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| Publications of Scott H. Kollins :chronological alphabetical combined listing:%% Journal Articles @article{fds369377, Author = {Fuemmeler, BF and Glasgow, TE and Schechter, JC and Maguire, R and Sheng, Y and Bidopia, T and Barsell, DJ and Ksinan, A and Zhang, J and Lin, Y and Hoyo, C and Murphy, S and Qin, J and Wang, X and Kollins, S}, Title = {Prenatal and Childhood Smoke Exposure Associations with Cognition, Language, and Attention-Deficit/Hyperactivity Disorder.}, Journal = {J Pediatr}, Volume = {256}, Pages = {77-84.e1}, Year = {2023}, Month = {May}, url = {http://dx.doi.org/10.1016/j.jpeds.2022.11.041}, Abstract = {OBJECTIVE: To assess the relationships of prenatal and childhood smoke exposure with specific neurodevelopmental and behavioral problems during early childhood. STUDY DESIGN: A subsample (n = 386) of mother-child dyads from the Newborn Epigenetic Study (NEST) prebirth cohort participated in the study. Cotinine concentrations were used to objectively measure prenatal and childhood smoke exposure when youth were aged 3-13 years. Multivariable regression models were used to estimate associations of prenatal and childhood cotinine concentrations with performance on the National Institutes of Health (NIH) Toolbox and attention-deficit/hyperactivity disorder and behavioral symptoms, measured using the Behavior Assessment System for Children, 2nd edition (BASC-2). RESULTS: After adjusting for confounders, childhood cotinine concentrations were associated with poorer cognitive performance on tasks measuring cognitive flexibility (B = -1.29; P = .03), episodic memory (B = -0.97; P = .02), receptive language development (B = -0.58; P = .01), and inhibitory control and attention (B = -1.59; P = .006). Although childhood cotinine concentration was associated with higher levels of attention problems (B = 0.83; P = .004) on the BASC-2, after adjustment for confounders, the association is nonsignificant. Although associations for maternal cotinine concentrations were null, an interaction was detected between prenatal and childhood cotinine concentrations on the NIH Toolbox Picture Vocabulary Task (P = .02). CONCLUSIONS: Our findings suggest that childhood tobacco smoke exposure may lead to poorer attention regulation and language acquisition, complex visual processing ability, and attention problems.}, Doi = {10.1016/j.jpeds.2022.11.041}, Key = {fds369377} } @article{fds370421, Author = {Taquet, M and Griffiths, K and Palmer, EOC and Ker, S and Liman, C and Wee, SN and Kollins, SH and Patel, R}, Title = {Early trajectory of clinical global impression as a transdiagnostic predictor of psychiatric hospitalisation: a retrospective cohort study.}, Journal = {Lancet Psychiatry}, Volume = {10}, Number = {5}, Pages = {334-341}, Year = {2023}, Month = {May}, url = {http://dx.doi.org/10.1016/S2215-0366(23)00066-4}, Abstract = {BACKGROUND: Identifying patients most at risk of psychiatric hospitalisation is crucial to improving service provision and patient outcomes. Existing predictors focus on specific clinical scenarios and are not validated with real-world data, limiting their translational potential. This study aimed to determine whether early trajectories of Clinical Global Impression Severity are predictors of 6 month risk of hospitalisation. METHODS: This retrospective cohort study used data from the NeuroBlu database, an electronic health records network from 25 US mental health-care providers. Patients with an ICD-9 or ICD-10 code of major depressive disorder, bipolar disorder, generalised anxiety disorder, post-traumatic stress disorder, schizophrenia or schizoaffective disorder, ADHD, or personality disorder were included. Using this cohort, we assessed whether clinical severity and instability (operationalised using Clinical Global Impression Severity measurements) during a 2-month period were predictors of psychiatric hospitalisation within the next 6 months. FINDINGS: 36 914 patients were included (mean age 29·7 years [SD 17·5]; 21 156 [57·3%] female, 15 748 [42·7%] male; 20 559 [55·7%] White, 4842 [13·1%] Black or African American, 286 [0·8%] Native Hawaiian or other Pacific Islander, 300 [0·8%] Asian, 139 [0·4%] American Indian or Alaska Native, 524 (1·4%) other or mixed race, and 10 264 [27·8%] of unknown race). Clinical severity and instability were independent predictors of risk of hospitalisation (adjusted hazard ratio [HR] 1·09, 95% CI 1·07-1·10 for every SD increase in instability; 1·11, 1·09-1·12 for every SD increase in severity; p<0·0001 for both). These associations were consistent across all diagnoses, age groups, and in both males and females, as well as in several robustness analyses, including when clinical severity and clinical instability were based on the Patient Health Questionnaire-9 rather than Clinical Global Impression Severity measurements. Patients in the top half of the cohort for both clinical severity and instability were at an increased risk of hospitalisation compared with those in the bottom half along both dimensions (HR 1·45, 95% CI 1·39-1·52; p<0·0001). INTERPRETATION: Clinical instability and severity are independent predictors of future risk of hospitalisation, across diagnoses, age groups, and in both males and females. These findings could help clinicians make prognoses and screen patients who are most likely to benefit from intensive interventions, as well as help health-care providers plan service provisions by adding additional detail to risk prediction tools that incorporate other risk factors. FUNDING: National Institute for Health and Care Research, National Institute for Health and Care Research Oxford Health Biomedical Research Centre, Medical Research Council, Academy of Medical Sciences, and Holmusk.}, Doi = {10.1016/S2215-0366(23)00066-4}, Key = {fds370421} } @article{fds365163, Author = {Vosburg, SK and Faraone, SV and Riley, E and Whitaker, T and Kardish, J and Baker, D and Kollins, SH and Rush, CR}, Title = {Intranasal Use of Prescription Stimulants Among Adults Aged 18 to 30: Results From A Crowdsourcing Platform.}, Journal = {J Atten Disord}, Volume = {27}, Number = {1}, Pages = {14-25}, Year = {2023}, Month = {January}, url = {http://dx.doi.org/10.1177/10870547221112948}, Abstract = {OBJECTIVE: Few studies of prescription stimulant non-oral, non-medical use (NMU) (defined by use not as prescribed) have been conducted in adults beyond the college population. The purpose of this study was to characterize prescription stimulant non-oral use, specifically intranasal (IN) use (snorting) in young adults. METHOD: Amazon's MTurk platform was used to recruit participants for an online survey. Data were collected from March to April 2020. RESULTS: Thirty-two percent (n = 157) of survey respondents (N = 975), aged 18 to 30, reported IN prescription stimulant use (average of 32.1 episodes of lifetime IN use). Adderall was the most-reported prescription stimulant used intranasally (89.2%). Most IN users (82%; n = 68) reported spending no more than 5 minutes tampering with prescription stimulants. Intranasal users said they would take the medication orally if unable to tamper or manipulate medication for IN use. CONCLUSION: These data help quantify a complex public health issue of ongoing IN use of prescription stimulants and suggest a potential role for manipulation-deterrent medications.}, Doi = {10.1177/10870547221112948}, Key = {fds365163} } @article{fds367391, Author = {Carpenter, KLH and Davis, NO and Spanos, M and Sabatos-DeVito, M and Aiello, R and Baranek, GT and Compton, SN and Egger, HL and Franz, L and Kim, S-J and King, BH and Kolevzon, A and McDougle, CJ and Sanders, K and Veenstra-VanderWeele, J and Sikich, L and Kollins, SH and Dawson, G}, Title = {Adaptive Behavior in Young Autistic Children: Associations with Irritability and ADHD Symptoms.}, Journal = {J Autism Dev Disord}, Year = {2022}, Month = {October}, url = {http://dx.doi.org/10.1007/s10803-022-05753-2}, Abstract = {Attention-deficit/hyperactivity disorder (ADHD) symptoms affect 40-60% of autistic children and have been linked to differences in adaptive behavior. It is unclear whether adaptive behavior in autistic youth is directly impacted by co-occurring ADHD symptoms or by another associated feature of both autism and ADHD, such as increased irritability. The current study examined relationships between irritability, ADHD symptoms, and adaptive behavior in 3- to 7-year-old autistic children. Results suggest that, after adjusting for co-occurring ADHD symptoms, higher levels of irritability are associated with differences in social adaptive behavior specifically. Understanding relationships between irritability, ADHD, and adaptive behavior in autistic children is critical because measures of adaptive behavior, such as the Vineland Scales of Adaptive Functioning, are often used as a proxy for global functioning, as well as for developing intervention plans and measuring outcomes as primary endpoints in clinical trials.}, Doi = {10.1007/s10803-022-05753-2}, Key = {fds367391} } @article{fds363053, Author = {Lunsford-Avery, JR and Wang, KW and Kollins, SH and Chung, RJ and Keller, C and Engelhard, MM}, Title = {Regularity and Timing of Sleep Patterns and Behavioral Health Among Adolescents.}, Journal = {J Dev Behav Pediatr}, Volume = {43}, Number = {4}, Pages = {188-196}, Year = {2022}, Month = {May}, url = {http://dx.doi.org/10.1097/DBP.0000000000001013}, Abstract = {OBJECTIVE: Sleep is vital to supporting adolescent behavioral health and functioning; however, sleep disturbances remain under-recognized and undertreated in many health care settings. One barrier is the complexity of sleep, which makes it difficult for providers to determine which aspects-beyond sleep duration-may be most important to assess and treat to support adolescent health. This study examined associations between 2 sleep indices (regularity and timing) and adolescent behavioral health and functioning over and above the impact of shortened/fragmented sleep. METHOD: Eighty-nine adolescents recruited from the community (mean age = 14.04, 45% female participants) completed 7 days/nights of actigraphy and, along with a parent/guardian, reported on behavioral health (internalizing and externalizing symptoms) and psychosocial functioning. Stepwise linear regressions examined associations between sleep timing and regularity and behavioral/functional outcomes after accounting for shortened/fragmented sleep. RESULTS: Delayed sleep timing was associated with greater self-reported internalizing (F[6,82] = 11.57, p = 0.001) and externalizing (F[6,82] = 11.12, p = 0.001) symptoms after accounting for shortened/fragmented sleep. Irregular sleep was associated with greater self-reported and parent-reported externalizing symptoms (self: F[7,81] = 6.55, p = 0.01; parent: F[7,80] = 6.20, p = 0.01) and lower psychosocial functioning (self: F[7,81] = 6.03, p = 0.02; parent: F[7,78] = 3.99, p < 0.05) after accounting for both shortened/fragmented sleep and delayed sleep timing. CONCLUSION: Sleep regularity and timing may be critical for understanding the risk of poor behavioral health and functional deficits among adolescents and as prevention and intervention targets. Future work should focus on developing and evaluating convenient, low-cost, and effective methods for addressing delayed and/or irregular adolescent sleep patterns in real-world health care settings.}, Doi = {10.1097/DBP.0000000000001013}, Key = {fds363053} } @article{fds363210, Author = {Patel, R and Wee, SN and Ramaswamy, R and Thadani, S and Tandi, J and Garg, R and Calvanese, N and Valko, M and Rush, AJ and Rentería, ME and Sarkar, J and Kollins, SH}, Title = {NeuroBlu, an electronic health record (EHR) trusted research environment (TRE) to support mental healthcare analytics with real-world data.}, Journal = {Bmj Open}, Volume = {12}, Number = {4}, Pages = {e057227}, Year = {2022}, Month = {April}, url = {http://dx.doi.org/10.1136/bmjopen-2021-057227}, Abstract = {PURPOSE: NeuroBlu is a real-world data (RWD) repository that contains deidentified electronic health record (EHR) data from US mental healthcare providers operating the MindLinc EHR system. NeuroBlu enables users to perform statistical analysis through a secure web-based interface. Structured data are available for sociodemographic characteristics, mental health service contacts, hospital admissions, International Classification of Diseases ICD-9/ICD-10 diagnosis, prescribed medications, family history of mental disorders, Clinical Global Impression-Severity and Improvement (CGI-S/CGI-I) and Global Assessment of Functioning (GAF). To further enhance the data set, natural language processing (NLP) tools have been applied to obtain mental state examination (MSE) and social/environmental data. This paper describes the development and implementation of NeuroBlu, the procedures to safeguard data integrity and security and how the data set supports the generation of real-world evidence (RWE) in mental health. PARTICIPANTS: As of 31 July 2021, 562 940 individuals (48.9% men) were present in the data set with a mean age of 33.4 years (SD: 18.4 years). The most frequently recorded diagnoses were substance use disorders (1 52 790 patients), major depressive disorder (1 29 120 patients) and anxiety disorders (1 03 923 patients). The median duration of follow-up was 7 months (IQR: 1.3 to 24.4 months). FINDINGS TO DATE: The data set has supported epidemiological studies demonstrating increased risk of psychiatric hospitalisation and reduced antidepressant treatment effectiveness among people with comorbid substance use disorders. It has also been used to develop data visualisation tools to support clinical decision-making, evaluate comparative effectiveness of medications, derive models to predict treatment response and develop NLP applications to obtain clinical information from unstructured EHR data. FUTURE PLANS: The NeuroBlu data set will be further analysed to better understand factors related to poor clinical outcome, treatment responsiveness and the development of predictive analytic tools that may be incorporated into the source EHR system to support real-time clinical decision-making in the delivery of mental healthcare services.}, Doi = {10.1136/bmjopen-2021-057227}, Key = {fds363210} } @article{fds362461, Author = {Breslav, ADS and Zucker, NL and Schechter, JC and Majors, A and Bidopia, T and Fuemmeler, BF and Kollins, SH and Huettel, SA}, Title = {Shuffle the Decks: Children Are Sensitive to Incidental Nonrandom Structure in a Sequential-Choice Task.}, Journal = {Psychol Sci}, Volume = {33}, Number = {4}, Pages = {550-562}, Year = {2022}, Month = {April}, url = {http://dx.doi.org/10.1177/09567976211042007}, Abstract = {As children age, they can learn increasingly complex features of environmental structure-a key prerequisite for adaptive decision-making. Yet when we tested children (N = 304, 4-13 years old) in the Children's Gambling Task, an age-appropriate variant of the Iowa Gambling Task, we found that age was negatively associated with performance. However, this paradoxical effect of age was found only in children who exhibited a maladaptive deplete-replenish bias, a tendency to shift choices after positive outcomes and repeat choices after negative outcomes. We found that this bias results from sensitivity to incidental nonrandom structure in the canonical, deterministic forms of these tasks-and that it would actually lead to optimal outcomes if the tasks were not deterministic. Our results illustrate that changes in decision-making across early childhood reflect, in part, increasing sensitivity to environmental structure.}, Doi = {10.1177/09567976211042007}, Key = {fds362461} } @article{fds363211, Author = {White, MJ and Schechter, JC and Neely, B and Reyes, C and Maguire, RL and Perrin, EM and Ksinan, AJ and Kollins, SH and Fuemmeler, BF}, Title = {Parenting Stress, Child Weight-Related Behaviors, and Child Weight Status.}, Journal = {Child Obes}, Volume = {18}, Number = {3}, Pages = {150-159}, Year = {2022}, Month = {April}, url = {http://dx.doi.org/10.1089/chi.2021.0098}, Abstract = {Background: There has been limited examination of the association between parenting stress and child weight-related behaviors. We aimed to determine whether parenting stress is associated with child weight-related behaviors, including physical activity, screen time, diet, sedentary time, and eating in the absence of hunger (EAH). Secondarily, we assessed association between parenting stress and child weight status. Methods: Mother-child dyads (N = 291) enrolled in the Newborn Epigenetic STudy (NEST), a longitudinal cohort study, completed surveys to describe parenting stress, and child diet. Children participated in the EAH task and wore accelerometers to assess sedentary time and physical activity. Child weight status was assessed using measured height and weight. Outcomes and exposures were examined using generalized linear models and restricted cubic splines as appropriate based on linear lack-of-fit test. Results: Child sedentary time and vegetable consumption were inversely associated with parenting stress (Total Stress B = -0.78; 95% confidence interval [CI]: -1.35 to -0.20; p = 0.017; and Total Stress adjusted odds ratio [aOR] = 0.98; 95% CI: 0.99 to 1.00; p = 0.022, respectively). Child screen time was directly associated with parenting stress (Total Stress = aOR 1.01; 95% CI: 1.00-1.02; p = 0.032). Fast-food intake was nonlinearly associated with parenting stress. There was no evidence of association between parenting stress and child EAH, physical activity, or weight status. Associations between parenting stress and child weight-related behaviors were not moderated by race or family structure. Conclusions: Parenting stress was associated with important child weight-related behaviors but not weight status. Management of parenting stress may represent a reasonable adjunct to family-based behavioral interventions.}, Doi = {10.1089/chi.2021.0098}, Key = {fds363211} } @article{fds362379, Author = {Lunsford-Avery, JR and Kollins, SH and Kansagra, S and Wang, KW and Engelhard, MM}, Title = {Impact of daily caffeine intake and timing on electroencephalogram-measured sleep in adolescents.}, Journal = {J Clin Sleep Med}, Volume = {18}, Number = {3}, Pages = {877-884}, Year = {2022}, Month = {March}, url = {http://dx.doi.org/10.5664/jcsm.9736}, Abstract = {STUDY OBJECTIVES: Caffeine use is ubiquitous among adolescents and may be harmful to sleep, with downstream implications for health and development. Research has been limited by self-reported and/or aggregated measures of sleep and caffeine collected at a single time point. This study examines bidirectional associations between daily caffeine consumption and electroencephalogram-measured sleep among adolescents and explores whether these relationships depend on timing of caffeine use. METHODS: Ninety-eight adolescents aged 11-17 (mean =14.38, standard deviation = 1.77; 50% female) participated in 7 consecutive nights of at-home sleep electroencephalography and completed a daily diary querying morning, afternoon, and evening caffeine use. Linear mixed-effects regressions examined relationships between caffeine consumption and total sleep time, sleep-onset latency, sleep efficiency, wake after sleep onset, and time spent in sleep stages. Impact of sleep indices on next-day caffeine use was also examined. RESULTS: Increased total caffeine consumption was associated was increased sleep-onset latency (β = .13; 95% CI = .06, .21; P < .001) and reduced total sleep time (β = -.17; 95% confidence interval [CI] = -.31, -.02; P = .02), sleep efficiency (β = -1.59; 95% CI = -2.51, -.67; P < .001), and rapid eye movement sleep (β = -.12; 95% CI = -.19, -.05; P < .001). Findings were driven by afternoon and evening caffeine consumption. Reduced sleep efficiency was associated with increased afternoon caffeine intake the following day (β = -.006; 95% CI = -.012, -.001; P = .01). CONCLUSIONS: Caffeine consumption, especially afternoon and evening use, impacts several aspects of adolescent sleep health. In contrast, most sleep indicators did not affect next-day caffeine use, suggesting multiple drivers of adolescent caffeine consumption. Federal mandates requiring caffeine content labeling and behavioral interventions focused on reducing caffeine intake may support adolescent sleep health. CITATION: Lunsford-Avery JR, Kollins SH, Kansagra S, Wang KW, Engelhard MM. Impact of daily caffeine intake and timing on electroencephalogram-measured sleep in adolescents. J Clin Sleep Med. 2022;18(3):877-884.}, Doi = {10.5664/jcsm.9736}, Key = {fds362379} } @article{fds362181, Author = {Kollins, SH}, Title = {Editorial: The gathering storm: a US perspective on the scientific response to the COVID-19 child and adolescent mental health crisis.}, Journal = {The Journal of Child Psychology and Psychiatry and Allied Disciplines}, Volume = {63}, Number = {2}, Pages = {129-131}, Year = {2022}, Month = {February}, url = {http://dx.doi.org/10.1111/jcpp.13576}, Doi = {10.1111/jcpp.13576}, Key = {fds362181} } @article{fds354180, Author = {Dew, RE and Kollins, SH and Koenig, HG}, Title = {ADHD, Religiosity, and Psychiatric Comorbidity in Adolescence and Adulthood.}, Journal = {J Atten Disord}, Volume = {26}, Number = {2}, Pages = {307-318}, Year = {2022}, Month = {January}, url = {http://dx.doi.org/10.1177/1087054720972803}, Abstract = {OBJECTIVE: Religiosity has been repeatedly proposed as protective in the development of depression, sociopathy and addictions. ADHD frequently co-occurs with these same conditions. Although ADHD symptoms may affect religious practice, religiosity in ADHD remains unexplored. METHOD: Analyses examined data from >8000 subjects aged 12 to 34 in four waves of the Add Health Study. Relationships of religious variables with childhood ADHD symptoms were statistically evaluated. Observed correlations of ADHD symptoms to depression, delinquency, and substance use were tested for mediation and moderation by religiosity. RESULTS: ADHD symptoms correlated with lower levels of all religious variables at nearly all waves. In some analyses at Wave IV, prayer and attendance interacted with ADHD to predict worsened psychopathology. CONCLUSION: ADHD symptoms predicted lower engagement in religious life. In adulthood, some aspects of religiosity interacted with ADHD symptoms to predict worse outcomes. Further research should explore whether lower religiosity partially explains prevalent comorbidities in ADHD.}, Doi = {10.1177/1087054720972803}, Key = {fds354180} } @article{fds357344, Author = {Franz, L and Howard, J and Viljoen, M and Sikich, L and Chandrasekhar, T and Kollins, SH and Lee, L and Ndlovu, M and Sabatos-DeVito, M and Seris, N and Shabalala, N and Spanos, M and de Vries, PJ and Dawson, G}, Title = {Pragmatic adaptations of telehealth-delivered caregiver coaching for children with autism in the context of COVID-19: Perspectives from the United States and South Africa.}, Journal = {Autism}, Volume = {26}, Number = {1}, Pages = {270-275}, Year = {2022}, Month = {January}, url = {http://dx.doi.org/10.1177/13623613211022585}, Abstract = {COVID-19 caused many autism spectrum disorder caregiver-coaching studies to move to telehealth. Telehealth can increase the diversity of people who take part in research. This matters because most autism spectrum disorder studies have included people who have resources, are White, and live in North America and Europe. When study participants are similar, it is hard to understand which interventions can help different types of people who live in different parts of the world. While telehealth may allow more people to take part in research, it needs to "fit" the local context and consider the "digital divide" because many people around the world have no access to computers and the Internet. This short report describes changes to two research studies that include caregiver coaching based on the Early Start Denver Model in the United States and South Africa. We describe how the local context, including technology and Internet access, guided the telehealth approach. By doing so, we highlight ways to make telehealth available to more people around the world. The pandemic can help us understand how telehealth can "fit" diverse places and support high-quality research. It is important that study changes are tracked and we assess how well the changes work. COVID-19 telehealth changes to caregiver coaching can result in new ways to reach more people around the world.}, Doi = {10.1177/13623613211022585}, Key = {fds357344} } @article{fds361210, Author = {Lunsford-Avery, JR and Engelhard, MM and Navar, AM and Kollins, SH}, Title = {Author Correction: Validation of the Sleep Regularity Index in Older Adults and Associations with Cardiometabolic Risk.}, Journal = {Scientific Reports}, Volume = {11}, Number = {1}, Pages = {24398}, Year = {2021}, Month = {December}, url = {http://dx.doi.org/10.1038/s41598-021-03253-4}, Doi = {10.1038/s41598-021-03253-4}, Key = {fds361210} } @article{fds352608, Author = {Lunsford-Avery, JR and Sweitzer, MM and Kollins, SH and Mitchell, JT}, Title = {Eveningness Diurnal Preference: Putting the "Sluggish" in Sluggish Cognitive Tempo.}, Journal = {J Atten Disord}, Volume = {25}, Number = {14}, Pages = {2060-2067}, Year = {2021}, Month = {December}, url = {http://dx.doi.org/10.1177/1087054720959697}, Abstract = {OBJECTIVE: Eveningness diurnal preference is common in psychiatric conditions, including attention-deficit/hyperactivity disorder (ADHD) and internalizing disorders. Little is known about how diurnal preference relates to sluggish cognitive tempo (SCT)-a distinct clinical construct associated with functional impairment-in clinical samples. METHOD: Adult outpatients (n = 65; 43 with ADHD, 22 with internalizing/adjustment disorders) self-reported on SCT symptoms (total symptoms; slow/daydreamy, sleepy/sluggish, and low initiation/persistence factors) and diurnal preference. RESULTS: Greater eveningness was associated with overall SCT severity and sleepy/sluggish symptoms in the full sample. Relationships between eveningness and overall SCT severity and slow/daydreamy symptoms were stronger for those with internalizing/adjustment disorders compared to ADHD. The relationship between eveningness and sleepy/sluggish symptoms was uniform across groups. CONCLUSION: Findings suggest a potential role of eveningness preference in adult SCT presentation. Future studies should investigate underlying mechanisms linking these two constructs and the efficacy of circadian interventions in the treatment of SCT among adult outpatients.}, Doi = {10.1177/1087054720959697}, Key = {fds352608} } @article{fds360051, Author = {García-Marín, LM and Campos, AI and Cuéllar-Partida, G and Medland, SE and Kollins, SH and Rentería, ME}, Title = {Large-scale genetic investigation reveals genetic liability to multiple complex traits influencing a higher risk of ADHD.}, Journal = {Scientific Reports}, Volume = {11}, Number = {1}, Pages = {22628}, Year = {2021}, Month = {November}, url = {http://dx.doi.org/10.1038/s41598-021-01517-7}, Abstract = {Attention Deficit-Hyperactivity Disorder (ADHD) is a complex psychiatric and neurodevelopmental disorder that develops during childhood and spans into adulthood. ADHD's aetiology is complex, and evidence about its cause and risk factors is limited. We leveraged genetic data from genome-wide association studies (GWAS) and performed latent causal variable analyses using a hypothesis-free approach to infer causal associations between 1387 complex traits and ADHD. We identified 37 inferred potential causal associations with ADHD risk. Our results reveal that genetic variants associated with iron deficiency anemia (ICD10), obesity, type 2 diabetes, synovitis and tenosynovitis (ICD10), polyarthritis (ICD10), neck or shoulder pain, and substance use in adults display partial genetic causality on ADHD risk in children. Genetic variants associated with ADHD have a partial genetic causality increasing the risk for chronic obstructive pulmonary disease and carpal tunnel syndrome. Protective factors for ADHD risk included genetic variants associated with the likelihood of participating in socially supportive and interactive activities. Our results show that genetic liability to multiple complex traits influences a higher risk for ADHD, highlighting the potential role of cardiometabolic phenotypes and physical pain in ADHD's aetiology. These findings have the potential to inform future clinical studies and development of interventions.}, Doi = {10.1038/s41598-021-01517-7}, Key = {fds360051} } @article{fds360052, Author = {Weiss, MD and Cutler, AJ and Kollins, SH and Donnelly, GAE}, Title = {Efficacy and Safety of a Long-Acting Multilayer-Release Methylphenidate Formulation (PRC-063) in the Treatment of Adolescent Attention-Deficit/Hyperactivity Disorder: A Randomized, Double-Blind Clinical Trial with a 6-Month Open-Label Extension.}, Journal = {J Child Adolesc Psychopharmacol}, Volume = {31}, Number = {9}, Pages = {610-622}, Year = {2021}, Month = {November}, url = {http://dx.doi.org/10.1089/cap.2021.0034}, Abstract = {Objectives: To study the safety and efficacy of the long-acting methylphenidate formulation PRC-063 in adolescents with attention-deficit/hyperactivity disorder (ADHD). Methods: Adolescents 12 to ≤17 years who met Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 criteria for ADHD and had a baseline ADHD Rating Scale DSM-5 (ADHD-5-RS) score ≥24 participated in a randomized, double-blind, placebo-controlled, fixed-dose, parallel-group study. Participants were randomized 1:1:1:1:1 to receive placebo or one of four doses of PRC-063 once daily for 4 weeks. The primary endpoint was change from baseline in least-squares mean clinician-rated ADHD-5-RS total score for PRC-063 (all doses combined) versus placebo. Other efficacy assessments included Conners third Edition: Self-Report (C3SR) and Clinical Global Impression-Improvement (CGI-I). A subset of double-blind study participants entered a subsequent open-label, dose-optimized study. Safety outcomes in both studies included treatment-emergent adverse events (TEAEs). Results: Three hundred fifty-four participants were included in the primary analysis. The least-squares mean change from baseline in ADHD-5-RS total score was -15.17 for PRC-063 versus -10.98 for placebo (least-squares mean difference -4.2, p = 0.0067). For individual PRC-063 doses, improvements in ADHD-5-RS total score versus placebo were significant for 45 mg (p = 0.0155) and 70 mg (p = 0.0401), but not for 25 or 85 mg. A significant improvement for PRC-063 versus placebo was recorded for C3SR Inattention (p = 0.0168), but not for the other C3SR subscales. About 52.7% of participants randomized to PRC-063 were responders based on CGI-I versus 32.4% of those randomized to placebo (p = 0.0004). Further improvements in ADHD symptoms based on ADHD-5-RS were observed from 1 month through 6 months of open-label treatment (p < 0.0001). There were two serious adverse events (both during the open-label study), one of which (aggressive behavior) was assessed as related to study drug. The only TEAEs that occurred in >10% of participants during double-blind treatment were decreased appetite (20.1%) and headache (15.0%). Most TEAEs were of mild or moderate severity. Conclusion: PRC-063 significantly improved ADHD symptomatology in adolescents. It was generally well tolerated, with an AE profile consistent with other long-acting stimulants. NCT02139111 and NCT02168127.}, Doi = {10.1089/cap.2021.0034}, Key = {fds360052} } @article{fds360053, Author = {Kollins, SH and Braeckman, R and Guenther, S and Barrett, AC and Mickle, TC and Oh, C and Marraffino, A and Cutler, AJ and Brams, MN}, Title = {A Randomized, Controlled Laboratory Classroom Study of Serdexmethylphenidate and d-Methylphenidate Capsules in Children with Attention-Deficit/Hyperactivity Disorder.}, Journal = {J Child Adolesc Psychopharmacol}, Volume = {31}, Number = {9}, Pages = {597-609}, Year = {2021}, Month = {November}, url = {http://dx.doi.org/10.1089/cap.2021.0077}, Abstract = {Objectives: To evaluate the efficacy and safety of once-daily serdexmethylphenidate/dexmethylphenidate (SDX/d-MPH) capsules (Azstarys™) compared with placebo in children with attention-deficit/hyperactivity disorder (ADHD) in a randomized, double-blind, dose-optimized laboratory classroom study. Methods: Children ages 6-12 with ADHD were enrolled. During a 3-week, open-label, Dose Optimization Phase, subjects initiated treatment with 39.2 mg/7.8 mg/day of SDX/d-MPH and were titrated weekly to an optimal dose (maximum dose of 52.3/10.4 mg). During the double-blind Treatment Phase, subjects were randomized to receive their optimal dose of SDX/d-MPH or placebo for 7 days. On day 7, efficacy was assessed in the laboratory classroom using the Swanson, Kotkin, Agler, M-Flynn, and Pelham (SKAMP) Rating Scale and Permanent Product Measure of Performance (PERMP). To evaluate safety, adverse events (AEs), vital signs, and electrocardiograms were assessed, and suicide risk was assessed. Results: A total of 149 subjects completed the study. In the primary efficacy analysis, the mean postdose change from baseline in SKAMP-Combined scores averaged over the laboratory classroom day was significantly improved with SDX/d-MPH versus placebo (least-squares mean treatment difference [95% confidence interval]: -5.41 [-7.10 to -3.71]; p < 0.001). A significant treatment effect for SDX/d-MPH compared with placebo was observed from 1 to 10 hours postdose. A post hoc analysis more comparable with that conducted in similar studies indicated a 0.5- to 13-hour onset and duration of efficacy. Both average postdose PERMP-Attempted and PERMP-Correct score changes from baseline were significantly improved among those treated with SDX/d-MPH versus placebo (p < 0.001 for both). No serious AEs were reported. During the Dose Optimization Phase, two-thirds of subjects reported AEs; the most common being insomnia and decreased appetite. Conclusions: SDX/d-MPH showed significant improvement in ADHD symptoms compared with placebo in children 6-12 years of age, with a rapid onset and extended duration of treatment effect. SDX/d-MPH was safe, with AEs comparable with those observed with other stimulant treatments.}, Doi = {10.1089/cap.2021.0077}, Key = {fds360053} } @article{fds359068, Author = {Engelhard, M and Berchuck, S and Garg, J and Rusincovitch, S and Dawson, G and Kollins, S}, Title = {Patterns of Health Services Use Before Age 1 in Children Later Diagnosed With ADHD.}, Journal = {J Atten Disord}, Volume = {25}, Number = {12}, Pages = {1639}, Year = {2021}, Month = {October}, url = {http://dx.doi.org/10.1177/1087054720914352}, Abstract = {Background: Children with ADHD have 2 to 3 times increased health care utilization and annual costs once diagnosed, but little is known about utilization patterns early in life, prior to diagnosis. Quantifying early health services use among children later diagnosed with ADHD could help us understand the early life impact of the disorder and uncover health care utilization patterns associated with higher ADHD risk. Methods: Electronic health record (EHR) data from the Duke University Health System (DUHS) was analyzed for patients born October 1, 2006-October 1, 2016. Those with at least two well-child visits before age 1 were grouped as ADHD or not ADHD based on retrospective billing codes. Adjusted odds ratios (AORs) for hospital admissions, procedures, emergency department (ED) visits, and outpatient clinic encounters before age 1 were compared between groups via logistic regression controlling for sex, race, and ethnicity. Results: ADHD diagnoses were identified in 1,315 (4.4%) of 29,929 patients meeting criteria. Before age 1, individuals with ADHD had 60% increased odds of hospital admission, 58% increased odds of visiting the emergency department, and 41% increased odds of procedures (p < .0001), including 4.7-fold increased odds of blood transfusion (p < .0001). They also had more outpatient clinic visits (μ = 14.7 vs. μ = 12.5, p < .0001), including 52% increased odds of visiting a medical specialist, 38% increased odds of visiting a surgical specialist, 70% increased odds of visiting a neonatologist, and 71% increased odds of visiting an ophthalmologist (p < .0001 for all AORs). In addition, individuals with ADHD had 6-fold increased odds of visits related to child abuse and neglect (p = .0010). Conclusions: Children later diagnosed with ADHD were more likely to be admitted to the hospital, visit the ED, and visit specific medical and surgical services before age 1. Future work will identify patterns of health interactions unique to ADHD to stratify ADHD risk.}, Doi = {10.1177/1087054720914352}, Key = {fds359068} } @article{fds362561, Author = {Weissler, EH and Naumann, T and Andersson, T and Ranganath, R and Elemento, O and Luo, Y and Freitag, DF and Benoit, J and Hughes, MC and Khan, F and Slater, P and Shameer, K and Roe, M and Hutchison, E and Kollins, SH and Broedl, U and Meng, Z and Wong, JL and Curtis, L and Huang, E and Ghassemi, M}, Title = {Correction to: The role of machine learning in clinical research: transforming the future of evidence generation.}, Journal = {Trials}, Volume = {22}, Number = {1}, Pages = {593}, Year = {2021}, Month = {September}, url = {http://dx.doi.org/10.1186/s13063-021-05571-4}, Doi = {10.1186/s13063-021-05571-4}, Key = {fds362561} } @article{fds355387, Author = {Faraone, SV and Banaschewski, T and Coghill, D and Zheng, Y and Biederman, J and Bellgrove, MA and Newcorn, JH and Gignac, M and Al Saud, NM and Manor, I and Rohde, LA and Yang, L and Cortese, S and Almagor, D and Stein, MA and Albatti, TH and Aljoudi, HF and Alqahtani, MMJ and Asherson, P and Atwoli, L and Bölte, S and Buitelaar, JK and Crunelle, CL and Daley, D and Dalsgaard, S and Döpfner, M and Espinet, S and Fitzgerald, M and Franke, B and Gerlach, M and Haavik, J and Hartman, CA and Hartung, CM and Hinshaw, SP and Hoekstra, PJ and Hollis, C and Kollins, SH and Sandra Kooij and JJ and Kuntsi, J and Larsson, H and Li, T and Liu, J and Merzon, E and Mattingly, G and Mattos, P and McCarthy, S and Mikami, AY and Molina, BSG and Nigg, JT and Purper-Ouakil, D and Omigbodun, OO and Polanczyk, GV and Pollak, Y and Poulton, AS and Rajkumar, RP and Reding, A and Reif, A and Rubia, K and Rucklidge, J and Romanos, M and Ramos-Quiroga, JA and Schellekens, A and Scheres, A and Schoeman, R and Schweitzer, JB and Shah, H and Solanto, MV and Sonuga-Barke, E and Soutullo, C and Steinhausen, H-C and Swanson, JM and Thapar, A and Tripp, G and van de Glind, G and van den Brink, W and Van der Oord, S and Venter, A and Vitiello, B and Walitza, S and Wang, Y}, Title = {The World Federation of ADHD International Consensus Statement: 208 Evidence-based conclusions about the disorder.}, Journal = {Neurosci Biobehav Rev}, Volume = {128}, Pages = {789-818}, Year = {2021}, Month = {September}, url = {http://dx.doi.org/10.1016/j.neubiorev.2021.01.022}, Abstract = {BACKGROUND: Misconceptions about ADHD stigmatize affected people, reduce credibility of providers, and prevent/delay treatment. To challenge misconceptions, we curated findings with strong evidence base. METHODS: We reviewed studies with more than 2000 participants or meta-analyses from five or more studies or 2000 or more participants. We excluded meta-analyses that did not assess publication bias, except for meta-analyses of prevalence. For network meta-analyses we required comparison adjusted funnel plots. We excluded treatment studies with waiting-list or treatment as usual controls. From this literature, we extracted evidence-based assertions about the disorder. RESULTS: We generated 208 empirically supported statements about ADHD. The status of the included statements as empirically supported is approved by 80 authors from 27 countries and 6 continents. The contents of the manuscript are endorsed by 366 people who have read this document and agree with its contents. CONCLUSIONS: Many findings in ADHD are supported by meta-analysis. These allow for firm statements about the nature, course, outcome causes, and treatments for disorders that are useful for reducing misconceptions and stigma.}, Doi = {10.1016/j.neubiorev.2021.01.022}, Key = {fds355387} } @article{fds355505, Author = {Perochon, S and Di Martino and M and Aiello, R and Baker, J and Carpenter, K and Chang, Z and Compton, S and Davis, N and Eichner, B and Espinosa, S and Flowers, J and Franz, L and Gagliano, M and Harris, A and Howard, J and Kollins, SH and Perrin, EM and Raj, P and Spanos, M and Walter, B and Sapiro, G and Dawson, G}, Title = {A scalable computational approach to assessing response to name in toddlers with autism.}, Journal = {The Journal of Child Psychology and Psychiatry and Allied Disciplines}, Volume = {62}, Number = {9}, Pages = {1120-1131}, Year = {2021}, Month = {September}, url = {http://dx.doi.org/10.1111/jcpp.13381}, Abstract = {BACKGROUND: This study is part of a larger research program focused on developing objective, scalable tools for digital behavioral phenotyping. We evaluated whether a digital app delivered on a smartphone or tablet using computer vision analysis (CVA) can elicit and accurately measure one of the most common early autism symptoms, namely failure to respond to a name call. METHODS: During a pediatric primary care well-child visit, 910 toddlers, 17-37 months old, were administered an app on an iPhone or iPad consisting of brief movies during which the child's name was called three times by an examiner standing behind them. Thirty-seven toddlers were subsequently diagnosed with autism spectrum disorder (ASD). Name calls and children's behavior were recorded by the camera embedded in the device, and children's head turns were coded by both CVA and a human. RESULTS: CVA coding of response to name was found to be comparable to human coding. Based on CVA, children with ASD responded to their name significantly less frequently than children without ASD. CVA also revealed that children with ASD who did orient to their name exhibited a longer latency before turning their head. Combining information about both the frequency and the delay in response to name improved the ability to distinguish toddlers with and without ASD. CONCLUSIONS: A digital app delivered on an iPhone or iPad in real-world settings using computer vision analysis to quantify behavior can reliably detect a key early autism symptom-failure to respond to name. Moreover, the higher resolution offered by CVA identified a delay in head turn in toddlers with ASD who did respond to their name. Digital phenotyping is a promising methodology for early assessment of ASD symptoms.}, Doi = {10.1111/jcpp.13381}, Key = {fds355505} } @article{fds356502, Author = {Sweitzer, MM and Pacek, LR and Kozink, RV and Locey, E and Kollins, SH and Donny, EC and McClernon, FJ}, Title = {Reactions to reduced nicotine content cigarettes in a sample of young adult, low-frequency smokers.}, Journal = {Psychopharmacology (Berl)}, Volume = {238}, Number = {9}, Pages = {2429-2438}, Year = {2021}, Month = {September}, url = {http://dx.doi.org/10.1007/s00213-021-05864-1}, Abstract = {RATIONALE: Reducing nicotine content in cigarettes to ≤ 2.4 mg per g of tobacco [mg/g] reduces smoking behavior and toxicant exposure among adult daily smokers. However, cigarettes with similar nicotine content could support continued experimentation and smoking progression among young adults who smoke infrequently. OBJECTIVES: This study evaluated the threshold for nicotine in cigarettes that produces reactions associated with smoking progression in a sample of young adults who smoke infrequently. METHODS: Young adults (n = 87, 18-25 years, 49% female) using tobacco products ≤ 15 days per month completed three counterbalanced, double-blinded sessions, each measuring positive and negative subjective reactions to fixed doses of smoke from investigational cigarettes containing one of three different nicotine contents: normal (NNC; 15.8 mg/g); very low (VLNC; 0.4 mg/g); and intermediate (INC; 2.4 mg/g). In a final session, participants chose one of the cigarettes to self-administer. RESULTS: Post-cigarette breath carbon monoxide was greater for VLNC than for NNC (p < 0.001). Positive reactions were greater for NNC than INC (p < 0.001) and for INC than VLNC (p = 0.001). Negative reactions were greater for NNC than INC and VLNC (both p < 0.001); INC and VLNC did not differ. Cigarette choices did not differ from an even distribution (43% NNC, 25% INC, 32% VLNC), but choice for NNC or INC was associated with higher ratio of positive to negative reactions during the NNC and INC fixed dose sessions, respectively (p < 0.001). CONCLUSIONS: Reducing nicotine content will likely lower the abuse liability of cigarettes for most young, low-frequency smokers. Additional work is needed to determine if compensatory smoking may lead to increased toxicant exposure, and if a subset of individuals choosing lower nicotine cigarettes may continue to smoke regardless of nicotine content.}, Doi = {10.1007/s00213-021-05864-1}, Key = {fds356502} } @article{fds358936, Author = {Weissler, EH and Naumann, T and Andersson, T and Ranganath, R and Elemento, O and Luo, Y and Freitag, DF and Benoit, J and Hughes, MC and Khan, F and Slater, P and Shameer, K and Roe, M and Hutchison, E and Kollins, SH and Broedl, U and Meng, Z and Wong, JL and Curtis, L and Huang, E and Ghassemi, M}, Title = {The role of machine learning in clinical research: transforming the future of evidence generation.}, Journal = {Trials}, Volume = {22}, Number = {1}, Pages = {537}, Year = {2021}, Month = {August}, url = {http://dx.doi.org/10.1186/s13063-021-05489-x}, Abstract = {BACKGROUND: Interest in the application of machine learning (ML) to the design, conduct, and analysis of clinical trials has grown, but the evidence base for such applications has not been surveyed. This manuscript reviews the proceedings of a multi-stakeholder conference to discuss the current and future state of ML for clinical research. Key areas of clinical trial methodology in which ML holds particular promise and priority areas for further investigation are presented alongside a narrative review of evidence supporting the use of ML across the clinical trial spectrum. RESULTS: Conference attendees included stakeholders, such as biomedical and ML researchers, representatives from the US Food and Drug Administration (FDA), artificial intelligence technology and data analytics companies, non-profit organizations, patient advocacy groups, and pharmaceutical companies. ML contributions to clinical research were highlighted in the pre-trial phase, cohort selection and participant management, and data collection and analysis. A particular focus was paid to the operational and philosophical barriers to ML in clinical research. Peer-reviewed evidence was noted to be lacking in several areas. CONCLUSIONS: ML holds great promise for improving the efficiency and quality of clinical research, but substantial barriers remain, the surmounting of which will require addressing significant gaps in evidence.}, Doi = {10.1186/s13063-021-05489-x}, Key = {fds358936} } @article{fds356420, Author = {Chang, Z and Di Martino and JM and Aiello, R and Baker, J and Carpenter, K and Compton, S and Davis, N and Eichner, B and Espinosa, S and Flowers, J and Franz, L and Harris, A and Howard, J and Perochon, S and Perrin, EM and Krishnappa Babu and PR and Spanos, M and Sullivan, C and Walter, BK and Kollins, SH and Dawson, G and Sapiro, G}, Title = {Computational Methods to Measure Patterns of Gaze in Toddlers With Autism Spectrum Disorder.}, Journal = {Jama Pediatr}, Volume = {175}, Number = {8}, Pages = {827-836}, Year = {2021}, Month = {August}, url = {http://dx.doi.org/10.1001/jamapediatrics.2021.0530}, Abstract = {IMPORTANCE: Atypical eye gaze is an early-emerging symptom of autism spectrum disorder (ASD) and holds promise for autism screening. Current eye-tracking methods are expensive and require special equipment and calibration. There is a need for scalable, feasible methods for measuring eye gaze. OBJECTIVE: Using computational methods based on computer vision analysis, we evaluated whether an app deployed on an iPhone or iPad that displayed strategically designed brief movies could elicit and quantify differences in eye-gaze patterns of toddlers with ASD vs typical development. DESIGN, SETTING, AND PARTICIPANTS: A prospective study in pediatric primary care clinics was conducted from December 2018 to March 2020, comparing toddlers with and without ASD. Caregivers of 1564 toddlers were invited to participate during a well-child visit. A total of 993 toddlers (63%) completed study measures. Enrollment criteria were aged 16 to 38 months, healthy, English- or Spanish-speaking caregiver, and toddler able to sit and view the app. Participants were screened with the Modified Checklist for Autism in Toddlers-Revised With Follow-up during routine care. Children were referred by their pediatrician for diagnostic evaluation based on results of the checklist or if the caregiver or pediatrician was concerned. Forty toddlers subsequently were diagnosed with ASD. EXPOSURES: A mobile app displayed on a smartphone or tablet. MAIN OUTCOMES AND MEASURES: Computer vision analysis quantified eye-gaze patterns elicited by the app, which were compared between toddlers with ASD vs typical development. RESULTS: Mean age of the sample was 21.1 months (range, 17.1-36.9 months), and 50.6% were boys, 59.8% White individuals, 16.5% Black individuals, 23.7% other race, and 16.9% Hispanic/Latino individuals. Distinctive eye-gaze patterns were detected in toddlers with ASD, characterized by reduced gaze to social stimuli and to salient social moments during the movies, and previously unknown deficits in coordination of gaze with speech sounds. The area under the receiver operating characteristic curve discriminating ASD vs non-ASD using multiple gaze features was 0.90 (95% CI, 0.82-0.97). CONCLUSIONS AND RELEVANCE: The app reliably measured both known and new gaze biomarkers that distinguished toddlers with ASD vs typical development. These novel results may have potential for developing scalable autism screening tools, exportable to natural settings, and enabling data sets amenable to machine learning.}, Doi = {10.1001/jamapediatrics.2021.0530}, Key = {fds356420} } @article{fds354553, Author = {Maguire, RL and House, JS and Lloyd, DT and Skinner, HG and Allen, TK and Raffi, AM and Skaar, DA and Park, SS and McCullough, LE and Kollins, SH and Bilbo, SD and Collier, DN and Murphy, SK and Fuemmeler, BF and Gowdy, KM and Hoyo, C}, Title = {Associations between maternal obesity, gestational cytokine levels and child obesity in the NEST cohort.}, Journal = {Pediatr Obes}, Volume = {16}, Number = {7}, Pages = {e12763}, Year = {2021}, Month = {July}, url = {http://dx.doi.org/10.1111/ijpo.12763}, Abstract = {BACKGROUND: Although maternal systemic inflammation is hypothesized to link maternal pre-pregnancy obesity to offspring metabolic dysfunction, patient empirical data are limited. OBJECTIVES: In this study, we hypothesized that pre-pregnancy obesity alters systemic chemo/cytokines concentrations in pregnancy, and this alteration contributes to obesity in children. METHODS: In a multi-ethnic cohort of 361 mother-child pairs, we measured prenatal concentrations of plasma TNF-α, IL-6, IL-8, IL-1β, IL-4, IFN-γ, IL-12 p70 subunit, and IL-17A using a multiplex ELISA and examined associations of pre-pregnancy obesity on maternal chemo/cytokine levels, and associations of these cytokine levels with offspring body mass index z score (BMI-z) at age 2-6 years using linear regression. RESULTS: After adjusting for maternal smoking, ethnicity, age, and education, pre-pregnancy obesity was associated with increased concentrations of TNF-α (P = .026) and IFN-γ (P = .06). While we found no evidence for associations between TNF-α concentrations and offspring BMI-z, increased IFN-γ concentrations were associated with decreased BMI-z (P = .0002), primarily in Whites (P = .0011). In addition, increased maternal IL-17A concentrations were associated with increased BMI-z in offspring (P = .0005) with stronger associations in African Americans (P = .0042) than Whites (P = .24). CONCLUSIONS: Data from this study are consistent with maternal obesity-related inflammation during pregnancy, increasing the risk of childhood obesity in an ethnic-specific manner.}, Doi = {10.1111/ijpo.12763}, Key = {fds354553} } @article{fds354366, Author = {Ksinan, AJ and Sheng, Y and Do, EK and Schechter, JC and Zhang, JJ and Maguire, RL and Hoyo, C and Murphy, SK and Kollins, SH and Rubin, B and Fuemmeler, BF}, Title = {Identifying the Best Questions for Rapid Screening of Secondhand Smoke Exposure Among Children.}, Journal = {Nicotine Tob Res}, Volume = {23}, Number = {7}, Pages = {1217-1223}, Year = {2021}, Month = {June}, url = {http://dx.doi.org/10.1093/ntr/ntaa254}, Abstract = {INTRODUCTION: Many children suffer from secondhand smoke exposure (SHSe), which leads to a variety of negative health consequences. However, there is no consensus on how clinicians can best query parents for possible SHSe among children. We employed a data-driven approach to create an efficient screening tool for clinicians to quickly and correctly identify children at risk for SHSe. METHODS: Survey data from mothers and biospecimens from children were ascertained from the Neurodevelopment and Improving Children's Health following Environmental Tobacco Smoke Exposure (NICHES) study. Included were mothers and their children whose saliva were assayed for cotinine (n = 351 pairs, mean child age = 5.6 years). Elastic net regression predicting SHSe, as indicated from cotinine concentration, was conducted on available smoking-related questions and cross-validated with 2015-2016 National Health and Nutrition Examination Survey (NHANES) data to select the most predictive items of SHSe among children (n = 1670, mean child age = 8.4 years). RESULTS: Answering positively to at least one of the two final items ("During the past 30 days, did you smoke cigarettes at all?" and "Has anyone, including yourself, smoked tobacco in your home in the past 7 days?") showed area under the curve = .82, and good specificity (.88) and sensitivity (.74). These results were validated with similar items in the nationally representative NHANES sample, area under the curve = .82, specificity = .78, and sensitivity = .77. CONCLUSIONS: Our data-driven approach identified and validated two items that may be useful as a screening tool for a speedy and accurate assessment of SHSe among children. IMPLICATIONS: The current study used a rigorous data-driven approach to identify questions that could reliably predict SHSe among children. Using saliva cotinine concentration levels as a gold standard for determining SHSe, our analysis employing elastic net regression identified two questions that served as good classifier for distinguishing children who might be at risk for SHSe. The two items that we validated in the current study can be readily used by clinicians, such as pediatricians, as part of screening procedures to quickly identify whether children might be at risk for SHSe.}, Doi = {10.1093/ntr/ntaa254}, Key = {fds354366} } @article{fds357591, Author = {Childress, AC and Kollins, SH and Cutler, AJ and Marraffino, A and Sikes, CR}, Title = {Open-Label Dose Optimization of Methylphenidate Extended-Release Orally Disintegrating Tablet in a Laboratory Classroom Study of Children with Attention-Deficit/Hyperactivity Disorder.}, Journal = {J Child Adolesc Psychopharmacol}, Volume = {31}, Number = {5}, Pages = {342-349}, Year = {2021}, Month = {June}, url = {http://dx.doi.org/10.1089/cap.2020.0142}, Abstract = {Objective: To examine the efficacy, safety, and tolerability of methylphenidate extended-release orally disintegrating tablets (MPH XR-ODT) for the treatment of attention-deficit/hyperactivity disorder (ADHD) during the open-label dose-optimization/stabilization period of a phase 3 laboratory classroom study. Methods: Children (6-12 years) diagnosed with ADHD were enrolled. Treatment was initiated with MPH XR-ODT 20 mg daily. Doses were adjusted weekly by 10-20 mg during the 4-week dose-optimization period (visits 2-5) until an optimal dose was reached. The optimal dose was sustained during a 1-week stabilization period (visits 6-7). Efficacy was assessed using the ADHD Rating Scale-IV (ADHD-RS-IV) score and the Clinical Global Impression-Improvement (CGI-I) score. Adverse events (AEs) were recorded throughout the study. A secondary subgroup analysis by baseline ADHD-RS-IV score, sex, age, and weight was also performed. Results: The mean (standard deviation [SD]) final optimized MPH XR-ODT daily dose was 41.8 (14.6) mg and ranged from 20 to 60 mg. Final optimized dose was higher for children with more severe baseline ADHD-RS-IV total scores. ADHD-RS-IV total scores decreased progressively during dose optimization, with a mean (SD) change from baseline at visit 7 of -21.4 (8.9). CGI-I scores shifted from "minimally improved" (mean [SD]: 3.1 [1.1]) at visit 3 to "much improved" (1.6 [0.6]) at visit 7. Baseline ADHD-RS-IV total score was highest for participants optimized to 40 mg (mean [standard error]: 40.0 [1.4]) and lowest for those optimized to 20 mg (34.8 [2.1]). By visit 6, mean ADHD-RS-IV score was comparable for all optimized dose groups. Common treatment-emergent AEs (≥5% of participants) included decreased appetite, upper abdominal pain, headaches, and insomnia. Conclusions: Dose optimization of MPH XR-ODT led to a reduction in ADHD symptoms, indicated by a decrease in ADHD-RS-IV and CGI-I scores. AEs were consistent with those of other MPH products. Clinical Trial Registry: NCT01835548 (ClinicalTrials.gov).