined treat­ment? [Read more…] about What should come first to treat ADHD in chil­dren, behav­ior ther­a­py or stim­u­lant medication?

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Filed Under: Attention & ADD/ADHD, Brain/ Mental Health, Education & Lifelong Learning Tagged With: AD/HD-treatments, behavior, behavior-therapy, classroom behavior, medication-treatment, stimulant medication

Study finds surprising correlation between states’ elevation and ADHD prevalence

September 8, 2020 by Dr. David Rabiner

Who would have thought that chil­dren liv­ing at high­er alti­tudes have low­er risk of devel­op­ing ADHD than peers at low­er ele­va­tion lev­els? As the research described below sug­gests, how­ev­er, this may be the case.

The impe­tus for this study is the well-doc­u­ment­ed region­al vari­a­tion in the preva­lence of ADHD in youth. For exam­ple, nation­al data for the years 2007–2009 indi­cate that ADHD preva­lence rates were approx­i­mate­ly 10% in the south and mid­west but only 5% in the west­ern US. How can such sub­stan­tial region­al vari­a­tion be explained? [Read more…] about Study finds sur­pris­ing cor­re­la­tion between states’ ele­va­tion and ADHD prevalence

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Filed Under: Attention & ADD/ADHD, Brain/ Mental Health Tagged With: adhd, ADHD diagnostic, altitude, cognitive-abilities, dopamine, dopamine activity, hypobaric, lower cognitive abilities, stimulant medications

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