Attention-deficit/hyperactivity disorder: the impact of methylphenidate on working memory, inhibition capacity and mental flexibility.

Cristiana Bolfer, Sandra Pasquali Pacheco, Miriam Harumi Tsunemi, Walter Souza Carreira, Beatriz Borba Casella, Erasmo Barbante Casella
Author Information
  1. Cristiana Bolfer: Universidade de São Paulo, Faculdade de Medicina, Departamento de Neurologia, São Paulo SP, Brasil.
  2. Sandra Pasquali Pacheco: Universidade de São Paulo, Faculdade de Medicina, Departamento de Pediatria, São Paulo SP, Brasil.
  3. Miriam Harumi Tsunemi: Universidade de São Paulo, Instituto de Matemática e Estatística, São Paulo SP, Brasil.
  4. Walter Souza Carreira: Centro Universitário de Maringá, Maringá PR, Brasil.
  5. Beatriz Borba Casella: Universidade de São Paulo, Departamento de Pediatria, São Paulo SP, Brasil.
  6. Erasmo Barbante Casella: Universidade de São Paulo, Faculdade de Medicina, Departamento de Neurologia, São Paulo SP, Brasil.

Abstract

OBJECTIVE: To compare children with attention-deficit/hyperactivity disorder (ADHD), before and after the use of Methylphenidate, and a control group, using tests of working memory, inhibition capacity and mental flexibility.
METHODS: Neuropsychological tests were administrated to 53 boys, 9-12 years old: the WISC-III digit span backward, and arithmetic; Stroop Color; and Trail Making Tests. The case group included 23 boys with ADHD, who were combined type, treatment-naive, and with normal intelligence without comorbidities. The control group (n = 30) were age and gender matched. After three months on Methylphenidate, the ADHD children were retested. The control group was also retested after three months.
RESULTS: Before treatment, ADHD children had lower scores than the control group on the tests (p ≤ 0.001) and after Methylphenidate had fewer test errors than before (p ≤ 0.001).
CONCLUSION: Methylphenidate treatment improves the working memory, inhibitory control and mental flexibility of ADHD boys.

MeSH Term

Attention Deficit Disorder with Hyperactivity
Case-Control Studies
Central Nervous System Stimulants
Child
Humans
Male
Memory
Methylphenidate
Neuropsychological Tests
Treatment Outcome

Chemicals

Central Nervous System Stimulants
Methylphenidate

Word Cloud

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