}, Doi = {10.1089/cap.2020.0142}, Key = {fds357591} } @article{fds356503, Author = {Fallavollita, WL and Do, EK and Schechter, JC and Kollins, SH and Zheng, JJ and Qin, J and Maguire, RL and Hoyo, C and Murphy, SK and Fuemmeler, BF}, Title = {Smoke-Free Home Rules and Association with Child Secondhand Smoke Exposure among Mother-Child Dyad Relationships.}, Journal = {International Journal of Environmental Research and Public Health}, Volume = {18}, Number = {10}, Pages = {5256}, Year = {2021}, Month = {May}, url = {http://dx.doi.org/10.3390/ijerph18105256}, Abstract = {Smoke-free home rules restrict smoking in the home, but biomarkers of secondhand smoke exposure are needed to help understand the association between smoke-free homes and child secondhand smoke exposure. Participants (n = 346) were majority Black/African American mother-child dyads from a longitudinal study in North Carolina. Mothers completed questionnaires on household smoking behaviors and rules, and child saliva samples were assayed for secondhand smoke exposure. Regression models used smoke-free home rules to predict child risk for secondhand smoke exposure. Children in households with smoke-free home rules had less salivary cotinine and risk for secondhand smoke exposure. After controlling for smokers in the household, home smoking rules were not a significant predictor of secondhand smoke exposure. Compared to children in households with no smokers, children in households with at least one smoker but a non-smoking mother (OR 5.35, 95% CI: 2.22, 13.17) and households with at least one smoker including a smoking mother (OR 13.73, 95% CI: 6.06, 33.28) had greater risk for secondhand smoke exposure. Results suggest smoke-free home rules are not sufficient to fully protect children from secondhand smoke exposure, especially in homes with smokers. Future research should focus on how household members who smoke can facilitate the prevention of child secondhand smoke exposure.}, Doi = {10.3390/ijerph18105256}, Key = {fds356503} } @article{fds356955, Author = {Fuemmeler, BF and Dozmorov, MG and Do, EK and Zhang, JJ and Grenier, C and Huang, Z and Maguire, RL and Kollins, SH and Hoyo, C and Murphy, SK}, Title = {DNA Methylation in Babies Born to Nonsmoking Mothers Exposed to Secondhand Smoke during Pregnancy: An Epigenome-Wide Association Study.}, Journal = {Environ Health Perspect}, Volume = {129}, Number = {5}, Pages = {57010}, Year = {2021}, Month = {May}, url = {http://dx.doi.org/10.1289/EHP8099}, Abstract = {BACKGROUND: Maternal smoking during pregnancy is related to altered DNA methylation in infant umbilical cord blood. The extent to which low levels of smoke exposure among nonsmoking pregnant women relates to offspring DNA methylation is unknown. OBJECTIVE: This study sought to evaluate relationships between maternal prenatal plasma cotinine levels and DNA methylation in umbilical cord blood in newborns using the Infinium HumanMethylation 450K BeadChip. METHODS: Participants from the Newborn Epigenetics Study cohort who reported not smoking during pregnancy had verified low levels of cotinine from maternal prenatal plasma (0 ng/mL to <4 ng/mL), and offspring epigenetic data from umbilical cord blood were included in this study (n=79). Multivariable linear regression models were fit to the data, controlling for cell proportions, age, race, education, and parity. Estimates represent changes in response to any 1-ng/mL unit increase in exposure. RESULTS: Multivariable linear regression models yielded 29,049 CpGs that were differentially methylated in relation to increases in cotinine at a 5% false discovery rate. Top CpGs were within or near genes involved in neuronal functioning (PRKG1, DLGAP2, BSG), carcinogenesis (FHIT, HSPC157) and inflammation (AGER). Kyoto Encyclopedia of Genes and Genomes (KEGG) analyses suggest cotinine was related to methylation of gene pathways controlling neuronal signaling, metabolic regulation, cell signaling and regulation, and cancer. Further, enhancers associated with transcription start sites were enriched in altered CpGs. Using an independent sample from the same study population (n=115), bisulfite pyrosequencing was performed with infant cord blood DNA for two genes within our top 20 hits (AGER and PRKG1). Results from pyrosequencing replicated epigenome results for PRKG1 (cg17079497, estimate=-1.09, standard error (SE)=0.45, p=0.018) but not for AGER (cg09199225; estimate=-0.16, SE=0.21, p=0.44). DISCUSSION: Secondhand smoke exposure among nonsmoking women may alter DNA methylation in regions involved in development, carcinogenesis, and neuronal functioning. These novel findings suggest that even low levels of smoke exposure during pregnancy may be sufficient to alter DNA methylation in distinct sites of mixed umbilical cord blood leukocytes in pathways that are known to be altered in cord blood from pregnant active smokers. https://doi.org/10.1289/EHP8099.}, Doi = {10.1289/EHP8099}, Key = {fds356955} } @article{fds355672, Author = {Young, JR and Yanagihara, A and Dew, R and Kollins, SH}, Title = {Pharmacotherapy for Preschool Children with Attention Deficit Hyperactivity Disorder (ADHD): Current Status and Future Directions.}, Journal = {Cns Drugs}, Volume = {35}, Number = {4}, Pages = {403-424}, Year = {2021}, Month = {April}, url = {http://dx.doi.org/10.1007/s40263-021-00806-z}, Abstract = {In this review, we consider issues relating to the pharmacological treatment of young children with attention deficit hyperactivity disorder (ADHD). ADHD in preschool-age children has a profound impact on psychosocial function and developmental trajectory. Clinical studies on pharmacotherapies for ADHD in young children have expanded rapidly in the past 2 decades, providing some evidence of efficacy for both psychostimulant and non-psychostimulant medications. However, preschool children may be more susceptible to adverse effects of medications, including growth reduction and cardiovascular side effects. Many questions remain regarding the long-term safety and effectiveness of these interventions; thus more research is needed to help clinicians evaluate the risk-benefit ratio for preschoolers with ADHD. As this body of knowledge grows, providers should consider the level of impairment caused by current symptoms in the risk-benefit analysis. Families should be educated not just about potential effects of medication but known complications of untreated ADHD; parents will likely not fully appreciate the long-term psychological effects of chronic behavioral problems and underachievement on a young child. A blanket "wait and see" approach should be avoided, in order to prevent a permanent loss of self-esteem and motivation that may affect some children throughout their lifespan.}, Doi = {10.1007/s40263-021-00806-z}, Key = {fds355672} } @article{fds355671, Author = {Kollins, SH and Childress, A and Heusser, AC and Lutz, J}, Title = {Effectiveness of a digital therapeutic as adjunct to treatment with medication in pediatric ADHD.}, Journal = {Npj Digital Medicine}, Volume = {4}, Number = {1}, Pages = {58}, Year = {2021}, Month = {March}, url = {http://dx.doi.org/10.1038/s41746-021-00429-0}, Abstract = {STARS-Adjunct was a multicenter, open-label effectiveness study of AKL-T01, an app and video-game-based treatment for inattention, as an adjunct to pharmacotherapy in 8-14-year-old children with attention-deficit/hyperactivity disorder (ADHD) on stimulant medication (n = 130) or not on any ADHD medication (n = 76). Children used AKL-T01 for 4 weeks, followed by a 4-week pause and another 4-week treatment. The primary outcome was change in ADHD-related impairment (Impairment Rating Scale (IRS)) after 4 weeks. Secondary outcomes included changes in IRS, ADHD Rating Scale (ADHD-RS). and Clinical Global Impressions Scale-Improvement (CGI-I) on days 28, 56, and 84. IRS significantly improved in both cohorts (On Stimulants: -0.7, p < 0.001; No Stimulants: -0.5, p < 0.001) after 4 weeks. IRS, ADHD-RS, and CGI-I remained stable during the pause and improved with a second treatment period. The treatment was well-tolerated with no serious adverse events. STARS-Adjunct extends AKL-T01's body of evidence to a medication-treated pediatric ADHD population, and suggests additional treatment benefit.}, Doi = {10.1038/s41746-021-00429-0}, Key = {fds355671} } @article{fds337111, Author = {Lunsford-Avery, JR and Kollins, SH and Mitchell, JT}, Title = {Sluggish Cognitive Tempo in Adults Referred for an ADHD Evaluation: A Psychometric Analysis of Self- and Collateral Report.}, Journal = {J Atten Disord}, Volume = {25}, Number = {3}, Pages = {322-331}, Year = {2021}, Month = {February}, url = {http://dx.doi.org/10.1177/1087054718787894}, Abstract = {Objective: Sluggish cognitive tempo (SCT) symptoms uniquely contribute to psychiatric and functional outcomes in child samples; however, the psychometric properties of SCT measures among adult outpatients are unknown. Method: Adults (n = 124) presenting for an ADHD evaluation provided self- and collateral report of SCT symptoms. Results: The SCT scale had good internal consistency and yielded three factors across raters: Slow/Daydreamy, Sleepy/Sluggish, and Low Initiation/Persistence. SCT scores exhibited convergent validity with ADHD symptoms across raters. Individuals with ADHD received higher SCT ratings than those without ADHD via collateral report, a pattern that was similar when comorbidity was considered. SCT was associated with poorer functioning after accounting for ADHD symptoms with some differential effects based on reporting source. Conclusion: Findings support the internal consistency and validity of a three-factor SCT scale among adult outpatients. Differential results between self- and collateral report demonstrate the importance of multiple reporters of SCT in clinical settings.}, Doi = {10.1177/1087054718787894}, Key = {fds337111} } @article{fds352607, Author = {Addicott, MA and Pearson, JM and Schechter, JC and Sapyta, JJ and Weiss, MD and Kollins, SH}, Title = {Attention-deficit/hyperactivity disorder and the explore/exploit trade-off.}, Journal = {Neuropsychopharmacology}, Volume = {46}, Number = {3}, Pages = {614-621}, Year = {2021}, Month = {February}, url = {http://dx.doi.org/10.1038/s41386-020-00881-8}, Abstract = {The ability to maximize rewards and minimize the costs of obtaining them is vital to making advantageous explore/exploit decisions. Exploratory decisions are theorized to be greater among individuals with attention-deficit/hyperactivity disorder (ADHD), potentially due to deficient catecholamine transmission. Here, we examined the effects of ADHD status and methylphenidate, a common ADHD medication, on explore/exploit decisions using a 6-armed bandit task. We hypothesized that ADHD participants would make more exploratory decisions than controls, and that MPH would reduce group differences. On separate study days, adults with (n = 26) and without (n = 23) ADHD completed the bandit task at baseline, and after methylphenidate or placebo in counter-balanced order. Explore/exploit decisions were modeled using reinforcement learning algorithms. ADHD participants made more exploratory decisions (i.e., chose options without the highest expected reward value) and earned fewer points than controls in all three study days, and methylphenidate did not affect these outcomes. Baseline exploratory choices were positively associated with hyperactive ADHD symptoms across all participants. These results support several theoretical models of increased exploratory choices in ADHD and suggest the unexplained variance in ADHD decisions may be due to less value tracking. The inability to suppress actions with little to no reward value may be a key feature of hyperactive ADHD symptoms.}, Doi = {10.1038/s41386-020-00881-8}, Key = {fds352607} } @article{fds355042, Author = {Kollins, SH}, Title = {Editorial: Is child mental health research structurally racist?}, Journal = {The Journal of Child Psychology and Psychiatry and Allied Disciplines}, Volume = {62}, Number = {2}, Pages = {111-113}, Year = {2021}, Month = {February}, url = {http://dx.doi.org/10.1111/jcpp.13376}, Abstract = {The past year has accelerated global discourse on the role played by institutional and societal factors in perpetuating inequities between racial and ethnic groups across all aspects of life. This editorial considers whether our traditional approaches to child mental health research - and specifically the papers that are published in the Journal of Child Psychology and Psychiatry (JCPP) - may inadvertently introduce structural barriers for advancing knowledge and improving mental health for children of all racial and ethnic backgrounds.}, Doi = {10.1111/jcpp.13376}, Key = {fds355042} } @article{fds354554, Author = {Friis-Healy, EA and Nagy, GA and Kollins, SH}, Title = {It Is Time to REACT: Opportunities for Digital Mental Health Apps to Reduce Mental Health Disparities in Racially and Ethnically Minoritized Groups.}, Journal = {Jmir Mental Health}, Volume = {8}, Number = {1}, Pages = {e25456}, Year = {2021}, Month = {January}, url = {http://dx.doi.org/10.2196/25456}, Abstract = {The behavioral health toll of the COVID-19 pandemic and systemic racism has directed increased attention to the potential of digital health as a way of improving access to and quality of behavioral health care. However, as the pandemic continues to widen health disparities in racially and ethnically minoritized groups, concerns arise around an increased reliance on digital health technologies exacerbating the digital divide and reinforcing rather than mitigating systemic health inequities in communities of color. As funding for digital mental health continues to surge, we offer five key recommendations on how the field can "REACT" to ensure the development of approaches that increase health equity by increasing real-world evidence, educating consumers and providers, utilizing adaptive interventions to optimize care, creating for diverse populations, and building trust. Recommendations highlight the need to take a strengths-based view when designing for racially and ethnically diverse populations and embracing the potential of digital approaches to address complex challenges.}, Doi = {10.2196/25456}, Key = {fds354554} } @article{fds367907, Author = {Schrott, R and Murphy, SK and Modliszewski, JL and King, DE and Hill, B and Itchon-Ramos, N and Raburn, D and Price, T and Levin, ED and Vandrey, R and Corcoran, DL and Kollins, SH and Mitchell, JT}, Title = {Refraining from use diminishes cannabis-associated epigenetic changes in human sperm.}, Journal = {Environmental Epigenetics}, Volume = {7}, Number = {1}, Pages = {dvab009}, Year = {2021}, url = {http://dx.doi.org/10.1093/eep/dvab009}, Abstract = {Cannabis use alters sperm DNA methylation, but the potential reversibility of these changes is unknown. Semen samples from cannabis users and non-user controls were collected at baseline and again following a 77-day period of cannabis abstinence (one spermatogenic cycle). Users and controls did not significantly differ by demographics or semen analyses. Whole-genome bisulfite sequencing identified 163 CpG sites with significantly different DNA methylation in sperm between groups (P < 2.94 × 10-9). Genes associated with altered CpG sites were enriched with those involved in development, including cardiogenesis and neurodevelopment. Many of the differences in sperm DNA methylation between groups were diminished after cannabis abstinence. These results indicate that sustained cannabis abstinence significantly reduces the number of sperm showing cannabis-associated alterations at genes important for early development.}, Doi = {10.1093/eep/dvab009}, Key = {fds367907} } @article{fds352610, Author = {Mitchell, JT and Davis, NO and Kollins, SH and Lunsford-Avery, JR}, Title = {Sluggish cognitive tempo (SCT) in an adult outpatient sample seeking an attention-deficit/hyperactivity disorder assessment: Age of onset and assessment method impact on SCT rates.}, Journal = {J Psychiatr Res}, Volume = {131}, Pages = {203-208}, Year = {2020}, Month = {December}, url = {http://dx.doi.org/10.1016/j.jpsychires.2020.09.013}, Abstract = {BACKGROUND: Sluggish cognitive tempo (SCT) is associated with-but distinct from-attention-deficit/hyperactivity disorder (ADHD). This study examined SCT rates in adult outpatients seeking an ADHD assessment, differences in rates based on ADHD status, impact of assessment method (i.e., reporting source, symptom count, and functional impairment), and age of SCT symptom onset. METHODS: Outpatients (n = 124) completed an SCT measure (n = 120 other-reporters). SCT was based on reporting source (i.e., self-report, other-report, either reporting source ["or" rule], and both reporting sources ["and" rule]), symptom count (i.e., age-based norms at or near the 93rd percentile, and a higher symptom count threshold of five), and functional impairment (i.e., 0, 1, and ≥2 domains). RESULTS: SCT rates varied based on assessment method for the full sample (26%-82%) and among those with (32%-91%) and without (16%-66%) ADHD. Rates decreased with stricter functional impairment and symptom count criteria. SCT was higher in the ADHD group than the non-ADHD group based on other-reporters and the "or" rule, but not the "and" rule. Functional impairment and symptom count criteria did not impact these comparisons. For self-reported SCT rates, ADHD/non-ADHD group comparisons did not differ based on age-based symptom count threshold, but did with a symptom count threshold of five. Self-reported SCT symptom onset was 13.36 years-old and was significantly younger for the ADHD group (11.69 years) than the non-ADHD group (16.36 years). CONCLUSIONS: Elevated SCT symptoms and related impairment are common among adults seeking an ADHD evaluation. These rates and ADHD/non-ADHD group differences vary substantially based on diagnostic methods.}, Doi = {10.1016/j.jpsychires.2020.09.013}, Key = {fds352610} } @article{fds365983, Author = {Friis-Healy, EA and Nagy, GA and Kollins, SH}, Title = {It Is Time to REACT: Opportunities for Digital Mental Health Apps to Reduce Mental Health Disparities in Racially and Ethnically Minoritized Groups (Preprint)}, Year = {2020}, Month = {November}, url = {http://dx.doi.org/10.2196/preprints.25456}, Abstract = {<sec> <title>UNSTRUCTURED</title> <p>The behavioral health toll of the COVID-19 pandemic and systemic racism has directed increased attention to the potential of digital health as a way of improving access to and quality of behavioral health care. However, as the pandemic continues to widen health disparities in racially and ethnically minoritized groups, concerns arise around an increased reliance on digital health technologies exacerbating the digital divide and reinforcing rather than mitigating systemic health inequities in communities of color. As funding for digital mental health continues to surge, we offer five key recommendations on how the field can “REACT” to ensure the development of approaches that increase health equity by increasing real-world evidence, educating consumers and providers, utilizing adaptive interventions to optimize care, creating for diverse populations, and building trust. Recommendations highlight the need to take a strengths-based view when designing for racially and ethnically diverse populations and embracing the potential of digital approaches to address complex challenges.</p> </sec>}, Doi = {10.2196/preprints.25456}, Key = {fds365983} } @article{fds352836, Author = {Engelhard, MM and Berchuck, SI and Garg, J and Henao, R and Olson, A and Rusincovitch, S and Dawson, G and Kollins, SH}, Title = {Health system utilization before age 1 among children later diagnosed with autism or ADHD.}, Journal = {Scientific Reports}, Volume = {10}, Number = {1}, Pages = {17677}, Year = {2020}, Month = {October}, url = {http://dx.doi.org/10.1038/s41598-020-74458-2}, Abstract = {Children with autism spectrum disorder (ASD) or attention deficit hyperactivity disorder (ADHD) have 2-3 times increased healthcare utilization and annual costs once diagnosed, but little is known about their utilization patterns early in life. Quantifying their early health system utilization could uncover condition-specific health trajectories to facilitate earlier detection and intervention. Patients born 10/1/2006-10/1/2016 with ≥ 2 well-child visits within the Duke University Health System before age 1 were grouped as ASD, ADHD, ASD + ADHD, or No Diagnosis using retrospective billing codes. An additional comparison group was defined by later upper respiratory infection diagnosis. Adjusted odds ratios (AOR) for hospital admissions, procedures, emergency department (ED) visits, and outpatient clinic encounters before age 1 were compared between groups via logistic regression models. Length of hospital encounters were compared between groups via Mann-Whitney U test. In total, 29,929 patients met study criteria (ASD N = 343; ADHD N = 1175; ASD + ADHD N = 140). ASD was associated with increased procedures (AOR = 1.5, p < 0.001), including intubation and ventilation (AOR = 2.4, p < 0.001); and outpatient specialty care, including physical therapy (AOR = 3.5, p < 0.001) and ophthalmology (AOR = 3.1, p < 0.001). ADHD was associated with increased procedures (AOR = 1.41, p < 0.001), including blood transfusion (AOR = 4.7, p < 0.001); hospital admission (AOR = 1.60, p < 0.001); and ED visits (AOR = 1.58, p < 0.001). Median length of stay was increased after birth in ASD (+ 6.5 h, p < 0.001) and ADHD (+ 3.8 h, p < 0.001), and after non-birth admission in ADHD (+ 1.1 d, p < 0.001) and ASD + ADHD (+ 2.4 d, p = 0.003). Each condition was associated with increased health system utilization and distinctive patterns of utilization before age 1. Recognizing these patterns may contribute to earlier detection and intervention.}, Doi = {10.1038/s41598-020-74458-2}, Key = {fds352836} } @article{fds351451, Author = {Adjei, AL and Chaudhary, I and Kollins, SH and Padilla, A}, Title = {A Pharmacokinetic Study of Methylphenidate Hydrochloride Multilayer Extended-Release Capsules (Aptensio XR®) in Preschool-Aged Children with Attention-Deficit/Hyperactivity Disorder.}, Journal = {Paediatr Drugs}, Volume = {22}, Number = {5}, Pages = {561-570}, Year = {2020}, Month = {October}, url = {http://dx.doi.org/10.1007/s40272-020-00409-z}, Abstract = {OBJECTIVE: This was a single-dose, one-period, multicenter, pharmacokinetic (PK) study to evaluate the PK of methylphenidate (MPH) hydrochloride multilayer extended-release capsules (MPH-MLR) in preschool children aged 4 to < 6 years, previously diagnosed with attention-deficit/hyperactivity disorder (ADHD), and on a stable dose of MPH. METHODS: Preschool-aged children (N = 10) received a single oral dose of MPH-MLR (10, 15, or 20 mg) sprinkled over applesauce; a dose equivalent to their pre-enrollment daily dose of MPH. Blood samples for the measurement of MPH concentrations were obtained pre-dose and at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, and 24 h post-dose. No structural model was assumed in the derivation of PK values for analysis. Maximum plasma concentration (Cmax), area under the concentration-time curve (AUC), elimination half-life, clearance (CL), and volume of distribution (Vd) data were compared with a historical group of older children aged 6-11 years (N = 11) and analyzed by bodyweight. Safety (adverse event monitoring, vital signs, electrocardiogram, clinical laboratory testing, physical examination) was assessed. RESULTS: Mean dose-normalized Cmax and area under the curve to the last measurable observation (AUC0-t) values were similar across dose groups, ranging from 0.67 ng/mL/mg (MPH 15 mg) to 0.81 ng/mL/mg (MPH 10 mg) for Cmax/dose, and from 7.80 h × ng/mL/mg (MPH 20 mg) to 8.92 h × ng/mL/mg (MPH 10 mg) for AUC0-t/dose. PK results were integrated into a previously described pharmacostatistical population PK model. Visual predictive check plots showed greater variability in the 6- to 11-year-old group than the 4- to < 6-year-old group, and CL increased with increasing body weight in a greater than dose-proportional manner. Mean CL, normalized for body weight, was constant for all dose groups, ranging from 4.88 L/h/kg to 5.80 L/h/kg. Median time to Cmax ranged from 2.00 to 3.00 h post-dose, and overall, dose-normalized Cmax concentrations indicated greater systemic exposures of MPH-MLR in preschool children aged 4 to < 6 years compared with children aged 6-11 years. Children aged 4 to < 6 years had a lower Vd than children aged 6-11 years. There were no unexpected safety signals. CONCLUSION: The PK of MPH-MLR in preschool children demonstrated the biphasic absorption profile described earlier in older children, and the PK profile in children with ADHD aged 4 to < 6 years was similar to the profile in those aged 6-11 years, apart from a lower Vd and relatively higher systemic MPH levels for children in the preschool group. TRIAL REGISTRATION: Clinicaltrials.gov Identifier: NCT02470234.}, Doi = {10.1007/s40272-020-00409-z}, Key = {fds351451} } @article{fds352609, Author = {Lunsford-Avery, JR and Keller, C and Kollins, SH and Krystal, AD and Jackson, L and Engelhard, MM}, Title = {Feasibility and Acceptability of Wearable Sleep Electroencephalogram Device Use in Adolescents: Observational Study.}, Journal = {Jmir Mhealth and Uhealth}, Volume = {8}, Number = {10}, Pages = {e20590}, Year = {2020}, Month = {October}, url = {http://dx.doi.org/10.2196/20590}, Abstract = {BACKGROUND: Adolescence is an important life stage for the development of healthy behaviors, which have a long-lasting impact on health across the lifespan. Sleep undergoes significant changes during adolescence and is linked to physical and psychiatric health; however, sleep is rarely assessed in routine health care settings. Wearable sleep electroencephalogram (EEG) devices may represent user-friendly methods for assessing sleep among adolescents, but no studies to date have examined the feasibility and acceptability of sleep EEG wearables in this age group. OBJECTIVE: The goal of the research was to investigate the feasibility and acceptability of sleep EEG wearable devices among adolescents aged 11 to 17 years. METHODS: A total of 104 adolescents aged 11 to 17 years participated in 7 days of at-home sleep recording using a self-administered wearable sleep EEG device (Zmachine Insight+, General Sleep Corporation) as well as a wristworn actigraph. Feasibility was assessed as the number of full nights of successful recording completed by adolescents, and acceptability was measured by the wearable acceptability survey for sleep. Feasibility and acceptability were assessed separately for the sleep EEG device and wristworn actigraph. RESULTS: A total of 94.2% (98/104) of adolescents successfully recorded at least 1 night of data using the sleep EEG device (mean number of nights 5.42; SD 1.71; median 6, mode 7). A total of 81.6% (84/103) rated the comfort of the device as falling in the comfortable to mildly uncomfortable range while awake. A total of 40.8% (42/103) reported typical sleep while using the device, while 39.8% (41/103) indicated minimal to mild device-related sleep disturbances. A minority (32/104, 30.8%) indicated changes in their sleep position due to device use, and very few (11/103, 10.7%) expressed dissatisfaction with their experience with the device. A similar pattern was observed for the wristworn actigraph device. CONCLUSIONS: Wearable sleep EEG appears to represent a feasible, acceptable method for sleep assessment among adolescents and may have utility for assessing and treating sleep disturbances at a population level. Future studies with adolescents should evaluate strategies for further improving usability of such devices, assess relationships between sleep EEG-derived metrics and health outcomes, and investigate methods for incorporating data from these devices into emerging digital interventions and applications. TRIAL REGISTRATION: ClinicalTrials.gov NCT03843762; https://clinicaltrials.gov/ct2/show/NCT03843762.}, Doi = {10.2196/20590}, Key = {fds352609} } @article{fds348817, Author = {Fuemmeler, BF and Sheng, Y and Schechter, JC and Do, E and Zucker, N and Majors, A and Maguire, R and Murphy, SK and Hoyo, C and Kollins, SH}, Title = {Associations between attention deficit hyperactivity disorder symptoms and eating behaviors in early childhood.}, Journal = {Pediatr Obes}, Volume = {15}, Number = {7}, Pages = {e12631}, Year = {2020}, Month = {July}, url = {http://dx.doi.org/10.1111/ijpo.12631}, Abstract = {BACKGROUND: Attention-deficit/hyperactivity disorder (ADHD) symptoms have been linked with eating behaviors and obesity adolescence and young adulthood. Yet, little is known about whether these associations occur during early childhood and few studies have examined these associations prospectively. OBJECTIVES: To assess magnitude and direction of associations between childhood ADHD symptoms and eating behaviors. METHODS: Participants were from the Newborn Epigenetics Study (N = 470, M age = 4 years). Multivariable linear regression models were used to examine cross-sectional associations between ADHD symptoms and eating behaviors. Latent Change Score (LCS) modeling was performed to examine prospective association among a subset of children with available follow-up data. (N = 100, M age = 7 years). RESULTS: The cross-sectional results showed that attention problem (AP) and hyperactivity (HY) were positively associated with food responsiveness, emotional overeating, desire to drink, and slowness in eating. AP, but not HY, was inversely associated with enjoyment of food. Results of the LCS models revealed AP and HY were both positively associated with prospective changes in emotional overeating and satiety responsiveness. AP was further positively associated with prospective changes in food responsiveness. The reverse relationship predicting changes in ADHD symptoms from earlier assessments of eating behaviors was not significant. CONCLUSION: Results suggest a link between ADHD symptoms and obesity-related eating behaviors in early childhood, highlighting the need to address self-regulation and healthy eating behaviors in the prevention of childhood obesity.}, Doi = {10.1111/ijpo.12631}, Key = {fds348817} } @article{fds365984, Author = {Lunsford-Avery, JR and Keller, C and Kollins, SH and Krystal, AD and Jackson, L and Engelhard, MM}, Title = {Feasibility and Acceptability of Wearable Sleep Electroencephalogram Device Use in Adolescents: Observational Study (Preprint)}, Year = {2020}, Month = {May}, url = {http://dx.doi.org/10.2196/preprints.20590}, Abstract = {<sec> <title>BACKGROUND</title> <p>Adolescence is an important life stage for the development of healthy behaviors, which have a long-lasting impact on health across the lifespan. Sleep undergoes significant changes during adolescence and is linked to physical and psychiatric health; however, sleep is rarely assessed in routine health care settings. Wearable sleep electroencephalogram (EEG) devices may represent user-friendly methods for assessing sleep among adolescents, but no studies to date have examined the feasibility and acceptability of sleep EEG wearables in this age group.</p> </sec> <sec> <title>OBJECTIVE</title> <p>The goal of the research was to investigate the feasibility and acceptability of sleep EEG wearable devices among adolescents aged 11 to 17 years.</p> </sec> <sec> <title>METHODS</title> <p>A total of 104 adolescents aged 11 to 17 years participated in 7 days of at-home sleep recording using a self-administered wearable sleep EEG device (Zmachine Insight+, General Sleep Corporation) as well as a wristworn actigraph. Feasibility was assessed as the number of full nights of successful recording completed by adolescents, and acceptability was measured by the wearable acceptability survey for sleep. Feasibility and acceptability were assessed separately for the sleep EEG device and wristworn actigraph.</p> </sec> <sec> <title>RESULTS</title> <p>A total of 94.2% (98/104) of adolescents successfully recorded at least 1 night of data using the sleep EEG device (mean number of nights 5.42; SD 1.71; median 6, mode 7). A total of 81.6% (84/103) rated the comfort of the device as falling in the comfortable to mildly uncomfortable range while awake. A total of 40.8% (42/103) reported typical sleep while using the device, while 39.8% (41/103) indicated minimal to mild device-related sleep disturbances. A minority (32/104, 30.8%) indicated changes in their sleep position due to device use, and very few (11/103, 10.7%) expressed dissatisfaction with their experience with the device. A similar pattern was observed for the wristworn actigraph device.</p> </sec> <sec> <title>CONCLUSIONS</title> <p>Wearable sleep EEG appears to represent a feasible, acceptable method for sleep assessment among adolescents and may have utility for assessing and treating sleep disturbances at a population level. Future studies with adolescents should evaluate strategies for further improving usability of such devices, assess relationships between sleep EEG–derived metrics and health outcomes, and investigate methods for incorporating data from these devices into emerging digital interventions and applications.</p> </sec> <sec> <title>CLINICALTRIAL</title> <p>ClinicalTrials.gov NCT03843762; https://clinicaltrials.gov/ct2/show/NCT03843762</p> </sec>}, Doi = {10.2196/preprints.20590}, Key = {fds365984} } @article{fds347677, Author = {Kollins, SH and Sweitzer, MM and McClernon, FJ and Perkins, KA}, Title = {Increased subjective and reinforcing effects of initial nicotine exposure in young adults with attention deficit hyperactivity disorder (ADHD) compared to matched peers: results from an experimental model of first-time tobacco use.}, Journal = {Neuropsychopharmacology}, Volume = {45}, Number = {5}, Pages = {851-856}, Year = {2020}, Month = {April}, url = {http://dx.doi.org/10.1038/s41386-019-0581-7}, Abstract = {Individuals with attention deficit hyperactivity disorder (ADHD) are at increased risk for adverse cigarette smoking outcomes, and little is known about factors underlying this risk. This study sought to evaluate the effects of initial nicotine exposure in young adults with and without ADHD using a novel paradigm of exposure to model initial smoking experiences. Participants were young adult nonsmokers (n = 61 ADHD, n = 75 Control) between the ages of 18-25 years (inclusive) who reported never having smoked a full cigarette, and no tobacco use in the prior 3 years. Participants were exposed to three different blinded doses of intranasally administered nicotine (0, 0.5, 1.0 mg) across three separate fixed dose experimental sessions. In subsequent sessions, participants were given the opportunity to self-administer nicotine under two different conditions-high and low cognitive demand. Physiological, subjective, and reinforcing effects of nicotine were the main outcomes. Nicotine plasma levels, and no group differences in effects of nicotine on heart rate or blood pressure, confirmed comparable dosing exposure across groups. ADHD participants reported significantly greater dizziness following nicotine, and greater pleasant subjective effects across all conditions, compared to non-ADHD non-smokers. There were no group differences on subjective reports of bad or unpleasant effects. Subsequent nicotine self-administration was significantly higher among non-smokers with ADHD, and their choices of nicotine were not influenced by cognitive condition. There are meaningful differences between young adults with and without ADHD with respect to the initial subjective and reinforcing effects of nicotine; and interventions to prevent use should start prior to typical age of experimentation among ADHD patients.}, Doi = {10.1038/s41386-019-0581-7}, Key = {fds347677} } @article{fds348934, Author = {Kollins, SH and DeLoss, DJ and Cañadas, E and Lutz, J and Findling, RL and Keefe, RSE and Epstein, JN and Cutler, AJ and Faraone, SV}, Title = {A novel digital intervention for actively reducing severity of paediatric ADHD (STARS-ADHD): a randomised controlled trial.}, Journal = {The Lancet Digital Health}, Volume = {2}, Number = {4}, Pages = {e168-e178}, Year = {2020}, Month = {April}, url = {http://dx.doi.org/10.1016/S2589-7500(20)30017-0}, Abstract = {BACKGROUND: Attention-deficit hyperactivity disorder (ADHD) is a common paediatric neurodevelopmental disorder with substantial effect on families and society. Alternatives to traditional care, including novel digital therapeutics, have shown promise to remediate cognitive deficits associated with this disorder and may address barriers to standard therapies, such as pharmacological interventions and behavioural therapy. AKL-T01 is an investigational digital therapeutic designed to target attention and cognitive control delivered through a video game-like interface via at-home play for 25 min per day, 5 days per week for 4 weeks. This study aimed to assess whether AKL-T01 improved attentional performance in paediatric patients with ADHD. METHODS: The Software Treatment for Actively Reducing Severity of ADHD (STARS-ADHD) was a randomised, double-blind, parallel-group, controlled trial of paediatric patients (aged 8-12 years, without disorder-related medications) with confirmed ADHD and Test of Variables of Attention (TOVA) Attention Performance Index (API) scores of -1·8 and below done by 20 research institutions in the USA. Patients were randomly assigned 1:1 to AKL-T01 or a digital control intervention. The primary outcome was mean change in TOVA API from pre-intervention to post-intervention. Safety, tolerability, and compliance were also assessed. Analyses were done in the intention-to-treat population. This trial is registered with ClinicalTrials.gov, NCT02674633 and is completed. FINDINGS: Between July 15, 2016, and Nov 30, 2017, 857 patients were evaluated and 348 were randomly assigned to receive AKL-T01 or control. Among patients who received AKL-T01 (n=180 [52%]; mean [SD] age, 9·7 [1·3] years) or control (n=168 [48%]; mean [SD] age, 9·6 [1·3] years), the non-parametric estimate of the population median change from baseline TOVA API was 0·88 (95% CI 0·24-1·49; p=0·0060). The mean (SD) change from baseline on the TOVA API was 0·93 (3·15) in the AKL-T01 group and 0·03 (3·16) in the control group. There were no serious adverse events or discontinuations. Treatment-related adverse events were mild and included frustration (5 [3%] of 180) and headache (3 [2%] of 180). Patient compliance was a mean of 83 (83%) of 100 expected sessions played (SD, 29·2 sessions). INTERPRETATION: Although future research is needed for this digital intervention, this study provides evidence that AKL-T01 might be used to improve objectively measured inattention in paediatric patients with ADHD, while presenting minimal adverse events. FUNDING: Sponsored by Akili Interactive Labs.}, Doi = {10.1016/S2589-7500(20)30017-0}, Key = {fds348934} } @article{fds349142, Author = {Childress, AC and Findling, RL and Wu, J and Kollins, SH and Wang, Y and Martin, P and Robertson, B}, Title = {Lisdexamfetamine Dimesylate for Preschool Children with Attention-Deficit/Hyperactivity Disorder.}, Journal = {J Child Adolesc Psychopharmacol}, Volume = {30}, Number = {3}, Pages = {128-136}, Year = {2020}, Month = {April}, url = {http://dx.doi.org/10.1089/cap.2019.0117}, Abstract = {Objectives: Describe the safety and tolerability of lisdexamfetamine dimesylate (LDX) and provide data on clinical effects for efficacy-related endpoints and pharmacokinetics in preschool-aged children with attention-deficit/hyperactivity disorder (ADHD). Methods: This phase 2, multicenter, open-label, dose-optimization study (ClinicalTrials.gov registry: NCT02402166) was conducted at seven U.S. sites between April 15, 2015, and June 30, 2016. Children (4-5 years of age) meeting Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision criteria for ADHD and having ADHD Rating Scale-IV Preschool version (ADHD-RS-IV-PS) total scores ≥28 (boys) or ≥24 (girls) were eligible. Open-label LDX (8-week duration) was initiated at 5 mg and titrated to 30 mg until achieving an optimal dose. Assessments included treatment-emergent adverse events (TEAEs), vital sign changes, ADHD-RS-IV-PS total score changes, and pharmacokinetic evaluations. Results: Among 24 participants, the most frequently reported TEAE was decreased appetite (8/24; 33%). At week 8/early termination, mean (standard deviation) systolic and diastolic blood pressure and pulse changes from baseline were -1.1 (7.31) and 1.5 (6.93) mmHg and -0.8 (12.75) bpm, respectively. The mean (95% confidence interval) change from baseline ADHD-RS-IV-PS total score at the final on-treatment assessment was -26.1 (-32.2 to -20.0). Pharmacokinetic parameters of d-amphetamine, a major active metabolite of LDX, were characterized: d-amphetamine exposure increased with LDX dose; mean tmax and t1/2, respectively, ranged from 4.00 to 4.23 hours and 7.18 to 8.46 hours. Conclusions: In preschool-aged children with ADHD, LDX was generally well tolerated and reduced ADHD symptoms, consistent with observations in children 6-17 years of age. Based on these findings, a starting LDX dose as low as 5 mg in phase 3 studies in preschool-aged children is supported.}, Doi = {10.1089/cap.2019.0117}, Key = {fds349142} } @article{fds348818, Author = {Childress, AC and Kollins, SH and Foehl, HC and Newcorn, JH and Mattingly, G and Kupper, RJ and Adjei, AL}, Title = {Randomized, Double-Blind, Placebo-Controlled, Flexible-Dose Titration Study of Methylphenidate Hydrochloride Extended-Release Capsules (Aptensio XR) in Preschool Children with Attention-Deficit/Hyperactivity Disorder.}, Journal = {J Child Adolesc Psychopharmacol}, Volume = {30}, Number = {2}, Pages = {58-68}, Year = {2020}, Month = {March}, url = {http://dx.doi.org/10.1089/cap.2019.0085}, Abstract = {Objectives: To assess the efficacy and safety of a methylphenidate hydrochloride extended-release capsule (MPH-MLR) formulation in treating attention-deficit/hyperactivity disorder (ADHD) in preschool children. Methods: Children aged 4 to <6 years with qualifying ADHD Rating Scale Fourth Edition (ADHD-RS-IV) Preschool Version scores (≥90th percentile for age/gender) participated in four behavior management training (BMT) sessions or immediately entered (based on investigator assessment of symptom severity or previous participation) into a 6-week, open-label, flexible MPH-MLR dose optimization phase. After BMT, children with <30% improvement in ADHD-RS-IV score and ≥3 score on the Clinical Global Impression-Improvement (CGI-I) scale also entered the open-label period. All children began the open-label period with MPH-MLR 10 mg once daily; weekly adjustments permitted once-daily maximum of up to 40 mg. Children with ≥30% improvement in ADHD-RS-IV total score and a CGI-I score of 1-2 at open-label completion were randomized to their optimized dose of MPH-MLR or placebo for 2 weeks (double blind [DB]). Safety measures included adverse events (AEs), vital signs, and electrocardiograms. Results: Open-label enrollment was 119 children. Mean (SD) ADHD-RS-IV total scores at open-label start and open-label end was 40.8 (10.4) and 19.5 (11.1), respectively. Ninety children were enrolled in the DB phase. Mean (SD) ADHD-RS-IV total scores for the MPH-MLR and placebo group were similar at DB beginning and was 25.8 (14.6) and 34.9 (14.1), respectively, at DB end. Mean change from baseline in ADHD-RS-IV total score during DB was significantly greater in children randomized to placebo compared with MPH-MLR; least squares mean change difference from baseline was -11.2, p = 0.002. During open-label dosing, the most common AEs (≥10%) were decreased appetite, decreased weight, insomnia, hypertension, emotional disorder, and affect lability. Conclusion: Results demonstrate MPH-MLR efficacy in preschool children and a safety profile consistent with known AEs of methylphenidate when used for ADHD.}, Doi = {10.1089/cap.2019.0085}, Key = {fds348818} } @article{fds366335, Author = {Lunsford-Avery, JR and Engelhard, MM and Navar, AM and Kollins, SH}, Title = {Author Correction: Validation of the Sleep Regularity Index in Older Adults and Associations with Cardiometabolic Risk.}, Journal = {Scientific Reports}, Volume = {10}, Number = {1}, Pages = {2993}, Year = {2020}, Month = {February}, url = {http://dx.doi.org/10.1038/s41598-020-59762-1}, Abstract = {An amendment to this paper has been published and can be accessed via a link at the top of the paper.}, Doi = {10.1038/s41598-020-59762-1}, Key = {fds366335} } @article{fds348442, Author = {Kollins, SH}, Title = {Editorial: From risk prediction to action: leveraging electronic health records to improve pediatric population mental health.}, Journal = {The Journal of Child Psychology and Psychiatry and Allied Disciplines}, Volume = {61}, Number = {2}, Pages = {113-115}, Year = {2020}, Month = {February}, url = {http://dx.doi.org/10.1111/jcpp.13199}, Abstract = {The identification of child, family, and other environmental factors that confer risk for poor developmental outcomes has long been a major theme in child and adolescent psychopathology research. Over the past 6 decades, the Journal of Child Psychology & Psychiatry has seen an exponential increase in articles that have included the search term 'risk prediction', with 17 such works appearing in the 1960s and 930 occurring in the 2010s. Indeed, the current issue of JCPP continues this trend with a number of high-quality studies that in some capacity seek to predict poor child and adolescent outcomes on the basis of variables that can be measured earlier in development.}, Doi = {10.1111/jcpp.13199}, Key = {fds348442} } @article{fds343770, Author = {Schechter, J and Do, EK and Zhang, JJ and Hoyo, C and Murphy, SK and Kollins, SH and Fuemmeler, B}, Title = {Effect of Prenatal Smoke Exposure on Birth Weight: The Moderating Role of Maternal Depressive Symptoms.}, Journal = {Nicotine Tob Res}, Volume = {22}, Number = {1}, Pages = {40-47}, Year = {2020}, Month = {January}, url = {http://dx.doi.org/10.1093/ntr/nty267}, Abstract = {INTRODUCTION: Both prenatal smoke exposure and depression have been linked to lower birth weight, a risk factor for morbidity and mortality. Few studies have looked at the interaction between these risk factors and none have used a biomarker to objectively measure prenatal smoke exposure. The current study sought to examine independent and interactive effects of cotinine and depression on birth weight. The effect of race was also explored. METHOD: Data were drawn from a prospective study of pregnant women (N = 568) in the southeastern United States. Maternal demographic, health information, depressive symptoms, and birth data were collected via self-report and medical record abstraction. Prenatal blood samples were assayed for cotinine. RESULTS: Controlling for covariates, multiple regression analyses indicated that both cotinine and depressive symptoms independently predicted lower birth weight and a significant interaction was also observed. Upon probing the interaction, a negative association between cotinine levels and birth weight was found in the context of higher depression but not lower depression scores. Similarly, logistic regression analyses revealed a significant interaction between cotinine and depression, such that cotinine predicted having a baby less than 2500 g among women who fell above the indicated cutoff score. African American women had the highest levels of cotinine and lowest weight babies; however, race was not a significant moderator. CONCLUSIONS: Results suggest prenatal smoke exposure has a greater negative effect on birth weight for women endorsing co-occurring depressive symptoms. Findings can inform targeted interventions and assist medical providers with identifying women at increased risk for poor perinatal outcomes. IMPLICATIONS: Despite the common occurrence of smoking during pregnancy and prenatal depression, the interaction between these risk factors on birth weight has rarely been examined. Further, the extant results have been mixed, likely due in part to difficulties in measurement. The current study was the first to use prenatal cotinine to assess bias-free, continuous levels of prenatal smoke exposure. Results indicate that prenatal cotinine was a significant predictor of birth weight only in the context of maternal depressive symptoms. These findings have important implications for mitigating negative perinatal outcomes for pregnant women and their children.}, Doi = {10.1093/ntr/nty267}, Key = {fds343770} } @article{fds348355, Author = {Lunsford-Avery, JR and Damme, KSF and Engelhard, MM and Kollins, SH and Mittal, VA}, Title = {Sleep/Wake Regularity Associated with Default Mode Network Structure among Healthy Adolescents and Young Adults.}, Journal = {Scientific Reports}, Volume = {10}, Number = {1}, Pages = {509}, Year = {2020}, Month = {January}, url = {http://dx.doi.org/10.1038/s41598-019-57024-3}, Abstract = {Sleep deprivation and disorders are linked to reduced DMN connectivity. Less is known about how naturalistic sleep patterns - specifically sleep irregularity - relate to the DMN, particularly among adolescents and young adults. Additionally, no studies have utilized graph theory analysis to clarify whether sleep-related decreases in connectivity reflect global or local DMN changes. Twenty-five healthy adolescents and young adults (age range = 12-22; mean = 18.08; SD = 2.64, 56% female) completed 7 days of actigraphy and resting-state fMRI. Sleep regularity was captured by the Sleep Regularity Index (SRI) and the relationship between the SRI and DMN was examined using graph theory analysis. Analogous analyses explored relationships between the SRI and additional resting-state networks. Greater sleep regularity related to decreased path length (increased network connectivity) in DMN regions, particularly the right and left lateral parietal lobule, and the Language Network, including the left inferior frontal gyrus and the left posterior superior frontal gyrus. Findings were robust to covariates including sex and age. Sleep and DMN function may be tightly linked during adolescence and young adulthood, and reduced DMN connectivity may reflect local changes within the network. Future studies should assess how this relationship impacts cognitive development and neuropsychiatric outcomes in this age group.}, Doi = {10.1038/s41598-019-57024-3}, Key = {fds348355} } @article{fds345844, Author = {Schrott, R and Acharya, K and Itchon-Ramos, N and Hawkey, AB and Pippen, E and Mitchell, JT and Kollins, SH and Levin, ED and Murphy, SK}, Title = {Cannabis use is associated with potentially heritable widespread changes in autism candidate gene DLGAP2 DNA methylation in sperm.}, Journal = {Epigenetics : Official Journal of the Dna Methylation Society}, Volume = {15}, Number = {1-2}, Pages = {161-173}, Year = {2020}, url = {http://dx.doi.org/10.1080/15592294.2019.1656158}, Abstract = {Parental cannabis use has been associated with adverse neurodevelopmental outcomes in offspring, but how such phenotypes are transmitted is largely unknown. Using reduced representation bisulphite sequencing (RRBS), we recently demonstrated that cannabis use is associated with widespread DNA methylation changes in human and rat sperm. Discs-Large Associated Protein 2 (DLGAP2), involved in synapse organization, neuronal signaling, and strongly implicated in autism, exhibited significant hypomethylation (p < 0.05) at 17 CpG sites in human sperm. We successfully validated the differential methylation present in DLGAP2 for nine CpG sites located in intron seven (p < 0.05) using quantitative bisulphite pyrosequencing. Intron 7 DNA methylation and DLGAP2 expression in human conceptal brain tissue were inversely correlated (p < 0.01). Adult male rats exposed to delta-9-tetrahydrocannabinol (THC) showed differential DNA methylation at Dlgap2 in sperm (p < 0.03), as did the nucleus accumbens of rats whose fathers were exposed to THC prior to conception (p < 0.05). Altogether, these results warrant further investigation into the effects of preconception cannabis use in males and the potential effects on subsequent generations.}, Doi = {10.1080/15592294.2019.1656158}, Key = {fds345844} } @article{fds346732, Author = {Mitchell, JT and McClernon, FJ and Beckham, JC and Brown, RA and Lejuez, CW and Kollins, SH}, Title = {Smoking abstinence effects on emotion dysregulation in adult cigarette smokers with and without attention-deficit/hyperactivity disorder.}, Journal = {Drug Alcohol Depend}, Volume = {205}, Pages = {107594}, Year = {2019}, Month = {December}, url = {http://dx.doi.org/10.1016/j.drugalcdep.2019.107594}, Abstract = {BACKGROUND: Cigarette smoking is robustly associated with attention-deficit/hyperactivity disorder (ADHD), but little is known about psychological mechanisms accounting for this comorbid relationship. This study examined difficulties in emotion regulation, or emotion dysregulation, among adult cigarette smokers with and without ADHD. Emotion dysregulation was predicted to be higher in an ADHD group at screening and after 24 -h smoking abstinence compared to a non-ADHD group. METHODS: Cigarette smokers with (n = 19) and without (n = 20) ADHD completed a screening visit, baseline visit, and two experimental visits: smoking as usual (i.e., smoking satiated) and after biochemically-verified 24 -h smoking abstinence (i.e., smoking abstinent). Three emotion dysregulation rating scales (two self-report and one clinician rated) were administered at the screening visit and experimental sessions. Experimental sessions also included two emotion dysregulation behavioral tasks. RESULTS: The ADHD group scored higher on all three rating scales at screening (p's < .001). For experimental sessions, group (ADHD, non-ADHD) x condition (smoking satiated, smoking abstinence) interactions were not significant across measures. However, group main effects emerged indicating higher emotion dysregulation in the ADHD group across all measures (p's < .001). Main effects also emerged for experimental condition, but were more mixed across emotion dysregulation measures. CONCLUSIONS: Emotion dysregulation was higher among adult smokers with ADHD and during smoking abstinence across diagnostic groups, suggesting that this malleable psychological mechanism plays a role in smoking both for those with and without ADHD-such findings can inform treatment and prevention efforts.}, Doi = {10.1016/j.drugalcdep.2019.107594}, Key = {fds346732} } @article{fds344790, Author = {Xue, H and Maguire, RL and Liu, J and Kollins, SH and Murphy, SK and Hoyo, C and Fuemmeler, BF}, Title = {Snacking frequency and dietary intake in toddlers and preschool children.