-Caveat Lector-

Note: This study does not address the issue of improper diagnoses of ADHD
which are made for MindControl purposes in school systems.

=====
>  http://www.nytimes.com/library/national/science/121599hth-children-ritalin.
> html

>  >           December 15, 1999
>  >
>  >           Study Backs a Drug for Hyperactive Children
>  >
>  >           By HOLCOMB B. NOBLE
>  >
>  >           [I] n one of the largest studies of its kind ever
>  >               conducted, researchers have found that the drug
>  >           Ritalin, the subject of sharp debate for three decades,
>  >           was more effective than behavior-modification therapy
>  >           in treating children with attention deficit
>  >           hyperactivity disorder.
>  >
>  >           The researchers, who worked at six sites around the
>  >           country in teams assembled by the National Institutes
>  >           of Health, said that adding the behavioral therapy to
>  >           Ritalin treatment was no more effective than the drug
>  >           alone.
>  >
>  >           But they said they found that about 70 percent of the
>  >           children they studied also turned out to have problems
>  >           like depression and anxiety.
>  >
>  >           In those cases, they said, behavior therapy provided
>  >           significant benefits, especially when used in
>  >           combination with the Ritalin.
>  >
>  >           The results, reported in the current issue of the
>  >           Archives of General Psychiatry, were discussed at a
>  >           news conference today at the College of Physicians and
>  >           Surgeons at Columbia University.
>  >
>  >           Dr. Peter S. Jenson, a child psychiatrist at Columbia
>  >           and a senior adviser to the N.I.H. who directed the
>  >           project, said the results were "the first real
>  >           information on comparative treatments over the long
>  >           term."
>  >
>  >           Dr. James T. McCracken, the director of child and
>  >           adolescent psychiatry at the Neuropyschiatric Institute
>  >           of the University of California at Los Angeles, who was
>  >           not involved in the research, called the study a
>  >           landmark and said it proved the benefits of treating
>  >           hyperactive children with a stimulant. "As a child
>  >           psychiatrist, it is still surprising that Ritalin
>  >           remains as controversial as it is," he said. "One hopes
>  >           that this study will put some of the controversy to
>  >           rest."
>  >
>  >           Dr. William Carey, a child psychiatrist at the
>  >           Children's Hospital of the University of Pennsylvania,
>  >           said that while he had no criticism of the study,
>  >           Ritalin is overused, adding, "Do you give it to a child
>  >           who talks incessantly in line?" The drug should be
>  >           reserved for real brain disorders, he said.
>  >
>  >           One of the most recent battles over the drug took place
>  >           last month when the Colorado Board of Education moved
>  >           to discourage teachers from recommending behavioral
>  >           drugs like Ritalin and urged school personnel to use
>  >           discipline and instruction instead to overcome problem
>  >           behavior in the classroom. The action was said to have
>  >           stemmed from fears that such drugs were related to
>  >           violence among children, although medical scientists
>  >           say there is no evidence of that.
>  >
>  >           Its side effects, which include headaches and loss of
>  >           appetite, are reported as minor and reversible.
>  >
>  >           The N.I.H. researchers studied 579 children over 14
>  >           months. The children, who were 7 to 9 years of age,
>  >           were given long and detailed examinations, Dr. Jensen
>  >           said. About 80 percent were boys.
>  >
>  >           The children were divided into four groups for
>  >           treatment: those receiving Ritalin alone; those
>  >           receiving intensive behavior management therapy alone;
>  >           those receiving a combination of the two, and those
>  >           receiving whatever treatment was standard for their
>  >           community.
>  >
>  >           The researches found that among the children who had
>  >           attention deficit hyperactivity disorder but not the
>  >           other psychiatric disorders, Ritalin brought
>  >           improvement in their conditions when it was used alone,
>  >           regardless of whether it was accompanied by other
>  >           therapy. They also found that Ritalin and the intensive
>  >           behavior therapy used in combination were the most
>  >           effective when used for the children with psychiatric
>  >           problems that went beyond attention deficit
>  >           hyperactivity disorder.
>  >
>  >           The study found a number of differences between the
>  >           institutes of health program of intensive behavior
>  >           management -- based on the B. F. Skinner theory on the
>  >           value of using positive reinforcement to encourage
>  >           acceptable behavior -- and the various community
>  >           therapies.
>  >
>  >           Dr. Stephen P. Hinshaw, a child psychiatrist and
>  >           professor at the University of California at Berkeley,
>  >           said they included monthly meetings under the N.I.H
>  >           approach and more emphasis on behavior management by
>  >           parents in the home and teachers in the classroom.
>  >
>  >
>
>  --------------------

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