}, Journal = {Appetite}, Volume = {142}, Pages = {104369}, Year = {2019}, Month = {November}, url = {http://dx.doi.org/10.1016/j.appet.2019.104369}, Abstract = {Understanding the relationship between snacking and dietary intake in early life years is one key but understudied area. In this study, we examined snacking patterns in toddlers and preschool children and the associations between snacking frequency and daily energy intake. We analyzed data from children aged 12-72 months (N = 1186) in the Newborn Epigenetic STudy (NEST). We used Bonferroni multiple comparison methods to examine the differences in snacking patterns across subgroups. Linear and quantile regression models were fit to investigate the association between dietary intake and snacking frequency. Our estimates suggest that Non-Hispanic blacks had the highest total daily energy intake from snacks (334 kcal/day) compared to non-Hispanic whites (270 kcal/day) and Hispanics (274 kcal/day) in 12-to-24-month-olds. In 2-to-6-year-olds, mean energy intake from snacks was 296 kcal/day without a significant racial/ethnic difference. Carbohydrate, fat and protein from snacks contributed about 17%, 9% and 4% respectively of the total energy intake in 12-to-24-month-olds while they contributed about 15%, 7% and 2% respectively of the total energy intake in the other age group. Snacking frequency was positively and significantly associated with total daily energy intake in both 12-to-24-month-olds and 2-to-6-year-olds as indicated by regression coefficient estimates of snacking frequency (β = 31.3 kcal/day with P = 0.027 and β = 175.4 kcal/day with P < 0.0001, respectively, indicating a higher snacking frequency was associated with a greater total daily energy intake). In conclusion, snacking frequency was positively associated with daily energy intake. Carbohydrates and fats from snacks are significant energy contributors. Age differentiation was apparent regarding the relationship between snacking frequency and dietary intake. Differentiated interventions that are age-specific and focus on the dietary quality of snacks instead of quantity are needed.}, Doi = {10.1016/j.appet.2019.104369}, Key = {fds344790} } @article{fds346577, Title = {Corrigendum: Cigarette Smoking Progression Among Young Adults Diagnosed With ADHD in Childhood: A 16-year Longitudinal Study of Children With and Without ADHD.}, Journal = {Nicotine Tob Res}, Volume = {21}, Number = {10}, Pages = {1449}, Year = {2019}, Month = {September}, url = {http://dx.doi.org/10.1093/ntr/nty260}, Doi = {10.1093/ntr/nty260}, Key = {fds346577} } @article{fds345845, Author = {Engelhard, MM and Kollins, SH}, Title = {The Many Channels of Screen Media Technology in ADHD: a Paradigm for Quantifying Distinct Risks and Potential Benefits.}, Journal = {Current Psychiatry Reports}, Volume = {21}, Number = {9}, Pages = {90}, Year = {2019}, Month = {August}, url = {http://dx.doi.org/10.1007/s11920-019-1077-1}, Abstract = {PURPOSE OF REVIEW: Individuals with attention-deficit hyperactivity disorder (ADHD) may be unusually sensitive to screen media technology (SMT), from television to mobile devices. Although an association between ADHD and SMT use has been confirmed, its importance is uncertain partly due to variability in the way SMT has been conceptualized and measured. Here, we identify distinct, quantifiable dimensions of SMT use and review possible links to ADHD to facilitate more precise, reproducible investigation. RECENT FINDINGS: Display characteristics, media multitasking, device notifications, SMT addiction, and media content all may uniquely impact the ADHD phenotype. Each can be investigated with a digital health approach and counteracted with device-based interventions. Novel digital therapeutics for ADHD demonstrate that specific forms of SMT can also have positive effects. Further study should quantify how distinct dimensions of SMT use relate to ADHD. SMT devices themselves can serve as a self-monitoring study platform and deliver digital interventions.}, Doi = {10.1007/s11920-019-1077-1}, Key = {fds345845} } @article{fds344586, Author = {Addicott, MA and Schechter, JC and Sapyta, JJ and Selig, JP and Kollins, SH and Weiss, MD}, Title = {Methylphenidate increases willingness to perform effort in adults with ADHD.}, Journal = {Pharmacol Biochem Behav}, Volume = {183}, Pages = {14-21}, Year = {2019}, Month = {August}, url = {http://dx.doi.org/10.1016/j.pbb.2019.06.008}, Abstract = {BACKGROUND: A reduced willingness to perform effort based on the magnitude and probability of potential rewards has been associated with diminished dopamine function and may be relevant to attention-deficit/hyperactivity disorder (ADHD). Here, we investigated the influence of ADHD status and methylphenidate on effort-based decisions. We hypothesized that ADHD participants would make fewer high-effort selections than non-ADHD subjects, and that methylphenidate would increase the number of high-effort selections. Furthermore, we hypothesized there would be associations among ADHD severity and methylphenidate-related changes in effort-based and attentional performance across all participants. METHODS AND PARTICIPANTS: ADHD (n = 23) and non-ADHD (n = 23) adults completed the Effort Expenditure for Rewards Task in which participants select between low-effort and high-effort options to receive monetary rewards at varying levels of reward magnitude and probability. A test of attentional performance was also completed. RESULTS: Overall, participants made more high-effort selections as potential reward magnitude and probability increased. ADHD participants did not make fewer high-effort selections than non-ADHD participants, but ADHD participants showed greater methylphenidate-related increases in high-effort selections. ADHD participants had worse attentional performance than non-ADHD participants. ADHD severity was associated with methylphenidate-related changes in high-effort selections, but not changes in attentional performance. CONCLUSIONS: These results indicate that methylphenidate increases the willingness to perform effort in individuals with ADHD, possibly due to disorder-related motivational deficits. This provides support for theories of insufficient effort allocation among individuals with ADHD. TRIAL REGISTRATION: Clinicaltrials.gov Identifier, NCT02630017.}, Doi = {10.1016/j.pbb.2019.06.008}, Key = {fds344586} } @article{fds343497, Author = {Raman, S and Engelhard, M and Kollins, SH}, Title = {Driving the Point Home: Novel Approaches to Mitigate Crash Risk for Patients With ADHD.}, Journal = {Pediatrics}, Year = {2019}, Month = {May}, url = {http://dx.doi.org/10.1542/peds.2019-0820}, Doi = {10.1542/peds.2019-0820}, Key = {fds343497} } @article{fds336086, Author = {Mitchell, JT and Howard, AL and Belendiuk, KA and Kennedy, TM and Stehli, A and Swanson, JM and Hechtman, L and Arnold, LE and Hoza, B and Vitiello, B and Lu, B and Kollins, SH and Molina, BSG}, Title = {Cigarette Smoking Progression Among Young Adults Diagnosed With ADHD in Childhood: A 16-year Longitudinal Study of Children With and Without ADHD.}, Journal = {Nicotine Tob Res}, Volume = {21}, Number = {5}, Pages = {638-647}, Year = {2019}, Month = {April}, url = {http://dx.doi.org/10.1093/ntr/nty045}, Abstract = {INTRODUCTION: Children with attention-deficit/hyperactivity disorder (ADHD) are at increased risk for smoking cigarettes, but there is little longitudinal research on the array of smoking characteristics known to be prognostic of long-term smoking outcomes into adulthood. These variables were studied into early adulthood in a multisite sample diagnosed with ADHD combined type at ages 7-9.9 and followed prospectively alongside an age- and sex-matched local normative comparison group (LNCG). METHODS: Cigarette smoking quantity, quit attempts, dependence, and other characteristics were assessed in the longitudinal Multimodal Treatment Study of Children with ADHD (MTA) eight times to a mean age of 24.9 years: ADHD n = 469; LNCG n = 240. RESULTS: In adulthood, the ADHD group had higher rates of daily cigarette smoking, one or more quit attempts, shorter time to first cigarette of the day, and more severe withdrawal than the LNCG. The ADHD group did not appear to have better smoking cessation rates despite a higher proportion quitting at least once. Smoking quantity and nicotine dependence did not differ between groups. The ADHD group reported younger daily smoking onset and faster progression from smoking initiation to daily smoking across assessments. Finally, ADHD symptom severity in later adolescence and adulthood was associated with higher risk for daily smoking across assessments in the ADHD sample. CONCLUSIONS: This study shows that ADHD-related smoking risk begins at a young age, progresses rapidly, and becomes resistant to cessation attempts by adulthood. Prevention efforts should acknowledge the speed of uptake; treatments should target the higher relapse risk in this vulnerable population. IMPLICATIONS: Although childhood ADHD predicts later smoking, longitudinal studies of this population have yet to fully characterize smoking behaviors into adulthood that are known to be prognostic of long-term smoking outcome. The current study demonstrates earlier and faster progression to daily smoking among those with a childhood ADHD diagnosis, as well as greater risk for failed quit attempts. Prevention efforts should address speed of smoking uptake, while treatments are needed that address smoking relapse risk. The current study also demonstrates ADHD symptom severity over development increases daily smoking risk, implicating the need for continuous ADHD symptom management.}, Doi = {10.1093/ntr/nty045}, Key = {fds336086} } @article{fds343498, Author = {Barry, CM and Sabhlok, A and Saba, VC and Majors, AD and Schechter, JC and Levine, EL and Streicher, M and Bennett, GG and Kollins, SH and Fuemmeler, BF}, Title = {An Automated Text-Messaging Platform for Enhanced Retention and Data Collection in a Longitudinal Birth Cohort: Cohort Management Platform Analysis.}, Journal = {Jmir Public Health and Surveillance}, Volume = {5}, Number = {2}, Pages = {e11666}, Year = {2019}, Month = {April}, url = {http://dx.doi.org/10.2196/11666}, Abstract = {BACKGROUND: Traditional methods for recruiting and maintaining contact with participants in cohort studies include print-based correspondence, which can be unidirectional, labor intensive, and slow. Leveraging technology can substantially enhance communication, maintain engagement of study participants in cohort studies, and facilitate data collection on a range of outcomes. OBJECTIVE: This paper provides an overview of the development process and design of a cohort management platform (CMP) used in the Newborn Epigenetic STudy (NEST), a large longitudinal birth cohort study. METHODS: The platform uses short message service (SMS) text messaging to facilitate interactive communication with participants; it also semiautomatically performs many recruitment and retention procedures typically completed by research assistants over the course of multiple study follow-up visits. RESULTS: Since February 2016, 302 participants have consented to enrollment in the platform and 162 have enrolled with active engagement in the system. Daily reminders are being used to help improve adherence to the study's accelerometer wear protocol. At the time of this report, 213 participants in our follow-up study who were also registered to use the CMP were eligible for the accelerometer protocol. Preliminary data show that texters (138/213, 64.8%), when compared to nontexters (75/213, 35.2%), had significantly longer average accelerometer-wearing hours (165.6 hours, SD 56.5, vs 145.3 hours, SD 58.5, P=.01) when instructed to wear the devices for 1 full week. CONCLUSIONS: This platform can serve as a model for enhancing communication and engagement with longitudinal study cohorts, especially those involved in studies assessing environmental exposures.}, Doi = {10.2196/11666}, Key = {fds343498} } @article{fds340085, Author = {Lunsford-Avery, JR and Kollins, SH and Mittal, VA}, Title = {Eveningness diurnal preference associated with poorer socioemotional cognition and social functioning among healthy adolescents and young adults.}, Journal = {Chronobiol Int}, Volume = {36}, Number = {3}, Pages = {439-444}, Year = {2019}, Month = {March}, url = {http://dx.doi.org/10.1080/07420528.2018.1538156}, Abstract = {Recently there has been growing interest in associations between sleep, emotion, and social functioning. Less is known about relationships between chronotype preference and socioemotional cognition and functioning, particularly among adolescents, who experience dramatic normative shifts in diurnal preference, affective functioning, and social competence. Fifty-five healthy adolescents and young adults completed a self-report chronotype preference measure, a computerized measure of socioemotional cognition, and a semi-structured clinical interview assessing interpersonal functioning. Greater eveningness preference was associated with poorer socioemotional cognition and social functioning in this age group. Future studies should assess these relationships across development and using objective measures of circadian timing.}, Doi = {10.1080/07420528.2018.1538156}, Key = {fds340085} } @article{fds342293, Author = {Fuemmeler, BF and Zucker, N and Sheng, Y and Sanchez, CE and Maguire, R and Murphy, SK and Kollins, SH and Hoyo, C}, Title = {Pre-Pregnancy Weight and Symptoms of Attention Deficit Hyperactivity Disorder and Executive Functioning Behaviors in Preschool Children.}, Journal = {International Journal of Environmental Research and Public Health}, Volume = {16}, Number = {4}, Year = {2019}, Month = {February}, url = {http://dx.doi.org/10.3390/ijerph16040667}, Abstract = {This study examines pre-pregnancy Body Mass Index (BMI) and gestational weight gain (GWG) in relation to early childhood Attention Deficit Hyperactivity Disorder (ADHD) symptoms and related executive self-regulation behaviors. The analyses sample (n = 331) included a subsample of participants from a birth cohort recruited from prenatal clinics and hospital facilities from April 2005 to June 2011 in Durham, North Carolina. Pre-pregnancy BMI was calculated from weight at the last menstrual period and height was extracted from medical records. Gestational weight gain was calculated from pre-pregnancy weight and weight measured at the time of delivery. ADHD symptoms and executive self-regulation behaviors were assessed by maternal report (mean age = 3 years). Multivariable regression methods with inverse probability weighting (IPW) were used to evaluate associations accounting for sample selection bias and confounding. Pre-pregnancy BMI at levels ≥35 was positively associated with higher ADHD symptoms and worse executive self-regulation behaviors (inhibitory control and attention). Compared to adequate GWG, less than adequate GWG was related to more ADHD hyperactive-impulsive symptoms, whereas greater than adequate GWG was related to more problematic behaviors related to working memory and planning. The findings support a link between maternal weight and child neurodevelopment. Continued research that help identify biological mechanisms are needed.}, Doi = {10.3390/ijerph16040667}, Key = {fds342293} } @article{fds338440, Author = {Do, EK and Zucker, NL and Huang, ZY and Schechter, JC and Kollins, SH and Maguire, RL and Murphy, SK and Hoyo, C and Fuemmeler, BF}, Title = {Associations between imprinted gene differentially methylated regions, appetitive traits and body mass index in children.}, Journal = {Pediatr Obes}, Volume = {14}, Number = {2}, Pages = {e12454}, Year = {2019}, Month = {February}, url = {http://dx.doi.org/10.1111/ijpo.12454}, Abstract = {BACKGROUND: Knowledge regarding genetic influences on eating behaviours is expanding; yet less is known regarding contributions of epigenetic variation to appetitive traits and body mass index (BMI) in children. OBJECTIVE: The purpose of this study was to explore relationships between methylation at differentially methylated regions (DMRs) of imprinted genes (insulin-like growth factor 2/H19 and Delta-like, Drosophila, homolog 1/maternally expressed gene 3) using DNA extracted from umbilical cord blood leucocytes, two genetically influenced appetitive traits (food responsiveness and satiety responsiveness) and BMI. METHODS: Data were obtained from participants (N = 317; mean age = 3.6 years; SD = 1.8 years) from the Newborn Epigenetic STudy. Conditional process models were implemented to investigate the associations between DMRs of imprinted genes and BMI, and test whether this association was mediated by appetitive traits and birthweight and moderated by sex. RESULTS: Appetitive traits and birthweight did not mediate the relationship between methylation at DMRs. Increased insulin-like growth factor 2 DMR methylation was associated with higher satiety responsiveness. Higher satiety responsiveness was associated with lower BMI. Associations between methylation at DMRs, appetitive traits and BMI differed by sex. CONCLUSIONS: This is one of the first studies to demonstrate associations between epigenetic variation established prior to birth with appetitive traits and BMI in children, providing support for the need to uncover genetic and epigenetic mechanisms for appetitive traits predisposing some individuals to obesity.}, Doi = {10.1111/ijpo.12454}, Key = {fds338440} } @article{fds338018, Author = {Lunsford-Avery, JR and Kollins, SH}, Title = {Editorial Perspective: Delayed circadian rhythm phase: a cause of late-onset attention-deficit/hyperactivity disorder among adolescents?}, Journal = {The Journal of Child Psychology and Psychiatry and Allied Disciplines}, Volume = {59}, Number = {12}, Pages = {1248-1251}, Year = {2018}, Month = {December}, url = {http://dx.doi.org/10.1111/jcpp.12956}, Abstract = {Late-onset attention-deficit/hyperactivity disorder (ADHD) has been a topic of significant debate within our field. One question focuses on whether there may be alternative explanations for the onset of inattentive and/or hyperactive symptoms in adolescence. Adolescence is a developmental period associated with a normative circadian rhythm phase delay, and there is significant overlap in the behavioral and cognitive manifestations and genetic underpinnings of ADHD and circadian misalignment. Delayed circadian rhythm phase is also common among individuals with traditionally diagnosed ADHD, and exposure to bright light may be protective against ADHD, a process potentially mediated by improved circadian timing. In addition, daytime sleepiness is prevalent in late-onset ADHD. Despite these converging lines of evidence, circadian misalignment is yet to be considered in the context of late-onset ADHD - a glaring gap. It is imperative for future research in late-onset ADHD to consider a possible causal role of delayed circadian rhythm phase in adolescence. Clarification of this issue has significant implications for research, clinical care, and public health.}, Doi = {10.1111/jcpp.12956}, Key = {fds338018} } @article{fds337741, Author = {Kollins, SH}, Title = {Moving Beyond Symptom Remission to Optimize Long-term Treatment of Attention-Deficit/Hyperactivity Disorder.}, Journal = {Jama Pediatr}, Volume = {172}, Number = {10}, Pages = {901-902}, Year = {2018}, Month = {October}, url = {http://dx.doi.org/10.1001/jamapediatrics.2018.1642}, Doi = {10.1001/jamapediatrics.2018.1642}, Key = {fds337741} } @article{fds338439, Author = {Lunsford-Avery, JR and Engelhard, MM and Navar, AM and Kollins, SH}, Title = {Validation of the Sleep Regularity Index in Older Adults and Associations with Cardiometabolic Risk.}, Journal = {Scientific Reports}, Volume = {8}, Number = {1}, Pages = {14158}, Year = {2018}, Month = {September}, url = {http://dx.doi.org/10.1038/s41598-018-32402-5}, Abstract = {Sleep disturbances, including insufficient sleep duration and circadian misalignment, confer risk for cardiometabolic disease. Less is known about the association between the regularity of sleep/wake schedules and cardiometabolic risk. This study evaluated the external validity of a new metric, the Sleep Regularity Index (SRI), among older adults (n = 1978; mean age 68.7 ± 9.2), as well as relationships between the SRI and cardiometabolic risk using data from the Multi-Ethnic Study of Atherosclerosis (MESA). Results indicated that sleep irregularity was associated with delayed sleep timing, increased daytime sleep and sleepiness, and reduced light exposure, but was independent of sleep duration. Greater sleep irregularity was also correlated with 10-year risk of cardiovascular disease and greater obesity, hypertension, fasting glucose, hemoglobin A1C, and diabetes status. Finally, greater sleep irregularity was associated with increased perceived stress and depression, psychiatric factors integrally tied to cardiometabolic disease. These results suggest that the SRI is a useful measure of sleep regularity in older adults. Additionally, sleep irregularity may represent a target for early identification and prevention of cardiometabolic disease. Future studies may clarify the causal direction of these effects, mechanisms underlying links between sleep irregularity and cardiometabolic risk, and the utility of sleep interventions in reducing cardiometabolic risk.}, Doi = {10.1038/s41598-018-32402-5}, Key = {fds338439} } @article{fds311591, Author = {Faraone, SV and Childress, A and Wigal, SB and Kollins, SH and McDonnell, MA and DeSousa, NJ and Sallee, FR}, Title = {Reliability and Validity of the Daily Parent Rating of Evening and Morning Behavior Scale, Revised.}, Journal = {J Atten Disord}, Volume = {22}, Number = {11}, Pages = {1066-1073}, Year = {2018}, Month = {September}, ISSN = {1087-0547}, url = {http://dx.doi.org/10.1177/1087054715619009}, Abstract = {OBJECTIVE: Children with ADHD frequently manifest behavioral difficulties in the morning prior to school. We sought to assess the reliability and validity of the Daily Parent Rating of Evening and Morning Behavior Scale, Revised (DPREMB-R) morning score as a measure of morning behaviors impaired by ADHD. METHOD: We used data from a clinical trial of HLD200 treatment in pediatric participants with ADHD to address our objectives. RESULTS: The DPREMB-R morning score showed significant internal homogeneity, test-retest reliability ( r = .52-.45), and good concurrent validity ( r = .50-.71). CONCLUSION: The DPREMB-R morning score could be a useful instrument for assessing treatment efficacy in the morning before school.}, Doi = {10.1177/1087054715619009}, Key = {fds311591} } @article{fds366015, Author = {Barry, CM and Sabhlok, A and Saba, VC and Majors, AD and Schechter, JC and Levine, EL and Streicher, M and Bennett, GG and Kollins, SH and Fuemmeler, BF}, Title = {An Automated Text-Messaging Platform for Enhanced Retention and Data Collection in a Longitudinal Birth Cohort: Cohort Management Platform Analysis (Preprint)}, Year = {2018}, Month = {July}, url = {http://dx.doi.org/10.2196/preprints.11666}, Abstract = {<sec> <title>BACKGROUND</title> <p>Traditional methods for recruiting and maintaining contact with participants in cohort studies include print-based correspondence, which can be unidirectional, labor intensive, and slow. Leveraging technology can substantially enhance communication, maintain engagement of study participants in cohort studies, and facilitate data collection on a range of outcomes.</p> </sec> <sec> <title>OBJECTIVE</title> <p>This paper provides an overview of the development process and design of a cohort management platform (CMP) used in the Newborn Epigenetic STudy (NEST), a large longitudinal birth cohort study.</p> </sec> <sec> <title>METHODS</title> <p>The platform uses short message service (SMS) text messaging to facilitate interactive communication with participants; it also semiautomatically performs many recruitment and retention procedures typically completed by research assistants over the course of multiple study follow-up visits.</p> </sec> <sec> <title>RESULTS</title> <p>Since February 2016, 302 participants have consented to enrollment in the platform and 162 have enrolled with active engagement in the system. Daily reminders are being used to help improve adherence to the study’s accelerometer wear protocol. At the time of this report, 213 participants in our follow-up study who were also registered to use the CMP were eligible for the accelerometer protocol. Preliminary data show that texters (138/213, 64.8%), when compared to nontexters (75/213, 35.2%), had significantly longer average accelerometer-wearing hours (165.6 hours, SD 56.5, vs 145.3 hours, SD 58.5, P=.01) when instructed to wear the devices for 1 full week.</p> </sec> <sec> <title>CONCLUSIONS</title> <p>This platform can serve as a model for enhancing communication and engagement with longitudinal study cohorts, especially those involved in studies assessing environmental exposures.</p> </sec>}, Doi = {10.2196/preprints.11666}, Key = {fds366015} } @article{fds337110, Author = {Gao, L and Liu, X and Millstein, J and Siegmund, KD and Dubeau, L and Maguire, RL and Jim Zhang and J and Fuemmeler, BF and Kollins, SH and Hoyo, C and Murphy, SK and Breton, CV}, Title = {Self-reported prenatal tobacco smoke exposure, AXL gene-body methylation, and childhood asthma phenotypes.}, Journal = {Clin Epigenetics}, Volume = {10}, Number = {1}, Pages = {98}, Year = {2018}, Month = {July}, url = {http://dx.doi.org/10.1186/s13148-018-0532-x}, Abstract = {BACKGROUND: Epigenetic modifications, including DNA methylation, act as one potential mechanism underlying the detrimental effects associated with prenatal tobacco smoke (PTS) exposure. Methylation in a gene called AXL was previously reported to differ in response to PTS. METHODS: We investigated the association between PTS and epigenetic changes in AXL and how this was related to childhood asthma phenotypes. We tested the association between PTS and DNA methylation at multiple CpG loci of AXL at birth using Pyrosequencing in two separate study populations, the Children's Health Study (CHS, n = 799) and the Newborn Epigenetic Study (NEST, n = 592). Plasma cotinine concentration was used to validate findings with self-reported smoking status. The inter-relationships among AXL mRNA and miR-199a1 expression, PTS, and AXL methylation were examined. Lastly, we evaluated the joint effects of AXL methylation and PTS on the risk of asthma and related symptoms at age 10 years old. RESULTS: PTS was associated with higher methylation level in the AXL gene body in both CHS and NEST subjects. In the pooled analysis, exposed subjects had a 0.51% higher methylation level in this region compared to unexposed subjects (95% CI 0.29, 0.74; p < 0.0001). PTS was also associated with 21.2% lower expression of miR-199a1 (95% CI - 37.9, - 0.1; p = 0.05), a microRNA known to regulate AXL expression. Furthermore, the combination of higher AXL methylation and PTS exposure at birth increased the risk of recent episodes of bronchitic symptoms in childhood. CONCLUSIONS: PTS was associated with methylation level of AXL and the combination altered the risk of childhood bronchitic symptoms.}, Doi = {10.1186/s13148-018-0532-x}, Key = {fds337110} } @article{fds327695, Author = {Mitchell, JT and Weisner, TS and Jensen, PS and Murray, DW and Molina, BSG and Arnold, LE and Hechtman, L and Swanson, JM and Hinshaw, SP and Victor, EC and Kollins, SH and Wells, KC and Belendiuk, KA and Blonde, A and Nguyen, C and Ambriz, L and Nguyen, JL}, Title = {How Substance Users With ADHD Perceive the Relationship Between Substance Use and Emotional Functioning.}, Journal = {J Atten Disord}, Volume = {22}, Number = {9_suppl}, Pages = {49S-60S}, Year = {2018}, Month = {July}, url = {http://dx.doi.org/10.1177/1087054716685842}, Abstract = {OBJECTIVE: Although substance use (SU) is elevated in ADHD and both are associated with disrupted emotional functioning, little is known about how emotions and SU interact in ADHD. We used a mixed qualitative-quantitative approach to explore this relationship. METHOD: Narrative comments were coded for 67 persistent (50 ADHD, 17 local normative comparison group [LNCG]) and 25 desistent (20 ADHD, 5 LNCG) substance users from the Multimodal Treatment Study of Children with ADHD (MTA) adult follow-up (21.7-26.7 years-old). RESULTS: SU persisters perceived SU positively affects emotional states and positive emotional effects outweigh negative effects. No ADHD group effects emerged. Qualitative analysis identified perceptions that cannabis enhanced positive mood for ADHD and LNCG SU persisters, and improved negative mood and ADHD for ADHD SU persisters. CONCLUSION: Perceptions about SU broadly and mood do not differentiate ADHD and non-ADHD SU persisters. However, perceptions that cannabis is therapeutic may inform ADHD-related risk for cannabis use.}, Doi = {10.1177/1087054716685842}, Key = {fds327695} } @article{fds336085, Author = {Dozmorov, MG and Bilbo, SD and Kollins, SH and Zucker, N and Do, EK and Schechter, JC and Zhang, JJ and Murphy, SK and Hoyo, C and Fuemmeler, BF}, Title = {Associations between maternal cytokine levels during gestation and measures of child cognitive abilities and executive functioning.}, Journal = {Brain Behav Immun}, Volume = {70}, Pages = {390-397}, Year = {2018}, Month = {May}, url = {http://dx.doi.org/10.1016/j.bbi.2018.03.029}, Abstract = {Preclinical studies demonstrate that environmentally-induced alterations in inflammatory cytokines generated by the maternal and fetal immune system can significantly impact fetal brain development. Yet, the relationship between maternal cytokines during gestation and later cognitive ability and executive function remains understudied. Children (n = 246) were born of mothers enrolled in the Newborn Epigenetic Study - a prospective pre-birth cohort in the Southeastern US. We characterized seven cytokines [IL-1β, IL-4,IL-6, IL-12p70, IL-17A, tumor necrosis factor-α (TNFα), and interferon-γ (IFNγ)] and one chemokine (IL-8) from maternal plasma collected during pregnancy. We assessed children's cognitive abilities and executive functioning at a mean age of 4.5 (SD = 1.1) years. Children's DAS-II and NIH toolbox scores were regressed on cytokines and the chemokine, controlling for maternal age, race, education, body mass index, IQ, parity, smoking status, delivery type, gestational weeks, and child birth weight and sex. Higher IL-12p70 (βIL-12p70 = 4.26, p = 0.023) and IL-17A (βIL-17A = 3.70, p = 0.042) levels were related to higher DAS-II GCA score, whereas higher IL-1β (βIL-1B = -6.07, p = 0.003) was related to lower GCA score. Higher IL-12p70 was related to higher performance on NIH toolbox measures of executive functions related to inhibitory control and attention (βIL-12p70 = 5.20, p = 0.046) and cognitive flexibility (βIL-12p70 = 5.10, p = 0.047). Results suggest that dysregulation in gestational immune activity are associated with child cognitive ability and executive functioning.}, Doi = {10.1016/j.bbi.2018.03.029}, Key = {fds336085} } @article{fds330274, Author = {Sanchez, CE and Barry, C and Sabhlok, A and Russell, K and Majors, A and Kollins, SH and Fuemmeler, BF}, Title = {Maternal pre-pregnancy obesity and child neurodevelopmental outcomes: a meta-analysis.}, Journal = {Obes Rev}, Volume = {19}, Number = {4}, Pages = {464-484}, Year = {2018}, Month = {April}, url = {http://dx.doi.org/10.1111/obr.12643}, Abstract = {This review examined evidence of the association between maternal pre-pregnancy overweight/obesity status and child neurodevelopmental outcomes. PubMed and PsycINFO databases were systematically searched for empirical studies published before April 2017 using keywords related to prenatal obesity and children's neurodevelopment. Of 1483 identified papers, 41 were included in the systematic review, and 32 articles representing 36 cohorts were included in the meta-analysis. Findings indicated that compared with children of normal weight mothers, children whose mothers were overweight or obese prior to pregnancy were at increased risk for compromised neurodevelopmental outcomes (overweight: OR = 1.17, 95% CI [1.11, 1.24], I2 = 65.51; obese: OR = 1.51; 95% CI [1.35, 1.69], I2 = 79.63). Pre-pregnancy obesity increased the risk of attention deficit-hyperactivity disorder (OR = 1.62; 95% CI [1.23, 2.14], I2 = 70.15), autism spectrum disorder (OR = 1.36; 95% CI [1.08, 1.70], I2 = 60.52), developmental delay (OR = 1.58; 95% CI [1.39, 1.79], I2 = 75.77) and emotional/behavioural problems (OR = 1.42; 95% CI [1.26, 1.59], I2 = 87.74). Given the current obesity prevalence among young adults and women of childbearing age, this association between maternal obesity during pregnancy and atypical child neurodevelopment represents a potentially high public health burden.}, Doi = {10.1111/obr.12643}, Key = {fds330274} } @article{fds329549, Author = {Lee, C-T and McClernon, FJ and Kollins, SH and Fuemmeler, BF}, Title = {Childhood ADHD Symptoms and Future Illicit Drug Use: The Role of Adolescent Cigarette Use.}, Journal = {Journal of Pediatric Psychology}, Volume = {43}, Number = {2}, Pages = {162-171}, Year = {2018}, Month = {March}, url = {http://dx.doi.org/10.1093/jpepsy/jsx098}, Abstract = {OBJECTIVES: The aim of this study is to understand how early cigarette use might predict subsequent illicit drug use, especially among individuals with attention-deficit hyperactivity disorder (ADHD) symptoms during childhood. METHODS: Data were drawn from the National Longitudinal Study of Adolescent Health (Waves I-IV). The analysis sample involves participants who had not used illicit drugs at Wave I, with no missing responses for studied predictors (N = 7,332). RESULTS: Smoking status at Wave I (ever regular vs. never regular) and childhood ADHD symptoms predicted subsequent illicit drug use at Waves II to IV. No interaction effect of smoking status at Wave I and childhood ADHD symptoms was found. However, an indirect effect from childhood ADHD symptoms on illicit drug use was identified, through smoking status at Wave I. Similar results were observed for predicting illicit drug dependence. CONCLUSIONS: The findings support the notion that smoking status during early adolescence may mediate the association between childhood ADHD symptoms and risk of later adult drug use. Interventions to prevent smoking among adolescents may be particularly effective at decreasing subsequent drug use, especially among children with ADHD symptoms.}, Doi = {10.1093/jpepsy/jsx098}, Key = {fds329549} } @article{fds329548, Author = {Sweitzer, MM and Kollins, SH and Kozink, RV and Hallyburton, M and English, J and Addicott, MA and Oliver, JA and McClernon, FJ}, Title = {ADHD, Smoking Withdrawal, and Inhibitory Control: Results of a Neuroimaging Study with Methylphenidate Challenge.}, Journal = {Neuropsychopharmacology}, Volume = {43}, Number = {4}, Pages = {851-858}, Year = {2018}, Month = {March}, url = {http://dx.doi.org/10.1038/npp.2017.248}, Abstract = {Smoking withdrawal negatively impacts inhibitory control, and these effects are greater for smokers with preexisting attention problems, such as attention deficit/hyperactivity disorder (ADHD). The current study preliminarily evaluated changes in inhibitory control-related behavior and brain activation during smoking withdrawal among smokers with ADHD. Moreover, we investigated the role of catecholamine transmission in these changes by examining the effects of 40 mg methylphenidate (MPH) administration. Adult daily smokers with (n=17) and without (n=20) ADHD completed fMRI scanning under each of three conditions: (a) smoking as usual+placebo; (b) 24 h smoking abstinence+placebo and (c) 24 h smoking abstinence+MPH. Scan order was randomized and counterbalanced. Participants completed a modified Go/No-Go task to assess both sustained and transient inhibitory control. Voxelwise analysis of task-related BOLD signal revealed a significant group-by-abstinence interaction in occipital/parietal cortex during sustained inhibition, with greater abstinence-induced decreases in activation observed among ADHD smokers compared with non-ADHD smokers. Changes in behavioral performance during abstinence were associated with changes in activation in regions of occipital and parietal cortex and bilateral insula during sustained inhibition in both groups. MPH administration improved behavioral performance and increased sustained inhibitory control-related activation for both groups. During transient inhibition, MPH increased prefrontal activation for both groups and increased striatal activation only among ADHD smokers. These preliminary findings suggest that abstinence-induced changes in catecholamine transmission in visual attention areas (eg, occipital and superior parietal cortex) may be associated with inhibitory control deficits and contribute to smoking vulnerability among individuals with ADHD.}, Doi = {10.1038/npp.2017.248}, Key = {fds329548} } @article{fds331559, Author = {Schechter, JC and Fuemmeler, BF and Hoyo, C and Murphy, SK and Zhang, JJ and Kollins, SH}, Title = {Impact of Smoking Ban on Passive Smoke Exposure in Pregnant Non-Smokers in the Southeastern United States.}, Journal = {International Journal of Environmental Research and Public Health}, Volume = {15}, Number = {1}, Year = {2018}, Month = {January}, url = {http://dx.doi.org/10.3390/ijerph15010083}, Abstract = {Prenatal passive smoke exposure raises risk for negative birth outcomes. Legislation regulating public smoking has been shown to impact exposure levels, though fewer studies involving pregnant women have been conducted within the U.S. where bans are inconsistent across regions. This study examined the effect of a ban enacted in the southeastern U.S. on pregnant women's cotinine levels. Additional analyses compared self-reported exposure to cotinine and identified characteristics associated with passive exposure. Pregnant women (N = 851) were recruited prospectively between 2005 and 2011 in North Carolina. Sociodemographic and health data were collected via surveys; maternal blood samples were assayed for cotinine. Among non-active smokers who provided self-report data regarding passive exposure (N = 503), 20% were inconsistent with corresponding cotinine. Among all non-smokers (N = 668), being unmarried, African American, and less educated were each associated with greater passive exposure. Controlling for covariates, mean cotinine was higher prior to the ban compared to after, F(1, 640) = 24.65, p < 0.001. Results suggest that banning smoking in public spaces may reduce passive smoke exposure for non-smoking pregnant women. These data are some of the first to examine the impact of legislation on passive smoke exposure in pregnant women within the U.S. using a biomarker and can inform policy in regions lacking comprehensive smoke-free legislation.}, Doi = {10.3390/ijerph15010083}, Key = {fds331559} } @article{fds332067, Author = {Davis, NO and Bower, J and Kollins, SH}, Title = {Proof-of-concept study of an at-home, engaging, digital intervention for pediatric ADHD.}, Journal = {Plos One}, Volume = {13}, Number = {1}, Pages = {e0189749}, Year = {2018}, url = {http://dx.doi.org/10.1371/journal.pone.0189749}, Abstract = {OBJECTIVE: Pharmacological and behavioral therapies have limited impact on the distinct neurocognitive impairments associated with ADHD, and existing cognitive training programs have shown limited efficacy. This proof-of-concept study assessed treatment acceptability and explored outcomes for a novel digital treatment targeting cognitive processes implicated in ADHD. METHOD: Participants included 40 children with ADHD and 40 children without ADHD. Following psychiatric screening, ADHD ratings, and baseline neuropsychological measures, participants completed 28-days of at-home treatment. Neuropsychological assessment was repeated at end-of-study along with treatment satisfaction measures. RESULTS: Eighty-four percent of treatment sessions were completed and ratings showed strong intervention appeal. Significant improvements were observed on a computerized attention task for the ADHD group and a highly impaired ADHD High Severity subgroup. There was no change for the non-ADHD group. Spatial working memory also improved for the ADHD group and the ADHD High Severity subgroup. CONCLUSION: Findings provide preliminary support that this treatment may improve attention, working memory, and inhibition in children with ADHD. Future research requires larger-scale randomized controlled trials that also evaluate treatment impact on functional impairments. TRIAL REGISTRATION: ClinicalTrials.gov NCT01943539.}, Doi = {10.1371/journal.pone.0189749}, Key = {fds332067} } @article{fds340526, Author = {Murphy, SK and Itchon-Ramos, N and Visco, Z and Huang, Z and Grenier, C and Schrott, R and Acharya, K and Boudreau, M-H and Price, TM and Raburn, DJ and Corcoran, DL and Lucas, JE and Mitchell, JT and McClernon, FJ and Cauley, M and Hall, BJ and Levin, ED and Kollins, SH}, Title = {Cannabinoid exposure and altered DNA methylation in rat and human sperm.}, Journal = {Epigenetics : Official Journal of the Dna Methylation Society}, Volume = {13}, Number = {12}, Pages = {1208-1221}, Year = {2018}, url = {http://dx.doi.org/10.1080/15592294.2018.1554521}, Abstract = {Little is known about the reproductive effects of paternal cannabis exposure. We evaluated associations between cannabis or tetrahydrocannabinol (THC) exposure and altered DNA methylation in sperm from humans and rats, respectively. DNA methylation, measured by reduced representation bisulfite sequencing, differed in the sperm of human users from non-users by at least 10% at 3,979 CpG sites. Pathway analyses indicated Hippo Signaling and Pathways in Cancer as enriched with altered genes (Bonferroni p < 0.02). These same two pathways were also enriched with genes having altered methylation in sperm from THC-exposed versus vehicle-exposed rats (p < 0.01). Data validity is supported by significant correlations between THC exposure levels in humans and methylation for 177 genes, and substantial overlap in THC target genes in rat sperm (this study) and genes previously reported as having altered methylation in the brain of rat offspring born to parents both exposed to THC during adolescence. In humans, cannabis use was also associated with significantly lower sperm concentration. Findings point to possible pre-conception paternal reproductive risks associated with cannabis use.}, Doi = {10.1080/15592294.2018.1554521}, Key = {fds340526} } @article{fds311593, Author = {Mitchell, JT and McIntyre, EM and English, JS and Dennis, MF and Beckham, JC and Kollins, SH}, Title = {A Pilot Trial of Mindfulness Meditation Training for ADHD in Adulthood: Impact on Core Symptoms, Executive Functioning, and Emotion Dysregulation.}, Journal = {J Atten Disord}, Volume = {21}, Number = {13}, Pages = {1105-1120}, Year = {2017}, Month = {November}, url = {http://www.ncbi.nlm.nih.gov/pubmed/24305060}, Abstract = {OBJECTIVE: Mindfulness meditation training is garnering increasing empirical interest as an intervention for ADHD in adulthood, although no studies of mindfulness as a standalone treatment have included a sample composed entirely of adults with ADHD or a comparison group. The aim of this study was to assess the feasibility, acceptability, and preliminary efficacy of mindfulness meditation for ADHD, executive functioning (EF), and emotion dysregulation symptoms in an adult ADHD sample. METHOD: Adults with ADHD were stratified by ADHD medication status and otherwise randomized into an 8-week group-based mindfulness treatment ( n = 11) or waitlist group ( n = 9). RESULTS: Treatment feasibility and acceptability were positive. In addition, self-reported ADHD and EF symptoms (assessed in the laboratory and ecological momentary assessment), clinician ratings of ADHD and EF symptoms, and self-reported emotion dysregulation improved for the treatment group relative to the waitlist group over time with large effect sizes. Improvement was not observed for EF tasks. CONCLUSION: Findings support preliminary treatment efficacy, though require larger trials.}, Doi = {10.1177/1087054713513328}, Key = {fds311593} } @article{fds327694, Author = {McCullough, LE and Miller, EE and Calderwood, LE and Shivappa, N and Steck, SE and Forman, MR and A Mendez and M and Maguire, R and Fuemmeler, BF and Kollins, SH and D Bilbo and S and Huang, Z and Murtha, AP and Murphy, SK and Hébert, JR and Hoyo, C}, Title = {Maternal inflammatory diet and adverse pregnancy outcomes: Circulating cytokines and genomic imprinting as potential regulators?}, Journal = {Epigenetics : Official Journal of the Dna Methylation Society}, Volume = {12}, Number = {8}, Pages = {688-697}, Year = {2017}, Month = {August}, url = {http://dx.doi.org/10.1080/15592294.2017.1347241}, Abstract = {Excessive inflammation during pregnancy alters homeostatic mechanisms of the developing fetus and has been linked to adverse pregnancy outcomes. An anti-inflammatory diet could be a promising avenue to combat the pro-inflammatory state of pregnancy, particularly in obese women, but we lack mechanistic data linking this dietary pattern during pregnancy to inflammation and birth outcomes. In an ethnically diverse cohort of 1057 mother-child pairs, we estimated the relationships between dietary inflammatory potential [measured via the energy-adjusted dietary inflammatory index (E-DII™)] and birth outcomes overall, as well as by offspring sex and maternal pre-pregnancy body mass index (BMI). In a subset of women, we also explored associations between E-DII, circulating cytokines (n = 105), and offspring methylation (n = 338) as potential modulators of these relationships using linear regression. Adjusted regression models revealed that women with pro-inflammatory diets had elevated rates of preterm birth among female offspring [β = -0.22, standard error (SE) = 0.07, P<0.01], but not male offspring (β=0.09, SE = 0.06, P<0.12) (Pinteraction = 0.003). Similarly, we observed pro-inflammatory diets were associated with higher rates of caesarean delivery among obese women (β = 0.17, SE = 0.08, P = 0.03), but not among women with BMI <25 kg/m2 (Pinteraction = 0.02). We observed consistent inverse associations between maternal inflammatory cytokine concentrations (IL-12, IL-17, IL-4, IL-6, and TNFα) and lower methylation at the MEG3 regulatory sequence (P<0.05); however, results did not support the link between maternal E-DII and circulating cytokines. We replicate work by others on the association between maternal inflammatory diet and adverse pregnancy outcomes and provide the first empirical evidence supporting the inverse association between circulating cytokine concentrations and offspring methylation.}, Doi = {10.1080/15592294.2017.1347241}, Key = {fds327694} } @article{fds324863, Author = {Schechter, JC and Kollins, SH}, Title = {Prenatal Smoke Exposure and ADHD: Advancing the Field.}, Journal = {Pediatrics}, Volume = {139}, Number = {2}, Pages = {e20163481}, Year = {2017}, Month = {February}, url = {http://dx.doi.org/10.1542/peds.2016-3481}, Doi = {10.1542/peds.2016-3481}, Key = {fds324863} } @article{fds319636, Author = {Childress, AC and Kollins, SH and Cutler, AJ and Marraffino, A and Sikes, CR}, Title = {Efficacy, Safety, and Tolerability of an Extended-Release Orally Disintegrating Methylphenidate Tablet in Children 6-12 Years of Age with Attention-Deficit/Hyperactivity Disorder in the Laboratory Classroom Setting.}, Journal = {J Child Adolesc Psychopharmacol}, Volume = {27}, Number = {1}, Pages = {66-74}, Year = {2017}, Month = {February}, url = {http://dx.doi.org/10.1089/cap.2016.0002}, Abstract = {OBJECTIVE: Methylphenidate extended-release orally disintegrating tablets (MPH XR-ODTs) represent a new technology for MPH delivery. ODTs disintegrate in the mouth without water and provide a pharmacokinetic profile that is consistent with once-daily dosing. This study sought to determine the efficacy, safety, and tolerability of this novel MPH XR-ODT formulation in school-age children with attention-deficit/hyperactivity disorder (ADHD) in a laboratory classroom setting. METHODS: Children aged 6-12 years with ADHD (n = 87) were enrolled in this randomized, multicenter, double-blind, placebo-controlled, parallel, laboratory classroom study. The MPH XR-ODT dose was titrated to an optimized dose during a 4-week open-label period and maintained on that dose for 1 week. Participants (n = 85) were then randomized to receive their optimized dose of MPH XR-ODT or placebo once daily for 1 week (double blind), culminating in a laboratory classroom testing day. Efficacy was evaluated using the Swanson, Kotkin, Agler, M-Flynn, and Pelham (SKAMP) Attention, Deportment, and Combined scores along with Permanent Product Measure of Performance (PERMP; Attempted and Correct) assessments. Onset and duration of drug action were also evaluated as key secondary endpoints. Safety assessments included adverse events (AEs), physical examinations, electrocardiograms (ECGs), and the Columbia Suicide Severity Rating Scale (C-SSRS). RESULTS: The average SKAMP-Combined score on the classroom study day was significantly better for the MPH XR-ODT group (n = 43) than for the placebo group (n = 39; p < 0.0001). The effect was evident at 1 hour and lasted through 12 hours postdose. The average SKAMP-Attention, SKAMP-Deportment, PERMP-A, and PERMP-C scores were indicative of significantly greater ADHD symptom control for the MPH XR-ODT group. The most common AEs reported were decreased appetite, upper abdominal pain, headache, insomnia, upper respiratory tract infection, affect lability, irritability, cough, and vomiting. CONCLUSIONS: MPH XR-ODT was effective and well tolerated for the treatment of children with ADHD in a laboratory classroom setting. Clinical Trial Registry: NCT01835548 ( ClinicalTrials.gov ).}, Doi = {10.1089/cap.2016.0002}, Key = {fds319636} } @article{fds322125, Author = {Lunsford-Avery, JR and Krystal, AD and Kollins, SH}, Title = {Sleep disturbances in adolescents with ADHD: A systematic review and framework for future research.}, Journal = {Clin Psychol Rev}, Volume = {50}, Pages = {159-174}, Year = {2016}, Month = {December}, url = {http://dx.doi.org/10.1016/j.cpr.2016.10.004}, Abstract = {BACKGROUND: Biological mechanisms underlying symptom and prognostic heterogeneity in Attention-Deficit/Hyperactivity Disorder (ADHD) are unclear. Sleep impacts neurocognition and daytime functioning and is disrupted in ADHD, yet little is known about sleep in ADHD during adolescence, a period characterized by alterations in sleep, brain structure, and environmental demands as well as diverging ADHD trajectories. METHODS: A systematic review identified studies published prior to August 2016 assessing sleep in adolescents (aged 10-19years) with ADHD or participating in population-based studies measuring ADHD symptoms. RESULTS: Twenty-five studies were identified (19 subjective report, 6 using actigraphy/polysomnography). Findings are mixed but overall suggest associations between sleep disturbances and 1) ADHD symptoms in the population and 2) poorer clinical, neurocognitive, and functional outcomes among adolescents with ADHD. Common limitations of studies included small or non-representative samples, non-standardized sleep measures, and cross-sectional methodology. CONCLUSIONS: Current data on sleep in adolescent ADHD are sparse and limited by methodological concerns. Future studies are critical for clarifying a potential role of sleep in contributing to heterogeneity of ADHD presentation and prognosis. Potential mechanisms by which sleep disturbances during adolescence may contribute to worsened symptom severity and persistence of ADHD into adulthood and an agenda to guide future research are discussed.}, Doi = {10.1016/j.cpr.2016.10.004}, Key = {fds322125} } @article{fds305762, Author = {Schoenfelder, EN and Kollins, SH}, Title = {Topical Review: ADHD and Health-Risk Behaviors: Toward Prevention and Health Promotion.}, Journal = {Journal of Pediatric Psychology}, Volume = {41}, Number = {7}, Pages = {735-740}, Year = {2016}, Month = {August}, ISSN = {0146-8693}, url = {http://dx.doi.org/10.1093/jpepsy/jsv162}, Abstract = {Across the lifespan, attention deficit/hyperactivity disorder (ADHD) is associated with increased health risk behaviors including substance abuse, binge eating and obesity, and unsafe sexual behavior. These risks are directly linked to the neurocognitive deficits associated with ADHD, and are also mediated by the cascade of psychosocial impairments and stressors caused by ADHD across development. However, little is known about optimal approaches to improve health outcomes in this high-risk population. This topical review provides an overview of health risks associated with ADHD and the limited existing research relevant to health promotion for children and adolescents with ADHD. Future research questions and implications for clinicians are also addressed-especially how psychologists and medical practitioners may improve child health through early screenings, increasing medication adherence, and treating psychosocial impairments.}, Doi = {10.1093/jpepsy/jsv162}, Key = {fds305762} } @article{fds319637, Author = {Mitchell, JT and Sweitzer, MM and Tunno, AM and Kollins, SH and McClernon, FJ}, Title = {"I Use Weed for My ADHD": A Qualitative Analysis of Online Forum Discussions on Cannabis Use and ADHD.}, Journal = {Plos One}, Volume = {11}, Number = {5}, Pages = {e0156614}, Year = {2016}, url = {http://dx.doi.org/10.1371/journal.pone.0156614}, Abstract = {BACKGROUND: Attention-deficit/hyperactivity disorder (ADHD) is a risk factor for problematic cannabis use. However, clinical and anecdotal evidence suggest an increasingly popular perception that cannabis is therapeutic for ADHD, including via online resources. Given that the Internet is increasingly utilized as a source of healthcare information and may influence perceptions, we conducted a qualitative analysis of online forum discussions, also referred to as threads, on the effects of cannabis on ADHD to systematically characterize the content patients and caregivers may encounter about ADHD and cannabis. METHODS: A total of 268 separate forum threads were identified. Twenty percent (20%) were randomly selected, which yielded 55 separate forum threads (mean number of individual posts per forum thread = 17.53) scored by three raters (Cohen's kappa = 0.74). A final sample of 401 posts in these forum threads received at least one endorsement on predetermined topics following qualitative coding procedures. RESULTS: Twenty-five (25%) percent of individual posts indicated that cannabis is therapeutic for ADHD, as opposed to 8% that it is harmful, 5% that it is both therapeutic and harmful, and 2% that it has no effect on ADHD. This pattern was generally consistent when the year of each post was considered. The greater endorsement of therapeutic versus harmful effects of cannabis did not generalize to mood, other (non-ADHD) psychiatric conditions, or overall domains of daily life. Additional themes emerged (e.g., cannabis being considered sanctioned by healthcare providers). CONCLUSIONS: Despite that there are no clinical recommendations or systematic research supporting the beneficial effects of cannabis use for ADHD, online discussions indicate that cannabis is considered therapeutic for ADHD-this is the first study to identify such a trend. This type of online information could shape ADHD patient and caregiver perceptions, and influence cannabis use and clinical care.}, Doi = {10.1371/journal.pone.0156614}, Key = {fds319637} } @article{fds273994, Author = {Koblan, KS and Hopkins, SC and Sarma, K and Jin, F and Goldman, R and Kollins, SH and Loebel, A}, Title = {Dasotraline for the Treatment of Attention-Deficit/Hyperactivity Disorder: A Randomized, Double-Blind, Placebo-Controlled, Proof-of-Concept Trial in Adults.}, Journal = {Neuropsychopharmacology}, Volume = {40}, Number = {12}, Pages = {2745-2752}, Year = {2015}, Month = {November}, ISSN = {0893-133X}, url = {http://dx.doi.org/10.1038/npp.2015.124}, Abstract = {Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by symptoms of inattention, hyperactivity, and impulsivity associated with clinically significant impairment in functioning. ADHD has an early onset, but frequently persists, with a prevalence estimate of 4% in adults. Dasotraline is a novel compound that is a potent inhibitor of dopamine and norepinephrine transporters that achieves stable plasma concentrations with once-daily dosing. In this study, adult outpatients meeting DSM-IV-TR criteria for ADHD were randomized to 4 weeks of double-blind, once-daily treatment with dasotraline 4 and 8 mg/day or placebo. The primary efficacy end point was change from baseline at week 4 in the ADHD Rating Scale, Version IV (ADHD RS-IV) total score. Secondary efficacy end points included the Clinical Global Impression, Severity (CGI-S) scale, modified for ADHD symptoms. Least squares (LS) mean improvements at week 4 in ADHD RS-IV total score were significantly greater for dasotraline 8 mg/day vs placebo (-13.9 vs -9.7; P=0.019), and nonsignificantly greater for 4 mg/day (-12.4; P=0.076). The LS mean improvements in modified CGI-S were significantly greater at week 4 for dasotraline 8 mg/day vs placebo (-1.1 vs -0.7; P=0.013), and for 4 mg/day vs placebo (-1.1 vs -0.7; P=0.021). The most frequent adverse events reported were insomnia, decreased appetite, nausea, and dry mouth. Discontinuations due to treatment-emergent adverse events were 10.3% and 27.8% of patients in 4 and 8 mg/day treatment groups, respectively. This study provides preliminary evidence that once-daily dosing with dasotraline, a long-acting, dual monoamine reuptake inhibitor, may be a safe and efficacious treatment for adult ADHD.}, Doi = {10.1038/npp.2015.124}, Key = {fds273994} } @article{fds273992, Author = {Vitiello, B and Lazzaretto, D and Yershova, K and Abikoff, H and Paykina, N and McCracken, JT and McGough, JJ and Kollins, SH and Greenhill, LL and Wigal, S and Wigal, T and Riddle, MA}, Title = {Pharmacotherapy of the Preschool ADHD Treatment Study (PATS) Children Growing Up.}, Journal = {J Am Acad Child Adolesc Psychiatry}, Volume = {54}, Number = {7}, Pages = {550-556}, Year = {2015}, Month = {July}, ISSN = {0890-8567}, url = {http://dx.doi.org/10.1016/j.jaac.2015.04.004}, Abstract = {OBJECTIVE: To describe the long-term psychopharmacological treatment of children first diagnosed with attention-deficit/hyperactivity disorder (ADHD) as preschoolers. METHOD: In a systematic, prospective, naturalistic follow-up, 206 (68.0%) of the 303 children who participated in the Preschool ADHD Treatment Study (PATS) were reassessed 3 years (mean age 7.4 years) and 179 (59.1%) were reassessed 6 years (mean age 10.4 years) after completion of the controlled study. Pharmacotherapy and clinical data were obtained from the parents. Pharmacotherapy was defined as use of a specific class of medication for at least 50% of the days in the previous 6 months. RESULTS: At year 3, a total of 34.0% of the participants were on no pharmacotherapy, 41.3% were on stimulant monotherapy, 9.2% were on atomoxetine alone or with a stimulant, 8.3% were on an antipsychotic usually together with a stimulant, and the remaining 7.2% were on other pharmacotherapy; overall, 65.0% were on an indicated ADHD medication. At year 6, a total of 26.8% of the participants were on no pharmacotherapy, 40.2% were on stimulant monotherapy, 4.5% were on atomoxetine alone or with a stimulant, 13.4% were on an antipsychotic, and 15.1% were on other pharmacotherapy; overall, 70.9% were on an indicated ADHD medication. Antipsychotic treatment was associated with more comorbidity, in particular disruptive behavior disorders and pervasive development disorders, and a lower level of functioning. CONCLUSION: In this study, the long-term pharmacotherapy of preschoolers with ADHD was heterogeneous. Although stimulant medication continued to be used by most children, about 1 child in 4 was off medication, and about 1 in 10 was on an antipsychotic.}, Doi = {10.1016/j.jaac.2015.04.004}, Key = {fds273992} } @article{fds273998, Author = {Childress, AC and Brams, M and Cutler, AJ and Kollins, SH and Northcutt, J and Padilla, A and Turnbow, JM}, Title = {The Efficacy and Safety of Evekeo, Racemic Amphetamine Sulfate, for Treatment of Attention-Deficit/Hyperactivity Disorder Symptoms: A Multicenter, Dose-Optimized, Double-Blind, Randomized, Placebo-Controlled Crossover Laboratory Classroom Study.}, Journal = {J Child Adolesc Psychopharmacol}, Volume = {25}, Number = {5}, Pages = {402-414}, Year = {2015}, Month = {June}, ISSN = {1044-5463}, url = {http://dx.doi.org/10.1089/cap.2014.0176}, Abstract = {OBJECTIVE: The study goal was to determine the efficacy and safety of an optimal dose of Evekeo, racemic amphetamine sulfate, 1:1 d-amphetamine and l-amphetamine (R-AMPH), compared to placebo in treating children with attention-deficit/hyperactivity disorder (ADHD) in a laboratory classroom setting. METHODS: A total of 107 children ages 6-12 years were enrolled in this multicenter, dose-optimized, randomized, double-blind, placebo-controlled crossover study. After 8 weeks of open-label dose optimization, 97 subjects were randomized to 2 weeks of double-blind treatment in the sequence of R-AMPH followed by placebo (n=47) or placebo followed by R-AMPH (n=50). Efficacy measures included the Swanson, Kotkin, Agler, M-Flynn, and Pelham (SKAMP) Rating Scale and Permanent Product Measure of Performance (PERMP) administered predose and at 0.75, 2, 4, 6, 8, and 10 hours postdose on 2 laboratory classroom days. Safety assessments included physical examination, chemistry, hematology, vital signs, and treatment-emergent adverse events (TEAEs). RESULTS: Compared to placebo, a single daily dose of R-AMPH significantly improved SKAMP-Combined scores (p<0.0001) at each time point tested throughout the laboratory classroom days, with effect onset 45 minutes postdose and extending through 10 hours. R-AMPH significantly improved PERMP number of problems attempted and correct (p<0.0001) throughout the laboratory classroom days. During the twice-daily dose-optimization open-label phase, improvements were observed with R-AMPH in scores of the ADHD-Rating Scale IV and Clinical Global Impressions Severity and Improvement Scales. TEAEs and changes in vital signs associated with R-AMPH were generally mild and not unexpected. The most common TEAEs in the open-label phase were decreased appetite (27.6%), upper abdominal pain (14.3%), irritability (14.3%), and headache (13.3%). CONCLUSIONS: Compared to placebo, R-AMPH was effective in treating children aged 6-12 years with ADHD, beginning at 45 minutes and continuing through 10 hours postdose, and was well tolerated. TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT01986062. https://clinicaltrials.gov/ct2/show/NCT01986062.}, Doi = {10.1089/cap.2014.0176}, Key = {fds273998} } @article{fds273993, Author = {Mitchell, JT and Zylowska, L and Kollins, SH}, Title = {Mindfulness Meditation Training for Attention-Deficit/Hyperactivity Disorder in Adulthood: Current Empirical Support, Treatment Overview, and Future Directions.}, Journal = {Cognitive and Behavioral Practice}, Volume = {22}, Number = {2}, Pages = {172-191}, Year = {2015}, Month = {May}, ISSN = {1077-7229}, url = {http://dx.doi.org/10.1016/j.cbpra.2014.10.002}, Abstract = {Research examining nonpharmacological interventions for adults diagnosed with attention-deficit/hyperactivity disorder (ADHD) has expanded in recent years and provides patients with more treatment options. Mindfulness-based training is an example of an intervention that is gaining promising preliminary empirical support and is increasingly administered in clinical settings. The aim of this review is to provide a rationale for the application of mindfulness to individuals diagnosed with ADHD, describe the current state of the empirical basis for mindfulness training in ADHD, and summarize a treatment approach specific to adults diagnosed with ADHD: the Mindful Awareness Practices (MAPs) for ADHD Program. Two case study examples are provided to demonstrate relevant clinical issues for practitioners interested in this approach. Directions for future research, including mindfulness meditation as a standalone treatment and as a complementary approach to cognitive-behavioral therapy, are provided.}, Doi = {10.1016/j.cbpra.2014.10.002}, Key = {fds273993} } @article{fds314753, Author = {Fuemmeler, BF and Hoyo, C and Murphy, S and Vidal, AC and Kollins, SH}, Title = {PRE-PREGNANCY OBESITY AND OFFSPRING NEUROBEHAVIORAL DEVELOPMENT}, Journal = {Annals of Behavioral Medicine}, Volume = {49}, Pages = {S252-S252}, Publisher = {SPRINGER}, Year = {2015}, Month = {April}, ISSN = {0883-6612}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000367825002480&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds314753} } @article{fds273999, Author = {Lee, C-T and Clark, TT and Kollins, SH and McClernon, FJ and Fuemmeler, BF}, Title = {Attention Deficit Hyperactivity Disorder symptoms and smoking trajectories: race and gender differences.}, Journal = {Drug Alcohol Depend}, Volume = {148}, Pages = {180-187}, Year = {2015}, Month = {March}, ISSN = {0376-8716}, url = {http://dx.doi.org/10.1016/j.drugalcdep.2015.01.002}, Abstract = {PURPOSE: This study examined the influence of Attention Deficit Hyperactivity Disorder (ADHD) symptoms severity and directionality (hyperactive-impulsive symptoms relative to inattentive symptoms) on trajectories of the probability of current (past month) smoking and the number of cigarettes smoked from age 13 to 32. Racial and gender differences in the relationship of ADHD symptoms and smoking trajectories were also assessed. METHODS: A subsample of 9719 youth (54.5% female) was drawn from the National Longitudinal Study of Adolescent to Adult Health (Add Health). Cohort sequential design and zero-inflated Poisson (ZIP) latent growth modeling were used to estimate the relationship between ADHD directionality and severity on smoking development. RESULTS: ADHD severity's effect on the likelihood of ever smoking cigarettes at the intercept (age 13) had a greater impact on White males than other groups. ADHD severity also had a stronger influence on the initial number of cigarettes smoked at age 13 among Hispanic participants. The relationships between ADHD directionality (hyperactive-impulsive symptoms relative to inattentive symptoms) and a higher number of cigarettes smoked at the intercept were stronger among Hispanic males than others. Gender differences manifested only among Whites. CONCLUSION: ADHD severity and directionality had unique effects on smoking trajectories. Our results also highlight that the risk of ADHD symptoms may differ by race and gender.}, Doi = {10.1016/j.drugalcdep.2015.01.002}, Key = {fds273999} } @article{fds274003, Author = {Kollins, SH and Schoenfelder, EN and English, JS and Holdaway, A and Van Voorhees, E and O'Brien, BR and Dew, R and Chrisman, AK}, Title = {An exploratory study of the combined effects of orally administered methylphenidate and delta-9-tetrahydrocannabinol (THC) on cardiovascular function, subjective effects, and performance in healthy adults.}, Journal = {J Subst Abuse Treat}, Volume = {48}, Number = {1}, Pages = {96-103}, Year = {2015}, Month = {January}, ISSN = {0740-5472}, url = {http://dx.doi.org/10.1016/j.jsat.2014.07.014}, Abstract = {Methylphenidate (MPH) is commonly prescribed for the treatment of Attention Deficit Hyperactivity Disorder (ADHD), and is often used illicitly by young adults. Illicit users often coadminister MPH with marijuana. Little is known about physiologic and subjective effects of these substances used in combination. In this double-blind, cross-over experiment, sixteen healthy adult subjects free from psychiatric illness (including ADHD) and reporting modest levels of marijuana use participated in 6 experimental sessions wherein all combinations of placebo or 10mg oral doses of delta-9-tetrahydocannibinol (THC); and 0mg, 10mg and 40 mg of MPH were administered. Sessions were separated by at least 48 hours. Vital signs, subjective effects, and performance measure were collected. THC and MPH showed additive effects on heart rate and rate pressure product (e.g., peak heart rate for 10mg THC+0mg, 10mg, and 40 mg MPH=89.1, 95.9, 102.0 beats/min, respectively). Main effects of THC and MPH were also observed on a range of subjective measures of drug effects, and significant THC dose × MPH dose interactions were found on measures of "Feel Drug," "Good Effects," and "Take Drug Again." THC increased commission errors on a continuous performance test (CPT) and MPH reduced reaction time variability on this measure. Effects of THC, MPH, and their combination were variable on a measure of working memory (n-back task), though in general, MPH decreased reaction times and THC mitigated these effects. These results suggest that the combination of low to moderate doses of MPH and THC produces unique effects on cardiovascular function, subjective effects and performance measures.}, Doi = {10.1016/j.jsat.2014.07.014}, Key = {fds274003} } @article{fds319638, Author = {Koblan, KS and Hopkins, SC and Sarma, K and Jin, F and Goldman, R and Kollins, SH and Loebel, A}, Title = {Dasotraline for the treatment of attention-deficit/hyperactivity disorder: A randomized, double-blind, placebo-controlled, proof-of-concept trial in adults}, Journal = {Neuropsychopharmacology}, Volume = {40}, Number = {12}, Pages = {2745-2752}, Year = {2015}, url = {http://dx.doi.org/10.1038/npp.2015.124}, Abstract = {© 2015 American College of Neuropsychopharmacology.Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by symptoms of inattention, hyperactivity, and impulsivity associated with clinically significant impairment in functioning. ADHD has an early onset, but frequently persists, with a prevalence estimate of 4% in adults. Dasotraline is a novel compound that is a potent inhibitor of dopamine and norepinephrine transporters that achieves stable plasma concentrations with once-daily dosing. In this study, adult outpatients meeting DSM-IV-TR criteria for ADHD were randomized to 4 weeks of double-blind, once-daily treatment with dasotraline 4 and 8 mg/day or placebo. The primary efficacy end point was change from baseline at week 4 in the ADHD Rating Scale, Version IV (ADHD RS-IV) total score. Secondary efficacy end points included the Clinical Global Impression, Severity (CGI-S) scale, modified for ADHD symptoms. Least squares (LS) mean improvements at week 4 in ADHD RS-IV total score were significantly greater for dasotraline 8 mg/day vs placebo (-13.9 vs -9.7; P=0.019), and nonsignificantly greater for 4 mg/day (-12.4; P=0.076). The LS mean improvements in modified CGI-S were significantly greater at week 4 for dasotraline 8 mg/day vs placebo (-1.1 vs -0.7; P=0.013), and for 4 mg/day vs placebo (-1.1 vs -0.7; P=0.021). The most frequent adverse events reported were insomnia, decreased appetite, nausea, and dry mouth. Discontinuations due to treatment-emergent adverse events were 10.3% and 27.8% of patients in 4 and 8 mg/day treatment groups, respectively. This study provides preliminary evidence that once-daily dosing with dasotraline, a long-acting, dual monoamine reuptake inhibitor, may be a safe and efficacious treatment for adult ADHD.}, Doi = {10.1038/npp.2015.124}, Key = {fds319638} } @article{fds274000, Author = {Wigal, SB and Greenhill, LL and Nordbrock, E and Connor, DF and Kollins, SH and Adjei, A and Childress, A and Stehli, A and Kupper, RJ}, Title = {A randomized placebo-controlled double-blind study evaluating the time course of response to methylphenidate hydrochloride extended-release capsules in children with attention-deficit/hyperactivity disorder.}, Journal = {J Child Adolesc Psychopharmacol}, Volume = {24}, Number = {10}, Pages = {562-569}, Year = {2014}, Month = {December}, ISSN = {1044-5463}, url = {http://dx.doi.org/10.1089/cap.2014.0100}, Abstract = {OBJECTIVE: The purpose of this study was to assess the time of onset and time course of efficacy over 12.0 hours of extended-release multilayer bead formulation of methylphenidate (MPH-MLR) compared with placebo in children 6-12 years of age with attention-deficit/hyperactivity disorder (ADHD) in a laboratory school setting. METHODS: This randomized double-blind placebo-controlled study included children 6-12 years of age with ADHD. Enrolled children went through four study phases: 1) Screening period (≤4 weeks) and a 2 day medication washout period; 2) open-label period with dose initiation of MPH-MLR 15 mg daily and individual dose optimization treatment period (2-4 weeks); 3) double-blind crossover period in which participants were randomized to sequences (1 week each) of placebo and the optimized MPH-MLR dose given daily; and 4) follow-up safety call. Analog classroom time course evaluations were performed at the end of each double-blind week. The primary efficacy end-point was the mean of the on-treatment/postdose Swanson, Kotkin, Agler, M-Flynn, and Pelham (SKAMP)-Total scores over time points collected 1.0-12.0 hours after dosing. End-points were evaluated using a mixed-effects analysis of covariance. RESULTS: The evaluable population included 20 participants. The least-squares mean postdose SKAMP-Total score was higher for placebo than for MPH-MLR (2.18 vs. 1.32, respectively; p=0.0001), indicating fewer symptoms with MPH-MLR therapy than with placebo. No difference in SKAMP-Total score between participants who received sequence 1 or sequence 2 was noted. From each of hours 1.0-12.0, least-squares mean SKAMP-Total score was significantly lower for those receiving MPH-MLR than for those receiving placebo (p≤0.0261). Neither serious adverse events nor new or unexpected safety findings were noted during the study. CONCLUSIONS: MPH-MLR showed a significant decrease in SKAMP scores compared with placebo in children with ADHD 6-12 years of age, indicating a decrease in ADHD symptoms. The estimated onset was observed within 1.0 hour, and duration was measured to 12.0 hours postdose. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT01269463.}, Doi = {10.1089/cap.2014.0100}, Key = {fds274000} } @article{fds274001, Author = {Smith, TF and Anastopoulos, AD and Garrett, ME and Arias-Vasquez, A and Franke, B and Oades, RD and Sonuga-Barke, E and Asherson, P and Gill, M and Buitelaar, JK and Sergeant, JA and Kollins, SH and Faraone, SV and Ashley-Koch, A and IMAGE Consortium}, Title = {Angiogenic, neurotrophic, and inflammatory system SNPs moderate the association between birth weight and ADHD symptom severity.}, Journal = {Am J Med Genet B Neuropsychiatr Genet}, Volume = {165B}, Number = {8}, Pages = {691-704}, Year = {2014}, Month = {December}, ISSN = {1552-4841}, url = {http://dx.doi.org/10.1002/ajmg.b.32275}, Abstract = {Low birth weight is associated with increased risk for Attention-Deficit/Hyperactivity Disorder (ADHD); however, the etiological underpinnings of this relationship remain unclear. This study investigated if genetic variants in angiogenic, dopaminergic, neurotrophic, kynurenine, and cytokine-related biological pathways moderate the relationship between birth weight and ADHD symptom severity. A total of 398 youth from two multi-site, family-based studies of ADHD were included in the analysis. The sample consisted of 360 ADHD probands, 21 affected siblings, and 17 unaffected siblings. A set of 164 SNPs from 31 candidate genes, representing five biological pathways, were included in our analyses. Birth weight and gestational age data were collected from a state birth registry, medical records, and parent report. Generalized Estimating Equations tested for main effects and interactions between individual SNPs and birth weight centile in predicting ADHD symptom severity. SNPs within neurotrophic (NTRK3) and cytokine genes (CNTFR) were associated with ADHD inattentive symptom severity. There was no main effect of birth weight centile on ADHD symptom severity. SNPs within angiogenic (NRP1 & NRP2), neurotrophic (NTRK1 & NTRK3), cytokine (IL16 & S100B), and kynurenine (CCBL1 & CCBL2) genes moderate the association between birth weight centile and ADHD symptom severity. The SNP main effects and SNP × birth weight centile interactions remained significant after adjusting for multiple testing. Genetic variability in angiogenic, neurotrophic, and inflammatory systems may moderate the association between restricted prenatal growth, a proxy for an adverse prenatal environment, and risk to develop ADHD.}, Doi = {10.1002/ajmg.b.32275}, Key = {fds274001} } @article{fds274002, Author = {Adjei, A and Kupper, RJ and Teuscher, NS and Wigal, S and Sallee, F and Childress, A and Kollins, SH and Greenhill, L}, Title = {Steady-state bioavailability of extended-release methylphenidate (MPH-MLR) capsule vs. immediate-release methylphenidate tablets in healthy adult volunteers.}, Journal = {Clin Drug Investig}, Volume = {34}, Number = {11}, Pages = {795-805}, Year = {2014}, Month = {November}, ISSN = {1173-2563}, url = {http://dx.doi.org/10.1007/s40261-014-0234-x}, Abstract = {OBJECTIVES: The objective of the study was to determine the relative bioavailability of an extended-release multilayer bead formulation of methylphenidate hydrochloride (MPH-MLR) 80 mg vs. methylphenidate immediate-release (IR; Ritalin(®)) tablets as single and multiple doses in the fed state. METHODS: A single-center, multiple-dose, randomized, open-label, two-period crossover study conducted in 26 healthy adults assigned to 4 days of once-daily MPH-MLR 80 mg or IR methylphenidate 25 mg three times daily. RESULTS: MPH-MLR 80 mg produced reproducible biphasic profiles of plasma methylphenidate concentrations characterized by a rapid initial peak, followed by a moderate decline reaching a plateau ~5 h post dose, then a gradual increase culminating in an attenuated second peak ~7 h post dose. Maximum concentration was lower for MPH-MLR 80 mg than IR methylphenidate 25 mg three times daily on day 1 (23.70 vs. 31.47 ng/mL); exposure was similar. The geometric mean ratios (MPH-MLR/IR methylphenidate [90 % CI]) of log-transformed area under the plasma drug concentration-time curve to the last measurable observation (day 1: 0.88 [84.75-91.80]; day 4: 0.84 [81.16-86.94]), and area under the plasma drug concentration extrapolated to infinity (day 1: 0.93 [88.57-97.28]; day 4: 0.88 [84.48-91.17]) were within the 80-125 % bioequivalence range. The mean ± SD MPH-MLR 80-mg capsule day 4 area under the plasma drug concentration vs. time curve from 0 to 4 h (74.5 ± 15.2 ng·h/mL) was greater than IR methylphenidate 25 mg three times daily (66.0 ± 17.4 ng·h/mL), confirming steady-state levels during the study period. All treatment regimens were safe and well tolerated. CONCLUSION: MPH-MLR 80-mg capsule once daily or IR methylphenidate 25 mg three times daily provides comparable maximum methylphenidate concentrations and systemic exposure in the fed state.}, Doi = {10.1007/s40261-014-0234-x}, Key = {fds274002} } @article{fds274006, Author = {Mitchell, JT and Dennis, MF and English, JS and Dennis, PA and Brightwood, A and Beckham, JC and Kollins, SH}, Title = {Ecological momentary assessment of antecedents and consequences of smoking in adults with attention-deficit/hyperactivity disorder.}, Journal = {Subst Use Misuse}, Volume = {49}, Number = {11}, Pages = {1446-1456}, Year = {2014}, Month = {September}, ISSN = {1082-6084}, url = {http://dx.doi.org/10.3109/10826084.2014.912229}, Abstract = {The current study assessed antecedents and consequences of ad lib cigarette smoking in smokers diagnosed with attention-deficit/hyperactivity disorder (ADHD) using ecological momentary assessment (EMA). Adult smokers with ADHD (n = 17) completed 870 smoking and 622 nonsmoking electronic diary entries over a 7-day observation period of their naturalistic smoking behavior. Data collection occurred from 2011 to 2012. Generalized estimating equations indicated that ADHD smokers were more likely to smoke when urge to smoke, negative affect, boredom, stress, worry, and restlessness were elevated. In addition, participants were more likely to smoke in situations that elicited higher levels of nervousness and frustration. ADHD symptoms, in general, did not differ between smoking and nonsmoking contexts, though hyperactive-impulsive ADHD symptoms were elevated prior to smoking in frustrating situations. Additional situational antecedent variables were associated with smoking, including being in the presence of others smoking, being in a bar or restaurant, while outside, and while consuming caffeinated or alcoholic beverages. Participants also reported a significant improvement in urge to smoke, negative affect, stress, hunger, and ADHD symptoms after smoking a cigarette. Findings suggest certain contextual factors that may maintain ad lib cigarette smoking in smokers with ADHD and identify potential treatment targets in smoking cessation interventions for this at-risk group. Clinical implications and future research directions are discussed. Funding for this study was provided by the National Institute on Drug Abuse.}, Doi = {10.3109/10826084.2014.912229}, Key = {fds274006} } @article{fds274008, Author = {Kollins, SH and Adcock, RA}, Title = {ADHD, altered dopamine neurotransmission, and disrupted reinforcement processes: implications for smoking and nicotine dependence.}, Journal = {Prog Neuropsychopharmacol Biol Psychiatry}, Volume = {52}, Pages = {70-78}, Year = {2014}, Month = {July}, ISSN = {0278-5846}, url = {http://dx.doi.org/10.1016/j.pnpbp.2014.02.002}, Abstract = {Attention deficit hyperactivity disorder (ADHD) is a common and impairing disorder affecting millions of children, adolescents, and adults. Individuals with ADHD smoke cigarettes at rates significantly higher than their non-diagnosed peers and the disorder also confers risk for a number of related adverse smoking outcomes including earlier age of initiation, faster progression to regular use, heavier smoking/greater dependence, and more difficulty quitting. Progress in our understanding of dopamine neurotransmission and basic behavioral reinforcement processes in ADHD may help increase our understanding of the ADHD-smoking comorbidity. This review will examine how these areas have been studied and how further work may aid in the development of better prevention and treatment for smoking in those with ADHD.}, Doi = {10.1016/j.pnpbp.2014.02.002}, Key = {fds274008} } @article{fds274005, Author = {Schoenfelder, EN and Faraone, SV and Kollins, SH}, Title = {Stimulant treatment of ADHD and cigarette smoking: a meta-analysis.}, Journal = {Pediatrics}, Volume = {133}, Number = {6}, Pages = {1070-1080}, Year = {2014}, Month = {June}, ISSN = {0031-4005}, url = {http://dx.doi.org/10.1542/peds.2014-0179}, Abstract = {BACKGROUND AND OBJECTIVE: Individuals with attention-deficit/hyperactivity disorder (ADHD) have a significantly higher risk of cigarette smoking. The nature of the relationship between smoking and psychostimulant medications commonly used to treat ADHD is controversial. Our objective was to examine the relationship between stimulant treatment of ADHD and cigarette smoking by using meta-analysis, and to identify study and sample characteristics that moderate this relationship. METHODS: Literature searches on PubMed and PsycInfo databases identified published studies for inclusion. Included studies compared cigarette smoking outcomes for stimulant-treated and untreated ADHD individuals. Seventeen studies met inclusion criteria, and 14 (total n = 2360) contained sufficient statistical information for inclusion in the meta-analysis. Two authors extracted odds ratios or frequencies of smokers in the treatment or nontreatment groups, and coded study characteristics including sample source, percentage of male participants, follow-up length, treatment consistency, type of smoking measure, prospective study, and controlling for comorbidities. RESULTS: Meta-analysis revealed a significant association between stimulant treatment and lower smoking rates. Meta-regression indicated that effect sizes were larger for studies that used clinical samples, included more women, measured smoking in adolescence rather than adulthood, conceptualized stimulant treatment as consistent over time, and accounted for comorbid conduct disorder. CONCLUSIONS: Nearly all studies were naturalistic, precluding causal inferences. Available data were insufficient to examine additional influences of patient demographics, treatment effectiveness, or other comorbidities. Consistent stimulant treatment of ADHD may reduce smoking risk; the effect was larger in samples with more severe psychopathology. Implications for further research, treatment of ADHD, and smoking prevention are discussed.}, Doi = {10.1542/peds.2014-0179}, Key = {fds274005} } @article{fds351077, Author = {Fuemmeler, B and Lee, C-T and Kollins, S and McClernon, JF and Bazemore, S}, Title = {ASSOCIATION BETWEEN ATTENTION DEFICIT HYPERACTIVITY DISORDER SYMPTOMS AND ILLICIT DRUG USE IN ADD HEALTH SAMPLE}, Journal = {Annals of Behavioral Medicine}, Volume = {47}, Pages = {S46-S46}, Publisher = {SPRINGER}, Year = {2014}, Month = {April}, Key = {fds351077} } @article{fds274020, Author = {Kollins, SH and English, JS and Itchon-Ramos, N and Chrisman, AK and Dew, R and O'Brien, B and McClernon, FJ}, Title = {A pilot study of lis-dexamfetamine dimesylate (LDX/SPD489) to facilitate smoking cessation in nicotine-dependent adults with ADHD.}, Journal = {J Atten Disord}, Volume = {18}, Number = {2}, Pages = {158-168}, Year = {2014}, Month = {February}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22508760}, Abstract = {OBJECTIVE: The goal of this study was to assess the efficacy and tolerability of lis-dexamfetamine dimesylate (LDX) as an adjunct to nicotine replacement therapy in adult smokers with ADHD who were undergoing a quit attempt. METHODS: Thirty-two regular adult smokers with ADHD were randomized to receive LDX (n = 17) or placebo (n = 15) in addition to nicotine patch concurrent with a quit attempt. RESULTS: There were no differences between smokers assigned to LDX versus placebo in any smoking outcomes. Participants treated with LDX demonstrated significant reductions in self-reported and clinician-rated ADHD symptoms. LDX was well tolerated in smokers attempting to quit. DISCUSSION: In general, LDX does not facilitate smoking cessation in adults with ADHD more than does placebo, though both groups significantly reduced smoking. LDX demonstrated efficacy for reducing ADHD symptoms in adult smokers engaging in a quit attempt.}, Doi = {10.1177/1087054712440320}, Key = {fds274020} } @article{fds274012, Author = {Mitchell, JT and McIntyre, EM and McClernon, FJ and Kollins, SH}, Title = {Smoking motivation in adults with attention-deficit/hyperactivity disorder using the Wisconsin inventory of smoking dependence motives.}, Journal = {Nicotine Tob Res}, Volume = {16}, Number = {1}, Pages = {120-125}, Year = {2014}, Month = {January}, url = {http://www.ncbi.nlm.nih.gov/pubmed/24078759}, Abstract = {INTRODUCTION: Smokers with attention-deficit/hyperactivity disorder (ADHD) differ from smokers without ADHD across a range of smoking outcomes (e.g., higher prevalence rates of smoking, faster progression to regular smoking, and greater difficulty quitting). Moreover, ADHD as a disorder has been characterized by deficits in fundamental motivational processes. To date, few studies have examined how motivation for smoking might differ between nicotine-dependent individuals with and without ADHD. The goal of this study was to assess whether specific smoking motivation factors differentiate smokers with and without ADHD as measured by an empirically derived self-report measure of smoking motivations. METHODS: Smokers with (n = 61) and without (n = 89) ADHD participated in a range of laboratory and clinical studies that included the Wisconsin Inventory of Smoking Dependence Motives (WISDM). RESULTS: A series of one-way analysis of covariances statistically controlling for age and race indicated that smokers with ADHD scored higher on the following WISDM subscales than their non-ADHD peers: automaticity, loss of control, cognitive enhancement, cue exposure, and negative reinforcement. Smokers in the non-ADHD group yielded higher scores on the social- environmental goads WISDM subscale. No group by gender interactions emerged. CONCLUSIONS: Cigarette smokers with ADHD report different motives for smoking than smokers without ADHD. Clarifying the role of these motivational factors has implications for smoking prevention and treatment.}, Doi = {10.1093/ntr/ntt144}, Key = {fds274012} } @article{fds274007, Author = {Mitchell, JT and Schick, RS and Hallyburton, M and Dennis, MF and Kollins, SH and Beckham, JC and McClernon, FJ}, Title = {Combined ecological momentary assessment and global positioning system tracking to assess smoking behavior: a proof of concept study.}, Journal = {J Dual Diagn}, Volume = {10}, Number = {1}, Pages = {19-29}, Year = {2014}, ISSN = {1550-4263}, url = {http://dx.doi.org/10.1080/15504263.2013.866841}, Abstract = {OBJECTIVE: Ecological momentary assessment (EMA) methods have provided a rich assessment of the contextual factors associated with a wide range of behaviors including alcohol use, eating, physical activity, and smoking. Despite this rich database, this information has not been linked to specific locations in space. Such location information, which can now be easily acquired from global positioning system (GPS) tracking devices, could provide unique information regarding the space-time distribution of behaviors and new insights into their determinants. In a proof of concept study, we assessed the acceptability and feasibility of acquiring and combining EMA and GPS data from adult smokers with attention deficit hyperactivity disorder (ADHD). METHODS: Participants were adults with ADHD who were enrolled in a larger EMA study on smoking and psychiatric symptoms. Among those enrolled in the latter study who were approached to participate (N = 11), 10 consented, provided daily EMA entries, and carried a GPS device with them during a 7-day assessment period to assess aspects of their smoking behavior. RESULTS: The majority of those eligible to participate were willing to carry a GPS device and signed the consent (10 out of 11, 91%). Of the 10 who consented, 7 participants provided EMA entries and carried the GPS device with them daily for at least 70% of the sampling period. Data are presented on the spatial distribution of smoking episodes and ADHD symptoms on a subset of the sample to demonstrate applications of GPS data. CONCLUSIONS: We conclude by discussing how EMA and GPS might be used to study the ecology of smoking and make recommendations for future research and analysis.}, Doi = {10.1080/15504263.2013.866841}, Key = {fds274007} } @article{fds274009, Author = {Weisler, RH and Adler, LA and Kollins, SH and Goodman, DW and Hamdani, M and Dirks, B and Childress, AC}, Title = {Analysis of individual items on the attention-deficit/hyperactivity disorder symptom rating scale in children and adults: the effects of age and sex in pivotal trials of lisdexamfetamine dimesylate.}, Journal = {Neuropsychiatric Disease and Treatment}, Volume = {10}, Pages = {1-12}, Year = {2014}, ISSN = {1176-6328}, url = {http://www.ncbi.nlm.nih.gov/pubmed/24363557}, Abstract = {BACKGROUND: Attention-deficit/hyperactivity disorder (ADHD) symptom presentation across age and sex has not been fully elucidated. The present post hoc analyses qualitatively explored the baseline levels of ADHD symptomatology across subgroups in two clinical trials of children and adults with ADHD to elucidate differences in participant presentation. The response to treatment was examined to determine patterns of response among items of the ADHD Rating Scale IV. METHODS: Exploratory post hoc analyses of ADHD Rating Scale IV item scores were conducted on data from two 4-week placebo-controlled trials in children (6-12 years) and in adults (18-55 years) with ADHD. Baseline and endpoint mean item scores were determined for subgroups defined by age (6-9, 10-12, 18-39, and 40-55 years) and sex. RESULTS: The baseline mean item scores were generally numerically similar for all age-by-sex subgroups. The inattention (IA) items were numerically higher than hyperactivity/impulsivity (H/I) items among older children and adults. The endpoint mean item scores were numerically lower after lisdexamfetamine dimesylate treatment for IA and H/I items in all subgroups. CONCLUSION: These results suggest that regardless of age or sex, baseline IA and H/I symptom profiles were comparable; however, IA vs H/I symptoms were more severe in older participants. In all age-by-sex subgroups, IA and H/I symptoms appeared to decrease after active treatment.}, Doi = {10.2147/NDT.S47087}, Key = {fds274009} } @article{fds274013, Author = {Lee, C-T and Fuemmeler, BF and McClernon, FJ and Ashley-Koch, A and Kollins, SH}, Title = {Nicotinic receptor gene variants interact with attention deficient hyperactive disorder symptoms to predict smoking trajectories from early adolescence to adulthood.}, Journal = {Addict Behav}, Volume = {38}, Number = {11}, Pages = {2683-2689}, Year = {2013}, Month = {November}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23899432}, Abstract = {OBJECTIVE: To examine the association of single nucleotide polymorphisms (SNPs) of the CHRNB3 (rs13280604) and CHRNA6 (rs892413) nicotinic acetylcholine receptor (nAChR) genes and symptoms of attention deficit hyperactivity disorder (ADHD) in predicting smoking patterns from early adolescence to adulthood. METHOD: A longitudinal cohort of 1137 unrelated youths from the National Longitudinal Study of Adolescent Health provided responses to four surveys from Waves I to IV, and a genetic sample in Wave III. Growth mixture modeling was used to identify smoking patterns and to assess the effects of the two SNPs and ADHD symptoms on cigarette use over time. RESULTS: There were significant main effects of ADHD symptoms and CHRNA6 variants in predicting the number of cigarettes smoked and the pattern of use over time, respectively. There were no main effects of the CHRNB3 variants. However, a significant CHRNB3 variant×ADHD symptom interaction was observed, such that individuals with elevated ADHD symptoms and a particular CHRNB3 variant were at increased risk of cigarette use over time. CONCLUSIONS: These findings demonstrate that a SNP in a nicotinic receptor gene may interact with ADHD symptoms to link with increased cigarette use across adolescence and young adulthood. Unique associations between specific variants and patterns of ADHD symptoms were identified which may be useful for targeting prevention efforts to individuals at greatest risk for cigarette smoking.}, Doi = {10.1016/j.addbeh.2013.06.013}, Key = {fds274013} } @article{fds274014, Author = {Lee, C-T and McClernon, FJ and Kollins, SH and Prybol, K and Fuemmeler, BF}, Title = {Childhood economic strains in predicting substance use in emerging adulthood: mediation effects of youth self-control and parenting practices.}, Journal = {Journal of Pediatric Psychology}, Volume = {38}, Number = {10}, Pages = {1130-1143}, Year = {2013}, Month = {November}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23899658}, Abstract = {OBJECTIVE: To examine the influence of childhood economic strains on substance use in young adulthood and to assess the mediating roles of self-control as well as positive parenting during adolescence in a nationally representative longitudinal cohort. METHODS: The study included data from participants (n = 1,285) in the Panel Study of Income Dynamics, Child Development Supplement, and Transition to Adult. Structural equation modeling was used to evaluate the associations among risk factors during childhood and adolescence that predicted substance use in early adulthood. RESULTS: Conditions of economic strains, especially poverty, during childhood were associated with an increased likelihood of regular smoking in adulthood, which was partially mediated by poorer self-control during adolescence. CONCLUSIONS: Self-control is negatively affected by economic strains and serves as a mediator between poverty and risk of regular smoking. Additional research is needed to better understand how economic strains effect the development of self-control.}, Doi = {10.1093/jpepsy/jst056}, Key = {fds274014} } @article{fds274010, Author = {Kollins, SH and Schoenfelder, E and English, JS and McClernon, FJ and Dew, RE and Lane, SD}, Title = {Methylphenidate does not influence smoking-reinforced responding or attentional performance in adult smokers with and without attention deficit hyperactivity disorder (ADHD).}, Journal = {Exp Clin Psychopharmacol}, Volume = {21}, Number = {5}, Pages = {375-384}, Year = {2013}, Month = {October}, url = {http://www.ncbi.nlm.nih.gov/pubmed/24099358}, Abstract = {Individuals with Attention Deficit Hyperactivity Disorder (ADHD) smoke cigarettes at rates higher than the general population and questions have been raised about how stimulant drugs-the frontline pharmacological treatment for ADHD-influence smoking risk and behavior in those with ADHD. In the present study adult regular smokers with (n = 16) and without (n = 17) ADHD participated in 3 experimental sessions in which they completed a Progressive Ratio (PR) task to measure the relative reinforcing effects of cigarette smoking and money after oral administration of placebo and 2 active doses of methylphenidate (10 mg and 40 mg). We also measured attention and inhibitory control via a Continuous Performance Test (CPT). Methylphenidate had no effect on smoking-reinforced responding, attention, or inhibitory control in either group. Attention and inhibitory control were associated with smoking-reinforced responding, but unsystematically and only in the non-ADHD group. Several design features, such as the value of the monetary response option, the PR schedule, and the potential effects of smoking on attention and inhibitory control, could have contributed to the negative findings and are discussed as such. Although inconsistent with some previous human laboratory studies of stimulant drugs and smoking, results are consistent with recent trials of stimulant drugs as adjuncts for smoking cessation in adult smokers with ADHD. In general, methylphenidate at mild and moderate doses did not influence the relative reinforcing effects of cigarette smoking in adults with and without ADHD.}, Doi = {10.1037/a0033851}, Key = {fds274010} } @article{fds274019, Author = {Fuemmeler, B and Lee, C-T and Ranby, KW and Clark, T and McClernon, FJ and Yang, C and Kollins, SH}, Title = {Individual- and community-level correlates of cigarette-smoking trajectories from age 13 to 32 in a U.S. population-based sample.}, Journal = {Drug Alcohol Depend}, Volume = {132}, Number = {1-2}, Pages = {301-308}, Year = {2013}, Month = {September}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23499056}, Abstract = {BACKGROUND: Characterizing smoking behavior is important for informing etiologic models and targeting prevention efforts. This study explored the effects of both individual- and community-level variables in predicting cigarette use vs. non-use and level of use among adolescents as they transition into adulthood. METHODS: Data on 14,779 youths (53% female) were drawn from the National Longitudinal Study of Adolescent Health (Add Health); a nationally representative longitudinal cohort. A cohort sequential design allowed for examining trajectories of smoking typologies from age 13 to 32 years. Smoking trajectories were evaluated by using a zero-inflated Poisson (ZIP) latent growth analysis and latent class growth analysis modeling approach. RESULTS: Significant relationships emerged between both individual- and community-level variables and smoking outcomes. Maternal and peer smoking predicted increases in smoking over development and were associated with a greater likelihood of belonging to any of the four identified smoking groups versus Non-Users. Conduct problems and depressive symptoms during adolescence were related to cigarette use versus non-use. State-level prevalence of adolescent smoking was related to greater cigarette use during adolescence. CONCLUSIONS: Individual- and community-level variables that distinguish smoking patterns within the population aid in understanding cigarette use versus non-use and the quantity of cigarette use into adulthood. Our findings suggest that efforts to prevent cigarette use would benefit from attention to both parental and peer smoking and individual well-being. Future work is needed to better understand the role of variables in the context of multiple levels (individual and community-level) on smoking trajectories.}, Doi = {10.1016/j.drugalcdep.2013.02.021}, Key = {fds274019} } @article{fds274021, Author = {Kollins, SH and English, JS and Roley, ME and O'Brien, B and Blair, J and Lane, SD and McClernon, FJ}, Title = {Effects of smoking abstinence on smoking-reinforced responding, withdrawal, and cognition in adults with and without attention deficit hyperactivity disorder.}, Journal = {Psychopharmacology (Berl)}, Volume = {227}, Number = {1}, Pages = {19-30}, Year = {2013}, Month = {May}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23247366}, Abstract = {RATIONALE: Individuals with attention deficit hyperactivity disorder (ADHD) have a more difficult time quitting smoking compared to their non-ADHD peers. Little is known about the underlying behavioral mechanisms associated with this increased risk. OBJECTIVES: This study aims to assess the effects of 24-h smoking abstinence in adult smokers with and without ADHD on the following outcomes: smoking-reinforced responding, withdrawal, and cognitive function. METHODS: Thirty-three (n = 16 with ADHD, 17 without ADHD) adult smokers (more than or equal to ten cigarettes/day) were enrolled. Each participant completed two experimental sessions: one following smoking as usual and one following biochemically verified 24-h smoking abstinence. Smoking-reinforced responding measured via a progressive ratio task, smoking withdrawal measured via questionnaire, and cognition measured via a continuous performance test (CPT) were assessed at each session. RESULTS: Smoking abstinence robustly increased responding for cigarette puffs in both groups, and ADHD smokers responded more for puffs regardless of condition. Males in both groups worked more for cigarette puffs and made more commission errors on the CPT than females, regardless of condition. Smoking abstinence also increased ratings of withdrawal symptoms in both groups and smokers with ADHD, regardless of condition, reported greater symptoms of arousal, habit withdrawal, and somatic complaints. Across groups, smoking abstinence decreased inhibitory control and increased reaction time variability on the CPT. Abstinence-induced changes in inhibitory control and negative affect significantly predicted smoking-reinforced responding across groups. CONCLUSIONS: Smokers with ADHD reported higher levels of withdrawal symptoms and worked more for cigarette puffs, regardless of condition, which could help explain higher levels of nicotine dependence and poorer cessation outcomes in this population. Abstinence-induced changes in smoking-reinforced responding are associated with changes in inhibitory control and negative affect regardless of ADHD status, a finding that may lead to novel prevention and treatment programs.}, Doi = {10.1007/s00213-012-2937-0}, Key = {fds274021} } @article{fds274018, Author = {Riddle, MA and Yershova, K and Lazzaretto, D and Paykina, N and Yenokyan, G and Greenhill, L and Abikoff, H and Vitiello, B and Wigal, T and McCracken, JT and Kollins, SH and Murray, DW and Wigal, S and Kastelic, E and McGough, JJ and dosReis, S and Bauzó-Rosario, A and Stehli, A and Posner, K}, Title = {The Preschool Attention-Deficit/Hyperactivity Disorder Treatment Study (PATS) 6-year follow-up.}, Journal = {J Am Acad Child Adolesc Psychiatry}, Volume = {52}, Number = {3}, Pages = {264-278.e2}, Year = {2013}, Month = {March}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23452683}, Abstract = {OBJECTIVE: To describe the clinical course of attention-deficit/hyperactivity disorder (ADHD) symptom severity and diagnosis from ages 3 to 5 up to 9 to 12 years during a 6-year follow-up after the original Preschool ADHD Treatment Study (PATS). METHOD: A total of 207 participants (75% male) from the original PATS, assessed at baseline (mean age, 4.4 years, when all met criteria for ADHD) and 3 months later (before medication treatment), were re-evaluated in three follow-up assessment visits (year 3, mean age 7.4 years; year 4, 8.3 years; and year 6, 10.4 years). Parents and teachers rated symptom severity, and clinicians established psychiatric diagnoses. Analyses examined longitudinal changes in symptom severity and ADHD diagnosis. RESULTS: Parent- and teacher-rated symptom severity decreased from baseline to year 3 but remained relatively stable and in the moderate-to-severe clinical range through year 6. Girls showed generally steeper decreases in symptom T-scores. At year 6, 89% (160/180) of remaining participants met ADHD symptom and impairment diagnostic criteria. Comorbidity of oppositional defiant disorder and/or conduct disorder was associated with a 30% higher risk of having an ADHD diagnosis at year 6 in the multiple logistic model. Medication status during follow-up, on versus off, did not predict symptom severity change from year 3 to year 6 after adjustment for other variables. CONCLUSIONS: ADHD in preschoolers is a relatively stable diagnosis over a 6-year period. The course is generally chronic, with high symptom severity and impairment, in very young children with moderate-to-severe ADHD, despite treatment with medication. Development of more effective ADHD intervention strategies is needed for this age group.}, Doi = {10.1016/j.jaac.2012.12.007}, Key = {fds274018} } @article{fds274015, Author = {Wang, G-J and Volkow, ND and Wigal, T and Kollins, SH and Newcorn, JH and Telang, F and Logan, J and Jayne, M and Wong, CT and Han, H and Fowler, JS and Zhu, W and Swanson, JM}, Title = {Long-term stimulant treatment affects brain dopamine transporter level in patients with attention deficit hyperactive disorder.}, Journal = {Plos One}, Volume = {8}, Number = {5}, Pages = {e63023}, Year = {2013}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23696790}, Abstract = {OBJECTIVE: Brain dopamine dysfunction in attention deficit/hyperactivity disorder (ADHD) could explain why stimulant medications, which increase dopamine signaling, are therapeutically beneficial. However while the acute increases in dopamine induced by stimulant medications have been associated with symptom improvement in ADHD the chronic effects have not been investigated. METHOD: We used positron emission tomography and [(11)C]cocaine (dopamine transporter radioligand) to measure dopamine transporter availability in the brains of 18 never-medicated adult ADHD subjects prior to and after 12 months of treatment with methylphenidate and in 11 controls who were also scanned twice at 12 months interval but without stimulant medication. Dopamine transporter availability was quantified as non-displaceable binding potential using a kinetic model for reversible ligands. RESULTS: Twelve months of methylphenidate treatment increased striatal dopamine transporter availability in ADHD (caudate, putamen and ventral striatum: +24%, p<0.01); whereas there were no changes in control subjects retested at 12-month interval. Comparisons between controls and ADHD participants revealed no significant difference in dopamine transporter availability prior to treatment but showed higher dopamine transporter availability in ADHD participants than control after long-term treatment (caudate: p<0.007; putamen: p<0.005). CONCLUSION: Upregulation of dopamine transporter availability during long-term treatment with methylphenidate may decrease treatment efficacy and exacerbate symptoms while not under the effects of the medication. Our findings also suggest that the discrepancies in the literature regarding dopamine transporter availability in ADHD participants (some studies reporting increases, other no changes and other decreases) may reflect, in part, differences in treatment histories.}, Doi = {10.1371/journal.pone.0063023}, Key = {fds274015} } @article{fds274036, Author = {Mitchell, JT and Robertson, CD and Anastopolous, AD and Nelson-Gray, RO and Kollins, SH}, Title = {Emotion dysregulation and emotional impulsivity among adults with attention-deficit/hyperactivity disorder: Results of a preliminary study}, Journal = {Journal of Psychopathology and Behavioral Assessment}, Volume = {34}, Number = {4}, Pages = {510-519}, Publisher = {Springer Nature}, Year = {2012}, Month = {December}, ISSN = {0882-2689}, url = {http://dx.doi.org/10.1007/s10862-012-9297-2}, Abstract = {Recent reviews argue that emotion dysregulation is an important feature of attention-deficit/hyperactivity disorder (ADHD) and involves a failure to inhibit negative emotions that leads to negative affectively-driven impulsive behavior (i.e., emotional impulsivity). The goal of the current study was to assess (a) whether emotion dysregulation and emotional impulsivity was higher in a group of adults diagnosed with ADHD and (b) if the relationship between core ADHD symptoms (i.e., inattention and hyperactivityimpulsivity) and emotional impulsivity is mediated by emotion dysregulation symptoms. A group of adults with (n0 18) and without (n023) ADHD completed measures of core ADHD symptoms, emotion dysregulation, and emotional impulsivity. A series of one-way analyses of covariance indicated significant between-group differences in emotion dysregulation and emotional impulsivity when current depression and oppositional defiant disorder ratings were covaried. In addition, the relationship between ADHD symptoms and emotional impulsivity was mediated by emotion dysregulation symptoms. These findings suggest that emotion dysregulation and emotional impulsivity are higher in adults diagnosed with ADHD and that emotion dysregulation symptoms have predictive value beyond core ADHD symptoms. © Springer Science+Business Media, LLC 2012.}, Doi = {10.1007/s10862-012-9297-2}, Key = {fds274036} } @article{fds274043, Author = {Mitchell, JT and Van Voorhees and EE and Dennis, MF and McClernon, FJ and Calhoun, PS and Kollins, SH and Beckham, JC}, Title = {Assessing the role of attention-deficit/hyperactivity disorder symptoms in smokers with and without posttraumatic stress disorder.}, Journal = {Nicotine Tob Res}, Volume = {14}, Number = {8}, Pages = {986-992}, Year = {2012}, Month = {August}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22180583}, Abstract = {INTRODUCTION: Smoking prevalence among individuals with posttraumatic stress disorder (PTSD) is elevated relative to non-PTSD smokers, and there is evidence to suggest that affect regulation may be a motivation for smoking among those with this disorder. Previous studies have also indicated that (a) PTSD is frequently comorbid with attention-deficit/hyperactivity disorder (ADHD), (b) individuals with ADHD smoke at significantly higher rates than the general population, (c) subclinical ADHD symptoms are a risk factor for smoking, and (d) affect regulation is a motivation for smoking in ADHD. The goal of this study was to assess the degree to which ADHD symptoms were uniquely associated with smoking-related affective functioning (SRAF) variables above and beyond the variance already explained by PTSD symptoms. METHODS: Smokers with (n = 55) and without PTSD (n = 68) completed measures assessing PTSD symptoms, ADHD symptoms, and SRAF. RESULTS: The PTSD group endorsed significantly more severe levels of DSM-IV inattentive and hyperactive-impulsive ADHD symptoms. A series of hierarchical regressions among the entire sample indicated that, after accounting for PTSD symptoms, ADHD symptoms were associated with lower positive affect, higher negative affect, higher emotion dysregulation, higher anxiety sensitivity, and higher urges to smoke to increase positive affect. CONCLUSIONS: Taken together, these findings suggest that ADHD symptoms may increase affective dysregulation difficulties already faced by smokers, particularly those with PTSD, which may, in turn, confer increased risk for smoking relapse in those with higher levels of symptomatology of both disorders.}, Doi = {10.1093/ntr/ntr245}, Key = {fds274043} } @article{fds274041, Author = {Davis, NO and Kollins, SH}, Title = {Treatment for co-occurring attention deficit/hyperactivity disorder and autism spectrum disorder.}, Journal = {Neurotherapeutics}, Volume = {9}, Number = {3}, Pages = {518-530}, Year = {2012}, Month = {July}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22678458}, Abstract = {Interest in the co-occurrence of attention deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) has grown in the last decade. Research on clinical populations supports the frequent co-occurrence of ADHD traits (e.g., hyperactivity) in individuals with ASD and ASD traits (e.g., social communication deficits) in individuals with ADHD. Similar trends in co-occurring traits have been observed in population-based samples, as well as family and genetic studies of affected individuals. Despite increased interest in co-occurring ADHD and ASD, relatively little research has been devoted to treatment considerations. The vast majority of intervention research has examined pharmacological treatment using traditional ADHD medications. Relatively few psychosocial interventions have directly addressed co-occurring symptoms. Treatment development will benefit from enhanced understanding of the phenomenon of co-occurring ADHD and ASD. Key topics for future research include examining developmental trajectories of co-occurring disorders, comorbid psychiatric conditions, deficits in social skills, and the nature of executive functioning impairment in individuals with co-occurring ADHD and ASD. In the current review, research in these areas is reviewed along with recommendation for future study. Given that clinicians are routinely observing and treating individuals with co-occurring symptoms, further research will yield needed information to inform intervention development and maximize benefits for affected individuals.}, Doi = {10.1007/s13311-012-0126-9}, Key = {fds274041} } @article{fds274038, Author = {Sallee, FR and Kollins, SH and Wigal, TL}, Title = {Efficacy of guanfacine extended release in the treatment of combined and inattentive only subtypes of attention-deficit/hyperactivity disorder.}, Journal = {J Child Adolesc Psychopharmacol}, Volume = {22}, Number = {3}, Pages = {206-214}, Year = {2012}, Month = {June}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22612526}, Abstract = {BACKGROUND: Extended-release guanfacine (GXR) is approved for the treatment of attention-deficit/hyperactivity disorder (ADHD) in children and adolescents aged 6-17 years. This post-hoc analysis further examines the effects of GXR on hyperactivity-impulsivity and inattentiveness. METHOD: Data from two large double-blind placebo-controlled pivotal trials of GXR in the treatment of ADHD were analyzed. Using the pooled population to provide sufficient sample size and associated statistical power, the impact of GXR treatment on core ADHD symptoms was examined by comparing ADHD Rating Scale IV (ADHD-RS-IV) total scores in the overall GXR and placebo groups in subjects with each of the three ADHD subtypes. ADHD-RS-IV Hyperactivity-Impulsivity and Inattentiveness subscale scores in the overall study population by randomized dose group (vs. placebo) were also examined. RESULTS: The full analysis set included 631 subjects aged 6-17 years (GXR: n=490; placebo: n=141). Among subjects with the predominantly inattentive subtype of ADHD, differences in least squares (LS) mean reductions from baseline in ADHD-RS-IV total scores were significantly greater in GXR-treated subjects (n=127) than in placebo-treated subjects (n=38) at treatment weeks 3 through 5 and end point (p≤0.020). Among subjects with combined type ADHD, differences in LS mean ADHD-RS-IV total score reductions from baseline were significantly greater in the GXR group (n=354) than in the placebo group (n=100) at treatment weeks 1 through 5 and end point (p≤0.011). The dearth of predominantly hyperactive-impulsive type subjects (n=12) precluded analysis of this subgroup. Each randomized GXR dose group in each trial demonstrated significantly greater reductions from baseline in ADHD-RS-IV Hyperactivity-Impulsivity and Inattentiveness subscale scores than did the respective placebo group at end point (p≤0.05 for all). CONCLUSIONS: The results support the use of GXR in the treatment of core ADHD symptoms as defined in the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, 4th ed., Text Revision, including hyperactivity, impulsivity, and inattention.}, Doi = {10.1089/cap.2010.0135}, Key = {fds274038} } @article{fds274042, Author = {Van Voorhees and EE and Mitchell, JT and McClernon, FJ and Beckham, JC and Kollins, SH}, Title = {Sex, ADHD symptoms, and smoking outcomes: an integrative model.}, Journal = {Med Hypotheses}, Volume = {78}, Number = {5}, Pages = {585-593}, Year = {2012}, Month = {May}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22341778}, Abstract = {Both females and individuals with Attention-Deficit/Hyperactivity Disorder (ADHD) have been found to be at increased risk for a range of smoking outcomes, and recent empirical findings have suggested that women with ADHD may be particularly vulnerable to nicotine dependence. On a neurobiological level, the dopamine reward processing system may be implicated in the potentially unique interaction of nicotine with sex and with ADHD status. Specifically, nicotine appears to mitigate core ADHD symptoms through interaction with the dopamine reward processing system, and ovarian hormones have been found to interact with nicotine within the dopamine reward processing system to affect neurotransmitter release and functioning. This article synthesizes data from research examining smoking in women and in individuals with ADHD to build an integrative model through which unique risk for cigarette smoking in women with ADHD can be systematically explored. Based upon this model, the following hypotheses are proposed at the intersection of each of the three variables of sex, ADHD, and smoking: (1) individuals with ADHD have altered functioning of the dopamine reward system, which diminishes their ability to efficiently form conditioned associations based on environmental contingencies; these deficits are partially ameliorated by nicotine; (2) nicotine interacts with estrogen and the dopamine reward system to increase the positive and negative reinforcement value of smoking in female smokers; (3) in adult females with ADHD, ovarian hormones interact with the dopamine reward system to exacerbate ADHD-related deficits in the capacity to form conditioned associations; and (4) during different phases of the menstrual cycle, nicotine and ovarian hormones may interact differentially with the dopamine reward processing system to affect the type and value of reinforcement smoking provides for women with ADHD. Understanding the bio-behavioral mechanisms underlying cigarette addiction in specific populations will be critical to developing effectively tailored smoking prevention and cessation programs for these groups. Overall, the goal of this paper is to examine the interaction of sex, smoking, and ADHD status within the context of the dopamine reward processing system not only to elucidate potential mechanisms specific to female smokers with ADHD, but also to stimulate consideration of how the examination of such individual differences can inform our understanding of smoking more broadly.}, Doi = {10.1016/j.mehy.2012.01.034}, Key = {fds274042} } @article{fds340613, Author = {Fuemmeler, B and Lee, C-T and Ranby, KW and Stroo, M and Yang, C and Clark, K and Boynton, MH and Clark, T and McClernon, J and Kollins, S}, Title = {COMMUNITY AND INDIVIDUAL LEVEL SOCIAL CORRELATES OF SMOKING TRAJECTORIES FROM ADOLESCENCE TO ADULTHOOD}, Journal = {Annals of Behavioral Medicine}, Volume = {43}, Pages = {S210-S210}, Publisher = {SPRINGER}, Year = {2012}, Month = {April}, Key = {fds340613} } @article{fds274040, Author = {Van Voorhees and E and McClernon, FJ and Fuemmeler, B and English, J and Holdaway, A and Hallyburton, M and Dew, R and Kollins, S}, Title = {An examination of differences in variables maintaining smoking behavior in adult smokers with and without attention-deficit/hyperactivity disorder}, Journal = {Addiction Research & Theory}, Volume = {20}, Number = {1}, Pages = {72-81}, Publisher = {Informa UK Limited}, Year = {2012}, Month = {February}, ISSN = {1606-6359}, url = {http://dx.doi.org/10.3109/16066359.2011.564692}, Abstract = {Individuals with attention-deficit/hyperactivity disorder (ADHD) smoke cigarettes at higher rates and have greater difficulty quitting than their non-diagnosed peers. This study examined differences between smokers with and without ADHD on a range of smoking-related variables. Twenty-two subjects with ADHD and 22 controls completed self-report measures of withdrawal symptoms, smoking motivation, sensory experience of smoking, and positive and negative affect. Compared to control smokers, smokers with ADHD reported greater craving and negative affect; perceived smoking as providing greater enhancement of concentration and alertness, as more calming, and as providing a greater decrease in irritability; found cigarette puffs to be more enjoyable and satisfying; and rated smoking as providing greater positive and negative reinforcement and greater cognitive enhancement. Women with ADHD reported the greatest effects of smoking on improving concentration and reducing irritability. Findings support the hypothesis that smokers with ADHD may experience smoking differently than smokers without the disorder, and that they may identify different motivations for smoking.}, Doi = {10.3109/16066359.2011.564692}, Key = {fds274040} } @article{fds274044, Author = {Bidwell, LC and Garrett, ME and McClernon, FJ and Fuemmeler, BF and Williams, RB and Ashley-Koch, AE and Kollins, SH}, Title = {A preliminary analysis of interactions between genotype, retrospective ADHD symptoms, and initial reactions to smoking in a sample of young adults.}, Journal = {Nicotine Tob Res}, Volume = {14}, Number = {2}, Pages = {229-233}, Year = {2012}, Month = {February}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21778150}, Abstract = {INTRODUCTION: Initial reactions to cigarettes predict later regular smoking. Symptoms of attention deficit hyperactivity disorder (ADHD) have also been shown to increase smoking risk and may moderate the relationship between genotype and smoking. We conducted an exploratory study to assess whether ADHD symptoms interact with genetic variation to predict self-reported initial reactions to smoking. METHODS: Participants were a subsample of 1,900 unrelated individuals with genotype data drawn from the National Longitudinal Study of Adolescent Health (Add Health), a nationally representative sample of adolescents followed from 1995 to 2002. Linear regression was used to examine relationships among self-reported ADHD symptoms, genotype, and self-reported initial reactions to cigarettes (index scores reflecting pleasant and unpleasant reactions). RESULTS: Polymorphisms in the DRD2 gene, SLC6A4 gene, and among males, the MAOA gene interacted with retrospective reports of ADHD symptoms in predicting pleasant initial reaction to cigarettes. Polymorphisms in the CYP2A6 gene and, among females, the MAOA gene interacted with retrospective reports of ADHD symptoms in predicting unpleasant initial reaction to cigarettes. No main effect for any of these polymorphisms was observed nor were any interactions with DRD4 and DAT genes. CONCLUSIONS: These findings suggest that genotypes associated with monoamine neurotransmission interact with ADHD symptoms to influence initial reactions to cigarette smoking. Given that an initial pleasant reaction to cigarettes increases risk for lifetime smoking, these results add to a growing body of literature that suggests that ADHD symptoms increase risk for smoking and should be accounted for in genetic studies of smoking.}, Doi = {10.1093/ntr/ntr125}, Key = {fds274044} } @misc{fds274094, Author = {Faraone, SV and Spencer, TJ and Kollins, SH and Glatt, SJ and Goodman, D}, Title = {Dose response effects of lisdexamfetamine dimesylate treatment in adults with ADHD: an exploratory study.}, Journal = {J Atten Disord}, Volume = {16}, Number = {2}, Pages = {118-127}, Year = {2012}, Month = {February}, ISSN = {1557-1246}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21527575}, Abstract = {OBJECTIVE: To explore dose-response effects of lisdexamfetamine dimesylate (LDX) treatment for ADHD. METHOD: This was a 4-week, randomized, double-blinded, placebo-controlled, parallel-group, forced-dose titration study in adult participants, aged 18 to 55 years, meeting Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.) criteria for ADHD. RESULTS: Nearly all participants assigned to an LDX dose achieved their assigned dose with the exception of about 4% of participants assigned to the 50 mg or 14% assigned to the 70 mg doses. Higher doses of LDX led to greater improvements in ADHD-rating scale scores, independent of prior pharmacotherapy. This was evident for both inattentive and hyperactive-impulsive symptoms. The authors found some evidence for an interaction between LDX dose and baseline severity of ADHD symptoms. CONCLUSION: For LDX doses between 30 and 70 mg/d, the dose-response efficacy effect for LDX is not affected by prior pharmacotherapy, but patients with a greater severity of illness may benefit more from higher doses, especially for hyperactive-impulsive symptoms. The results do not provide information about doses above 70 mg/d, which is the maximum approved dose of LDX and the highest dose studied in ADHD clinical trials.}, Language = {ENG}, Doi = {10.1177/1087054711403716}, Key = {fds274094} } @article{fds274037, Author = {Volkow, ND and Wang, G-J and Tomasi, D and Kollins, SH and Wigal, TL and Newcorn, JH and Telang, FW and Fowler, JS and Logan, J and Wong, CT and Swanson, JM}, Title = {Methylphenidate-elicited dopamine increases in ventral striatum are associated with long-term symptom improvement in adults with attention deficit hyperactivity disorder.}, Journal = {Journal of Neuroscience}, Volume = {32}, Number = {3}, Pages = {841-849}, Year = {2012}, Month = {January}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22262882}, Abstract = {Stimulant medications, such as methylphenidate, which are effective treatments for attention deficit hyperactivity disorder (ADHD), enhance brain dopamine signaling. However, the relationship between regional brain dopamine enhancement and treatment response has not been evaluated. Here, we assessed whether the dopamine increases elicited by methylphenidate are associated with long-term clinical response. We used a prospective design to study 20 treatment-naive adults with ADHD who were evaluated before treatment initiation and after 12 months of clinical treatment with a titrated regimen of oral methylphenidate. Methylphenidate-induced dopamine changes were evaluated with positron emission tomography and [(11)C]raclopride (D(2)/D(3) receptor radioligand sensitive to competition with endogenous dopamine). Clinical responses were assessed using the Conners' Adult ADHD Rating Scale and revealed a significant reduction in symptoms of inattention and hyperactivity with long-term methylphenidate treatment. A challenge dose of 0.5 mg/kg intravenous methylphenidate significantly increased dopamine in striatum (assessed as decreases in D(2)/D(3) receptor availability). In the ventral striatum, these dopamine increases were associated with the reductions in ratings of symptoms of inattention with clinical treatment. Statistical parametric mapping additionally showed dopamine increases in prefrontal and temporal cortices with intravenous methylphenidate that were also associated with decreases in symptoms of inattention. Our findings indicate that dopamine enhancement in ventral striatum (the brain region involved with reward and motivation) was associated with therapeutic response to methylphenidate, further corroborating the relevance of the dopamine reward/motivation circuitry in ADHD. It also provides preliminary evidence that methylphenidate-elicited dopamine increases in prefrontal and temporal cortices may also contribute to the clinical response.}, Doi = {10.1523/JNEUROSCI.4461-11.2012}, Key = {fds274037} } @article{fds274039, Author = {Ranby, KW and Boynton, MH and Kollins, SH and McClernon, FJ and Yang, C and Fuemmeler, BF}, Title = {Understanding the phenotypic structure of adult retrospective ADHD symptoms during childhood in the United States.}, Journal = {J Clin Child Adolesc Psychol}, Volume = {41}, Number = {3}, Pages = {261-274}, Year = {2012}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22394329}, Abstract = {Attention-deficit/hyperactivity disorder (ADHD) is a highly heterogeneous disorder, and the phenotypic structure comprising inattentive and hyperactive-impulsive type symptoms has been the focus of a growing body of recent research. Methodological studies are needed to better characterize phenotypes to advance research as well as clinical practice. A large U.S. population-based sample of young adults (N = 14,307, aged 17-28 years, 52.8% female) retrospectively reported their experiences of childhood ADHD symptoms. Factor analysis, latent class analysis, and factor mixture modeling of ADHD symptoms were compared to determine which underlying structure best fit the data. Fit statistics as well as substantive criteria compared models within and across model subtypes. Analyses supported a two-factor two-class structure for both male and female subjects. The two latent factors represented inattentive and hyperactive-impulsive symptom dimensions. The two latent classes divided people into a smaller affected class and a larger unaffected class. Individuals who reported having been diagnosed with ADHD were more likely to be in the affected class (OR male subjects = 4.03, 95% CI [2.65, 6.13]; OR female subjects = 5.65, 95% CI [3.15, 10.10]). This work aids in the understanding of ADHD symptomatology within the population; a majority of people experience very low symptom severity, whereas a minority of people experience high symptom severity. Within this high symptom group, however, variability in symptom experiences exists. Empirical models can be helpful in clarifying ADHD phenotypic structure that has the potential to advance research on the etiology and consequences of ADHD symptoms.}, Doi = {10.1080/15374416.2012.654465}, Key = {fds274039} } @article{fds274051, Author = {Volkow, ND and Wang, G-J and Newcorn, JH and Kollins, SH and Wigal, TL and Telang, F and Fowler, JS and Goldstein, RZ and Klein, N and Logan, J and Wong, C and Swanson, JM}, Title = {Motivation deficit in ADHD is associated with dysfunction of the dopamine reward pathway.}, Journal = {Mol Psychiatry}, Volume = {16}, Number = {11}, Pages = {1147-1154}, Year = {2011}, Month = {November}, ISSN = {1476-5578}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20856250}, Keywords = {Adult • Attention Deficit Disorder with Hyperactivity • Carbon Radioisotopes • Cocaine • Dopamine • Dopamine Plasma Membrane Transport Proteins • Dopaminergic Neurons • Female • Humans • Male • Mesencephalon • Motivation • Nucleus Accumbens • Personality Inventory • Positron-Emission Tomography • Raclopride • Radiopharmaceuticals • Receptors, Dopamine D2 • Receptors, Dopamine D3 • Reward* • analysis • chemistry • diagnostic use • physiology* • physiopathology* • radionuclide imaging}, Abstract = {Attention-deficit hyperactivity disorder (ADHD) is typically characterized as a disorder of inattention and hyperactivity/impulsivity but there is increasing evidence of deficits in motivation. Using positron emission tomography (PET), we showed decreased function in the brain dopamine reward pathway in adults with ADHD, which, we hypothesized, could underlie the motivation deficits in this disorder. To evaluate this hypothesis, we performed secondary analyses to assess the correlation between the PET measures of dopamine D2/D3 receptor and dopamine transporter availability (obtained with [(11)C]raclopride and [(11)C]cocaine, respectively) in the dopamine reward pathway (midbrain and nucleus accumbens) and a surrogate measure of trait motivation (assessed using the Achievement scale on the Multidimensional Personality Questionnaire or MPQ) in 45 ADHD participants and 41 controls. The Achievement scale was lower in ADHD participants than in controls (11±5 vs 14±3, P<0.001) and was significantly correlated with D2/D3 receptors (accumbens: r=0.39, P<0.008; midbrain: r=0.41, P<0.005) and transporters (accumbens: r=0.35, P<0.02) in ADHD participants, but not in controls. ADHD participants also had lower values in the Constraint factor and higher values in the Negative Emotionality factor of the MPQ but did not differ in the Positive Emotionality factor-and none of these were correlated with the dopamine measures. In ADHD participants, scores in the Achievement scale were also negatively correlated with symptoms of inattention (CAARS A, E and SWAN I). These findings provide evidence that disruption of the dopamine reward pathway is associated with motivation deficits in ADHD adults, which may contribute to attention deficits and supports the use of therapeutic interventions to enhance motivation in ADHD.}, Language = {eng}, Doi = {10.1038/mp.2010.97}, Key = {fds274051} } @article{fds274065, Author = {Anastopoulos, AD and Smith, TF and Garrett, ME and Morrissey-Kane, E and Schatz, NK and Sommer, JL and Kollins, SH and Ashley-Koch, A}, Title = {Self-Regulation of Emotion, Functional Impairment, and Comorbidity Among ChildrenWith AD/HD.}, Journal = {J Atten Disord}, Volume = {15}, Number = {7}, Pages = {583-592}, Year = {2011}, Month = {October}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20686097}, Abstract = {OBJECTIVE: This study investigated the role of self-regulation of emotion in relation to functional impairment and comorbidity among children with and without AD/HD. METHOD: A total of 358 probands and their siblings participated in the study, with 74% of the sample participants affected by AD/HD. Parent-rated levels of emotional lability served as a marker for self-regulation of emotion. RESULTS: Nearly half of the children affected by AD/HD displayed significantly elevated levels of emotional lability versus 15% of those without this disorder. Children with AD/HD also displayed significantly higher rates of functional impairment, comorbidity, and treatment service utilization. Emotional lability partially mediated the association between AD/HD status and these outcomes. CONCLUSION: Findings lent support to the notion that deficits in the self-regulation of emotion are evident in a substantial number of children with AD/HD and that these deficits play an important role in determining functional impairment and comorbidity outcomes.}, Doi = {10.1177/1087054710370567}, Key = {fds274065} } @article{fds274090, Author = {McClernon, FJ and Van Voorhees and EE and English, J and Hallyburton, M and Holdaway, A and Kollins, SH}, Title = {Smoking withdrawal symptoms are more severe among smokers with ADHD and independent of ADHD symptom change: results from a 12-day contingency-managed abstinence trial.}, Journal = {Nicotine Tob Res}, Volume = {13}, Number = {9}, Pages = {784-792}, Year = {2011}, Month = {September}, ISSN = {1469-994X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21571687}, Keywords = {Adolescent • Adult • Attention Deficit Disorder with Hyperactivity • Female • Humans • Male • Middle Aged • North Carolina • Sex Factors • Smoking • Smoking Cessation • Substance Withdrawal Syndrome • Tobacco Use Disorder • Young Adult • physiopathology • psychology • psychology*}, Abstract = {INTRODUCTION: Smokers with attention deficit hyperactivity disorder (ADHD) have greater difficulty quitting than those without ADHD, but preliminary data (McClernon, Kollins, Lutz, Fitzgerald, Murray, Redman, et al., 2008) suggest equivalent severity of withdrawal symptoms following brief abstinence. The objective of this study was to characterize the differential effects of intermediate term smoking abstinence on self-reported withdrawal and ADHD symptoms in adult smokers with and without ADHD. METHODS: Forty adult (50% female), nontreatment seeking moderate-to-heavy smokers with and without ADHD were enrolled in a 12-day quit study in which monetary incentives were provided for maintaining biologically verified abstinence. Self-reported withdrawal, mood, and ADHD symptoms were measured pre- and post-quitting. RESULTS: ADHD and controls did not vary on smoking or demographic variables. Significant Group × Session interactions were observed across a broad range of withdrawal symptoms and were generally characterized by greater withdrawal severity among ADHD smokers, particularly during the first 5 days of abstinence. In addition, Group × Sex × Session interactions were observed for craving, somatic symptoms, negative affect, and habit withdrawal; these interactions were driven by greater withdrawal severity among females with ADHD. Group × Session interactions were not observed for ADHD symptom scales. CONCLUSIONS: The results of this study suggest that smokers with ADHD, and ADHD females in particular, experience greater withdrawal severity during early abstinence-independent of effects on ADHD symptoms. Whereas additional research is needed to pinpoint mechanisms, our findings suggest that smoking cessation interventions targeted at smokers with ADHD should address their more severe withdrawal symptoms following quitting.}, Language = {eng}, Doi = {10.1093/ntr/ntr073}, Key = {fds274090} } @article{fds274062, Author = {Bidwell, LC and McClernon, FJ and Kollins, SH}, Title = {Cognitive enhancers for the treatment of ADHD.}, Journal = {Pharmacol Biochem Behav}, Volume = {99}, Number = {2}, Pages = {262-274}, Year = {2011}, Month = {August}, ISSN = {1873-5177}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21596055}, Abstract = {Attention-deficit hyperactivity disorder (ADHD) is associated with multiple cognition-related phenotypic features in both children and adults. This review aims to clarify the role of cognition in ADHD and how prevailing treatments, which are often highly effective at reducing the clinical symptoms of the disorder, fare in modulating ADHD-related cognitive processes. First, we consider how the broad construct of cognition can be conceptualized in the context of ADHD. Second, we review the available evidence for how a range of both pharmacological and non-pharmacological interventions have fared with respect to enhancing cognition in individuals affected by this pervasive disorder. Findings from the literature suggest that the effects across a broad range of pharmacological and non-pharmacological interventions on the characteristic symptoms of ADHD can be distinguished from their effects on cognitive impairments. As such the direct clinical relevance of cognition enhancing effects of different interventions is somewhat limited. Recommendations for future research are discussed, including the identification of cognition-related endophenotypes, the refinement of the ADHD clinical phenotype, and studying the difference between acute and chronic treatment regimens.}, Language = {eng}, Doi = {10.1016/j.pbb.2011.05.002}, Key = {fds274062} } @article{fds274048, Author = {Kollins, SH and Jain, R and Brams, M and Segal, S and Findling, RL and Wigal, SB and Khayrallah, M}, Title = {Clonidine extended-release tablets as add-on therapy to psychostimulants in children and adolescents with ADHD.}, Journal = {Pediatrics}, Volume = {127}, Number = {6}, Pages = {e1406-e1413}, Year = {2011}, Month = {June}, ISSN = {1098-4275}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21555501}, Keywords = {Adolescent • Adolescent Behavior • Adrenergic alpha-2 Receptor Agonists • Amphetamine • Attention Deficit Disorder with Hyperactivity • Central Nervous System Stimulants • Child • Child Behavior • Clonidine • Delayed-Action Preparations • Dose-Response Relationship, Drug • Double-Blind Method • Drug Therapy, Combination • Female • Follow-Up Studies • Humans • Male • Methylphenidate • Retrospective Studies • Treatment Outcome • administration & dosage • administration & dosage* • drug effects* • drug therapy* • psychology}, Abstract = {OBJECTIVE: To assess the efficacy and safety of clonidine hydrochloride extended-release tablets (CLON-XR) combined with stimulants (ie, methylphenidate or amphetamine) for attention-deficit/hyperactivity disorder (ADHD). PATIENTS AND METHODS: In this phase 3, double-blind, placebo-controlled trial, children and adolescents with hyperactive- or combined-subtype ADHD who had an inadequate response to their stable stimulant regimen were randomized to receive CLON-XR or placebo in combination with their baseline stimulant medication. Predefined efficacy measures evaluated change from baseline to week 5. Safety was assessed by spontaneously reported adverse events, vital signs, electrocardiogram recordings, and clinical laboratory values. Improvement from baseline for all efficacy measures was evaluated using analysis of covariance. RESULTS: Of 198 patients randomized, 102 received CLON-XR plus stimulant and 96 received placebo plus stimulant. At week 5, greater improvement from baseline in ADHD Rating Scale IV (ADHD-RS-IV) total score (95% confidence interval: -7.83 to -1.13; P = .009), ADHD-RS-IV hyperactivity and inattention subscale scores (P = .014 and P = .017, respectively), Conners' Parent Rating Scale scores (P < .062), Clinical Global Impression of Severity (P = .021), Clinical Global Impression of Improvement (P = .006), and Parent Global Assessment (P = .001) was observed in the CLON-XR plus stimulant group versus the placebo plus stimulant group. Adverse events and changes in vital signs in the CLON-XR group were generally mild. CONCLUSIONS: The results of this study suggest that CLON-XR in combination with stimulants is useful in reducing ADHD in children and adolescents with partial response to stimulants.}, Language = {eng}, Doi = {10.1542/peds.2010-1260}, Key = {fds274048} } @article{fds274088, Author = {Fuemmeler, BF and Østbye, T and Yang, C and McClernon, FJ and Kollins, SH}, Title = {Association between attention-deficit/hyperactivity disorder symptoms and obesity and hypertension in early adulthood: a population-based study.}, Journal = {Int J Obes (Lond)}, Volume = {35}, Number = {6}, Pages = {852-862}, Year = {2011}, Month = {June}, ISSN = {1476-5497}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20975727}, Keywords = {Adolescent • Adult • Age Factors • Attention Deficit Disorder with Hyperactivity • Body Mass Index • Female • Humans • Hypertension • Longitudinal Studies • Male • Obesity • Odds Ratio • Prevalence • Risk Factors • United States • Young Adult • complications* • epidemiology • etiology*}, Abstract = {OBJECTIVE: To examine the associations between attention-deficit/hyperactivity disorder (ADHD) symptoms, obesity and hypertension in young adults in a large population-based cohort. DESIGN, SETTING AND PARTICIPANTS: The study population consisted of 15,197 respondents from the National Longitudinal Study of Adolescent Health, a nationally representative sample of adolescents followed from 1995 to 2009 in the United States. Multinomial logistic and logistic models examined the odds of overweight, obesity and hypertension in adulthood in relation to retrospectively reported ADHD symptoms. Latent curve modeling was used to assess the association between symptoms and naturally occurring changes in body mass index (BMI) from adolescence to adulthood. RESULTS: Linear association was identified between the number of inattentive (IN) and hyperactive/impulsive (HI) symptoms and waist circumference, BMI, diastolic blood pressure and systolic blood pressure (all P-values for trend <0.05). Controlling for demographic variables, physical activity, alcohol use, smoking and depressive symptoms, those with three or more HI or IN symptoms had the highest odds of obesity (HI 3+, odds ratio (OR)=1.50, 95% confidence interval (CI) = 1.22-2.83; IN 3+, OR = 1.21, 95% CI = 1.02-1.44) compared with those with no HI or IN symptoms. HI symptoms at the 3+ level were significantly associated with a higher OR of hypertension (HI 3+, OR = 1.24, 95% CI = 1.01-1.51; HI continuous, OR = 1.04, 95% CI = 1.00-1.09), but associations were nonsignificant when models were adjusted for BMI. Latent growth modeling results indicated that compared with those reporting no HI or IN symptoms, those reporting 3 or more symptoms had higher initial levels of BMI during adolescence. Only HI symptoms were associated with change in BMI. CONCLUSION: Self-reported ADHD symptoms were associated with adult BMI and change in BMI from adolescence to adulthood, providing further evidence of a link between ADHD symptoms and obesity.}, Language = {eng}, Doi = {10.1038/ijo.2010.214}, Key = {fds274088} } @article{fds274046, Author = {Kratochvil, CJ and Vaughan, BS and Stoner, JA and Daughton, JM and Lubberstedt, BD and Murray, DW and Chrisman, AK and Faircloth, MA and Itchon-Ramos, NB and Kollins, SH and Maayan, LA and Greenhill, LL and Kotler, LA and Fried, J and March, JS}, Title = {A double-blind, placebo-controlled study of atomoxetine in young children with ADHD.}, Journal = {Pediatrics}, Volume = {127}, Number = {4}, Pages = {e862-e868}, Year = {2011}, Month = {April}, ISSN = {1098-4275}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21422081}, Keywords = {Age Factors • Attention Deficit Disorder with Hyperactivity • Central Nervous System Stimulants • Child • Child, Preschool • Combined Modality Therapy • Dose-Response Relationship, Drug • Double-Blind Method • Education • Female • Humans • Male • Off-Label Use • Personality Assessment • Propylamines • Psychometrics • adverse effects • diagnosis • drug therapy* • psychology • statistics & numerical data • therapeutic use*}, Abstract = {OBJECTIVE: To evaluate the efficacy and tolerability of atomoxetine for the treatment of attention-deficit/hyperactivity disorder (ADHD) in 5- and 6-year-old children. METHODS: This was an 8-week, double-blind, placebo-controlled randomized clinical trial of atomoxetine in 101 children with ADHD. Atomoxetine or placebo was flexibly titrated to a maximum dose of 1.8 mg/kg per day. The pharmacotherapist reviewed psychoeducational material on ADHD and behavioral-management strategies with parents during each study visit. RESULTS: Significant mean decreases in parent (P = .009) and teacher (P = .02) ADHD-IV Rating Scale scores were demonstrated with atomoxetine compared with placebo. A total of 40% of children treated with atomoxetine met response criteria (Clinical Global Impression-Improvement Scale indicating much or very much improved) compared with 22% of children on placebo, which was not significant (P = .1). Decreased appetite, gastrointestinal upset, and sedation were significantly more common with atomoxetine than placebo. Although some children demonstrated a robust response to atomoxetine, for others the response was more attenuated. Sixty-two percent of subjects who received atomoxetine were moderately, markedly, or severely ill according to the Clinical Global Impression-Severity Scale at study completion. CONCLUSIONS: To our knowledge, this is the first randomized controlled trial of atomoxetine in children as young as 5 years. Atomoxetine generally was well tolerated and reduced core ADHD symptoms in the children on the basis of parent and teacher reports. Reductions in the ADHD-IV Rating Scale scores, however, did not necessarily translate to overall clinical and functional improvement, as demonstrated on the Clinical Global Impression-Severity Scale and the Clinical Global Impression-Improvement Scale. Despite benefits, the children in the atomoxetine group remained, on average, significantly impaired at the end of the study.}, Language = {eng}, Doi = {10.1542/peds.2010-0825}, Key = {fds274046} } @article{fds274075, Author = {Kollins, SH and López, FA and Vince, BD and Turnbow, JM and Farrand, K and Lyne, A and Wigal, SB and Roth, T}, Title = {Psychomotor functioning and alertness with guanfacine extended release in subjects with attention-deficit/hyperactivity disorder.}, Journal = {J Child Adolesc Psychopharmacol}, Volume = {21}, Number = {2}, Pages = {111-120}, Year = {2011}, Month = {April}, ISSN = {1557-8992}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21476931}, Keywords = {Adolescent • Adrenergic alpha-2 Receptor Agonists • Attention Deficit Disorder with Hyperactivity • Child • Delayed-Action Preparations • Disorders of Excessive Somnolence • Dose-Response Relationship, Drug • Double-Blind Method • Drug Administration Schedule • Fatigue • Female • Guanfacine • Humans • Male • Placebos • Psychiatric Status Rating Scales • Psychomotor Performance • Treatment Outcome • administration & dosage • adverse effects • chemically induced • drug effects* • drug therapy • drug therapy* • psychology • therapeutic use*}, Abstract = {OBJECTIVES: To determine whether treatment with guanfacine extended release (GXR) in subjects with attention-deficit/hyperactivity disorder (ADHD) disrupted psychomotor functioning and alertness, or impacted daytime sleepiness. METHOD: This was a randomized, double-blind, placebo-controlled, multicenter, phase 2, dose-optimization, noninferiority, laboratory classroom study of GXR (1, 2, and 3 mg/day) in 182 subjects aged 6 to 17 years with ADHD. Psychomotor functioning and alertness were assessed through several measures, including the Choice Reaction Time (CRT) test from the Cambridge Neuropsychological Test Automated Battery. Sedative effects were examined via spontaneously reported adverse events of sedation, somnolence, and hypersomnia as well as fatigue and lethargy, and with two validated subject- and observer-rated sleepiness scales. Standard efficacy measures for ADHD also were included. Cardiovascular and laboratory parameters were assessed. RESULTS: There were no significant differences between the GXR and placebo groups on measures of psychomotor functioning or alertness from the CRT at endpoint (least-square mean difference: 2.5 [95% confidence interval (CI): -22.9, 28.0], p = 0.8 for CRT; 2.5 [95% CI: -21.5, 26.4], p = 0.84 for correct responses; 15.5 [95% CI: -45.1, 14.1], p = 0.30 for movement time; and -8.2 [95% CI: -54.1, 37.6] p = 0.72 for total time). Most sedative adverse events were mild to moderate, occurred during dose titration, decreased with dose maintenance, and resolved during the study period. One subject in the GXR group discontinued due to fatigue and somnolence. GXR was not associated with increased daytime sleepiness. GXR treatment was associated with significant improvement in ADHD symptoms (6.3 [95% CI: 2.7, 9.8], p = 0.001 for ADHD Rating Scale IV total scores at endpoint). CONCLUSIONS: At doses that resulted in significant improvement in ADHD symptoms, impairment on cognitive tasks was not observed. Daytime sleepiness did not differ with GXR compared with placebo. Results suggest that the beneficial effects of GXR on ADHD symptoms are independent of sedation.}, Language = {eng}, Doi = {10.1089/cap.2010.0064}, Key = {fds274075} } @article{fds274092, Author = {Van Voorhees and EE and Hardy, KK and Kollins, SH}, Title = {Reliability and validity of self- and other-ratings of symptoms of ADHD in adults.}, Journal = {J Atten Disord}, Volume = {15}, Number = {3}, Pages = {224-234}, Year = {2011}, Month = {April}, ISSN = {1557-1246}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20424007}, Keywords = {Adolescent • Adult • Aged • Attention Deficit Disorder with Hyperactivity • Diagnostic Self Evaluation* • Emotions • Female • Humans • Male • Middle Aged • Psychiatric Status Rating Scales • Reproducibility of Results • Sensitivity and Specificity • Severity of Illness Index • diagnosis* • psychology}, Abstract = {OBJECTIVE: Few studies have examined concordance between raters of ADHD symptoms in adults; there is less information on how well rating scales function in distinguishing adult ADHD from other disorders. This study examined these variables using the Conners Adult ADHD Rating Scales (CAARS). METHOD: The sample included 349 adults evaluated for attention problems. Correlations and kappa values were calculated using self- and observer-ratings of item-level symptoms; sensitivity, specificity, and discriminant validity of cluster scores in predicting clinician diagnoses were computed for 269 participants. RESULTS: Item-level concordance rates ranged from slight to fair. Cluster scores demonstrated a poor balance of sensitivity and specificity in predicting ADHD diagnosis; a high percentage of participants with internalizing disorders had scores in the clinical range. CONCLUSION: Self-and observer- ratings on the CAARS provide clinically relevant data about attention problems in adults, but the instrument does not effectively distinguish between ADHD and other adult psychiatric disorders.}, Language = {eng}, Doi = {10.1177/1087054709356163}, Key = {fds274092} } @article{fds274054, Author = {Rizzi, TS and Arias-Vasquez, A and Rommelse, N and Kuntsi, J and Anney, R and Asherson, P and Buitelaar, J and Banaschewski, T and Ebstein, R and Ruano, D and Van der Sluis and S and Markunas, CA and Garrett, ME and Ashley-Koch, AE and Kollins, SH and Anastopoulos, AD and Hansell, NK and Wright, MJ and Montgomery, GW and Martin, NG and Harris, SE and Davies, G and Tenesa, A and Porteous, DJ and Starr, JM and Deary, IJ and St Pourcain, B and Davey Smith and G and Timpson, NJ and Evans, DM and Gill, M and Miranda, A and Mulas, F and Oades, RD and Roeyers, H and Rothenberger, A and Sergeant, J and Sonuga-Barke, E and Steinhausen, HC and Taylor, E and Faraone, SV and Franke, B and Posthuma, D}, Title = {The ATXN1 and TRIM31 genes are related to intelligence in an ADHD background: evidence from a large collaborative study totaling 4,963 subjects.}, Journal = {Am J Med Genet B Neuropsychiatr Genet}, Volume = {156}, Number = {2}, Pages = {145-157}, Year = {2011}, Month = {March}, ISSN = {1552-485X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21302343}, Keywords = {Attention Deficit Disorder with Hyperactivity • Cohort Studies • European Continental Ancestry Group • Humans • Intelligence • Meta-Analysis as Topic • Nerve Tissue Proteins • Nuclear Family • Nuclear Proteins • Phenotype • Polymorphism, Single Nucleotide • Ubiquitin-Protein Ligases • genetics • genetics* • psychology • statistics & numerical data}, Abstract = {Intelligence is a highly heritable trait for which it has proven difficult to identify the actual genes. In the past decade, five whole-genome linkage scans have suggested genomic regions important to human intelligence; however, so far none of the responsible genes or variants in those regions have been identified. Apart from these regions, a handful of candidate genes have been identified, although most of these are in need of replication. The recent growth in publicly available data sets that contain both whole genome association data and a wealth of phenotypic data, serves as an excellent resource for fine mapping and candidate gene replication. We used the publicly available data of 947 families participating in the International Multi-Centre ADHD Genetics (IMAGE) study to conduct an in silico fine mapping study of previously associated genomic locations, and to attempt replication of previously reported candidate genes for intelligence. Although this sample was ascertained for attention deficit/hyperactivity disorder (ADHD), intelligence quotient (IQ) scores were distributed normally. We tested 667 single nucleotide polymorphisms (SNPs) within 15 previously reported candidate genes for intelligence and 29451 SNPs in five genomic loci previously identified through whole genome linkage and association analyses. Significant SNPs were tested in four independent samples (4,357 subjects), one ascertained for ADHD, and three population-based samples. Associations between intelligence and SNPs in the ATXN1 and TRIM31 genes and in three genomic locations showed replicated association, but only in the samples ascertained for ADHD, suggesting that these genetic variants become particularly relevant to IQ on the background of a psychiatric disorder.}, Language = {eng}, Doi = {10.1002/ajmg.b.31149}, Key = {fds274054} } @article{fds311594, Author = {Jain, R and Segal, S and Kollins, SH and Khayrallah, M}, Title = {Corrigendum}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {50}, Number = {3}, Pages = {313-313}, Publisher = {Elsevier BV}, Year = {2011}, Month = {March}, ISSN = {0890-8567}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000287783700023&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Doi = {10.1016/j.jaac.2011.01.019}, Key = {fds311594} } @article{fds274050, Author = {Bidwell, LC and Dew, RE and Kollins, SH}, Title = {Erratum: alpha-2 adrenergic receptors and attention-deficit/hyperactivity disorder.}, Journal = {Current Psychiatry Reports}, Volume = {13}, Number = {1}, Pages = {76}, Year = {2011}, Month = {February}, ISSN = {1535-1645}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21136308}, Language = {eng}, Doi = {10.1007/s11920-010-0171-1}, Key = {fds274050} } @article{fds274059, Author = {Kollins, SH and Youcha, S and Lasser, R and Thase, ME}, Title = {Lisdexamfetamine dimesylate for the treatment of attention deficit hyperactivity disorder in adults with a history of depression or history of substance use disorder.}, Journal = {Innov Clin Neurosci}, Volume = {8}, Number = {2}, Pages = {28-32}, Year = {2011}, Month = {February}, ISSN = {2158-8341}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21468295}, Abstract = {OBJECTIVE: To evaluate the efficacy and safety of lisdexamfetamine dimesylate in participants with attention deficit hyperactivity disorder and a history of depression and/or substance use disorder. History of these comorbidities was recorded from medical history forms completed by the study clinicians. DESIGN/SETTING: An exploratory, post-hoc analysis was conducted using data from a randomized, double-blind, placebo-controlled, forced-dose titration study of lisdexamfetamine dimesylate. PARTICIPANTS: Adults with attention deficit hyperactivity disorder. MEASUREMENTS: Changes in Attention Deficit Hyperactivity Disorder Rating Scale IV total scores and Clinical Global Impressions-Improvement scale were used to evaluate the efficacy of lisdexamfetamine dimesylate. The incidence of treatment-emergent adverse events was also evaluated. RESULTS: The intention-to-treat population included 36 participants with a history of depression and 17 participants with a history of substance use disorder. Mean changes in Attention Deficit Hyperactivity Disorder Rating Scale IV and Clinical Global Impressions-Improvement from baseline to endpoint for these subpopulations were similar to those of participants without a history of depression and/or history of substance use disorder. Lisdexamfetamine dimesylate was generally well tolerated in all subgroups. CONCLUSION: The response to lisdexamfetamine dimesylate and the treatment-emergent adverse event profiles of participants with a history of depression and/or a history of substance use disorder were similar to those of participants with no history of these disorders. Larger studies that prospectively enroll participants with attention deficit hyperactivity disorder and these comorbid disorders are needed to more conclusively evaluate the safety and efficacy of stimulant treatment in these populations.}, Language = {eng}, Key = {fds274059} } @article{fds274079, Author = {Jain, R and Segal, S and Kollins, SH and Khayrallah, M}, Title = {Clonidine extended-release tablets for pediatric patients with attention-deficit/hyperactivity disorder.}, Journal = {J Am Acad Child Adolesc Psychiatry}, Volume = {50}, Number = {2}, Pages = {171-179}, Year = {2011}, Month = {February}, ISSN = {1527-5418}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21241954}, Keywords = {Adolescent • Adrenergic alpha-2 Receptor Agonists • Attention Deficit Disorder with Hyperactivity • Child • Clonidine • Delayed-Action Preparations • Double-Blind Method • Drug Toxicity • Female • Humans • Male • administration & dosage* • adverse effects • drug therapy*}, Abstract = {OBJECTIVE: This study examined the efficacy and safety of clonidine hydrochloride extended-release tablets (CLON-XR) in children and adolescents with attention-deficit/hyperactivity disorder (ADHD). METHOD: This 8-week, placebo-controlled, fixed-dose trial, including 3 weeks of dose escalation, of patients 6 to 17 years old with ADHD evaluated the efficacy and safety of CLON-XR 0.2 mg/day or CLON-XR 0.4 mg/day versus placebo in three separate treatment arms. Primary endpoint was mean change in ADHD Rating Scale-IV (ADHD-RS-IV) total score from baseline to week 5 versus placebo using a last observation carried forward method. Secondary endpoints were improvement in ADHD-RS-IV inattention and hyperactivity/impulsivity subscales, Conners Parent Rating Scale-Revised: Long Form, Clinical Global Impression of Severity, Clinical Global Impression of Improvement, and Parent Global Assessment from baseline to week 5. RESULTS: Patients (N = 236) were randomized to receive placebo (n = 78), CLON-XR 0.2 mg/day (n = 78), or CLON-XR 0.4 mg/day (n = 80). Improvement from baseline in ADHD-RS-IV total score was significantly greater in both CLON-XR groups versus placebo at week 5. A significant improvement in ADHD-RS-IV total score occurred between groups as soon as week 2 and was maintained throughout the treatment period. In addition, improvement in ADHD-RS-IV inattention and hyperactivity/impulsivity subscales, Conners Parent Rating Scale-Revised: Long Form, Clinical Global Impression of Improvement, Clinical Global Impression of Severity, and Parent Global Assessment, occurred in both treatment groups versus placebo. The most common treatment-emergent adverse event was mild-to-moderate somnolence. Changes on electrocardiogram were minor and reflected the known pharmacology of clonidine. CONCLUSIONS: Clonidine hydrochloride extended-release tablets were generally well tolerated by patients in the study and significantly improved ADHD symptoms in this pediatric population.}, Language = {eng}, Doi = {10.1016/j.jaac.2010.11.005}, Key = {fds274079} } @article{fds192959, Author = {TS Rizzi and A Arias-Vasquez and N Rommelse and J Kuntsi and R Anney and P Asherson, J Buitelaar and T Banaschewski and R Ebstein and D Ruano and S Van der Sluis and CA Markunas and ME Garrett and AE Ashley-Koch and SH Kollins, AD Anastopoulos and NK Hansell and MJ Wright and GW Montgomery, NG Martin and SE Harris and G Davies and A Tenesa and DJ Porteous, JM Starr and IJ Deary and B St Pourcain and GD Smith and NJ Timpson, DM Evans and M Gill and A Miranda and F Mulas and RD Oades and H Roeyers, A Rothenberger and J Sergeant and E Sonuga-Barke and HC Steinhausen, E Taylor and SV Faraone and B Franke and D Posthuma}, Title = {The ATXN1 and TRIM31 Genes Are Related to Intelligence in an ADHD Background: Evidence From a Large Collaborative Study Totaling 4,963 Subjects.}, Journal = {American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric Genetics}, Year = {2010}, Month = {December}, ISSN = {1552-485X}, url = {http://dx.doi.org/10.1002/ajmg.b.31149}, Abstract = {Intelligence is a highly heritable trait for which it has proven difficult to identify the actual genes. In the past decade, five whole-genome linkage scans have suggested genomic regions important to human intelligence; however, so far none of the responsible genes or variants in those regions have been identified. Apart from these regions, a handful of candidate genes have been identified, although most of these are in need of replication. The recent growth in publicly available data sets that contain both whole genome association data and a wealth of phenotypic data, serves as an excellent resource for fine mapping and candidate gene replication. We used the publicly available data of 947 families participating in the International Multi-Centre ADHD Genetics (IMAGE) study to conduct an in silico fine mapping study of previously associated genomic locations, and to attempt replication of previously reported candidate genes for intelligence. Although this sample was ascertained for attention deficit/hyperactivity disorder (ADHD), intelligence quotient (IQ) scores were distributed normally. We tested 667 single nucleotide polymorphisms (SNPs) within 15 previously reported candidate genes for intelligence and 29451 SNPs in five genomic loci previously identified through whole genome linkage and association analyses. Significant SNPs were tested in four independent samples (4,357 subjects), one ascertained for ADHD, and three population-based samples. Associations between intelligence and SNPs in the ATXN1 and TRIM31 genes and in three genomic locations showed replicated association, but only in the samples ascertained for ADHD, suggesting that these genetic variants become particularly relevant to IQ on the background of a psychiatric disorder. © 2010 Wiley-Liss, Inc.}, Language = {ENG}, Doi = {10.1002/ajmg.b.31149}, Key = {fds192959} } @article{fds274081, Author = {Wigal, SB and Kollins, SH and Childress, AC and Adeyi, B}, Title = {Efficacy and tolerability of lisdexamfetamine dimesylate in children with attention-deficit/hyperactivity disorder: sex and age effects and effect size across the day.}, Journal = {Child and Adolescent Psychiatry and Mental Health}, Volume = {4}, Pages = {32}, Year = {2010}, Month = {December}, ISSN = {1753-2000}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21156071}, Abstract = {BACKGROUND: Efficacy and safety profiles by sex and age (6-9 vs 10-12 years) and magnitude and duration of effect by effect size overall and across the day of lisdexamfetamine dimesylate (LDX) vs placebo were assessed. METHODS: This study enrolled children (6-12 years) with attention-deficit/hyperactivity disorder (ADHD) in an open-label dose optimization with LDX (30-70 mg/d) followed by a randomized, double-blind, placebo-controlled, 2-way crossover phase. Post hoc analyses assessed interaction between sex or age and treatment and assessed effect sizes for Swanson, Kotkin, Agler, M-Flynn, and Pelham (SKAMP) and Permanent Product Measure of Performance (PERMP) scales and ADHD Rating Scale IV measures. No corrections for multiple testing were applied on time points and subgroup statistical comparisons. RESULTS: 129 participants enrolled; 117 randomized. Both sexes showed improvement on all assessments at postdose time points; females showed less impairment than males for SKAMP and PERMP scores in treatment and placebo groups at nearly all times. Both age groups improved on all assessments at postdose time points. Children 10-12 years had less impairment in SKAMP ratings than those 6-9 years. Treatment-by-sex interactions were observed at time points for SKAMP-D, SKAMP total, and PERMP scores; no consistent pattern across scales or time points was observed. LDX demonstrated significant improvement vs placebo, by effect size, on SKAMP-D from 1.5-13 hours postdose. The overall LS mean (SE) SKAMP-D effect size was -1.73 (0.18). In the dose-optimization phase, common (≥2%) treatment-emergent adverse events (TEAEs) in males were upper abdominal pain, headache, affect lability, initial insomnia, and insomnia; in females were nausea and decreased weight. During the crossover phase for those taking LDX, higher incidence (≥2% greater) was observed in males for upper abdominal pain and insomnia and in females for nausea and headache. Overall incidence of TEAEs in age groups was similar. CONCLUSION: Apparent differences in impairment level between sex and age groups were noted. However, these results support the efficacy of LDX from 1.5 hours to 13 hours postdose in boys and girls with medium to large effect sizes across the day with some variability in TEAE incidence by sex. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov Identifier: NCT00500149.}, Language = {eng}, Doi = {10.1186/1753-2000-4-32}, Key = {fds274081} } @article{fds274067, Author = {Dew, RE and Kollins, SH}, Title = {Lisdexamfetamine dimesylate: a new option in stimulant treatment for ADHD.}, Journal = {Expert Opin Pharmacother}, Volume = {11}, Number = {17}, Pages = {2907-2913}, Year = {2010}, Month = {December}, ISSN = {1744-7666}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20979573}, Keywords = {Attention Deficit Disorder with Hyperactivity • Central Nervous System Stimulants • Dextroamphetamine • Humans • administration & dosage • adverse effects • drug therapy* • therapeutic use*}, Abstract = {IMPORTANCE OF THE FIELD: Attention deficit/hyperactivity disorder (ADHD), a prevalent disorder in children and adults, presents a substantial societal burden in both monetary cost and human suffering. Characterized by significant difficulties in maintaining attention, completing tasks, motor control, and appropriate social engagement, the disorder begins early in life and results in significant impairment across domains of functioning, including social, educational, and occupational achievement. The condition also carries heightened risk of substance use and dependence, and criminal activity. Pharmacologic treatment is a key component of ADHD management and has been found to be cost effective and generally well tolerated. However, despite increasing options for medication therapy, community management of ADHD is suboptimal. This review assesses current research on lisdexamfetamine dimesylate (LDX), a relatively recent addition to the range of treatment options. AREAS COVERED IN THIS REVIEW: This review summarizes peer-reviewed literature on LDX published 2003 - 2010. WHAT THE READER WILL GAIN: The reader will gain insight into the efficacy and safety of LDX in the treatment of ADHD, and its place in the clinical armamentarium. TAKE HOME MESSAGE: LDX is a useful addition to the formulary, showing similar efficacy and safety profiles to other stimulants.}, Language = {eng}, Doi = {10.1517/14656566.2010.531009}, Key = {fds274067} } @article{fds274103, Author = {Kozink, RV and Kollins, SH and McClernon, FJ}, Title = {Smoking withdrawal modulates right inferior frontal cortex but not presupplementary motor area activation during inhibitory control.}, Journal = {Neuropsychopharmacology}, Volume = {35}, Number = {13}, Pages = {2600-2606}, Year = {2010}, Month = {December}, ISSN = {1740-634X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20861830}, Keywords = {Adult • Female • Frontal Lobe • Humans • Inhibition (Psychology)* • Magnetic Resonance Imaging • Male • Motor Cortex • Psychomotor Performance • Reaction Time • Substance Withdrawal Syndrome • Tobacco Use Disorder • methods • physiology • physiology* • physiopathology*}, Abstract = {Smokers exhibit decrements in inhibitory control (IC) during withdrawal. The objective of this study was to investigate the neural basis of these effects in critical substrates of IC--right inferior frontal cortex (rIFC) and presupplementary motor area (pre-SMA). Smokers were scanned following smoking as usual and after 24-h smoking abstinence. During scanning they completed a Go/No-Go task that required inhibiting responses to infrequent STOP trials. Event-related brain activation in response to successfully inhibited STOP trials was evaluated in two regions of interest: rIFC (10 mm sphere, x=40, y=30, z=26) and pre-SMA (10 mm sphere, x=2, y=18, z=40). Smoking abstinence robustly increased errors of commission on STOP trials (37.1 vs 24.8% in the satiated condition, p<0.001) while having no effects on GO trial accuracy or reaction time (RT). In rIFC, smoking abstinence was associated with a significantly increased event-related BOLD signal (p=0.026). Pre-SMA was unaffected by smoking condition. The results of this preliminary study suggest that successful IC during withdrawal is associated with increased processing demands on a cortical center associated with attention to inhibitory signals.}, Language = {eng}, Doi = {10.1038/npp.2010.154}, Key = {fds274103} } @article{fds274082, Author = {Cinnamon Bidwell and L and Dew, RE and Kollins, SH}, Title = {Alpha-2 adrenergic receptors and attention-deficit/hyperactivity disorder.}, Journal = {Current Psychiatry Reports}, Volume = {12}, Number = {5}, Pages = {366-373}, Year = {2010}, Month = {October}, ISSN = {1535-1645}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20652773}, Keywords = {Adrenergic alpha-2 Receptor Agonists • Attention Deficit Disorder with Hyperactivity • Brain • Humans • Receptors, Adrenergic, alpha-2 • drug therapy* • metabolism • metabolism* • therapeutic use*}, Abstract = {Pharmacologic management of attention-deficit/hyperactivity disorder (ADHD) has expanded beyond stimulant medications to include alpha-2 adrenergic agonists. These agents exert their actions through presynaptic stimulation and likely involve facilitation of dopamine and noradrenaline neurotransmission, both of which are thought to play critical roles in the pathophysiology of ADHD. Furthermore, frontostriatal dysfunction giving rise to neuropsychological weaknesses has been well-established in patients with ADHD and may explain how alpha-2 agents exert their beneficial effects. In the following review, we consider relevant neurobiological underpinnings of ADHD with respect to why alpha-2 agents may be effective in treating this condition. We also review new formulations of alpha-2 agonists, emerging data on their use in ADHD, and implications for clinical practice. Integrating knowledge of pathophysiologic mechanisms and mechanisms of drug action may inform our medication choices and facilitate treatment of ADHD and related disorders.}, Language = {eng}, Doi = {10.1007/s11920-010-0136-4}, Key = {fds274082} } @article{fds274078, Author = {Connor, DF and Findling, RL and Kollins, SH and Sallee, F and López, FA and Lyne, A and Tremblay, G}, Title = {Effects of guanfacine extended release on oppositional symptoms in children aged 6-12 years with attention-deficit hyperactivity disorder and oppositional symptoms: a randomized, double-blind, placebo-controlled trial.}, Journal = {Cns Drugs}, Volume = {24}, Number = {9}, Pages = {755-768}, Year = {2010}, Month = {September}, ISSN = {1172-7047}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20806988}, Keywords = {Adrenergic alpha-2 Receptor Agonists • Attention Deficit Disorder with Hyperactivity • Attention Deficit and Disruptive Behavior Disorders • Child • Delayed-Action Preparations • Dose-Response Relationship, Drug • Double-Blind Method • Drug Administration Schedule • Guanfacine • Humans • adverse effects • drug therapy • drug therapy* • therapeutic use*}, Abstract = {OBJECTIVE: To evaluate the efficacy and safety of guanfacine extended release (XR, Intuniv; Shire Development Inc., Wayne, PA, USA) in the treatment of oppositional symptoms in children aged 6-12 years with a diagnosis of attention-deficit hyperactivity disorder (ADHD) and the presence of oppositional symptoms. SUBJECTS AND METHODS: In this randomized, double-blind, placebo-controlled, multicentre, flexible-dose, dose-optimization study, children aged 6-12 years were randomized to receive guanfacine XR (1-4 mg/day) or placebo for 9 weeks. Screening and washout periods were followed by a 5-week dose-optimization period, a 3-week dose-maintenance period and a 1-week tapering period. The primary efficacy measure was change from baseline to endpoint in the oppositional subscale of the Conners' Parent Rating Scale-Revised: Long Form (CPRS-R:L) score. Change in ADHD Rating Scale IV (ADHD-RS-IV) total score was a secondary efficacy measure. Safety assessments included adverse events (AEs), vital signs, ECG readings and laboratory studies. RESULTS: A total of 217 children were enrolled: 138 were randomized to receive guanfacine XR and 79 to receive placebo. Least-squares mean reductions from baseline to endpoint in CPRS-R:L oppositional subscale scores were 10.9 in the guanfacine XR group compared with 6.8 in the placebo group (p < 0.001; effect size = 0.59). A significantly greater reduction in ADHD-RS-IV total score from baseline to endpoint was also seen in the guanfacine-treated group compared with the placebo group (23.8 vs 11.5, respectively; p < 0.001; effect size = 0.92). A post hoc correlation analysis between percentage reduction from baseline to endpoint in CPRS-R:L oppositional subscale and ADHD-RS-IV total scores indicated that the decreases in oppositional symptoms and ADHD symptoms were highly correlated (r = 0.74). The most commonly reported, treatment-emergent AEs (TEAEs) in the guanfacine XR group were somnolence (50.7%), headache (22.1%), sedation (13.2%), upper abdominal pain (11.8%) and fatigue (11.0%) and most were mild or moderate in severity. TEAEs of sedation, somnolence or hypersomnia were experienced by 62.5% of subjects in the guanfacine XR group. These events were most common during the dose-titration period but most (63.5%) resolved prior to the taper period. TEAEs of fatigue, lethargy and asthenia were reported in 11.0%, 3.7% and 0.0% of subjects in the guanfacine XR group, respectively. Most subjects receiving guanfacine XR demonstrated modest changes in blood pressure, pulse rate and ECG readings that were not considered clinically significant. CONCLUSIONS: In this population of children aged 6-12 years with ADHD and the presence of oppositional symptoms, significant reductions in CPRS-R:L oppositional subscale and ADHD-RS-IV total scores were observed with guanfacine XR treatment compared with placebo. Treatment with guanfacine XR at optimized doses was associated with mostly mild or moderate TEAEs. The findings of this study support the efficacy of guanfacine XR in the treatment of children with ADHD and the presence of oppositional symptoms. CLINICAL TRIAL REGISTRATION NUMBER: NCT00367835.}, Language = {eng}, Doi = {10.2165/11537790-000000000-00000}, Key = {fds274078} } @article{fds192940, Author = {AD Anastopoulos and TF Smith and ME Garrett and E Morrissey-Kane and NK Schatz, JL Sommer and SH Kollins and A Ashley-Koch}, Title = {Self-Regulation of Emotion, Functional Impairment, and Comorbidity Among Children With ADHD.}, Journal = {Journal of attention disorders}, Year = {2010}, Month = {August}, ISSN = {1557-1246}, url = {http://dx.doi.org/10.1177/1087054710370567}, Abstract = {Objective: This study investigated the role of self-regulation of emotion in relation to functional impairment and comorbidity among children with and without AD/HD. Method: A total of 358 probands and their siblings participated in the study, with 74% of the sample participants affected by AD/HD. Parent-rated levels of emotional lability served as a marker for self-regulation of emotion. Results: Nearly half of the children affected by AD/HD displayed significantly elevated levels of emotional lability versus 15% of those without this disorder. Children with AD/HD also displayed significantly higher rates of functional impairment, comorbidity, and treatment service utilization. Emotional lability partially mediated the association between AD/HD status and these outcomes. Conclusion: Findings lent support to the notion that deficits in the self-regulation of emotion are evident in a substantial number of children with AD/HD and that these deficits play an important role in determining functional impairment and comorbidity outcomes. (J. of Att. Dis. 2010; XX(X) 1-XX).}, Language = {ENG}, Doi = {10.1177/1087054710370567}, Key = {fds192940} } @misc{fds274085, Author = {Kollins, SH and McClernon, FJ and Van Voorhees, EE}, Title = {Monetary incentives promote smoking abstinence in adults with attention deficit hyperactivity disorder (ADHD).}, Journal = {Exp Clin Psychopharmacol}, Volume = {18}, Number = {3}, Pages = {221-228}, Year = {2010}, Month = {June}, ISSN = {1936-2293}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20545386}, Keywords = {Adolescent • Adult • Attention Deficit Disorder with Hyperactivity • Behavior Therapy • Carbon Monoxide • Case-Control Studies • Female • Follow-Up Studies • Humans • Male • Middle Aged • Motivation* • Psychiatric Status Rating Scales • Reinforcement (Psychology) • Smoking • Smoking Cessation • Statistics, Nonparametric • Treatment Outcome • Young Adult • epidemiology • metabolism • methods* • psychology • psychology* • therapy*}, Abstract = {Individuals with attention deficit hyperactivity disorder (ADHD) smoke at rates significantly higher than the general population and have more difficulty quitting than nondiagnosed individuals. Currently, there are no evidence-based approaches for reducing smoking specifically in individuals with ADHD. Adult regular smokers with or without ADHD participated in a study of extended smoking withdrawal where monetary incentives were used to promote abstinence. Participants were paid according to an escalating schedule for maintaining abstinence measured as self-report of no smoking and an expired air carbon monoxide (CO) level of <or=4 parts per million. Sixty-four percent (14/22) of smokers with ADHD and 50% (11/22) of smokers without ADHD maintained complete abstinence for the 2-week duration of the study. Twenty-two percent (5/22) and 9% (2/22) of smokers with ADHD and without ADHD, respectively, maintained continued abstinence for up to 10 days following the removal of the contingencies. Though abstinence rates were higher for the smokers with ADHD, the group differences were not statistically significant. Results suggest that monetary incentives may be a useful approach for promoting abstinence in adult smokers with ADHD, perhaps owing to altered reinforcement processes in these individuals.}, Language = {eng}, Doi = {10.1037/a0019565}, Key = {fds274085} } @article{fds273989, Author = {Kollins, S}, Title = {Subjective Effects of Methylphenidate}, Pages = {275-304}, Publisher = {Oxford University Press}, Year = {2010}, Month = {April}, url = {http://dx.doi.org/10.1093/acprof:oso/9780195165319.003.0011}, Abstract = {Methylphenidate (MPH) is one of the most widely prescribed psychotropic agents in the United States, and its increased use over the past two decades has been a source of growing controversy among scientists, clinicians, policy makers, and parents. This chapter highlights research and theory on the subjective effects of MPH and how their study can provide information addressing all these issues. The chapter begins by briefly reviewing the history of the clinical use of MPH and empirical work on the recent prescription trends of this drug. It then considers the question of what kinds of information the subjective effects of MPH can provide about both the clinical effects of the drug and its potential for abuse or misuse. The chapter reviews those studies that have evaluated the subjective effects of MPH in human participants, with emphasis on the methodological variation across studies in which these effects have been assessed. It emphasizes the measurement of MPH subjective effects in clinical samples of individuals with attention deficit/hyperactivity disorder (ADHD), including a recently completed study suggesting differential patterns of effects in this group versus healthy controls. Finally, the chapter provides an overview of potential neuropharmacological mechanisms.}, Doi = {10.1093/acprof:oso/9780195165319.003.0011}, Key = {fds273989} } @article{fds274098, Author = {Markunas, CA and Quinn, KS and Collins, AL and Garrett, ME and Lachiewicz, AM and Sommer, JL and Morrissey-Kane, E and Kollins, SH and Anastopoulos, AD and Ashley-Koch, AE}, Title = {Genetic variants in SLC9A9 are associated with measures of attention-deficit/hyperactivity disorder symptoms in families.}, Journal = {Psychiatr Genet}, Volume = {20}, Number = {2}, Pages = {73-81}, Year = {2010}, Month = {April}, ISSN = {1473-5873}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20032819}, Keywords = {Adolescent • Attention Deficit Disorder with Hyperactivity • Child • Female • Genetic Variation* • Genotype • Humans • Male • Sodium-Hydrogen Antiporter • genetics* • physiopathology}, Abstract = {OBJECTIVE: A family was previously identified that cosegregates a pericentric inversion, inv(3)(p14 : q21), with an early-onset developmental condition, characterized by impulsive behavior and intellectual deficit. The inversion breakpoints lie within DOCK3 and SLC9A9 at the p-arm and q-arm, respectively. Based on this report, these genes were selected to be evaluated in a family-based attention-deficit/hyperactivity disorder (AD/HD) association study. METHODS: Conners' Parent (CPRS) and Teacher (CTRS) Rating Scales of AD/HD symptoms and Conners' Continuous Performance Test (CPT) measures were collected and a minimal number of tagging single-nucleotide polymorphisms (SNPs) in each gene were selected for analysis. Analyses were performed on families who met research criteria for AD/HD. Using the program, QTDT, each tagging SNP was tested for association with T-scores from the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) subscales according to the CTRS and CPRS, and five CPT measures. RESULTS: After adjusting for multiple testing, a SNP in the 3' UTR of SLC9A9, rs1046706, remained significantly associated (false discovery rate, q value <0.05) with scores on the DSM-IV hyperactive-impulsive and total symptom subscales according to the CTRS and errors of commission on the CPT. In addition, an intronic SLC9A9 SNP, rs2360867, remained significantly associated with errors of commission. CONCLUSION: Our results suggest that SLC9A9 may be related to hyperactive-impulsive symptoms in AD/HD and the disruption of SLC9A9 may be responsible for the behavioral phenotype observed in the inversion family. The association with SLC9A9 is particularly interesting as it was recently implicated in a genome-wide association study for AD/HD. Further investigation of the role of SLC9A9 in AD/HD and other behavioral disorders is warranted.}, Language = {eng}, Doi = {10.1097/YPG.0b013e3283351209}, Key = {fds274098} } @article{fds274069, Author = {Polanczyk, G and Caspi, A and Houts, R and Kollins, SH and Rohde, LA and Moffitt, TE}, Title = {Implications of extending the ADHD age-of-onset criterion to age 12: results from a prospectively studied birth cohort.}, Journal = {J Am Acad Child Adolesc Psychiatry}, Volume = {49}, Number = {3}, Pages = {210-216}, Year = {2010}, Month = {March}, ISSN = {1527-5418}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20410710}, Keywords = {Adult • Age of Onset • Attention Deficit Disorder with Hyperactivity • Child • Cohort Studies • Cross-Sectional Studies • Diagnostic and Statistical Manual of Mental Disorders • Diseases in Twins • Female • Great Britain • Humans • Male • Personality Assessment • Prospective Studies • Risk Factors • diagnosis* • epidemiology • genetics • psychology}, Abstract = {OBJECTIVE: To evaluate whether including children with onset of symptoms between ages 7 and 12 years in the ADHD diagnostic category would: (a) increase the prevalence of the disorder at age 12, and (b) change the clinical and cognitive features, impairment profile, and risk factors for ADHD compared with findings in the literature based on the DSM-IV definition of the disorder. METHOD: A birth cohort of 2,232 British children was prospectively evaluated at ages 7 and 12 years for ADHD using information from mothers and teachers. The prevalence of diagnosed ADHD at age 12 was evaluated with and without the inclusion of individuals who met DSM-IV age-of-onset criterion through mothers' or teachers' reports of symptoms at age 7. Children with onset of ADHD symptoms before versus after age 7 were compared on their clinical and cognitive features, impairment profile, and risk factors for ADHD. RESULTS: Extending the age-of-onset criterion to age 12 resulted in a negligible increase in ADHD prevalence by age 12 years of 0.1%. Children who first manifested ADHD symptoms between ages 7 and 12 did not present correlates or risk factors that were significantly different from children who manifested symptoms before age 7. CONCLUSIONS: Results from this prospective birth cohort might suggest that adults who are able to report symptom onset by age 12 also had symptoms by age 7, even if they are not able to report them. The data suggest that the prevalence estimate, correlates and risk factors of ADHD will not be affected if the new diagnostic scheme extends the age-of-onset criterion to age 12.}, Language = {eng}, Doi = {10.1016/j.jaac.2009.12.014}, Key = {fds274069} } @article{fds351310, Author = {Polanczyk, G and Caspi, A and Houts, R and Kollins, SH and Rohde, LA and Moffitt, TE}, Title = {Implications of Extending the ADHD Age-of-Onset Criterion to Age 12}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {49}, Number = {3}, Pages = {210-216}, Publisher = {Elsevier BV}, Year = {2010}, Month = {March}, url = {http://dx.doi.org/10.1097/00004583-201003000-00004}, Doi = {10.1097/00004583-201003000-00004}, Key = {fds351310} } @article{fds274066, Author = {Faraone, SV and Spencer, TJ and Kollins, SH and Glatt, SJ}, Title = {Effects of lisdexamfetamine dimesylate treatment for ADHD on growth.}, Journal = {J Am Acad Child Adolesc Psychiatry}, Volume = {49}, Number = {1}, Pages = {24-32}, Year = {2010}, Month = {January}, ISSN = {1527-5418}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20215923}, Keywords = {Attention Deficit Disorder with Hyperactivity • Body Height • Body Mass Index* • Body Weight • Central Nervous System Stimulants • Child • Clinical Trials, Phase III as Topic • Cross-Over Studies • Dextroamphetamine • Dose-Response Relationship, Drug • Double-Blind Method • Female • Follow-Up Studies • Humans • Male • Randomized Controlled Trials as Topic • adverse effects* • drug effects* • drug therapy* • therapeutic use*}, Abstract = {OBJECTIVE: To complete an exploratory uncontrolled study of the effects of lisdexamfetamine dimesylate (LDX) on growth of children treated for attention-deficit/hyperactivity disorder (ADHD). METHOD: Height, weight, and body mass index (BMI) from 281 children ages 6 to 13 years from longitudinal assessments up to 15 months were compared to norms from the Centers for Disease Control. RESULTS: At study entry, children were taller and heavier than average. Growth delays were largest for weight and BMI, and there was a 13 percentile point decrease in height. Children continued to grow in terms of height while treated with LDX; we found no increase in raw weight or BMI during the study period. LDX treatment was significantly associated with diminished gains in height, weight, and BMI compared to levels that would be expected based on age-appropriate standards from the Centers for Disease Control. Growth delays were greatest for the heaviest and tallest children, for those who had not previously received stimulant therapy, and for those with a greater cumulative exposure to LDX. More work is needed to determine effects on ultimate adult height. CONCLUSIONS: Consistent with prior studies of stimulants, treatment with LDX leads to statistically significant reductions in expected height, weight, and BMI. Growth of patients with ADHD treated with LDX should be closely monitored and corrective action taken should growth delays be observed.}, Language = {eng}, Doi = {10.1097/00004583-201001000-00006}, Key = {fds274066} } @article{fds274064, Author = {Volkow, ND and Wang, G-J and Kollins, SH and Wigal, TL and Newcorn, JH and Telang, F and Fowler, JS and Zhu, W and Logan, J and Ma, Y and Pradhan, K and Wong, C and Swanson, JM}, Title = {Evaluating dopamine reward pathway in ADHD: clinical implications.}, Journal = {Jama}, Volume = {302}, Number = {10}, Pages = {1084-1091}, Publisher = {AMER MEDICAL ASSOC}, Year = {2009}, Month = {September}, ISSN = {0098-7484}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19738093}, Keywords = {Adult • Attention Deficit Disorder with Hyperactivity • Brain • Brain Mapping • Carbon Radioisotopes • Cocaine • Dopamine • Dopamine Agents • Dopamine Plasma Membrane Transport Proteins • Female • Humans • Male • Mesencephalon • Positron-Emission Tomography • Raclopride • Receptors, Dopamine D2 • Reward • Synaptic Transmission • diagnostic use • metabolism • metabolism* • physiology* • physiopathology* • psychology • radionuclide imaging • radionuclide imaging*}, Abstract = {CONTEXT: Attention-deficit/hyperactivity disorder (ADHD)--characterized by symptoms of inattention and hyperactivity-impulsivity--is the most prevalent childhood psychiatric disorder that frequently persists into adulthood, and there is increasing evidence of reward-motivation deficits in this disorder. OBJECTIVE: To evaluate biological bases that might underlie a reward/motivation deficit by imaging key components of the brain dopamine reward pathway (mesoaccumbens). DESIGN, SETTING, AND PARTICIPANTS: We used positron emission tomography to measure dopamine synaptic markers (transporters and D(2)/D(3) receptors) in 53 nonmedicated adults with ADHD and 44 healthy controls between 2001-2009 at Brookhaven National Laboratory. MAIN OUTCOME MEASURES: We measured specific binding of positron emission tomographic radioligands for dopamine transporters (DAT) using [(11)C]cocaine and for D(2)/D(3) receptors using [(11)C]raclopride, quantified as binding potential (distribution volume ratio -1). RESULTS: For both ligands, statistical parametric mapping showed that specific binding was lower in ADHD than in controls (threshold for significance set at P < .005) in regions of the dopamine reward pathway in the left side of the brain. Region-of-interest analyses corroborated these findings. The mean (95% confidence interval [CI] of mean difference) for DAT in the nucleus accumbens for controls was 0.71 vs 0.63 for those with ADHD (95% CI, 0.03-0.13, P = .004) and in the midbrain for controls was 0.16 vs 0.09 for those with ADHD (95% CI, 0.03-0.12; P < or = .001); for D(2)/D(3) receptors, the mean accumbens for controls was 2.85 vs 2.68 for those with ADHD (95% CI, 0.06-0.30, P = .004); and in the midbrain, it was for controls 0.28 vs 0.18 for those with ADHD (95% CI, 0.02-0.17, P = .01). The analysis also corroborated differences in the left caudate: the mean DAT for controls was 0.66 vs 0.53 for those with ADHD (95% CI, 0.04-0.22; P = .003) and the mean D(2)/D(3) for controls was 2.80 vs 2.47 for those with ADHD (95% CI, 0.10-0.56; P = .005) and differences in D(2)/D(3) in the hypothalamic region, with controls having a mean of 0.12 vs 0.05 for those with ADHD (95% CI, 0.02-0.12; P = .004). Ratings of attention correlated with D(2)/D(3) in the accumbens (r = 0.35; 95% CI, 0.15-0.52; P = .001), midbrain (r = 0.35; 95% CI, 0.14-0.52; P = .001), caudate (r = 0.32; 95% CI, 0.11-0.50; P = .003), and hypothalamic (r = 0.31; CI, 0.10-0.49; P = .003) regions and with DAT in the midbrain (r = 0.37; 95% CI, 0.16-0.53; P < or = .001). CONCLUSION: A reduction in dopamine synaptic markers associated with symptoms of inattention was shown in the dopamine reward pathway of participants with ADHD.}, Language = {eng}, Doi = {10.1001/jama.2009.1308}, Key = {fds274064} } @article{fds274055, Author = {Wigal, SB and Kollins, SH and Childress, AC and Squires, L and 311 Study Group}, Title = {A 13-hour laboratory school study of lisdexamfetamine dimesylate in school-aged children with attention-deficit/hyperactivity disorder.}, Journal = {Child and Adolescent Psychiatry and Mental Health}, Volume = {3}, Number = {1}, Pages = {17}, Year = {2009}, Month = {June}, ISSN = {1753-2000}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19508731}, Abstract = {BACKGROUND: Lisdexamfetamine dimesylate (LDX) is indicated for the treatment of attention-deficit/hyperactivity disorder (ADHD) in children 6 to 12 years of age and in adults. In a previous laboratory school study, LDX demonstrated efficacy 2 hours postdose with duration of efficacy through 12 hours. The current study further characterizes the time course of effect of LDX. METHODS: Children aged 6 to 12 years with ADHD were enrolled in a laboratory school study. The multicenter study consisted of open-label, dose-optimization of LDX (30, 50, 70 mg/d, 4 weeks) followed by a randomized, placebo-controlled, 2-way crossover phase (1 week each). Efficacy measures included the SKAMP (deportment [primary] and attention [secondary]) and PERMP (attempted/correct) scales (secondary) measured at predose and at 1.5, 2.5, 5, 7.5, 10, 12, and 13 hours postdose. Safety measures included treatment-emergent adverse events (AEs), physical examination, vital signs, and ECGs. RESULTS: A total of 117 subjects were randomized and 111 completed the study. Compared with placebo, LDX demonstrated significantly greater efficacy at each postdose time point (1.5 hours to 13.0 hours), as measured by SKAMP deportment and attention scales and PERMP (P < .005). The most common treatment-emergent AEs during dose optimization were decreased appetite (47%), insomnia (27%), headache (17%), irritability (16%), upper abdominal pain (16%), and affect lability (10%), which were less frequent in the crossover phase (6%, 4%, 5%, 1%, 2%, and 0% respectively). CONCLUSION: In school-aged children (6 to 12 years) with ADHD, efficacy of LDX was maintained from the first time point (1.5 hours) up to the last time point assessed (13.0 hours). LDX was generally well tolerated, resulting in typical stimulant AEs. TRIAL REGISTRATION: Official Title: A Phase IIIb, Randomized, Double-Blind, Multi-Center, Placebo-Controlled, Dose-Optimization, Cross-Over, Analog Classroom Study to Assess the Time of Onset of Vyvanse (Lisdexamfetamine Dimesylate) in Pediatric Subjects Aged 6-12 With Attention-Deficit/Hyperactivity Disorder. ClinicalTrials.gov Identifier: NCT00500149 http://clinicaltrials.gov/ct2/show/NCT00500149.}, Language = {eng}, Doi = {10.1186/1753-2000-3-17}, Key = {fds274055} } @article{fds274087, Author = {Kollins, SH and Garrett, ME and McClernon, FJ and Lachiewicz, AM and Morrissey-Kane, E and FitzGerald, D and Collins, AL and Anastopoulos, AD and Ashley-Koch, AE}, Title = {Effects of postnatal parental smoking on parent and teacher ratings of ADHD and oppositional symptoms.}, Journal = {J Nerv Ment Dis}, Volume = {197}, Number = {6}, Pages = {442-449}, Year = {2009}, Month = {June}, ISSN = {1539-736X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19525745}, Keywords = {Adult • Attention Deficit Disorder with Hyperactivity • Attention Deficit and Disruptive Behavior Disorders • Child • Child, Preschool • Diagnostic and Statistical Manual of Mental Disorders • Faculty* • Female • Humans • Male • Mothers • Observer Variation • Parents* • Postpartum Period* • Smoking • diagnosis • epidemiology* • statistics & numerical data*}, Abstract = {To assess the effects of postnatal parental smoking on subsequent parent and teacher ratings of DSM-IV attention deficit hyperactivity disorder (ADHD) symptoms and oppositional behaviors in children diagnosed with ADHD and their siblings. Children between 5 and 12 years of age with ADHD and their siblings were included. DSM-IV ADHD symptom subscales (Inattentive and hyperactive-impulsive), and oppositionality subscale scores from Conners' Rating Scales were predicted on the basis of parental smoking status in the first 7 years after birth using Generalized Estimating Equations controlling for a range of relevant covariates. Postnatal parental smoking was associated with both parent and teacher ratings of ADHD symptoms and oppositional behavior. After controlling for a number of covariates, several of these relationships were still significant. The risk of maternal smoking for the development of ADHD symptoms does not end during pregnancy. Research on the mechanisms underlying the observed associations is needed.}, Language = {eng}, Doi = {10.1097/NMD.0b013e3181a61d9e}, Key = {fds274087} } @article{fds274056, Author = {Fuemmeler, BF and Agurs-Collins, T and McClernon, FJ and Kollins, SH and Garrett, ME and Ashley-Koch, AE}, Title = {Interactions between genotype and depressive symptoms on obesity.}, Journal = {Behav Genet}, Volume = {39}, Number = {3}, Pages = {296-305}, Year = {2009}, Month = {May}, ISSN = {1573-3297}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19337825}, Keywords = {Adolescent • Alleles • Body Mass Index* • Confidence Intervals • Depression • Depressive Disorder • Female • Genetic Predisposition to Disease • Genotype* • Humans • Longitudinal Studies • Male • Monoamine Oxidase • Obesity • Odds Ratio • Overweight • Personality Inventory • Phenotype • Polymorphism, Genetic • Psychometrics • Risk Factors • Serotonin Plasma Membrane Transport Proteins • Sex Factors • Young Adult • genetics • genetics* • psychology • statistics & numerical data}, Abstract = {Depression and Genetic variation in serotonin and monoamine transmission have both been associated with body mass index (BMI), but their interaction effects are not well understood. We examined the interaction between depressive symptoms and functional polymorphisms of serotonin transporter (SLC6A4) and monoamine oxidase A (MAOA) on categories of BMI. Participants were from the National Longitudinal Study of Adolescent Health. Multiple logistic regression was used to investigate interactions between candidate genes and depression on risk of obesity (BMI > or = 30) or overweight + obese combined (BMI > or = 25). Males with an MAOA active allele with high depressive symptoms were at decreased risk of obesity (OR 0.22; 95% CI 0.06-0.78) and overweight + obesity (OR 0.48; 95% CI 0.26-0.89). No similar effect was observed among females. These findings highlight that the obesity-depression relationship may vary as a function of gender and genetic polymorphism, and suggest the need for further study.}, Language = {eng}, Doi = {10.1007/s10519-009-9266-z}, Key = {fds274056} } @article{fds274101, Author = {Kollins, SH and English, J and Robinson, R and Hallyburton, M and Chrisman, AK}, Title = {Reinforcing and subjective effects of methylphenidate in adults with and without attention deficit hyperactivity disorder (ADHD).}, Journal = {Psychopharmacology (Berl)}, Volume = {204}, Number = {1}, Pages = {73-83}, Year = {2009}, Month = {May}, ISSN = {1432-2072}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19104775}, Keywords = {Administration, Oral • Adult • Area Under Curve • Attention Deficit Disorder with Hyperactivity • Central Nervous System Stimulants • Choice Behavior • Dose-Response Relationship, Drug • Female • Humans • Male • Methylphenidate • Questionnaires • Reinforcement (Psychology)* • Self Administration • Substance-Related Disorders • administration & dosage • drug therapy* • psychology • psychology* • therapeutic use*}, Abstract = {RATIONALE: There has been controversy over the abuse potential of methylphenidate (MPH) in the context of treatment for attention deficit hyperactivity disorder (ADHD). OBJECTIVE: The objective of this study was to compare the reinforcing and subjective effects of oral MPH in adults with and without ADHD. MATERIALS AND METHODS: Following screening, 33 adults (n = 16 with ADHD; n = 17 free from psychiatric diagnoses) completed four pairs of experimental sessions, each of which included a sampling session and a self-administration session. During sampling sessions, subjects received in randomized order 0 (placebo), 20, 40, and 60 mg MPH. During self-administration sessions, subjects completed a progressive ratio (PR) task to earn portions of the dose received on the corresponding sampling session. Subjective effects were recorded throughout all sessions. The main outcome measure for the study was the number of ratios completed on the PR task. Secondary measures included peak subjective effects and area-under-the-curve values for subjective effects. RESULTS: Compared to the control group, the ADHD group completed more ratios on the PR task. Both groups showed robust effects of methylphenidate on subjective endpoints. Main effects of group were noted on subjective effects involving concentration and arousal. CONCLUSIONS: Compared to placebo, MPH produced reinforcing effects only for the ADHD group and not for the control group. Increases in stimulant-related subjective effects in non-ADHD subjects were not associated with drug reinforcement.}, Language = {eng}, Doi = {10.1007/s00213-008-1439-6}, Key = {fds274101} } @article{fds274047, Author = {Willoughby, MT and Kollins, SH and McClernon, FJ and Family Life Investigative Group}, Title = {Association between smoking and retrospectively reported attention-deficit/hyperactivity disorder symptoms in a large sample of new mothers.}, Journal = {Nicotine Tob Res}, Volume = {11}, Number = {3}, Pages = {313-322}, Year = {2009}, Month = {March}, ISSN = {1469-994X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19307443}, Keywords = {Adult • Attention Deficit Disorder with Hyperactivity • Female • Humans • Linear Models • Mothers • North Carolina • Pennsylvania • Retrospective Studies • Smoking • Young Adult • epidemiology • epidemiology* • physiopathology* • psychology*}, Abstract = {INTRODUCTION: This study investigated the association between retrospectively reported attention-deficit/hyperactivity disorder (ADHD) symptoms experienced during childhood and five cigarette smoking-related outcomes in adulthood. METHODS: A large sample (N = 1,117) of new mothers participating in an ongoing longitudinal study completed retrospective reports of their childhood ADHD symptomatology, as well as concurrent and retrospective reports of their smoking behavior. Linear regression models tested the association between ADHD symptomatology and smoking outcomes. RESULTS: Childhood ADHD symptomatology was predictive of the number of cigarettes smoked per day currently and during pregnancy, as well as the age at onset of smoking. We found nonlinear associations between hyperactive-impulsive symptoms and the number of cigarettes smoked per day in pregnancy, as well as between inattentive symptoms and the number of cigarettes smoked per day currently. Women who retrospectively reported intermediate levels of ADHD symptoms during their childhood reported smoking more cigarettes per day than women who reported low or high levels of ADHD symptoms during childhood. We also found multiplicative relationship between inattentive and hyperactive-impulsive symptoms, such that inattentive symptoms were predictive of an earlier age at smoking onset only when hyperactive-impulsive symptoms were low; moreover, the magnitude of this association was stronger for Black relative to White women. DISCUSSION: These findings demonstrate the importance of considering differential effects of ADHD symptoms and smoking outcomes as a function of sex and race. They also represent a potentially indirect means through which women who have even a moderate childhood history of ADHD symptomatology may create a set of circumstances that compromise the health and well-being of their own children.}, Language = {eng}, Doi = {10.1093/ntr/ntp001}, Key = {fds274047} } @article{fds274077, Author = {Kollins, SH and McClernon, FJ and Epstein, JN}, Title = {Effects of smoking abstinence on reaction time variability in smokers with and without ADHD: an ex-Gaussian analysis.}, Journal = {Drug Alcohol Depend}, Volume = {100}, Number = {1-2}, Pages = {169-172}, Year = {2009}, Month = {February}, ISSN = {1879-0046}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19041198}, Keywords = {Adult • Attention Deficit Disorder with Hyperactivity • Humans • Normal Distribution • Photic Stimulation • Psychomotor Performance • Reaction Time • Smoking • Smoking Cessation* • Substance Withdrawal Syndrome • methods • physiology • physiopathology • physiopathology* • psychology}, Abstract = {Smoking abstinence differentially affects cognitive functioning in smokers with ADHD, compared to non-ADHD smokers. Alternative approaches for analyzing reaction time data from these tasks may further elucidate important group differences. Adults smoking > or = 15 cigarettes with (n=12) or without (n=14) a diagnosis of ADHD completed a continuous performance task (CPT) during two sessions under two separate laboratory conditions--a 'Satiated' condition wherein participants smoked up to and during the session; and an 'Abstinent' condition, in which participants were abstinent overnight and during the session. Reaction time (RT) distributions from the CPT were modeled to fit an ex-Gaussian distribution. The indicator of central tendency for RT from the normal component of the RT distribution (mu) showed a main effect of Group (ADHD < Control) and a Group x Session interaction (ADHD group RTs decreased when abstinent). RT standard deviation for the normal component of the distribution (sigma) showed no effects. The ex-Gaussian parameter tau, which describes the mean and standard deviation of the non-normal component of the distribution, showed significant effects of session (Abstinent > Satiated), Group x Session interaction (ADHD increased significantly under Abstinent condition compared to Control), and a trend toward a main effect of Group (ADHD > Control). Alternative approaches to analyzing RT data provide a more detailed description of the effects of smoking abstinence in ADHD and non-ADHD smokers and results differ from analyses using more traditional approaches. These findings have implications for understanding the neuropsychopharmacology of nicotine and nicotine withdrawal.}, Language = {eng}, Doi = {10.1016/j.drugalcdep.2008.09.019}, Key = {fds274077} } @article{fds274096, Author = {Kollins, SH and Anastopoulos, AD and Lachiewicz, AM and FitzGerald, D and Morrissey-Kane, E and Garrett, ME and Keatts, SL and Ashley-Koch, AE}, Title = {SNPs in dopamine D2 receptor gene (DRD2) and norepinephrine transporter gene (NET) are associated with continuous performance task (CPT) phenotypes in ADHD children and their families.}, Journal = {Am J Med Genet B Neuropsychiatr Genet}, Volume = {147B}, Number = {8}, Pages = {1580-1588}, Year = {2008}, Month = {December}, ISSN = {1552-485X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18821566}, Keywords = {Alleles • Attention Deficit Disorder with Hyperactivity • Child • Female • Gene Frequency • Genotype • Humans • Interviews as Topic • Male • Neuropsychological Tests* • Norepinephrine Plasma Membrane Transport Proteins • Nuclear Family • Parents • Phenotype • Polymorphism, Single Nucleotide* • Receptors, Dopamine D2 • Siblings • diagnosis • genetics*}, Abstract = {Haplotype-tagging SNP analyses were conducted to identify molecular genetic substrates of quantitative phenotypes derived from performance on a Continuous Performance Task (CPT). Three hundred sixty-four individuals were sampled from 152 families ascertained on the basis of at least one child having ADHD. Probands, their affected and unaffected siblings, and parents were administered a CPT. Four different components of performance were analyzed and tested for association with SNPs from 10 candidate genes involved in monoaminergic function. After correcting for multiple comparisons and controlling for multiple individuals from the same family, significant associations were identified between commission errors and SNPs in the DRD2 gene (rs2075654, rs1079596), and between reaction time variability and a SNP in the NET gene (rs3785155). These findings suggest that commission errors and reaction time variability are excellent candidates as ADHD endophenotypes based on previously published criteria. Results also shed light on the molecular genetic basis of specific processes that may underlie the disorder.}, Language = {eng}, Doi = {10.1002/ajmg.b.30876}, Key = {fds274096} } @article{fds274071, Author = {Witt, KL and Shelby, MD and Itchon-Ramos, N and Faircloth, M and Kissling, GE and Chrisman, AK and Ravi, H and Murli, H and Mattison, DR and Kollins, SH}, Title = {Methylphenidate and amphetamine do not induce cytogenetic damage in lymphocytes of children with ADHD.}, Journal = {J Am Acad Child Adolesc Psychiatry}, Volume = {47}, Number = {12}, Pages = {1375-1383}, Year = {2008}, Month = {December}, ISSN = {1527-5418}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18978633}, Keywords = {Amphetamines • Attention Deficit Disorder with Hyperactivity • Central Nervous System Stimulants • Child • Chromosome Aberrations* • Dose-Response Relationship, Drug • Female • Humans • Lymphocytes • Male • Methylphenidate • Micronucleus Tests* • Sister Chromatid Exchange* • drug effects • drug therapy* • genetics • metabolism • therapeutic use • toxicity*}, Abstract = {OBJECTIVE: In response to previously published findings of methylphenidate-induced chromosomal changes in children, this study was designed to determine whether methylphenidate- or amphetamine-based drugs induce chromosomal damage (structural aberrations, micronuclei, and sister chromatid exchanges) in peripheral blood lymphocytes of children with attention-deficit/hyperactivity disorder after 3 months of continuous treatment. METHOD: Stimulant drug-naïve subjects, 6 to 12 years of age, in good overall health, and judged to be appropriate candidates for stimulant therapy based on rigorously diagnosed ADHD using DSM-IV criteria, were randomized into two open-label treatment groups (methylphenidate or mixed amphetamine salts). Each subject provided a blood sample before initiation of treatment and after 3 months of treatment. Pretreatment and posttreatment frequencies of chromosomal aberrations, micronuclei, and sister chromatid exchanges were determined for each subject. RESULTS: Sixty-three subjects enrolled in the study; 47 subjects completed the full 3 months of treatment, 25 in the methylphenidate group and 22 in the amphetamine group. No significant treatment-related increases were observed in any of the three measures of cytogenetic damage in the 47 subjects who completed treatment or the 16 subjects who did not. CONCLUSIONS: Earlier findings of methylphenidate-induced chromosomal changes in children were not replicated in this study. These results add to the accumulating evidence that therapeutic levels of methylphenidate do not induce cytogenetic damage in humans. Furthermore, our results indicate that amphetamine-based products do not pose a risk for cytogenetic damage in children.}, Language = {eng}, Doi = {10.1097/CHI.0b013e3181893620}, Key = {fds274071} } @article{fds274053, Author = {McClernon, FJ and Kollins, SH}, Title = {ADHD and smoking: from genes to brain to behavior.}, Journal = {Ann N Y Acad Sci}, Volume = {1141}, Pages = {131-147}, Year = {2008}, Month = {October}, ISSN = {1749-6632}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18991955}, Keywords = {Acetylcholine • Adolescent • Adult • Age of Onset • Attention Deficit Disorder with Hyperactivity • Comorbidity • Dopamine • Female • Genetic Predisposition to Disease • Humans • Male • Nerve Tissue Proteins • Nicotine • Prevalence • Serotonin • Smoking • Tobacco Use Disorder • epidemiology* • genetics • pharmacokinetics • physiology • physiopathology • prevention & control • psychology}, Abstract = {Attention-deficit/hyperactivity disorder (ADHD) and tobacco smoking are among the most common and costly psychiatric and behavioral problems. The rates of co-occurrence of these two common problems are larger than expected by chance. Despite progress in identifying the neural and genetic substrates of each, the mechanisms underlying the high rates of comorbidity between ADHD and smoking remain largely unknown. We propose that ADHD and smoking involve dysregulation of dopaminergic and nicotinic-acetylcholinergic circuits and that these aberrations are likely to arise, at least in part, from genetic variations. This review describes an integrative model of the ADHD-smoking comorbidity, with an emphasis on shared neuropharmacological mechanisms. We first describe the prevalence of smoking among ADHD patients. We then describe how ADHD influences stages of smoking behavior (e.g., initiation, maintenance, and relapse). We review common potential genetic substrates of ADHD and smoking, focusing on genes that regulate monoaminergic neurotransmission. We review the behavioral and neuropharmacological bases of smoking and ADHD, focusing on the modulatory roles of nicotine on attention and behavioral control. Finally, we discuss the implications of this model for prevention and clinical outcomes.}, Language = {eng}, Doi = {10.1196/annals.1441.016}, Key = {fds274053} } @article{fds274057, Author = {Kollins, SH}, Title = {ADHD, substance use disorders, and psychostimulant treatment: current literature and treatment guidelines.}, Journal = {Journal of Attention Disorders}, Volume = {12}, Number = {2}, Pages = {115-125}, Year = {2008}, Month = {September}, ISSN = {1087-0547}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18192623}, Keywords = {Amphetamine • Attention Deficit Disorder with Hyperactivity • Central Nervous System Stimulants • Child • Cocaine-Related Disorders • Humans • Marijuana Abuse • Methylphenidate • Practice Guidelines as Topic • Substance-Related Disorders • drug therapy* • epidemiology • epidemiology* • therapeutic use*}, Abstract = {OBJECTIVE: This review explores the relationship between ADHD and substance use disorder (SUD), factors that determine the abuse potential of psychostimulants, and strategies for identifying and treating at-risk ADHD patients. METHOD: This study uses a Medline review of literature. RESULTS: Psychostimulants, such as methylphenidate and amphetamines, are effective first-line pharmacotherapy for ADHD and when used appropriately in individuals with ADHD do not appear to be frequently abused by patients. Diversion and misuse of prescription stimulants are growing concerns, especially among young adults and college students. Short-acting psychostimulant formulations may have higher potential for abuse, misuse, and diversion, but more data are needed to substantiate this observation. Nonstimulant treatments for ADHD may be considered for patients at particularly high risk for substance use, misuse, or diversion of stimulants. CONCLUSION: In treating patients with ADHD and comorbid substance use, psychostimulants may be a useful pharmacologic alternative. However, the risks of such treatment with high-risk populations must be considered alongside potential benefits.}, Language = {eng}, Doi = {10.1177/1087054707311654}, Key = {fds274057} } @article{fds274063, Author = {Adler, LA and Goodman, DW and Kollins, SH and Weisler, RH and Krishnan, S and Zhang, Y and Biederman, J and 303 Study Group}, Title = {Double-blind, placebo-controlled study of the efficacy and safety of lisdexamfetamine dimesylate in adults with attention-deficit/hyperactivity disorder.}, Journal = {The Journal of Clinical Psychiatry}, Volume = {69}, Number = {9}, Pages = {1364-1373}, Year = {2008}, Month = {September}, ISSN = {1555-2101}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19012818}, Keywords = {Adolescent • Adult • Attention Deficit Disorder with Hyperactivity • Central Nervous System Stimulants • Dextroamphetamine • Dose-Response Relationship, Drug • Double-Blind Method • Female • Humans • Male • Middle Aged • Personality Assessment • Young Adult • administration & dosage* • adverse effects • diagnosis • drug therapy* • psychology}, Abstract = {OBJECTIVE: To evaluate the efficacy and safety of 30, 50, and 70 mg/day lisdexamfetamine dimesylate compared with placebo in adults with attention-deficit/hyperactivity disorder (ADHD). METHOD: Following a 7- to 28-day washout, 420 adults aged 18 to 55 years with moderate to severe ADHD (DSM-IV-TR criteria) were treated with 30, 50, or 70 mg/day lisdexamfetamine or placebo, respectively, for 4 weeks (N = 119, 117, 122, and 62, respectively). The 50- and 70- mg/day groups underwent forced-dose titration. The primary efficacy measure was the clinician-determined ADHD Rating Scale (ADHD-RS) total score. The study was conducted from May 2006 to November 2006. RESULTS: Treatment groups were well matched at baseline, including in ADHD-RS scores. At endpoint, changes in ADHD-RS scores were significantly greater for each lisdexamfetamine dose than for placebo (placebo = -8.2, 30 mg/day lisdexamfetamine = -16.2, 50 mg/day lisdexamfetamine = -17.4, 70 mg/day lisdexamfetamine = -18.6; all p < .0001 vs. placebo), with no differences between doses. Significant differences relative to placebo were observed in each lisdexamfetamine group, beginning at week 1 and for each week throughout. The percentage of subjects who improved (Clinical Global Impressions-Improvement scale rating < or = 2) was significantly greater for each lisdexamfetamine dose than for placebo at each week and at endpoint (placebo = 29%, 30 mg/day lisdexamfetamine = 57%, 50 mg/day lisdexamfetamine = 62%, 70 mg/day lisdexamfetamine = 61%; all p < .01). Adverse events were generally mild and included dry mouth, decreased appetite, and insomnia. CONCLUSION: All 3 lisdexamfetamine doses were significantly more effective than placebo in the treatment of adults with ADHD, with improvements noted within 1 week. Lisdexamfetamine was generally well tolerated by these patients.}, Language = {eng}, Doi = {10.4088/jcp.v69n0903}, Key = {fds274063} } @article{fds274073, Author = {Kollins, SH}, Title = {A qualitative review of issues arising in the use of psycho-stimulant medications in patients with ADHD and co-morbid substance use disorders.}, Journal = {Curr Med Res Opin}, Volume = {24}, Number = {5}, Pages = {1345-1357}, Year = {2008}, Month = {May}, ISSN = {1473-4877}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18384709}, Keywords = {Adolescent • Adrenergic Uptake Inhibitors • Adult • Age Distribution • Attention Deficit Disorder with Hyperactivity • Case-Control Studies • Central Nervous System Stimulants • Child • Comorbidity • Female • Follow-Up Studies • Humans • Incidence • Male • Predictive Value of Tests • Probability • Reference Values • Risk Assessment • Severity of Illness Index • Sex Distribution • Substance Abuse Detection • Substance-Related Disorders • adverse effects* • diagnosis • drug therapy* • epidemiology* • methods • therapeutic use}, Abstract = {OBJECTIVE: This review addresses the relationship between attention-deficit/hyperactivity disorder (ADHD) and substance use disorders (SUDs), with an emphasis on factors that determine the potential for psychostimulant abuse. Strategies for identification and treatment of patients with ADHD who are at risk for, or have, co-morbid SUD are also addressed. RESEARCH DESIGN AND METHODS: The article was based on a qualitative review of current literature addressing co-morbid ADHD and SUD. DISCUSSION: Adolescent and adult patients with ADHD are at increased risk for SUD, as well as a number of other psychiatric disorders. Psychostimulant agents like methylphenidate (MPH) and mixed amphetamine salts (MAS) are effective first-line pharmacotherapies for ADHD; however, they are Schedule II controlled substances with a potential for abuse. Evidence suggests that treatment of ADHD during childhood with stimulant agents may reduce the risk of developing SUD later on. Factors associated with the highest risk of SUD in patients with ADHD include co-morbid antisocial personality disorder, bipolar disorder, an eating disorder, severe ADHD and/or antisocial behavior symptoms, and dropping out of school. Treatment initiation during adolescence or young adulthood also has been linked to increased risk of polydrug use and non-medical stimulant use, a pattern of behavior consistent with a risk of SUD development. Treatment plans for patients with ADHD and co-morbid SUD should include behavioral interventions, careful monitoring, and when appropriate, pharmacotherapy. When oral formulations of psychostimulants are used at recommended doses and frequencies, they are unlikely to yield effects consistent with abuse potential in patients with ADHD. Long-acting stimulant formulations and non-stimulants, like atomoxetine or bupropion, have a lower potential for abuse, and provide several safe and effective treatment options for the development of a comprehensive management plan for patients with co-morbid ADHD and SUD. CONCLUSIONS: The present review is neither exhaustive nor systematic. Moreover, the reviewed studies vary widely with regards to methodology and patient populations. In light of these limitations, several conclusions are still warranted. Patients with ADHD are at increased risk for SUD. Under certain conditions, psychostimulants may be a pharmacologic option in the treatment of patients with co-morbid ADHD and SUD. However, clinicians should be mindful of the risks and benefits of this treatment approach in a high-risk population and should also bear in mind the labeling guidelines when working with this co-morbidity.}, Language = {eng}, Doi = {10.1185/030079908x280707}, Key = {fds274073} } @article{fds274093, Author = {McClernon, FJ and Kollins, SH and Lutz, AM and Fitzgerald, DP and Murray, DW and Redman, C and Rose, JE}, Title = {Effects of smoking abstinence on adult smokers with and without attention deficit hyperactivity disorder: results of a preliminary study.}, Journal = {Psychopharmacology}, Volume = {197}, Number = {1}, Pages = {95-105}, Year = {2008}, Month = {March}, ISSN = {0033-3158}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18038223}, Keywords = {Adult • Affect • Arousal • Attention • Attention Deficit Disorder with Hyperactivity • Comorbidity • Cross-Sectional Studies • Cues • Female • Humans • Inhibition (Psychology) • Male • Motivation • Neuropsychological Tests • Nicotine • Pattern Recognition, Visual • Psychomotor Performance • Reaction Time • Smoking • Smoking Cessation* • Substance Withdrawal Syndrome • adverse effects* • diagnosis • epidemiology • psychology • psychology*}, Abstract = {RATIONALE: Individuals with attention deficit hyperactivity disorder (ADHD) smoke at higher rates than the general population; however, little is known about the mechanisms underlying this comorbidity. OBJECTIVE: This study evaluated the effects of overnight abstinence on withdrawal symptoms and cognitive performance in adult smokers with and without ADHD. MATERIALS AND METHODS: Individuals smoking > or = 15 cigarettes per day were recruited from the community and underwent an evaluation to establish a diagnosis of ADHD (n = 12) or not (n = 14). Withdrawal symptoms, mood, craving, cognitive performance, and smoking cue reactivity were measured during two laboratory sessions-in a 'Satiated' condition participants smoked up to and during the session while in an 'Abstinent' condition, participants were required to be smoking abstinent overnight and remain abstinent during the session. RESULTS: The effects of abstinence on ADHD and non-ADHD smokers did not differ for withdrawal symptom severity, mood, craving or cue reactivity. Significant Group x Condition interactions were observed for measures of attention and response inhibition on the Conners' CPT. For reaction time (RT) variability and errors of commission, the ADHD group exhibited greater decrements in performance after overnight abstinence compared to the non-ADHD group. The effects of abstinence on other cognitive measures (e.g., rapid visual information processing task, cued Go/No-Go task) did not differ between the two groups. CONCLUSION: This preliminary study is the first to systematically evaluate the effects of acute smoking abstinence in adult smokers diagnosed with ADHD. Individuals with the disorder may smoke at higher rates due to greater worsening of attention and response inhibition after abstinence.}, Language = {eng}, Doi = {10.1007/s00213-007-1009-3}, Key = {fds274093} } @article{fds274049, Author = {Fuemmeler, BF and Agurs-Collins, TD and McClernon, FJ and Kollins, SH and Kail, ME and Bergen, AW and Ashley-Koch, AE}, Title = {Genes implicated in serotonergic and dopaminergic functioning predict BMI categories.}, Journal = {Obesity (Silver Spring, Md.)}, Volume = {16}, Number = {2}, Pages = {348-355}, Year = {2008}, Month = {February}, ISSN = {1930-7381}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18239643}, Keywords = {Adolescent • Adult • Aging • Body Mass Index* • Cohort Studies • Dopamine • Dopamine Plasma Membrane Transport Proteins • Energy Metabolism • European Continental Ancestry Group • Female • Hispanic Americans • Humans • Logistic Models • Longitudinal Studies • Male • Monoamine Oxidase • Obesity • Predictive Value of Tests • Receptors, Dopamine D4 • Serotonin • Serotonin Plasma Membrane Transport Proteins • Sex Characteristics • ethnology • genetics • genetics* • metabolism • metabolism* • physiology • physiopathology}, Abstract = {OBJECTIVE: This study addressed the hypothesis that variation in genes associated with dopamine function (SLC6A3, DRD2, DRD4), serotonin function (SLC6A4, and regulation of monoamine levels (MAOA) may be predictive of BMI categories (obese and overweight + obese) in young adulthood and of changes in BMI as adolescents transition into young adulthood. Interactions with gender and race/ethnicity were also examined. METHODS AND PROCEDURES: Participants were a subsample of individuals from the National Longitudinal Study of Adolescent Health (Add Health), a nationally representative sample of adolescents followed from 1995 to 2002. The sample analyzed included a subset of 1,584 unrelated individuals with genotype data. Multiple logistic regressions were conducted to evaluate the associations between genotypes and obesity (BMI > 29.9) or overweight + obese combined (BMI > or = 25) with normal weight (BMI = 18.5-24.9) as a referent. Linear regression models were used to examine change in BMI from adolescence to young adulthood. RESULTS: Significant associations were found between SLC6A4 5HTTLPR and categories of BMI, and between MAOA promoter variable number tandem repeat (VNTR) among men and categories of BMI. Stratified analyses revealed that the association between these two genes and excess BMI was significant for men overall and for white and Hispanic men specifically. Linear regression models indicated a significant effect of SLC6A4 5HTTLPR on change in BMI from adolescence to young adulthood. DISCUSSION: Our findings lend further support to the involvement of genes implicated in dopamine and serotonin regulation on energy balance.}, Language = {eng}, Doi = {10.1038/oby.2007.65}, Key = {fds274049} } @article{fds274061, Author = {McClernon, FJ and Fuemmeler, BF and Kollins, SH and Kail, ME and Ashley-Koch, AE}, Title = {Interactions between genotype and retrospective ADHD symptoms predict lifetime smoking risk in a sample of young adults.}, Journal = {Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco}, Volume = {10}, Number = {1}, Pages = {117-127}, Year = {2008}, Month = {January}, ISSN = {1462-2203}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18188752}, Keywords = {Adolescent • Adult • Aryl Hydrocarbon Hydroxylases • Attention Deficit Disorder with Hyperactivity • Comorbidity • Dopamine Plasma Membrane Transport Proteins • Female • Genetic Predisposition to Disease • Humans • Impulse Control Disorders • Longitudinal Studies • Male • Mixed Function Oxygenases • Polymorphism, Genetic* • Receptors, Dopamine D2 • Receptors, Dopamine D3 • Receptors, Dopamine D4 • Retrospective Studies • Risk Factors • Serotonin Plasma Membrane Transport Proteins • Smoking • epidemiology* • genetics • genetics*}, Abstract = {Attention-deficit/hyperactivity disorder (ADHD) symptoms are associated with an increased risk of smoking, and genetic studies have identified similar candidate genes associated with both ADHD and smoking phenotypes. This paper addresses the question of whether ADHD symptoms interact with candidate gene variation to predict smoking risk. Participants were a subsample of individuals from the National Longitudinal Study of Adolescent Health (Add Health), a nationally representative sample of adolescents followed from 1995 to 2002. The sample analyzed included a subset from Add Health of 1,900 unrelated individuals with genotype data. Multiple logistic regression was used to examine relationships between self-reported ADHD symptoms, genotype, and lifetime history of regular smoking. Polymorphisms in the DRD2 gene and, among females, the MAOA gene interacted with retrospective reports of ADHD symptoms in contributing to risk for smoking. Trends were observed for interactions between the DRD4 gene and, among males, the MAOA gene and ADHD symptoms to predict smoking risk. No main effect for any of these polymorphisms was observed. We observed neither main effects nor interactions with CYP2A6, DAT, and SLC6A4 genes. These findings suggest that genotypes associated with catecholamine neurotransmission interact with ADHD symptoms to contribute to smoking risk.}, Language = {eng}, Doi = {10.1080/14622200701704913}, Key = {fds274061} } @article{fds274091, Author = {Laforett, DR and Murray, DW and Kollins, SH}, Title = {Psychosocial treatments for preschool-aged children with Attention-Deficit Hyperactivity Disorder.}, Journal = {Dev Disabil Res Rev}, Volume = {14}, Number = {4}, Pages = {300-310}, Year = {2008}, ISSN = {1940-5529}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19072758}, Keywords = {Attention Deficit Disorder with Hyperactivity • Attention Deficit and Disruptive Behavior Disorders • Central Nervous System Stimulants • Child, Preschool • Humans • Psychology • Psychotherapy • drug therapy • epidemiology • methods* • therapeutic use • therapy*}, Abstract = {This article reviews the research literature on psychosocial treatments for preschool-aged children with Attention-Deficit Hyperactivity Disorder (ADHD) in the context of the developmental and contextual needs of this population (e.g., increased parenting demands, differences in classroom structure, and the child's emerging developmental capacities). Discussion of the findings and limitations of existing studies is provided for parent-training approaches, classroom management strategies, and multimodal treatments. Although the empirical base is quite small for ADHD-specific samples, parent-training interventions have the greatest overall support for improving behavioral outcomes, with a variety of different approaches having shown effectiveness. Very few studies of classroom management and multimodal interventions have been conducted in this age group; however, initial data show promising results for teacher training and consultation interventions. The body of research suggests that the most effective treatments for clinical samples of preschoolers with ADHD and their families may be individually delivered, developmentally appropriate, and multimodal.}, Language = {eng}, Doi = {10.1002/ddrr.36}, Key = {fds274091} } @article{fds274095, Author = {Kollins, SH and March, JS}, Title = {Advances in the pharmacotherapy of attention-deficit/hyperactivity disorder.}, Journal = {Biological Psychiatry}, Volume = {62}, Number = {9}, Pages = {951-953}, Year = {2007}, Month = {November}, ISSN = {0006-3223}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17950067}, Keywords = {Attention Deficit Disorder with Hyperactivity • Central Nervous System Stimulants • Humans • drug therapy* • therapeutic use*}, Language = {eng}, Doi = {10.1016/j.biopsych.2007.08.009}, Key = {fds274095} } @article{fds274035, Author = {Posner, K and Melvin, GA and Murray, DW and Gugga, SS and Fisher, P and Skrobala, A and Cunningham, C and Vitiello, B and Abikoff, HB and Ghuman, JK and Kollins, S and Wigal, SB and Wigal, T and McCracken, JT and McGough, JJ and Kastelic, E and Boorady, R and Davies, M and Chuang, SZ and Swanson, JM and Riddle, MA and Greenhill, LL}, Title = {Clinical presentation of attention-deficit/hyperactivity disorder in preschool children: the Preschoolers with Attention-Deficit/Hyperactivity Disorder Treatment Study (PATS).}, Journal = {Journal of Child and Adolescent Psychopharmacology}, Volume = {17}, Number = {5}, Pages = {547-562}, Year = {2007}, Month = {October}, ISSN = {1044-5463}, url = {http://dx.doi.org/10.1089/cap.2007.0075}, Abstract = {OBJECTIVE: The aim of this study was to describe the clinical presentation of preschoolers diagnosed with moderate to severe attention-deficit/hyperactivity disorder (ADHD) recruited for the multisite Preschool ADHD Treatment Study (PATS). The diagnosis and evaluation process will also be described. METHOD: A comprehensive multidimensional, multi-informant assessment protocol was implemented including the semistructured PATS Diagnostic Interview. Parent and teacher-report measures were used to supplement information from interviews. Consensus agreement by a cross-site panel on each participant's diagnoses was required. Analyses were conducted to describe the sample and to test associations between ADHD severity and demographic and clinical variables. RESULTS: The assessment protocol identified 303 preschoolers (3-5.5 years) with moderate to severe ADHD Hyperactive/Impulsive or Combined type. The majority of participants (n = 211, 69.6%) experienced co-morbid disorders, with oppositional defiant disorder, communication disorders, and anxiety disorders being the most common. Participants with co-morbid communication disorders were found to be more anxious and depressed. ADHD severity was found to correlate with more internalizing difficulties and lower functioning. Although boys and girls had similar symptom presentations, younger children had significantly higher ADHD severity. CONCLUSIONS: Preschoolers with moderate to severe ADHD experience high co-morbidity and impairment, which have implications for both assessment and treatment.}, Doi = {10.1089/cap.2007.0075}, Key = {fds274035} } @article{fds274058, Author = {Ghuman, JK and Riddle, MA and Vitiello, B and Greenhill, LL and Chuang, SZ and Wigal, SB and Kollins, SH and Abikoff, HB and McCracken, JT and Kastelic, E and Scharko, AM and McGough, JJ and Murray, DW and Evans, L and Swanson, JM and Wigal, T and Posner, K and Cunningham, C and Davies, M and Skrobala, AM}, Title = {Comorbidity moderates response to methylphenidate in the Preschoolers with Attention-Deficit/Hyperactivity Disorder Treatment Study (PATS).}, Journal = {Journal of Child and Adolescent Psychopharmacology}, Volume = {17}, Number = {5}, Pages = {563-580}, Year = {2007}, Month = {October}, ISSN = {1044-5463}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17979578}, Keywords = {Age Factors • Attention Deficit Disorder with Hyperactivity • Attention Deficit and Disruptive Behavior Disorders • Central Nervous System Stimulants • Child Behavior Disorders • Child, Preschool • Double-Blind Method • Education • Employment • Ethnic Groups • Family • Female • Humans • Intelligence Tests • Male • Methylphenidate • Neuropsychological Tests • Psychiatric Status Rating Scales • Sex Characteristics • Single-Parent Family • Socioeconomic Factors • Treatment Outcome • complications • complications* • drug therapy* • psychology • therapeutic use*}, Abstract = {OBJECTIVE: The aim of this study was to examine whether demographic or pretreatment clinical and social characteristics influenced the response to methylphenidate (MPH) in the Preschoolers with ADHD Treatment Study (PATS). METHODS: Exploratory moderator analyses were conducted on the efficacy data from the PATS 5-week, double-blind, placebo-controlled six-site titration trial. Children (N = 165, age 3-5.5 years) were randomized to 1 week each of four MPH doses (1.25, 2.5, 5, and 7.5 mg) and placebo administered three times per day (t.i.d.). We assessed the fixed effects on the average slope in the regression outcome on moderators, weight-adjusted dose, and the moderator-by-dose interaction using SAS PROC GENMOD. RESULTS: A significant interaction effect was found for a number of co-morbid disorders diagnosed in the preschoolers at baseline (p = 0.005). Preschoolers with three or more co-morbid disorders did not respond to MPH (Cohen's d at 7.5 mg dose relative to placebo = -0.37) compared to a significant response in the preschoolers with 0, 1, or 2 co-morbid disorders (Cohen's d = 0.89, 1.00, and 0.56, respectively). Preschoolers with more co-morbidity were found to have more family adversity. No significant interaction effect was found with the other variables. CONCLUSIONS: In preschoolers with ADHD, the presence of no or one co-morbid disorder (primarily oppositional defiant disorder) predicted a large treatment response at the same level as has been found in school-aged children, and two co-morbid disorders predicted moderate treatment response; whereas the presence of three or more co-morbid disorders predicted no treatment response to MPH.}, Language = {eng}, Doi = {10.1089/cap.2007.0071}, Key = {fds274058} } @article{fds274068, Author = {Pettiford, J and Kozink, RV and Lutz, AM and Kollins, SH and Rose, JE and McClernon, FJ}, Title = {Increases in impulsivity following smoking abstinence are related to baseline nicotine intake and boredom susceptibility.}, Journal = {Addictive Behaviors}, Volume = {32}, Number = {10}, Pages = {2351-2357}, Year = {2007}, Month = {October}, ISSN = {0306-4603}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17399907}, Keywords = {Adult • Biological Markers • Boredom* • Cotinine • Female • Humans • Impulsive Behavior* • Intelligence Tests • Male • Nicotine • Psychological Tests • Saccades • Smoking • Smoking Cessation • administration & dosage* • blood • psychology • psychology*}, Abstract = {Trait impulsivity and response inhibition have been shown to be related to smoking behavior. One measure of response inhibition - antisaccade performance, or the ability to inhibit looking at a novel stimulus - has been shown to be worsened by smoking abstinence, improved by nicotine administration and predictive of smoking cessation outcomes. However, relations between antisaccade performance and measures of trait impulsivity have not been extensively evaluated in smokers. In the present study, twelve dependent smokers (n=12) completed an eye tracking task following smoking as usual and overnight abstinence; and they completed baseline measures of trait impulsivity, smoking history and provided biological samples. As expected, overnight abstinence significantly increased antisaccade errors (p<0.002) while having no effect on prosaccade performance. Abstinence-induced increases in antisaccade errors were positively correlated with baseline plasma cotinine and Sensation Seeking Scale Boredom Susceptibility, and negatively correlated with IQ. These results suggest that smoking abstinence significantly increases errors of response inhibition and that the magnitude of this increase is related to trait impulsivity and nicotine intake variables.}, Language = {eng}, Doi = {10.1016/j.addbeh.2007.02.004}, Key = {fds274068} } @article{fds274080, Author = {Swanson, JM and Moyzis, RK and McGough, JJ and McCracken, JT and Riddle, MA and Kollins, SH and Greenhill, LL and Abikoff, HB and Wigal, T and Wigal, SB and Posner, K and Skrobala, AM and Davies, M and Ghuman, JK and Cunningham, C and Vitiello, B and Stehli, A and Smalley, SL and Grady, D}, Title = {Effects of source of DNA on genotyping success rates and allele percentages in the Preschoolers with Attention-Deficit/Hyperactivity Disorder Treatment Study (PATS).}, Journal = {Journal of Child and Adolescent Psychopharmacology}, Volume = {17}, Number = {5}, Pages = {635-646}, Year = {2007}, Month = {October}, ISSN = {1044-5463}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17979583}, Keywords = {Alleles • Attention Deficit Disorder with Hyperactivity • Child, Preschool • DNA • Dopamine Plasma Membrane Transport Proteins • Female • Gene Frequency • Genotype • Humans • Logistic Models • Male • Minisatellite Repeats • Polymorphism, Genetic • Receptors, Dopamine D4 • Reverse Transcriptase Polymerase Chain Reaction • Synaptosomal-Associated Protein 25 • Tandem Repeat Sequences • epidemiology • genetics • genetics* • isolation & purification}, Abstract = {OBJECTIVE: In children diagnosed with attention-deficit/hyperactivity disorder (ADHD) and their parents, who were participants of the Preschool ADHD Treatment Study (PATS), we assessed the effect of source of DNA (from buccal or blood cells) on the genotyping success rate and allele percentages for the five polymorphisms in three candidate genes (DAT1, DRD4, and SNAP 25) investigated in the PATS pharmacogenetic study of response to stimulant medication. METHOD: At baseline assessment, 241 individuals (113 probands and 128 parents) consented to participate; 144 individuals (52 probands and 92 parents) provided blood samples from venipuncture, and 97 individuals (61 probands and 36 parents) provided buccal samples from cheek swab as specimens for isolation of DNA. Three types of polymorphisms-variable number of tandem repeat (VNTR) polymorphism, tandem duplication polymorphism (TDP), and single nucleotide polymorphism (SNP)-were evaluated, including the DRD4 gene 48-bp VNTR in exon III, the DAT1 gene 40-bp VNTR in 3'-untranslated region, the DRD4 gene TDP 120-bp duplication in the promoter region, the SNAP-25 gene TC-1069 SNP, and the SNAP-25 gene TG-1065 SNP. Standard procedures were used to genotype individuals for each of these five polymorphisms. RESULTS: Using the methods available in 2004, the genotyping success rate was on the average much greater for DNA from blood cells than buccal cells (e.g., 91% vs. 54% in probands). For some polymorphisms (DRD4-VNTR, DRD4-TDP, and SNAP25-TC SNP), allele proportion also varied by blood versus buccal source of DNA (e.g., 26.5% vs. 18.6% for the 7-repeat allele of the DRD4 gene). CONCLUSIONS: The much lower success rate for genotyping based on DNA from buccal than blood cells is likely due to the quality of DNA derived from these two sources. The observed source differences in allele proportion may be due to self-selection related to choice of how specimens were collected (from cheek swab or venipuncture), or to a selective detection of some alleles based on differences in DNA quality.}, Language = {eng}, Doi = {10.1089/cap.2007.0076}, Key = {fds274080} } @article{fds274084, Author = {Hardy, KK and Kollins, SH and Murray, DW and Riddle, MA and Greenhill, L and Cunningham, C and Abikoff, HB and McCracken, JT and Vitiello, B and Davies, M and McGough, JJ and Posner, K and Skrobala, AM and Swanson, JM and Wigal, T and Wigal, SB and Ghuman, JK and Chuang, SZ}, Title = {Factor structure of parent- and teacher-rated attention-deficit/hyperactivity disorder symptoms in the Preschoolers with Attention-Deficit/Hyperactivity Disorder Treatment Study (PATS).}, Journal = {Journal of Child and Adolescent Psychopharmacology}, Volume = {17}, Number = {5}, Pages = {621-634}, Year = {2007}, Month = {October}, ISSN = {1044-5463}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17979582}, Keywords = {Attention • Attention Deficit Disorder with Hyperactivity • Child Behavior • Child, Preschool • Data Interpretation, Statistical • Factor Analysis, Statistical • Female • Humans • Hyperkinesis • Impulsive Behavior • Male • Neuropsychological Tests • Parents • Psychiatric Status Rating Scales • Schools • physiology • psychology • psychology*}, Abstract = {OBJECTIVE: This study examines one-, two-, and three-factor models of attention-deficit/hyperactivity disorder (ADHD) using the existing 18 Diagnostic and Statistical Manual of Mental Disorder, 4th edition (DSM-IV) symptoms in a sample of symptomatic preschoolers. METHODS: Parent and/or teacher ratings of DSM-IV symptoms were obtained for 532 children (aged 3-5.5) who were screened for the Preschool ADHD Treatment Study (PATS). Confirmatory factor analysis (CFA) using symptoms identified on the Conners' Parent and Teacher Rating Scales was conducted to assess a two-factor model representing the DSM-IV dimensions of inattention (IN) and hyperactivity/impulsivity (H/I), a three-factor model reflecting inattention, hyperactivity, and impulsivity, and a single-factor model of all ADHD symptoms. Exploratory factor analysis (EFA) was subsequently used to examine the latent structure of the data. RESULTS: For parent ratings, the two-factor and three-factor models were marginally acceptable according to several widely used fit indices, whereas the one-factor model failed to meet minimum thresholds for goodness-of-fit. For teachers, none of the models was a solid fit for the data. Maximum likelihood EFAs resulted in satisfactory two and three-factor models for both parents and teachers, although all models contained several moderate cross loadings. Factor loadings were generally concordant with those published for older children and community-based samples. CONCLUSION: ADHD subtypes according to current DSM-IV specifications may not be the best descriptors of the disorder in the preschool age group.}, Language = {eng}, Doi = {10.1089/cap.2007.0073}, Key = {fds274084} } @article{fds274086, Author = {Murray, DW and Kollins, SH and Hardy, KK and Abikoff, HB and Swanson, JM and Cunningham, C and Vitiello, B and Riddle, MA and Davies, M and Greenhill, LL and McCracken, JT and McGough, JJ and Posner, K and Skrobala, AM and Wigal, T and Wigal, SB and Ghuman, JK and Chuang, SZ}, Title = {Parent versus teacher ratings of attention-deficit/hyperactivity disorder symptoms in the Preschoolers with Attention-Deficit/Hyperactivity Disorder Treatment Study (PATS).}, Journal = {Journal of Child and Adolescent Psychopharmacology}, Volume = {17}, Number = {5}, Pages = {605-620}, Year = {2007}, Month = {October}, ISSN = {1044-5463}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17979581}, Keywords = {Attention Deficit Disorder with Hyperactivity • Central Nervous System Stimulants • Child Behavior • Child, Preschool • Data Interpretation, Statistical • Female • Humans • Male • Methylphenidate • Neuropsychological Tests • Observer Variation • Parents • Psychiatric Status Rating Scales • Reproducibility of Results • Schools • adverse effects • drug therapy* • psychology* • therapeutic use*}, Abstract = {OBJECTIVE: To assess parent-teacher concordance on ratings of DSM-IV symptoms of attention-deficit/hyperactivity disorder (ADHD) in a sample of preschool children referred for an ADHD treatment study. METHODS: Parent and teacher symptom ratings were compared for 452 children aged 3-5 years. Agreement was calculated using Pearson correlations, Cohen's kappa, and conditional probabilities. RESULTS: The correlations between parent and teacher ratings were low for both Inattentive (r = .24) and Hyperactive-Impulsive (r = .26) symptom domains, with individual symptoms ranging from .01-.28. Kappa values for specific symptoms were even lower. Conditional probabilities suggest that teachers are only moderately likely to agree with parents on the presence or absence of symptoms. Parents were quite likely to agree with teachers' endorsement of symptoms, but much less likely to agree when teachers indicated that a symptom was not present. CONCLUSIONS: Results provide important data regarding base rates and concordance rates in this age group and support the hypothesis that preschool-aged children at risk for ADHD exhibit significant differences in behavior patterns across settings. Obtaining ratings from multiple informants is therefore considered critical for obtaining a full picture of young children's functioning.}, Language = {eng}, Doi = {10.1089/cap.2007.0060}, Key = {fds274086} } @article{fds274089, Author = {Vitiello, B and Abikoff, HB and Chuang, SZ and Kollins, SH and McCracken, JT and Riddle, MA and Swanson, JM and Wigal, T and McGough, JJ and Ghuman, JK and Wigal, SB and Skrobala, AM and Davies, M and Posner, K and Cunningham, C and Greenhill, LL}, Title = {Effectiveness of methylphenidate in the 10-month continuation phase of the Preschoolers with Attention-Deficit/Hyperactivity Disorder Treatment Study (PATS).}, Journal = {Journal of Child and Adolescent Psychopharmacology}, Volume = {17}, Number = {5}, Pages = {593-604}, Year = {2007}, Month = {October}, ISSN = {1044-5463}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17979580}, Keywords = {Attention Deficit Disorder with Hyperactivity • Central Nervous System Stimulants • Child, Preschool • Dose-Response Relationship, Drug • Female • Humans • Male • Methylphenidate • Neuropsychological Tests • Parents • Patient Dropouts • Psychiatric Status Rating Scales • Socioeconomic Factors • Stress, Psychological • adverse effects • diagnosis • drug therapy* • psychology • psychology* • therapeutic use*}, Abstract = {OBJECTIVE: The aim of this study was to examine immediate-release methylphenidate effectiveness during the 10-month open-label continuation phase of the Preschoolers with Attention-Deficit/Hyperactivity Disorder (ADHD) Treatment Study (PATS). METHODS: One hundred and forty preschoolers with ADHD, who had improved with acute immediate-release methylphenidate (IR-MPH) treatment, entered a 10-month, open-label medication maintenance at six sites. Assessments included the Clinical Global Impression-Severity (CGI-S), CGI-Improvement (CGI-I), Children's Global Assessment Scale (C-GAS), Swanson, Nolan, and Pelham Questionnaire (SNAP), Scale Strengths and Weaknesses of ADHD-Symptoms and Normal Behaviors (SWAN), Social Competence Scale, Social Skills Rating System (SSRS), and Parenting Stress Index-Short Form (PSI-SF). RESULTS: For the 95 children who completed the 10-month treatment, improvement occurred on the CGI-S (p = 0.02), CGI-I (p < 0.01), C-GAS (p = 0.001), and SSRS (p = 0.01). SNAP and SWAN scores remained stable. Forty five children discontinued: 7 for adverse effects, 7 for behavior worsening, 7 for switching to long-acting stimulants, 3 for inadequate benefit, and 21 for other reasons. The mean MPH dose increased from 14.04 mg/day +/- SD 7.57 (0.71 +/- 0.38 mg/kg per day) at month 1 to 19.98 mg/day +/- 9.56 (0.92 +/- 0.40 mg/kg per day) at month 10. CONCLUSIONS: With careful monitoring and gradual medication dose increase, most preschoolers with ADHD maintained improvement during long-term IR-MPH treatment. There was substantial variability in effective and tolerated dosing.}, Language = {eng}, Doi = {10.1089/cap.2007.0058}, Key = {fds274089} } @article{fds274102, Author = {Abikoff, HB and Vitiello, B and Riddle, MA and Cunningham, C and Greenhill, LL and Swanson, JM and Chuang, SZ and Davies, M and Kastelic, E and Wigal, SB and Evans, L and Ghuman, JK and Kollins, SH and McCracken, JT and McGough, JJ and Murray, DW and Posner, K and Skrobala, AM and Wigal, T}, Title = {Methylphenidate effects on functional outcomes in the Preschoolers with Attention-Deficit/Hyperactivity Disorder Treatment Study (PATS).}, Journal = {Journal of Child and Adolescent Psychopharmacology}, Volume = {17}, Number = {5}, Pages = {581-592}, Year = {2007}, Month = {October}, ISSN = {1044-5463}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17979579}, Keywords = {Affect • Attention Deficit Disorder with Hyperactivity • Central Nervous System Stimulants • Child Behavior • Child, Preschool • Data Interpretation, Statistical • Double-Blind Method • Emotions • Female • Humans • Male • Methylphenidate • Parents • Schools • Social Behavior • Stress, Psychological • Treatment Outcome • drug effects • drug therapy* • physiology • psychology • psychology* • therapeutic use*}, Abstract = {OBJECTIVE: The purpose of this study was to examine the effects of methylphenidate (MPH) on functional outcomes, including children's social skills, classroom behavior, emotional status, and parenting stress, during the 4-week, double-blind placebo controlled phase of the Preschoolers with Attention Deficit/Hyperactivity Disorder (ADHD) Treatment Study (PATS). METHODS: A total of 114 preschoolers who had improved with acute MPH treatment, were randomized to their best MPH dose (M = 14.22 mg/day; n = 63) or placebo (PL; n = 51). Assessments included the Clinical Global Impression-Severity (CGI-S), parent and teacher versions of the Strengths and Weaknesses of ADHD-Symptoms and Normal Behaviors (SWAN), Social Competence Scale (SCS), Social Skills Rating System (SSRS), and Early Childhood Inventory (ECI), and Parenting Stress Index (PSI). RESULTS: Medication effects varied by informant and outcome measure. Parent measures and teacher SWAN scores did not differentially improve with MPH. Parent-rated depression (p < 0.02) and dysthymia (p < 0.001) on the ECI worsened with MPH, but scores were not in the clinical range. Significant medication effects were found on clinician CGI-S (p < 0.0001) and teacher social competence ratings (SCS, p < 0.03). CONCLUSIONS: Preschoolers with ADHD treated with MPH for 4 weeks improve in some aspects of functioning. Additional improvements might require longer treatment, higher doses, and/or intensive behavioral treatment in combination with medication.}, Language = {eng}, Doi = {10.1089/cap.2007.0068}, Key = {fds274102} } @article{fds274083, Author = {Kratochvil, CJ and Vaughan, BS and Mayfield-Jorgensen, ML and March, JS and Kollins, SH and Murray, DW and Ravi, H and Greenhill, LL and Kotler, LA and Paykina, N and Biggins, P and Stoner, J}, Title = {A pilot study of atomoxetine in young children with attention-deficit/hyperactivity disorder.}, Journal = {Journal of Child and Adolescent Psychopharmacology}, Volume = {17}, Number = {2}, Pages = {175-185}, Year = {2007}, Month = {April}, ISSN = {1044-5463}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17489712}, Keywords = {Adrenergic Uptake Inhibitors • Age Factors • Attention Deficit Disorder with Hyperactivity • Child • Child, Preschool • Feasibility Studies • Female • Humans • Male • Pilot Projects • Propylamines • Severity of Illness Index • Treatment Outcome • adverse effects • drug therapy* • therapeutic use*}, Abstract = {OBJECTIVE: The purpose of this study was to assess the effectiveness and tolerability of atomoxetine during acute treatment of attention-deficit/hyperactivity disorder (ADHD) in 5 and 6 year olds. METHOD: Twenty two children (male n = 19, 86%) with ADHD were treated with atomoxetine for 8 weeks in a three-site, open-label pilot study. Dosing was flexible, with titration to a maximum of 1.8 mg/kg per day. Parent education on behavior management was provided as part of each pharmacotherapy visit. RESULTS: Subjects demonstrated a mean decrease of 20.68 points (SD = 12.80, p < 0.001)) on the ADHD Rating Scale-IV (ADHD-IV-RS) total score, 10.18 (SD = 7.48, p < 0.001) on the inattentive subscale and 10.50 (SD = 7.04, p < 0.001) on the hyperactive/impulsive subscale. Clinical Global Impression-Severity (CGI-S) was improved in 82% of the children (95% CI, 66-98%) and Children's Global Assessment (CGAS) scores improved 18.91 points on average (SD = 12.20, p < 0.001). The mean final dose of atomoxetine was 1.25 mg/kg per day (SD = 0.35 mg/kg per day). Mood lability was the most commonly reported adverse event (n = 12, 54.5%). Eleven subjects (50%) reported decreased appetite and a mean weight loss of 1.04 kg (SD = 0.80 kg) (p < 0.001) was observed for the group. Vital sign changes were mild and not clinically significant. There were no discontinuations due to adverse events or lack of efficacy. CONCLUSION: Atomoxetine was generally effective for reducing core ADHD symptoms in the 5 and 6 year olds in this open-label study.}, Language = {eng}, Doi = {10.1089/cap.2006.0143}, Key = {fds274083} } @article{fds314754, Author = {Levin, FR}, Title = {ADHD and Sustance Abuse Update}, Journal = {American Journal on Addictions}, Volume = {16}, Number = {s1}, Pages = {1-4}, Publisher = {WILEY}, Year = {2007}, Month = {January}, ISSN = {1055-0496}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000244389100001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Doi = {10.1080/10550490601082726}, Key = {fds314754} } @article{fds274099, Author = {Fuemmeler, BF and Kollins, SH and McClernon, FJ}, Title = {Attention deficit hyperactivity disorder symptoms predict nicotine dependence and progression to regular smoking from adolescence to young adulthood.}, Journal = {Journal of Pediatric Psychology}, Volume = {32}, Number = {10}, Pages = {1203-1213}, Year = {2007}, ISSN = {0146-8693}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17602186}, Keywords = {Adolescent • Adult • Attention Deficit Disorder with Hyperactivity • Disease Progression • Disease Susceptibility • Female • Humans • Male • Regression Analysis • Retrospective Studies • Risk Factors • Smoking • Tobacco Use Disorder • United States • epidemiology • epidemiology* • prevention & control • psychology}, Abstract = {OBJECTIVE: To examine the association between retrospectively reported attention deficit hyperactivity disorder (ADHD) symptoms and progression to smoking and the association with nicotine dependence. METHODS: Study sample consisted of a nationally representative cohort of U.S. adolescents (n = 13,494). Logistic regression was used to examine ADHD symptoms from both the inattentive (IN) and hyperactive-impulsive (HI) domains and smoking trajectories. Linear regression was used to examine nicotine dependence. RESULTS: HI symptoms were associated with progression from nonsmoking to regular smoking (OR = 1.14, 95% CI = 1.07-1.21), and with progression from experimentation to regular smoking (OR = 1.16, 95% CI = 1.08-1.26). IN and HI symptoms were associated with nicotine dependence among current smokers (IN: beta = 0.17, SE = 0.03, p < 0.0001; HI: beta = 0.10, SE = 0.04., p < .001). CONCLUSIONS: These results have important implications for the development of prevention and treatment modalities.}, Language = {eng}, Doi = {10.1093/jpepsy/jsm051}, Key = {fds274099} } @article{fds274100, Author = {Kollins, SH}, Title = {Abuse liability of medications used to treat attention-deficit/hyperactivity disorder (ADHD).}, Journal = {American Journal on Addictions}, Volume = {16 Suppl 1}, Pages = {35-42}, Year = {2007}, ISSN = {1055-0496}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17453605}, Keywords = {Age of Onset • Attention Deficit Disorder with Hyperactivity • Central Nervous System Stimulants • Child • Drug Therapy • Humans • Narcotics • Substance-Related Disorders • adverse effects* • drug therapy* • epidemiology* • etiology* • therapeutic use*}, Abstract = {The use of psychostimulants to treat attention-deficit/hyperactivity disorder (ADHD) has been controversial for a number of reasons. In an effort to clarify the extent to which the psychostimulant methylphenidate has abuse potential, the existing published evidence has been reviewed and is summarized here, with an emphasis on delineating a number of related but independent issues that are often confused. The existing evidence reviewed is pertinent to three questions: Does stimulant drug use increase the risk for substance abuse later in life? Do ADHD medications have the potential for abuse?, and What is the distinction between drug abuse and misuse/diversion with respect to ADHD medication?}, Language = {eng}, Doi = {10.1080/10550490601082775}, Key = {fds274100} } @article{fds274029, Author = {McGOUGH, J and McCRACKEN, J and Swanson, J and Riddle, M and Kollins, S and Greenhill, L and Abikoff, H and Davies, M and Chuang, S and Wigal, T and Wigal, S and Posner, K and Skrobala, A and Kastelic, E and Ghuman, J and Cunningham, C and Shigawa, S and Moyzis, R and Vitiello, B}, Title = {Pharmacogenetics of methylphenidate response in preschoolers with ADHD.}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {45}, Number = {11}, Pages = {1314-1322}, Year = {2006}, Month = {November}, ISSN = {0890-8567}, url = {http://dx.doi.org/10.1097/01.chi.0000235083.40285.08}, Abstract = {OBJECTIVE: The authors explored genetic moderators of symptom reduction and side effects in methylphenidate-treated preschool-age children diagnosed with attention-deficit/hyperactivity disorder (ADHD). METHOD: DNA was isolated from 81 subjects in a double-blind, placebo-controlled, crossover methylphenidate titration. Parents and teachers completed ADHD symptom scales and side effect ratings for each of five randomly administered weekly conditions that included immediate-release methylphenidate 1.25, 2.5, 5.0, 7.5 mg and placebo given three times daily. Candidate genes hypothesized to influence stimulant effects or individual risks for ADHD were genotyped. RESULTS: Although the primary analysis did not indicate significant genetic effects, secondary analyses revealed associations between symptom response and variants at the dopamine receptor (DRD4) promoter (p=.05) and synaptosomal-associated protein 25 (SNAP25) allelesT1065G (p=.03) andT1069C (p=.05). SNAP25 variants were also associated with tics (p=.02), buccal-lingual movements (p=.01), and irritability (p=04). DRD4 variants were also associated with picking (p=.03). Increasing dose predicted irritability (p=.05) and social withdrawal (p=.03) with DRD4 variants. There were no significant effects for the dopamine transporter (DAT1). CONCLUSIONS: Emerging evidence suggests the potential for understanding the individual variability of response to and side effects of ADHD medications from the study of genetics, although additional research is required before these findings are proven to have clinical utility.}, Doi = {10.1097/01.chi.0000235083.40285.08}, Key = {fds274029} } @article{fds274031, Author = {Kollins, S and Greenhill, L and Swanson, J and Wigal, S and Abikoff, H and McCRACKEN, J and Riddle, M and McGOUGH, J and Vitiello, B and Wigal, T and Skrobala, A and Posner, K and Ghuman, J and Davies, M and Cunningham, C and Bauzo, A}, Title = {Rationale, design, and methods of the Preschool ADHD Treatment Study (PATS).}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {45}, Number = {11}, Pages = {1275-1283}, Year = {2006}, Month = {November}, ISSN = {0890-8567}, url = {http://dx.doi.org/10.1097/01.chi.0000235074.86919.dc}, Abstract = {OBJECTIVE: To describe the rationale and design of the Preschool ADHD Treatment Study (PATS). METHOD: PATS was a National Institutes of Mental Health-funded, multicenter, randomized, efficacy trial designed to evaluate the short-term (5 weeks) efficacy and long-term (40 weeks) safety of methylphenidate (MPH) in preschoolers with attention-deficit/hyperactivity disorder (ADHD). Three hundred three subjects ages 3 to 5.5 years old who met criteria for a primary DSM-IV diagnosis of ADHD entered the trial. Subjects participated in an 8-phase, 70-week trial that included screening, parent training, baseline, open-label safety lead-in, double-blind crossover titration, double-blind parallel efficacy, open-label maintenance, and double-blind discontinuation. Medication response was assessed during the crossover titration phase using a combination of parent and teacher ratings. Special ethical considerations throughout the trial warranted a number of design changes. RESULTS: This report describes the design of this trial, the rationale for reevaluation and modification of the design, and the methods used to conduct the trial. CONCLUSIONS: The PATS adds to a limited literature and improves our understanding of the safety and efficacy of MPH in the treatment of preschoolers with ADHD, but changes in the design and problems in implementation of this study impose some specific limitations that need to be addressed in future studies.}, Doi = {10.1097/01.chi.0000235074.86919.dc}, Key = {fds274031} } @article{fds274032, Author = {Wigal, T and Greenhill, L and Chuang, S and McGOUGH, J and Vitiello, B and Skrobala, A and Swanson, J and Wigal, S and Abikoff, H and Kollins, S and McCRACKEN, J and Riddle, M and Posner, K and Ghuman, J and Davies, M and Thorp, B and Stehli, A}, Title = {Safety and tolerability of methylphenidate in preschool children with ADHD.}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {45}, Number = {11}, Pages = {1294-1303}, Year = {2006}, Month = {November}, ISSN = {0890-8567}, url = {http://dx.doi.org/10.1097/01.chi.0000235082.63156.27}, Abstract = {OBJECTIVE: To report on the safety and tolerability of methylphenidate (MPH) 3- to 5-year-old children with attention-deficit/hyperactivity disorder (ADHD) during 1 year of treatment. METHOD: Exactly 183 children (3-5 years old) entered a treatment study of MPH, consisting of a 1-week open-label lead-in (n=183); a 5-week placebo-controlled, double-blind phase (n=165); a 5-week double-blind, parallel phase (n=114); and 10 months of open-label maintenance (n=140 entered, 95 completed). Mean total daily MPH doses rose from the titration trial best dose, 14.1 (+/-8.1) mg/day, to 20.5 (+/-9.7) mg/day mean total daily dose at the end of maintenance. Pulse, blood pressure, and the presence of treatment emergent adverse events (AEs), parent and teacher AE ratings, and vital signs were recorded in each phase. RESULTS: Thirty percent of parents spontaneously reported moderate to severe AEs in all study phases after baseline. These included emotional outbursts, difficulty falling asleep, repetitive behaviors/thoughts, appetite decrease, and irritability. During titration, decreased appetite (chi=5.4, p<.03), trouble sleeping (chi=5.4, p<.03), and weight loss (chi=4.0, p<.05) occurred statistically more often on MPH than on placebo. During maintenance, trouble sleeping and appetite loss persisted and other MPH-related AEs decreased. There were transient, one-time pulse and blood pressure elevations in five children. Twenty-one children (11%) discontinued because of drug-attributed AEs. CONCLUSIONS: Eleven percent of preschoolers discontinued treatment because of intolerable MPH AEs. Of the serious AEs reported, one occurred in baseline, two in lead-in, three in titration, one in parallel, and one in maintenance. Only one was possibly related to MPH.}, Doi = {10.1097/01.chi.0000235082.63156.27}, Key = {fds274032} } @article{fds274033, Author = {Greenhill, L and Kollins, S and Abikoff, H and McCracken, J and Riddle, M and Swanson, J and McGough, J and Wigal, S and Wigal, T and Vitiello, B and Skrobala, A and Posner, K and Ghuman, J and Cunningham, C and Davies, M and Chuang, S and Cooper, T}, Title = {Efficacy and safety of immediate-release methylphenidate treatment for preschoolers with ADHD.}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {45}, Number = {11}, Pages = {1284-1293}, Year = {2006}, Month = {November}, ISSN = {0890-8567}, url = {http://dx.doi.org/10.1097/01.chi.0000235077.32661.61}, Abstract = {OBJECTIVE: The Preschool ADHD Treatment Study (PATS) was a NIMH-funded, six-center, randomized, controlled trial to determine the efficacy and safety of immediate-release methylphenidate (MPH-IR), given t.i.d. to children ages 3 to 5.5 years with attention-deficit/hyperactivity disorder (ADHD). METHOD: The 8-phase, 70-week PATS protocol included two double-blind, controlled phases, a crossover-titration trial followed by a placebo-controlled parallel trial. The crossover-titration phase's primary efficacy measure was a combined score from the Swanson, Kotkin, Atkins, M-Flynn, and Pelham (SKAMP) plus the Conners, Loney, and Milich (CLAM) rating scales; the parallel phase's primary outcome measure was excellent response, based on composite scores on the Swanson, Nolan, and Pelham (SNAP) rating scale. RESULTS: Of 303 preschoolers enrolled, 165 were randomized into the titration trial. Compared with placebo, significant decreases in ADHD symptoms were found on MPH at 2.5 mg (p<.01), 5 mg (p<.001), and 7.5 mg (p<.001) t.i.d. doses, but not for 1.25 mg (p<.06). The mean optimal MPH total daily dose for the entire group was 14.2 +/- 8.1 mg/day (0.7+/-0.4 mg/kg/day). For the preschoolers (n=114) later randomized into the parallel phase, only 21% on best-dose MPH and 13% on placebo achieved MTA-defined categorical criterion for remission set for school-age children with ADHD. CONCLUSIONS: MPH-IR, delivered in 2.5-, 5-, and 7.5-mg doses t.i.d., produced significant reductions on ADHD symptom scales in preschoolers compared to placebo, although effect sizes (0.4-0.8) were smaller than those cited for school-age children on the same medication.}, Doi = {10.1097/01.chi.0000235077.32661.61}, Key = {fds274033} } @article{fds274034, Author = {Swanson, J and Greenhill, L and Wigal, T and Kollins, S and Stehli, A and Davies, M and Chuang, S and Vitiello, B and Skrobala, A and Posner, K and Abikoff, H and Oatis, M and McCRACKEN, J and McGOUGH, J and Riddle, M and Ghuman, J and Cunningham, C and Wigal, S}, Title = {Stimulant-related reductions of growth rates in the PATS.}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {45}, Number = {11}, Pages = {1304-1313}, Year = {2006}, Month = {November}, ISSN = {0890-8567}, url = {http://dx.doi.org/10.1097/01.chi.0000235075.25038.5a}, Abstract = {OBJECTIVE: To investigate growth of children with attention-deficit/hyperactivity disorder (ADHD) in the Preschool ADHD Treatment Study (PATS) before and after initiation of treatment with methylphenidate at titrated doses (average, 14.2 mg/day) administered three times daily, 7 days/week for asymptotically equal to1 year. METHOD: The heights and weights of 140 children with ADHD were measured up to 29 times in the PATS protocol, starting at an average age of 4.4 years. The relationship between standard (z) scores and time on medication was examined using mixed-effect regression to estimate change in relative size (slope). RESULTS: Average relative size at baseline was significantly (p<.0001) greater than zero for z height (+0.45) and z weight (+0.78), indicating greater than expected height (by 2.04 cm) and weight (by 1.78 kg). During treatment, slopes were significantly (p<.0001) less than zero for z height (-0.304/yr) and z weight (-0.530/yr), indicating reduction of growth rates. For 95 children who remained on medication, annual growth rates were 20.3% less than expected for height (5.41 cm/yr-6.79 cm/yr=-1.38 cm/yr) and 55.2% for weight (1.07 kg/yr-2.39 kg/yr=-1.32 kg/yr). CONCLUSIONS: Risks of reduced growth rates should be balanced against expected benefits when preschool-age children are treated with stimulant medication.}, Doi = {10.1097/01.chi.0000235075.25038.5a}, Key = {fds274034} } @article{fds274045, Author = {Epstein, JN and Kollins, SH}, Title = {Psychometric properties of an adult ADHD diagnostic interview.}, Journal = {Journal of Attention Disorders}, Volume = {9}, Number = {3}, Pages = {504-514}, Year = {2006}, Month = {February}, ISSN = {1087-0547}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16481667}, Keywords = {Adolescent • Adult • Attention Deficit Disorder with Hyperactivity • Female • Humans • Interview, Psychological* • Male • Middle Aged • Psychometrics • Reproducibility of Results • Severity of Illness Index • diagnosis* • statistics & numerical data}, Abstract = {Although research has been conducted to support the psychometric properties of rating scales used to assess ADHD in adults, little work has been published examining semi-structured interviews to assess ADHD in adults. The present study examined the test-retest reliability and concurrent validity of the Conners Adult ADHD Diagnostic Interview for Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV) in a sample (N = 30) of patients referred to an outpatient clinic. Kappa statistics for individual symptoms of inattention and hyperactivity-impulsivity were in the fair to good range for current report and retrospective childhood report. Kappa values for overall diagnosis, which included all DSM-IV symptoms, were fair for both current (adult) ADHD diagnosis (kappa = .67) and childhood report (kappa = .69). Concurrent validity was demonstrated for adult hyperactive-impulsive symptoms and child inattentive symptoms. The findings are discussed in the context of overall issues pertaining to adult ADHD assessment.}, Language = {eng}, Doi = {10.1177/1087054705283575}, Key = {fds274045} } @article{fds274030, Author = {Kollins, SH and Greenhill, L}, Title = {Evidence base for the use of stimulant medication in preschool children with ADHD}, Journal = {Infants & Young Children}, Volume = {19}, Number = {2}, Pages = {132-141}, Publisher = {Ovid Technologies (Wolters Kluwer Health)}, Year = {2006}, Month = {January}, ISSN = {0896-3746}, url = {http://dx.doi.org/10.1097/00001163-200604000-00006}, Abstract = {Increasingly, attention-deficit/hyperactivity disorder (ADHD) is being recognized as a valid disorder in preschool-aged children. There are only limited data available, however, to provide useful guidelines for the pharmacological management of this impairing condition in this age range. This article (1) reviews the available studies on stimulant treatment in preschoolers with ADHD; (2) provides an overview of the recently completed National Institute of Mental Health-funded Preschool ADHD Treatment Study (PATS); (3) highlights special considerations in conducting psychopharmacological research in this age range; and (4) provides clinical guidelines for managing the ADHD in preschoolers on the basis of available evidence. ©2006Lippincott Williams & Wilkins, Inc.}, Doi = {10.1097/00001163-200604000-00006}, Key = {fds274030} } @article{fds274074, Author = {Preston, RJ and Kollins, SH and Swanson, JM and Greenhill, LL and Wigal, T and Elliott, GR and Vitiello, B}, Title = {Comments on 'Cytogenetic effects in children treated with methylphenidate' by El-Zein et al.}, Journal = {Cancer Letters}, Volume = {230}, Number = {2}, Pages = {292-294}, Year = {2005}, Month = {December}, ISSN = {0304-3835}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16019134}, Keywords = {Attention Deficit Disorder with Hyperactivity • Central Nervous System Stimulants • Child • Chromosome Aberrations • Humans • Lymphocytes • Methylphenidate • Micronuclei, Chromosome-Defective • Mutagenicity Tests • Reproducibility of Results • Research Design* • Sister Chromatid Exchange • adverse effects* • chemically induced • chemically induced* • drug effects • drug therapy • therapeutic use}, Language = {eng}, Doi = {10.1016/j.canlet.2005.05.038}, Key = {fds274074} } @article{fds274052, Author = {MacDonald Fredericks and E and Kollins, SH}, Title = {A pilot study of methylphenidate preference assessment in children diagnosed with attention-deficit/hyperactivity disorder.}, Journal = {Journal of Child and Adolescent Psychopharmacology}, Volume = {15}, Number = {5}, Pages = {729-741}, Year = {2005}, Month = {October}, ISSN = {1044-5463}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16262590}, Keywords = {Adolescent • Attention Deficit Disorder with Hyperactivity • Child • Double-Blind Method • Female • Humans • Male • Methylphenidate • Pilot Projects • Reinforcement (Psychology) • drug therapy* • therapeutic use*}, Abstract = {OBJECTIVE: The use of methylphenidate (MPH) in the treatment of attention-deficit/hyperactivity disorder (ADHD) is widely accepted; however, there is increased concern regarding its abuse potential. Few studies have examined the reinforcing effects of drugs in individuals receiving them for clinical purposes. This study attempts to assess MPH preference in children with ADHD using a choice procedure in order to explore the relationship among drug preference, clinical efficacy, and abuse potential. METHODS: Participants were 5 children (10-14 years of age) receiving MPH for the treatment of ADHD. Reinforcing effects were assessed using a double-blind choice procedure, with six sampling sessions and six choice sessions. Participant-rated effects were measured using self-report questionnaires. Clinical effects were measured using direct observations and behavior ratings. RESULTS: Differences between the number of MPH, Placebo, and Neither choices across participants were significant (chi2 = 9.6; p < 0.01). Three of five participants reliably chose MPH more often than placebo. MPH produced idiosyncratic patterns of participant-rated effects but failed to produce significant clinical effects. CONCLUSIONS: These findings add to the literature on the reinforcing effects of MPH and are the first reported in a clinical sample of children. Further research exploring the role of clinical efficacy in MPH preference is warranted.}, Language = {eng}, Doi = {10.1089/cap.2005.15.729}, Key = {fds274052} } @article{fds274060, Author = {Kollins, SH and McClernon, FJ and Fuemmeler, BF}, Title = {Association between smoking and attention-deficit/hyperactivity disorder symptoms in a population-based sample of young adults.}, Journal = {Archives of General Psychiatry}, Volume = {62}, Number = {10}, Pages = {1142-1147}, Year = {2005}, Month = {October}, ISSN = {0003-990X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16203959}, Keywords = {Adolescent • Adult • Age of Onset • Attention Deficit Disorder with Hyperactivity • Cognition Disorders • Comorbidity • Female • Follow-Up Studies • Health Surveys • Humans • Impulse Control Disorders • Longitudinal Studies • Male • Retrospective Studies • Risk Factors • Smoking • Tobacco Use Disorder • diagnosis • epidemiology • epidemiology* • psychology}, Abstract = {CONTEXT: Attention-deficit/hyperactivity disorder (ADHD) has been associated with increased risk of smoking, and some studies have suggested that inattentive symptoms specifically may underlie this risk. Few studies, however, have examined ADHD symptoms in nonclinical samples to determine the extent to which the number of symptoms-independent of the full diagnosis-confer risk for smoking-related outcomes. OBJECTIVE: To evaluate the relation between smoking-related variables and the number of retrospectively reported ADHD inattentive and hyperactive/impulsive symptoms in a population-based sample of young adults. DESIGN, SETTING, AND PARTICIPANTS: The study population consists of 15 197 eligible participants from wave III of the National Longitudinal Study of Adolescent Health, a nationally representative sample of adolescents followed from 1995 to 2002. MAIN OUTCOME MEASURES: Logistic regression was used to examine the relation between self-reported ADHD symptoms and the lifetime likelihood of being a regular smoker, defined by having smoked at least 1 cigarette a day for 30 days. For individuals reporting regular smoking, we also examined the extent to which ADHD symptoms predicted age at onset of regular smoking and number of cigarettes smoked. RESULTS: A linear relation was identified between the number of self-reported inattentive and hyperactive/impulsive symptoms and smoking outcome measures (P<.001 for each symptom domain). Controlling for demographic and conduct disorder symptoms, each reported inattention and hyperactivity/impulsivity symptom significantly increased the likelihood of ever regular smoking (odds ratio [OR], 1.11; 95% confidence interval [CI], 1.08-1.14 and OR, 1.16; 95% CI, 1.13-1.19, respectively). For those reporting lifetime regular smoking, reported symptoms decreased the estimated age at onset and increased the number of cigarettes smoked. CONCLUSIONS: Self-reported ADHD symptoms were found to be associated with adult smoking outcome variables in this nationally representative sample, providing further evidence of a likely link between ADHD symptoms and risk for tobacco use.}, Language = {eng}, Doi = {10.1001/archpsyc.62.10.1142}, Key = {fds274060} } @article{fds274104, Author = {Wigal, SB and McGough, JJ and McCracken, JT and Biederman, J and Spencer, TJ and Posner, KL and Wigal, TL and Kollins, SH and Clark, TM and Mays, DA and Zhang, Y and Tulloch, SJ}, Title = {A laboratory school comparison of mixed amphetamine salts extended release (Adderall XR) and atomoxetine (Strattera) in school-aged children with attention deficit/hyperactivity disorder.}, Journal = {Journal of Attention Disorders}, Volume = {9}, Number = {1}, Pages = {275-289}, Year = {2005}, Month = {August}, ISSN = {1087-0547}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16371674}, Keywords = {Amphetamines • Attention Deficit Disorder with Hyperactivity • Central Nervous System Stimulants • Child • Delayed-Action Preparations • Double-Blind Method • Drug Administration Schedule • Female • Humans • Male • Norepinephrine • Propylamines • Treatment Outcome • administration & dosage • drug therapy* • metabolism • pharmacology • therapeutic use • therapeutic use*}, Abstract = {Mixed amphetamine salts extended release (MAS XR; Adderall XR) and atomoxetine (Strattera) were compared in children 6 to 12 years old with attention deficit/hyperactivity disorder (ADHD) combined or hyperactive/impulsive type in a randomized, double-blind, multicenter, parallel-group, forced-dose-escalation laboratory school study. Primary efficacy measure was the SKAMP (Swanson, Kotkin, Agler, M-Flynn, and Pelham) behavioral rating scale. Changes in mean SKAMP deportment scores from baseline were significantly greater for MAS XR (n = 102) than for atomoxetine (n = 101) overall (-0.56 and -0.13, respectively; p < .0001) and at each week (p < .001). Adverse events were similar for both treatment groups. The extended time course of action and greater therapeutic efficacy of MAS XR suggests that it is more effective than atomoxetine in children with ADHD.}, Language = {eng}, Doi = {10.1177/1087054705281121}, Key = {fds274104} } @article{fds274070, Author = {Fredericks, EM and Kollins, SH}, Title = {Assessing methylphenidate preference in ADHD patients using a choice procedure.}, Journal = {Psychopharmacology}, Volume = {175}, Number = {4}, Pages = {391-398}, Year = {2004}, Month = {October}, ISSN = {0033-3158}, url = {http://www.ncbi.nlm.nih.gov/pubmed/15258716}, Keywords = {Adolescent • Adult • Attention Deficit Disorder with Hyperactivity • Central Nervous System Stimulants* • Choice Behavior • Dose-Response Relationship, Drug • Double-Blind Method • Female • Humans • Male • Methylphenidate* • Questionnaires • Reinforcement (Psychology) • Substance-Related Disorders • drug effects* • drug therapy* • psychology • psychology* • therapeutic use}, Abstract = {RATIONALE: Methylphenidate (MPH) is widely used in the treatment of attention deficit hyperactivity disorder (ADHD) and is associated with positive clinical effects across a wide range of domains. Despite the clinical effectiveness of MPH, concern has arisen with respect to its abuse potential. OBJECTIVES: To assess MPH preference in adults diagnosed with ADHD using a choice procedure and to evaluate the relationship among drug preference, therapeutic efficacy, and abuse potential in a clinical sample. METHODS: Participants were ten volunteers (ages 18-22 years) with ADHD who were receiving MPH treatment. Preference was assessed using a double-blind choice procedure with four sampling sessions wherein subjects received either placebo or MPH and eight choice sessions when they chose either capsule or no capsules. RESULTS: Overall, MPH was chosen significantly more often than placebo (chi2=52.5; P<0.001) and participants were equally separated into groups of those who chose MPH reliably (MPH choosers) and those who did not (MPH non-choosers). MPH decreased ADHD symptoms and resulted in lower ratings of stimulant effects among MPH choosers. MPH choosers also reported higher levels of baseline ADHD symptoms. CONCLUSIONS: Despite higher preference of MPH than placebo in this clinical sample, other measures of abuse potential were not elevated, and MPH choosers were more symptomatic than non-choosers. As such, MPH preference in ADHD populations likely reflects therapeutic efficacy rather than abuse potential. Future work should examine MPH choice in diagnosed and non-diagnosed populations to further explore the role of clinical efficacy in the preference of this stimulant drug.}, Language = {eng}, Doi = {10.1007/s00213-004-1838-2}, Key = {fds274070} } @article{fds274028, Author = {Swanson, JM and Wigal, SB and Wigal, T and Sonuga-Barke, E and Greenhill, LL and Biederman, J and Kollins, S and Nguyen, AS and DeCory, HH and Hirshe Dirksen and SJ and Hatch, SJ and COMACS Study Group}, Title = {A comparison of once-daily extended-release methylphenidate formulations in children with attention-deficit/hyperactivity disorder in the laboratory school (the Comacs Study).}, Journal = {Pediatrics}, Volume = {113}, Number = {3 Pt 1}, Pages = {e206-e216}, Year = {2004}, Month = {March}, ISSN = {1098-4275}, url = {http://dx.doi.org/10.1542/peds.113.3.e206}, Abstract = {OBJECTIVE: The objective of this study was to evaluate differences in the pharmacodynamic (PD) profile of 2 second-generation extended-release (ER) formulations of methylphenidate (MPH): Metadate CD (MCD; methylphenidate HCl, US Pharmacopeia) extended-release capsules, CII, and Concerta (CON; methylphenidate HCl) extended-release tablets, CII. Little empirical information exists to help the clinician compare the PD effects of the available ER formulations on attention and behavior. Previous studies have shown that the near-equal doses of MCD and CON provide equivalent, total exposure to MPH as measured by area under the plasma concentration time curve, yet their pharmacokinetic (PK) plasma concentration versus time profiles are different. We previously offered a theoretical PK/PD account of the similarities and differences among available ER formulations based on the hypothesis that all formulations produce effects related to MPH delivered by 2 processes: 1) an initial bolus dose of immediate-release (IR) MPH that is expected to achieve peak plasma concentration in the early morning and have rapid onset of efficacy within 2 hours of dosing, which for the MCD capsule is delivered by 30% of the total daily dose as uncoated beads and for the CON tablet is delivered by an overcoat of 22% of the total daily dose; and 2) an extended, controlled delivery of ER MPH that is expected to achieve peak plasma concentrations in the afternoon to maintain efficacy for a programmed period of time after the peak of the initial bolus, which for the MCD capsule is delivered by polymer-coated beads and for the CON tablet by an osmotic-release oral system. According to this PK/PD model, clinical superiority is expected at any point in time for the formulation with the highest MPH plasma concentration. METHODS: This was a multisite, double-blind, double-dummy, 3-way crossover study of 2 active treatments (MCD and CON) and placebo (PLA). Children with confirmed diagnoses of attention-deficit/hyperactivity disorder were stratified to receive bioequivalent doses of MCD and CON that were considered to be low (20 mg of MCD and 18 mg of CON), medium (40 mg of MCD and 36 mg of CON), or high (60 mg of MCD and 54 mg of CON), and in a randomized order each of the study treatments was administered once daily in the morning for 1 week. On the seventh day of each treatment week, children attended a laboratory school, where surrogate measures of response were obtained by using teacher ratings of attention and deportment and a record of permanent product of performance on a 10-minute math test at each of the 7 classroom sessions spread across the day at 1.5-hour intervals. Safety was assessed by patient reports of adverse events, parent ratings on a stimulant side-effects scale, and measurement of vital signs. RESULTS: The analyses of variance revealed large, statistically significant main effects for the within-subject factor of treatment for all 3 outcome measures (deportment, attention, and permanent product). The interactions of treatment x session were also highly significant for all 3 outcome measures. Inspection of the PD profiles for the treatment x session interactions suggested 4 patterns of efficacy across the day: 1) PLA > MCD approximately CON (PLA superiority) immediately after dosing; 2) MCD > CON > PLA during the morning (MCD superiority); 3) MCD approximately CON > PLA during the afternoon (PD equivalence of MCD and CON); and 4) CON > MCD approximately PLA in the early evening (CON superiority). The effect of site was significant, because some study centers had low and some high scores for behavior in the lab classroom, but both the low- and high-scoring sites showed similar PD patterns across the day. The interaction of dose x treatment was not significant, indicating that the pattern of treatment effects was consistent across each dose level. There were no statistically significant overall differences among the 3 treatments for the frequency of treatment-emergent adverse events, ratings of side effects, or vital signs. Two additional PK/PD questions were addressed: 1. The a priori hypothesis called for a comparison of the average of sessions (removing session as a factor) during a time period that corresponds to the length of a typical school day (from 1.5 through 7.5 hours after dosing). For the planned contrast of the 2 treatment conditions (MCD versus CON), the difference was significant, confirming the a priori hypothesis of superiority of near-equal daily doses of MCD over CON for this predefined postdosing period. 2. In the design of the study, the dose factor represented the total daily dose, consisting of 2 components: the initial bolus doses of IR MPH, which differ for the near-equal total daily doses of MCD and CON, and the reservoir doses of ER MPH, which were the same for the 2 formulations. To evaluate the moderating effects of the bolus component of dose on outcome, average effect size (ES) was calculated for the efficacy outcomes at the time of expected peak PK concentration times of the initial bolus component for each formulation at the 3 dose levels. The correlation (r) of ES with IR MPH bolus dose was significant for each of the 3 outcome measures (r approximately .9), indicating that the magnitude of effects in the early morning may be attributed to the dose administered by the IR MPH bolus of each formulation. For the 2 dose conditions with equal 12-mg IR MPH boluses (MCD 40 and CON 54), the ESs were large and indistinguishable (eg, deportment ES approximately 0.75 for both). CONCLUSIONS: Once-daily doses of MCD and CON produced statistically significantly different PD effects on surrogate measures of behavior and performance among children with attention-deficit/hyperactivity disorder in the laboratory school setting. As predicted by the PK/PD model, superiority at any point in time was achieved by the formulation with the highest expected plasma MPH concentration.}, Doi = {10.1542/peds.113.3.e206}, Key = {fds274028} } @article{fds274076, Author = {Kollins, SH}, Title = {Delay discounting is associated with substance use in college students.}, Journal = {Addictive Behaviors}, Volume = {28}, Number = {6}, Pages = {1167-1173}, Year = {2003}, Month = {August}, ISSN = {0306-4603}, url = {http://www.ncbi.nlm.nih.gov/pubmed/12834659}, Keywords = {Adult • Age Factors • Alcohol Drinking • Choice Behavior* • Female • Humans • Impulsive Behavior • Male • Reward • Smoking • Students • Substance-Related Disorders • psychology • psychology*}, Abstract = {This study investigated whether a measure of delay discounting was associated with substance use variables in a sample of college students. Participants (N=47) completed a substance use survey and a delay-discounting measure that asked them to make a series of choices between a fixed amount of hypothetical money to be delivered immediately and a larger amount to be delivered after a range of delays. Discounting values were significantly associated with a number of substance use variables, most notably age of first alcohol use (r=-.34; P<.05), age of first smoking (r=-.51; P<.05), age of first marijuana use (r=-.48; P<.05), number of times "passed out" from alcohol use (r=.73; P<.01), and total number of illicit drugs used (r=.32; P<.05). Individuals reporting more illicit drug use and younger ages of first use tend to discount the value of future hypothetical rewards more steeply than their peers.}, Language = {eng}, Doi = {10.1016/s0306-4603(02)00220-4}, Key = {fds274076} } @article{fds274072, Author = {Kollins, SH}, Title = {Comparing the abuse potential of methylphenidate versus other stimulants: a review of available evidence and relevance to the ADHD patient.}, Journal = {The Journal of Clinical Psychiatry}, Volume = {64 Suppl 11}, Pages = {14-18}, Year = {2003}, ISSN = {0160-6689}, url = {http://www.ncbi.nlm.nih.gov/pubmed/14529325}, Keywords = {Adult • Animals • Attention Deficit Disorder with Hyperactivity • Brain • Central Nervous System Stimulants • Cocaine • Dextroamphetamine • Humans • Methylphenidate • Reinforcement (Psychology) • Substance-Related Disorders • adverse effects • adverse effects* • drug effects • drug therapy* • epidemiology • etiology* • metabolism • pharmacokinetics • prevention & control • therapeutic use}, Abstract = {The use of psychostimulants to treat attention-deficit/hyperactivity disorder (ADHD) has been controversial for a number of reasons. In an effort to clarify the extent to which the psychostimulant methylphenidate has abuse potential, the existing published evidence has been reviewed and is summarized here, with an emphasis on delineating a number of related but independent issues that are often confused. Methylphenidate produces behavioral effects associated with abuse potential as assessed by traditional assays, but the relevance of this literature to the clinical use of the drug in the treatment of ADHD is ambiguous at best. Existing neuropharmacologic data suggest that methylphenidate has pharmacokinetic properties that reduce its abuse potential as compared with other stimulant drugs of abuse, such as cocaine.}, Language = {eng}, Key = {fds274072} } @article{fds274110, Author = {Kollins, SH and Rush, CR}, Title = {Sensitization to the cardiovascular but not subject-rated effects of oral cocaine in humans.}, Journal = {Biological Psychiatry}, Volume = {51}, Number = {2}, Pages = {143-150}, Year = {2002}, Month = {January}, ISSN = {0006-3223}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11822993}, Keywords = {Administration, Oral • Adult • Arousal • Blood Pressure • Cocaine • Cocaine-Related Disorders • Dose-Response Relationship, Drug • Double-Blind Method • Female • Heart Rate • Humans • Male • Personality Inventory • drug effects* • pharmacology* • physiology • physiopathology* • psychology}, Abstract = {BACKGROUND: Despite a substantial nonhuman literature in the area, few studies have experimentally evaluated the effects of repeated stimulant administration in human participants. This study examined the effects of repeated cocaine in individuals with histories of abuse and dependence. METHODS: Twenty-two individuals with recent histories of cocaine abuse received under double-blind conditions, in pseudorandom order, four administrations of oral cocaine (150 mg [n = 14] or 200 mg [n = 8]) and two administrations of placebo. All administrations were given on separate days. Cardiovascular measures were collected and included heart rate, systolic pressure, diastolic pressure, mean arterial pressure, and pressure rate product. Subject-rated effects were assessed using the Addiction Research Center Inventory (ARCI) and a 15-item drug-effect questionnaire. RESULTS: There were significant differences between placebo days and cocaine days in both cardiovascular and subject-rated effects. Moreover, three of five cardiovascular measures analyzed revealed a significant main effect for day of cocaine administration. A planned follow-up contrast revealed a significant increasing linear trend for each of these variables across days. No significant effects were found for day of administration for the subject-rated items. CONCLUSIONS: These results indicate that, under controlled laboratory conditions, repeated oral cocaine administration may result in sensitization to the cardiovascular effects, but not subject-rated effects.}, Doi = {10.1016/s0006-3223(01)01288-4}, Key = {fds274110} } @article{fds274109, Author = {Kollins, SH and MacDonald, EK and Rush, CR}, Title = {Assessing the abuse potential of methylphenidate in nonhuman and human subjects: a review.}, Journal = {Pharmacology, Biochemistry, and Behavior}, Volume = {68}, Number = {3}, Pages = {611-627}, Year = {2001}, Month = {March}, ISSN = {0091-3057}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11325419}, Keywords = {Animals • Dopamine Uptake Inhibitors • Humans • Methylphenidate • Substance-Related Disorders • adverse effects* • psychology*}, Abstract = {Methylphenidate (MPH) is widely used for the treatment of Attention Deficit Hyperactivity Disorder (ADHD) in children, adolescents, and adults. Methylphenidate is clearly effective for the treatment of ADHD, but there is controversy as to whether it has significant abuse potential like other psychostimulants (e.g., D-amphetamine and cocaine). In general, the drug is believed to be abused at rates much lower than those for other stimulants. The present review examines studies that investigated the behavioral pharmacological profile of methylphenidate and discusses how results from these studies address its abuse liability. Using MEDLINE search terms methylphenidate, drug discrimination, reinforcement, self-administration, subjective effects, subject-rated effects, abuse potential, and abuse liability, along with a review of the references from identified articles, 60 studies were located in which the reinforcing, discriminative-stimulus, or subjective effects of methylphenidate were directly assessed in nonhumans or humans. Forty-eight (80.0%) of the studies reviewed indicate that methylphenidate either functions in a manner similar to D-amphetamine or cocaine (e.g., functions as a reinforcer, substitutes fully in drug discrimination experiments), or produces a pattern of subjective effects suggestive of abuse potential. The results are discussed as they pertain to factors that may account for the apparent discrepancy in abuse rates between methylphenidate and other stimulants, including characterization of actual abuse rates, defining abuse and misuse, pharmacokinetic factors, and validity of abuse liability assays.}, Doi = {10.1016/s0091-3057(01)00464-6}, Key = {fds274109} } @article{fds273991, Author = {Kollins, SH and Barkley, RA and DuPaul, GJ}, Title = {Use and management of medications for children diagnosed with Attention Deficit Hyperactivity Disorder (ADHD)}, Journal = {Focus on Exceptional Children}, Volume = {33}, Number = {5}, Pages = {X-24}, Year = {2001}, Month = {January}, ISSN = {0015-511X}, url = {http://dx.doi.org/10.17161/fec.v33i5.6779}, Doi = {10.17161/fec.v33i5.6779}, Key = {fds273991} } @article{fds274027, Author = {Kollins, SH and Barkley, RA and DuPaul, GJ}, Title = {Use and management of medications for children diagnosed with Attention Deficit Hyperactivity Disorder (ADHD)}, Journal = {Focus on Exceptional Children}, Volume = {33}, Number = {5}, Pages = {X-24}, Year = {2001}, Month = {January}, ISSN = {0015-511X}, Key = {fds274027} } @article{fds343226, Author = {Kollins, SH and Barkley, RA and DuPaul, GJ}, Title = {Use and management of medications for children diagnosed with attention deficit hyperactivity disorder (ADHD)}, Journal = {Focus on Exceptional Children}, Volume = {33}, Number = {5}, Pages = {1-+}, Publisher = {LOVE PUBLISHING COMPANY}, Year = {2001}, Month = {January}, Key = {fds343226} } @article{fds274111, Author = {Critchfield, TS and Kollins, SH}, Title = {Temporal discounting: basic research and the analysis of socially important behavior.}, Journal = {Journal of Applied Behavior Analysis}, Volume = {34}, Number = {1}, Pages = {101-122}, Year = {2001}, ISSN = {0021-8855}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11317983}, Keywords = {Attention Deficit Disorder with Hyperactivity • Humans • Social Behavior* • Substance-Related Disorders • Time Factors • psychology}, Abstract = {Recent basic research on human temporal discounting is reviewed to illustrate procedures, summarize key findings, and draw parallels with both nonhuman animal research and conceptual writings on self-control. Lessons derived from this research are then applied to the challenge of analyzing socially important behaviors such as drug abuse, eating and exercise, and impulsiveness associated with attention deficit hyperactivity disorder. Attending to the broader temporal context in which behavior occurs may aid in the analysis of socially important behavior. Applying this perspective to the study of behavior in natural environments also highlights the importance of combining methodological flexibility with conceptual rigor to promote the extension of applied behavior analysis to a broader array of socially important behaviors.}, Doi = {10.1901/jaba.2001.34-101}, Key = {fds274111} } @article{fds274026, Author = {Critchfield, TS and Newland, MC and Kollins, SH}, Title = {The good, the bad, and the aggregate.}, Journal = {The Behavior Analyst}, Volume = {23}, Number = {1}, Pages = {107-115}, Year = {2000}, ISSN = {0738-6729}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22478342}, Abstract = {To evaluate progress and focus goals, scientific disciplines need to identify relations that are robust across many situations. One approach is the literature review, which characterizes generality across studies. Some writers (e.g., Baron & Derenne, 2000) claim that quantitative literature reviews, but not narrative reviews, violate the methodological precepts of behavior analysis by pooling data from nonidentical studies. We argue that it is impossible to assess generality without varying the context in which relationships are studied. Properly chosen data-aggregation strategies can reveal which behavior-environment relations are general and which are procedure dependent. Within behavior analysis, reluctance to conduct quantitative reviews may reflect unsupported assumptions about the consequences of aggregating data across studies. Whether specific data-aggregation techniques help or harm a research program is an empirical issue that cannot be resolved by unstructured discussion. Some examples of how aggregation has been used in identifying behavior-environment relations are examined.}, Doi = {10.1007/BF03392005}, Key = {fds274026} } @article{fds274105, Author = {Murray, LK and Kollins, SH}, Title = {Effects of methylphenidate on sensitivity to reinforcement in children diagnosed with attention deficit hyperactivity disorder: an application of the matching law.}, Journal = {Journal of Applied Behavior Analysis}, Volume = {33}, Number = {4}, Pages = {573-591}, Year = {2000}, ISSN = {0021-8855}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11214032}, Keywords = {Attention Deficit Disorder with Hyperactivity • Central Nervous System Stimulants • Child • Humans • Male • Methylphenidate • Problem Solving • Psychological Theory* • Random Allocation • Reinforcement (Psychology)* • Reinforcement Schedule • Sensitivity and Specificity • Severity of Illness Index • Time Factors • diagnosis* • drug effects* • drug therapy* • pharmacology* • therapeutic use*}, Abstract = {The behavior of children diagnosed with attention deficit hyperactivity disorder (ADHD) has been hypothesized to be the result of decreased sensitivity to consequences compared to typical children. The present study examined sensitivity to reinforcement in 2 boys diagnosed with ADHD using the matching law to provide more precise and quantitative measurement of this construct. This experiment also evaluated the effects of methylphenidate (MPH) on sensitivity to reinforcement of children with ADHD. Subjects completed math problems to earn tokens under four different variable-interval (VI) schedules of reinforcement presented in random order under both medicated and nonmedicated conditions. Results showed that, in the medicated condition, the matching functions for both subjects resulted in higher asymptotic values, indicating an overall elevation of behavior rate under these conditions. The variance accounted for by the matching law was also higher under the medicated conditions, suggesting that their behavior more closely tracked the changing rates of reinforcement while taking MPH compared to placebo. Under medicated conditions, the reinforcing efficacy of response-contingent tokens decreased. Results are discussed with respect to quantifying behavioral changes and the extent to which the drug interacts with prevailing contingencies (i.e., schedule values) to influence behavioral variability.}, Doi = {10.1901/jaba.2000.33-573}, Key = {fds274105} } @article{fds274107, Author = {Kollins, SH and Rush, CR}, Title = {Effects of training dose on the relationship between discriminative-stimulus and self-reported drug effects of d-amphetamine in humans.}, Journal = {Pharmacology, Biochemistry, and Behavior}, Volume = {64}, Number = {2}, Pages = {319-326}, Year = {1999}, Month = {October}, ISSN = {0091-3057}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10515308}, Keywords = {Adult • Analgesics, Opioid • Central Nervous System Stimulants • Dextroamphetamine • Discrimination (Psychology) • Discrimination Learning • Female • Humans • Hydromorphone • Male • Middle Aged • Nicotine • Nicotinic Agonists • Questionnaires • Social Behavior • administration & dosage • drug effects* • pharmacology • pharmacology*}, Abstract = {The aim of the present experiment was to examine the relationship between the discriminative-stimulus and self-reported effects of drugs in humans. To accomplish this aim, nine healthy adult volunteers (four females, five males) were trained to discriminate between placebo and 10 mg d-amphetamine (low-dose group) or 20 mg d-amphetamine (high-dose group). After acquiring the placebo-amphetamine discrimination, a range of doses of d-amphetamine (1.25-20 mg) was tested to determine if they shared discriminative stimulus effects with the training dose. Participants in the low-dose group exhibited a significant leftward shift in the dose-response function for discrimination performance, which is concordant with previous preclinical and human drug discrimination studies that assessed the effects of training dose. Consistent with the drug discrimination findings, participants in the low-dose group exhibited a significant leftward shift in the dose-response function for several self-reported drug effects (e.g., Like the Drug and Stimulated). However, several other self-reported drug effect items were not significantly influenced by training condition (e.g., Anxious/Nervous and Bad Effects). These results suggest that the discriminative-stimulus and self-reported drug effects of d-amphetamine overlap, but are not isomorphic. Furthermore, these results illustrate that behavioral history significantly influences subsequent drug effects in humans.}, Doi = {10.1016/s0091-3057(99)00084-2}, Key = {fds274107} } @article{fds274024, Author = {Forsyth, JP and Kollins, S and Palav, A and Duff, K and Maher, S}, Title = {Has behavior therapy drifted from its experimental roots? A survey of publication trends in mainstream behavioral journals.}, Journal = {Journal of Behavior Therapy and Experimental Psychiatry}, Volume = {30}, Number = {3}, Pages = {205-220}, Year = {1999}, Month = {September}, ISSN = {0005-7916}, url = {http://dx.doi.org/10.1016/s0005-7916(99)00020-8}, Abstract = {In recent years it has been suggested that behavior therapy, characterized in part by single-subject designs and an idiographic approach to addressing practical problems, is drifting from its experimental roots. To examine trends in behavior therapy, and to provide an objective index of drift, two archival studies were conducted to identify publication trends in the use of single-subject designs vs. group designs, as well as citations to select basic behavioral science journals. In Study 1, articles appearing in Behavior Therapy from 1970 through 1996 were reviewed and categorized in terms of type of article, design, and citations to experimental journals. Findings from Study 1 suggest declining publication trends in single-subject designs and citations to experimental journals in Behavior Therapy, with a modest increase in the use of group designs over the period. Study 2 was designed to replicate and extend our initial findings by surveying three behavioral journals in addition to Behavior Therapy using the PsychLit database and years covering 1974 through 1996: Behaviour Research and Therapy, Journal of Behavior Therapy and Experimental Psychiatry, and Behavior Modification. Consistent with Study 1, results of Study 2 showed declining trends in single-subject designs for all mainstream behavioral journals. The significance of these findings in light of the argument that behavior therapy has drifted from its experimental roots is discussed, with emphasis on contingencies that may be responsible for the trends observed.}, Doi = {10.1016/s0005-7916(99)00020-8}, Key = {fds274024} } @article{fds274113, Author = {Daleiden, EL and Chorpita, BF and Kollins, SH and Drabman, RS}, Title = {Factors affecting the reliability of clinical judgments about the function of children's school-refusal behavior.}, Journal = {Journal of Clinical Child Psychology}, Volume = {28}, Number = {3}, Pages = {396-406}, Year = {1999}, Month = {September}, ISSN = {0047-228X}, url = {http://www.ncbi.nlm.nih.gov/pubmed/10446689}, Keywords = {Adolescent • Adolescent Psychiatry* • Child • Female • Humans • Male • Observer Variation • Professional Competence • Reinforcement (Psychology) • Reproducibility of Results • Student Dropouts • psychology*}, Abstract = {Conducted two studies to examine the interrater reliability, test-retest stability, and the effect of various clinician variables, such as years of clinical experience, theoretical orientation, and prior experience with children, on clinical judgments about the reinforcement functions of children's school-refusal behavior. Results indicated that the judgments by individual clinicians were of questionable reliability. Judgments aggregated across 3 clinicians yielded acceptable interrater and test-retest reliability in Study 1, but a greater number of clinicians were necessary to achieve acceptable reliability in Study 2. Years of clinical experience and training were the only clinician variables related to the reliability of judgments about reinforcement functions. Several recommendations for the clinical assessment of the function of children's school-refusal behavior are discussed.}, Doi = {10.1207/S15374424jccp280312}, Key = {fds274113} } @article{fds274023, Author = {Phillips, EL and Kollins, S and Edgerly, D}, Title = {Behavioural assessment of children and adolescents.}, Journal = {The Indian Journal of Pediatrics}, Volume = {66}, Number = {3}, Pages = {389-399}, Year = {1999}, url = {http://dx.doi.org/10.1007/BF02845532}, Abstract = {This article is an overview for pediatricians who conduct behavioural assessments of children and adolescents. It identifies the most common behavioural problems encountered by pediatricians and brief descriptions of selected tests that are administered by psychologists and other trained mental health professionals. Also covered are suggestions for the pediatrician on conducting diagnostic interviews and information regarding referral decision making.}, Doi = {10.1007/BF02845532}, Key = {fds274023} } @article{fds274025, Author = {Kollins, SH and Newland, MC and Critchfield, TS}, Title = {Quantitative integration of single-subject studies: Methods and misinterpretations.}, Journal = {The Behavior Analyst}, Volume = {22}, Number = {2}, Pages = {149-157}, Year = {1999}, ISSN = {0738-6729}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22478332}, Abstract = {Derenne and Baron (1999) criticized a quantitative literature review by Kollins, Newland, and Critchfield (1997) and raised several important issues with respect to the integration of single-subject data. In their criticism they argued that the quantitative integration of data across experiments conducted by Kollins et al. is a meta-analysis and, as such, is inappropriate. We reply that Kollins et al. offered behavior analysts a technique for integrating quantitative information in a way that draws from the strengths of behavior analysis. Although the quantitative technique is true to the original spirit of meta-analysis, it bears little resemblance to meta-analyses as currently conducted or defined and offers behavior analysts a potentially useful tool for comparing data from multiple sources. We also argue that other criticisms raised by Derenne and Baron were inaccurate or irrelevant to the original article. Our response highlights two main points: (a) There are meaningful quantitative techniques for examining single-subject data across studies without compromising the integrity of behavior analysis; and (b) the healthiest way to refute or question findings in any viable field of scientific inquiry is through empirical investigation.}, Doi = {10.1007/BF03391992}, Key = {fds274025} } @article{fds274106, Author = {Kollins, SH and Rush, CR and Pazzaglia, PJ and Ali, JA}, Title = {Comparison of acute behavioral effects of sustained-release and immediate-release methylphenidate.}, Journal = {Experimental and Clinical Psychopharmacology}, Volume = {6}, Number = {4}, Pages = {367-374}, Year = {1998}, Month = {November}, ISSN = {1064-1297}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9861551}, Keywords = {Adult • Affect • Animals • Behavior • Blood Pressure • Central Nervous System Stimulants • Delayed-Action Preparations • Female • Heart Rate • Humans • Male • Methylphenidate • Middle Aged • Psychiatric Status Rating Scales • Psychomotor Performance • Questionnaires • Time Factors • administration & dosage* • drug effects • drug effects* • pharmacology*}, Abstract = {The rate of onset of a drug's effect is an important determinant of its abuse potential. This experiment examined the acute behavioral effects of orally administered sustained-release methylphenidate (SR; 20-40 mg), immediate-release methylphenidate (IR; 20-40 mg), and placebo in 10 healthy volunteers. Drug effects were assessed before drug administration and periodically afterwards for 6 hr using drug-effect questionnaires and performance measures that are sensitive to the acute effects of stimulants. The IR formulation produced stimulant-like drug effects (e.g., increased ratings of "good effects") that generally varied as a function of dose and time. The SR formulation produced only transient effects on these measures. These findings are consistent with previous research on the influence of rate of onset using other drugs and suggest that the abuse potential of IR methylphenidate may be greater than that of SR methylphenidate.}, Doi = {10.1037//1064-1297.6.4.367}, Key = {fds274106} } @article{fds274108, Author = {Kollins, SH and Shapiro, SK and Newland, MC and Abramowitz, A}, Title = {Discriminative and participant-rated effects of methylphenidate in children diagnosed with attention deficit hyperactivity disorder (ADHD).}, Journal = {Experimental and Clinical Psychopharmacology}, Volume = {6}, Number = {4}, Pages = {375-389}, Year = {1998}, Month = {November}, ISSN = {1064-1297}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9861552}, Keywords = {Adolescent • Attention Deficit Disorder with Hyperactivity • Central Nervous System Stimulants • Child • Dextroamphetamine • Discrimination (Psychology) • Discrimination Learning • Dose-Response Relationship, Drug • Female • Humans • Male • Methylphenidate • drug effects • drug effects* • drug therapy* • pharmacology • psychology • therapeutic use*}, Abstract = {Despite the demonstrated beneficial effects of methylphenidate and d-amphetamine for the treatment of attention-deficit hyperactivity disorder (ADHD), the discriminative and subjective effects of these compounds in children are not well understood. This study was designed to characterize such effects in children diagnosed with ADHD. In a series of 3 experiments, 17 children were examined to determine whether methylphenidate (n = 12) and d-amphetamine (n = 5) could be reliably discriminated at doses typically used in clinical practice. Under some conditions (e.g., when they were instructed to attend to the drug effects or when a wide range of doses was used), children discriminated methylphenidate (5.0-30.0 mg) from placebo. Children tested under a range of doses of d-amphetamine (2.5-20.0 mg) were unable to discriminate this drug from placebo reliably. Neither methylphenidate nor d-amphetamine produced reliable participant-rated effects.}, Doi = {10.1037/1064-1297.6.4.375}, Key = {fds274108} } @article{fds274112, Author = {Rush, CR and Kollins, SH and Pazzaglia, PJ}, Title = {Discriminative-stimulus and participant-rated effects of methylphenidate, bupropion, and triazolam in d-amphetamine-trained humans.}, Journal = {Experimental and Clinical Psychopharmacology}, Volume = {6}, Number = {1}, Pages = {32-44}, Year = {1998}, Month = {February}, ISSN = {1064-1297}, url = {http://www.ncbi.nlm.nih.gov/pubmed/9526144}, Keywords = {Adult • Affect • Blood Pressure • Bupropion • Dextroamphetamine • Discrimination (Psychology) • Dopamine Uptake Inhibitors • Female • GABA Modulators • Heart Rate • Humans • Male • Methylphenidate • Middle Aged • Psychomotor Performance • Triazolam • drug effects • drug effects* • pharmacology*}, Abstract = {The discriminative-stimulus and participate-rated effects of a range of doses of d-amphetamine (2.5-20 mg), methylphenidate (5-40 mg), bupropion (50-400 mg), and triazolam (0.0625-0.5 mg) were tested in 5 humans trained to discriminate between oral d-amphetamine (20 mg) and placebo. d-Amphetamine and methylphenidate generally dose dependently increased drug-appropriate responding. Bupropion and triazolam on average occasioned less than or equal to 40% drug-appropriate responding. d-Amphetamine, methylphenidate, and bupropion produced stimulant-like participant-rated effects, while triazolam produced sedative-like effects. These results further demonstrate that the acute behavioral effects of d-amphetamine and methylphenidate overlap extensively in humans, which is concordant with preclinical studies. Bupropion produced some d-amphetamine-like, participant-rated drug effects but did not occasion significant levels of d-amphetamine-appropriate responding. These findings are concordant with previous findings of a dissociation between the discriminative-stimulus and participant-rated effects of drugs.}, Doi = {10.1037//1064-1297.6.1.32}, Key = {fds274112} } @article{fds314755, Author = {Kollins, SH and Newland, MC and Critchfield, TS}, Title = {Erratum to: Human sensitivity to reinforcement in operant choice: How much do consequences matter?}, Journal = {Psychonomic Bulletin & Review}, Volume = {4}, Number = {3}, Pages = {431-431}, Publisher = {Springer Science and Business Media LLC}, Year = {1997}, Month = {September}, ISSN = {1069-9384}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:A1997XY31800019&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Doi = {10.3758/bf03210806}, Key = {fds314755} } @article{fds274097, Author = {Kollins, SH and Newland, MC and Critchfield, TS}, Title = {Human sensitivity to reinforcement in operant choice: How much do consequences matter?}, Journal = {Psychonomic Bulletin & Review}, Volume = {4}, Number = {2}, Pages = {208-220}, Year = {1997}, Month = {June}, ISSN = {1069-9384}, url = {http://www.ncbi.nlm.nih.gov/pubmed/21331827}, Abstract = {The results of many human operant conditioning experiments appear to show that humans are less sensitive than nonhumans to operant consequences, suggesting species discontinuities in basic behavioral processes. A reanalysis of 31l data sets from 25 studies employing variable-interval schedules of reinforcement designed to assess sensitivity to reinforcement corroborates the claim that human behavioral allocation among alternatives often deviates from predictions based on rates of experimentally programmed consequences. Close inspection of the studies in question, however, suggests that methodological issues contribute heavily to the differences noted so far between humans and nonhumans and that an explanation based upon species discontinuities is not tenable.}, Language = {eng}, Doi = {10.3758/BF03209395}, Key = {fds274097} } @article{fds274022, Author = {Kollins, SH and Lane, SD and Shapiro, SK}, Title = {Experimental analysis of childhood psychopathology: A laboratory matching analysis of the behavior of children diagnosed with Attention-Deficit Hyperactivity Disorder (ADHD)}, Journal = {The Psychological Record}, Volume = {47}, Number = {1}, Pages = {25-44}, Publisher = {Springer Nature}, Year = {1997}, Month = {January}, url = {http://dx.doi.org/10.1007/BF03395211}, Abstract = {The behavior of children diagnosed with Attention-Deficit Hyperactivity Disorder (ADHD) has been hypothesized to involve differential sensitivity to parameters of reward and punishment. However, support for these theories has been limited because, in part, of the methods used to investigate them. The current study examined the behavior of six ADHD children and six comparison children on a computer task designed to present different parameters of reinforcement by using concurrent reinforcement schedules. A quantitative analysis of the sensitivity to changing contingencies of reinforcement was conducted by examining the performance of the children across five experimental conditions. Results suggest that although there may have been several mediating variables, children diagnosed with ADHD may show less sensitivity to changing parameters of reinforcement rate as measured by response ratios and time allocation to two concurrently available alternatives. Implications of these results are discussed in terms of the utility of such experimental methods in the study of childhood behavior disorders.}, Doi = {10.1007/BF03395211}, Key = {fds274022} } %% Chapters in Books @misc{fds370391, Author = {Bidopia, T and Engelhard, MM and Kollins, SH and Lunsford-Avery, JR}, Title = {Screen media technology and ADHD in children and adolescents: Potential perils and emerging opportunities}, Volume = {3}, Pages = {260-274}, Booktitle = {Encyclopedia of Child and Adolescent Health, First Edition}, Year = {2023}, Month = {January}, ISBN = {9780128188729}, url = {http://dx.doi.org/10.1016/B978-0-12-818872-9.00126-6}, Abstract = {Screen media technology (SMT) use has become increasingly prevalent among youth, and is associated with a variety of negative outcomes, including poor sleep and impairments in several domains of cognitive functioning, including task-switching, attention, working memory, and response inhibition. Youth with ADHD may be particularly vulnerable to the hazards of SMT use and engage in problematic screentime behaviors at disproportionate rates. SMT may result in negative outcomes for individuals with ADHD via several processes, including: (a) screen characteristics, nighttime use, and interference with sleep, (b) media multitasking, (c) device notifications, (d) media content, and (e) compulsive SMT use. Despite the harmful effects of SMT use, digital therapeutics, such as serious game interventions, SMS interventions, and smartphone applications, have demonstrated promise in improving ADHD symptoms and enhancing medication treatment adherence in youth with ADHD. Several unknowns currently exist in relation to the effects of SMT use in children and adolescents with ADHD. Research should focus on disentangling the directionality and strength of the relationship between SMT use and ADHD-related symptoms, along with individual-level factors related to harmful SMT use, such as sociodemographic background. Further research using longitudinal designs and objective measurements of SMT use is needed to better understand the effect of screen-based behaviors on the mental and physical wellbeing of youth with ADHD and to pinpoint potential intervention targets. Parental mediation strategies, such as autonomy-supportive mediation, may be an effective strategy for mitigating the hazardous effects of SMT use in this population.}, Doi = {10.1016/B978-0-12-818872-9.00126-6}, Key = {fds370391} } @misc{fds364089, Author = {Glasgow, TE and Adams, EL and Ksinan, A and Barsell, DJ and Lunsford-Avery, J and Chen, S and Kollins, S and Schechter, JC and Maguire, R and Engelhard, M and Fuemmeler, BF}, Title = {Sleep onset, duration, or regularity: which matters most for child adiposity outcomes?}, Journal = {Int J Obes (Lond)}, Volume = {46}, Number = {8}, Pages = {1502-1509}, Year = {2022}, Month = {August}, url = {http://dx.doi.org/10.1038/s41366-022-01140-0}, Abstract = {BACKGROUND/OBJECTIVES: Sleep measures, such as duration and onset timing, are associated with adiposity outcomes among children. Recent research among adults has considered variability in sleep and wake onset times, with the Sleep Regularity Index (SRI) as a comprehensive metric to measure shifts in sleep and wake onset times between days. However, little research has examined regularity and adiposity outcomes among children. This study examined the associations of three sleep measures (i.e., sleep duration, sleep onset time, and SRI) with three measures of adiposity (i.e., body mass index [BMI], waist circumference, and waist-to-height ratio [WHtR]) in a pediatric sample. SUBJECTS/METHODS: Children (ages 4-13 years) who were part of the U.S. Newborn Epigenetic STudy (NEST) participated. Children (N = 144) wore an ActiGraph for 1 week. Sleep measures were estimated from actigraphy data. Weight, height, and waist circumference were measured by trained researchers. BMI and WHtR was calculated with the objectively measured waist and height values. Multiple linear regression models examined associations between child sleep and adiposity outcomes, controlling for race/ethnicity, child sex, age, mothers' BMI and sleep duration. RESULTS: When considering sleep onset timing and duration, along with demographic covariates, sleep onset timing was not significantly associated with any of the three adiposity measures, but a longer duration was significantly associated with a lower BMI Z-score (β = -0.29, p < 0.001), waist circumference (β = -0.31, p < 0.001), and WHtR (β = -0.38, p < 0.001). When considering SRI and duration, duration remained significantly associated with the adiposity measures. The SRI and adiposity associations were in the expected direction, but were non-significant, except the SRI and WHtR association (β = -0.16, p = 0.077) was marginally non-significant. CONCLUSIONS: Sleep duration was consistently associated with adiposity measures in children 4-13 years of age. Pediatric sleep interventions should focus first on elongating nighttime sleep duration, and examine if this improves child adiposity outcomes.}, Doi = {10.1038/s41366-022-01140-0}, Key = {fds364089} } @misc{fds369898, Author = {Lusby, CM and Kollins, SH}, Title = {Attention-deficit/hyperactivity disorder and college students}, Pages = {77-85}, Booktitle = {Principles and Practice of College Health}, Year = {2020}, Month = {December}, ISBN = {9783030563080}, url = {http://dx.doi.org/10.1007/978-3-030-56309-7_5}, Abstract = {ADHD is a neurodevelopmental disorder characterized by inattention, hyperactivity, and/or impulsivity that can cause impairment in a variety of domains across the life span. This chapter reviews the history and prevalence of ADHD as well as known etiological factors. We also discuss diagnosis of and treatment for ADHD, including both pharmacological and non-pharmacological interventions, as well as important considerations in these domains for college-age individuals.}, Doi = {10.1007/978-3-030-56309-7_5}, Key = {fds369898} } @misc{fds354370, Author = {Ann Catherine Childress, and Kollins, SH and Cutler, AJ and Marraffino, A and Sikes, C}, Title = {5.10 EFFICACY AND SAFETY OF AN EXTENDED-RELEASE, ORALLY DISINTEGRATING METHYLPHENIDATE TABLET IN CHILDREN 6-12 YEARS OF AGE BASED ON ADHD RATING SCALE-IV SCORE AT BASELINE}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {59}, Number = {10}, Pages = {S152-S152}, Publisher = {Elsevier BV}, Year = {2020}, Month = {October}, url = {http://dx.doi.org/10.1016/j.jaac.2020.08.070}, Doi = {10.1016/j.jaac.2020.08.070}, Key = {fds354370} } @misc{fds354369, Author = {Childress, AC and Lutz, J and Kollins, SH}, Title = {5.26 STARS-ADJUNCT: AKL-T01, A DIGITAL TREATMENT FOR PEDIATRIC ADHD AS AN ADJUNCT TO STIMULANT MEDICATION: RESPONSE RATES WITH REPEAT ADMINISTRATION}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {59}, Number = {10}, Pages = {S157-S157}, Publisher = {Elsevier BV}, Year = {2020}, Month = {October}, url = {http://dx.doi.org/10.1016/j.jaac.2020.08.087}, Doi = {10.1016/j.jaac.2020.08.087}, Key = {fds354369} } @misc{fds354371, Author = {Epstein, JN and Lutz, J and DeLoss, D and Kollins, SH}, Title = {5.13 EXPLORING ENGAGEMENT AS A FACTOR FOR EFFICACY WITH AKL-T01, A HOME-BASED DIGITAL THERAPEUTIC}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {59}, Number = {10}, Pages = {S153-S153}, Publisher = {Elsevier BV}, Year = {2020}, Month = {October}, url = {http://dx.doi.org/10.1016/j.jaac.2020.08.074}, Doi = {10.1016/j.jaac.2020.08.074}, Key = {fds354371} } @misc{fds354367, Author = {Kollins, SH and Heusser, A and Lutz, J}, Title = {5.25 STARS-ADJUNCT: A HOME-BASED, DIGITAL TREATMENT FOR PEDIATRIC ADHD AS ADJUNCT TO STIMULANT MEDICATION: INSIGHTS ON REPEAT ADMINISTRATION AND THE STABILITY OF EFFECTS}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {59}, Number = {10}, Pages = {S157-S157}, Publisher = {Elsevier BV}, Year = {2020}, Month = {October}, url = {http://dx.doi.org/10.1016/j.jaac.2020.08.086}, Doi = {10.1016/j.jaac.2020.08.086}, Key = {fds354367} } @misc{fds354368, Author = {Davis, N and Lutz, J and Kollins, SH}, Title = {5.27 STARS-ADJUNCT: AKL-T01, A HOME-BASED DIGITAL INTERVENTION AS AN ADJUNCT TO STIMULANT MEDICATION FOR PEDIATRIC ADHD: ACADEMIC PERFORMANCE AND RELATION TO OBJECTIVE MEASURES OF ATTENTION}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {59}, Number = {10}, Pages = {S157-S158}, Publisher = {Elsevier BV}, Year = {2020}, Month = {October}, url = {http://dx.doi.org/10.1016/j.jaac.2020.08.088}, Doi = {10.1016/j.jaac.2020.08.088}, Key = {fds354368} } @misc{fds352053, Author = {Lunsford-Avery, JR and Krystal, AD and Carskadon, MA and Kollins, SH}, Title = {SLEEP ASSOCIATED WITH EXECUTIVE FUNCTIONING AMONG ADOLESCENTS ACROSS THE ADHD CONTINUUM}, Journal = {Sleep}, Volume = {43}, Pages = {A373-A373}, Year = {2020}, Key = {fds352053} } @misc{fds351066, Author = {Kollins, SH}, Title = {Duration of Effect of a Novel, Home-Based, Digital Treatment for Pediatric ADHD}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {58}, Number = {10}, Pages = {S296-S296}, Publisher = {Elsevier BV}, Year = {2019}, Month = {October}, url = {http://dx.doi.org/10.1016/j.jaac.2019.09.008}, Doi = {10.1016/j.jaac.2019.09.008}, Key = {fds351066} } @misc{fds351067, Author = {Kollins, SH}, Title = {37.4 COMPUTER-BASED AND PARENT-REPORTED ASSESSMENT OF EXECUTIVE FUNCTIONING: METHOD VARIANCE AND IMPLICATIONS FOR INTERPRETING FINDINGS FROM ADHD EFFICACY TRIALS}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {58}, Number = {10}, Pages = {S356-S356}, Publisher = {Elsevier BV}, Year = {2019}, Month = {October}, url = {http://dx.doi.org/10.1016/j.jaac.2019.07.925}, Doi = {10.1016/j.jaac.2019.07.925}, Key = {fds351067} } @misc{fds346733, Author = {Chen, S and Perera, R and Engelhard, MM and Lunsford-Avery, JR and Kollins, SH and Fuemmeler, BF}, Title = {A generic algorithm for sleep-wake cycle detection using unlabeled actigraphy data}, Journal = {2019 Ieee Embs International Conference on Biomedical and Health Informatics, Bhi 2019 Proceedings}, Year = {2019}, Month = {May}, ISBN = {9781728108483}, url = {http://dx.doi.org/10.1109/BHI.2019.8834568}, Abstract = {One key component when analyzing actigraphy data for sleep studies is sleep-wake cycle detection. Most detection algorithms rely on accurate sleep diary labels to generate supervised classifiers, with parameters optimized for a particular dataset. However, once the actigraphy trackers are deployed in the field, labels for training models and validating detection accuracy are often not available. In this paper, we propose a generic, training-free algorithm to detect sleep-wake cycles from minute-by-minute actigraphy. Leveraging a robust nonlinear parametric model, our proposed method refines the detection region by searching for a single change point within bounded regions defined by the parametric model. Challenged by the absence of ground truth labels, we also propose an evaluation metric dedicated to this problem. Tested on week-long actigraphy from 112 children, the results show that the proposed algorithm improves on the baseline model consistently and significantly (\mathbf{p} < 3\mathbf{e}-15). Moreover, focusing on the commonality in human circadian rhythm captured by actigraphy, the proposed method is generic to data collected by various actigraphy trackers, circumventing the laborious label collection step in developing customized classifiers for sleep detection.}, Doi = {10.1109/BHI.2019.8834568}, Key = {fds346733} } @misc{fds351068, Author = {Childress, AC and Kollins, SH and Adjei, AL and Haddock, P and Foehl, HC and Mattingly, G and Newcorn, JH}, Title = {4.15 The Efficacy and Safety of Methylphenidate Hydrochloride (HCL) Extended-Release in Preschool Aged Children With ADHD}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {57}, Number = {10}, Pages = {S209-S209}, Publisher = {Elsevier BV}, Year = {2018}, Month = {October}, url = {http://dx.doi.org/10.1016/j.jaac.2018.09.241}, Doi = {10.1016/j.jaac.2018.09.241}, Key = {fds351068} } @misc{fds351069, Author = {Childress, AC and Kollins, SH and Wu, J and Robertson, B}, Title = {2.22 Lisdexamfetamine Dimesylate for Preschool Children With ADHD}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {57}, Number = {10}, Pages = {S165-S166}, Publisher = {Elsevier BV}, Year = {2018}, Month = {October}, url = {http://dx.doi.org/10.1016/j.jaac.2018.09.110}, Doi = {10.1016/j.jaac.2018.09.110}, Key = {fds351069} } @misc{fds351070, Author = {Kollins, SH and Bower, J and Findling, RL and Keefe, R and Epstein, J and Cutler, AJ and White, R and Aberle, L and DeLoss, D and Faraone, SV}, Title = {2.40 A Multicenter, Randomized, Active-Control Registration Trial of Software Treatment for Actively Reducing Severity of ADHD (Stars-Adhd) to Assess the Efficacy and Safety of a Novel, Home-Based, Digital Treatment for Pediatric ADHD}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {57}, Number = {10}, Pages = {S172-S172}, Publisher = {Elsevier BV}, Year = {2018}, Month = {October}, url = {http://dx.doi.org/10.1016/j.jaac.2018.09.128}, Doi = {10.1016/j.jaac.2018.09.128}, Key = {fds351070} } @misc{fds336084, Author = {Lunsford-Avery, JR and Kollins, SH and Krystal, AD}, Title = {0762 Sleeping at Home: Feasibility and Tolerability of Ambulatory Polysomnography for Use with Adolescents with Attention-Deficit/Hyperactivity Disorder}, Journal = {Sleep}, Volume = {41}, Number = {suppl_1}, Pages = {A283-A284}, Publisher = {Oxford University Press (OUP)}, Year = {2018}, Month = {April}, url = {http://dx.doi.org/10.1093/sleep/zsy061.761}, Doi = {10.1093/sleep/zsy061.761}, Key = {fds336084} } @misc{fds351071, Author = {Kollins, S and Levin, E and Price, T and Murphy, S}, Title = {Delta-9-Tetrahydrocannabinol Exposure Alters Sperm Methylation Profiles: Concurrent Results From Humans and Rats}, Journal = {Neuropsychopharmacology}, Volume = {42}, Pages = {S642-S643}, Publisher = {NATURE PUBLISHING GROUP}, Year = {2017}, Month = {November}, Key = {fds351071} } @misc{fds351072, Author = {Mitchell, JT and Howard, AL and Swanson, JM and Kennedy, TM and Stehli, A and Belendiuk, KA and Kollins, SH and Molina, BSG}, Title = {21.2 Substance Use Among Children With and Without Attention-Deficit/Hyperactivity Disorder Followed Prospectively Into Early Adulthood in the MTA}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {56}, Number = {10}, Pages = {S334-S335}, Publisher = {Elsevier BV}, Year = {2017}, Month = {October}, url = {http://dx.doi.org/10.1016/j.jaac.2017.07.700}, Doi = {10.1016/j.jaac.2017.07.700}, Key = {fds351072} } @misc{fds329393, Author = {Murphy, SK and Schrott, R and Visco, Z and Huang, Z and Grenier, C and Mitchell, J and Schechter, J and Lucas, J and Levin, ED and Price, T and Kollins, SH}, Title = {Environment and Gametic Epigenetic Reprogramming.}, Journal = {Environmental and Molecular Mutagenesis}, Volume = {58}, Pages = {S28-S28}, Publisher = {WILEY}, Year = {2017}, Month = {September}, Key = {fds329393} } @misc{fds351073, Author = {Sweitzer, M and Kollins, S and Kozink, R and Hallyburton, M and English, J and Addicott, M and Oliver, J and McClernon, F}, Title = {ADHD, Smoking Withdrawal, and Resting State Functional Connectivity: Results of a fMRI Study With Methylphenidate Challenge}, Journal = {Neuropsychopharmacology}, Volume = {41}, Pages = {S614-S615}, Publisher = {NATURE PUBLISHING GROUP}, Year = {2016}, Month = {December}, Key = {fds351073} } @misc{fds351074, Author = {Kollins, SH and Cutler, AJ and Khattak, S and Weiss, MD and Donnelly, G and Reiz, JL}, Title = {6.41 A SIX-MONTH OPEN-LABEL MULTICENTER STUDY OF THE SAFETY AND EFFICACY OF PRC-063 IN ADOLESCENTS WITH ATTENTION-DEFICIT/HYPERACTIVITY DISORDER}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {55}, Number = {10}, Pages = {S217-S217}, Publisher = {Elsevier BV}, Year = {2016}, Month = {October}, url = {http://dx.doi.org/10.1016/j.jaac.2016.09.361}, Doi = {10.1016/j.jaac.2016.09.361}, Key = {fds351074} } @misc{fds351075, Author = {Kollins, SH and Cutler, AJ and Khattak, S and Weiss, MD and Donnelly, G and Reiz, JL}, Title = {6.42 A RANDOMIZED DOUBLE-BLIND PLACEBO-CONTROLLED MULTICENTER STUDY MEASURING THE EFFICACY AND SAFETY OF A NOVEL, EXTENDED-RELEASE FORMULATION OF METHYLPHENIDATE (PRC-063) IN ADOLESCENTS WITH ATTENTION-DEFICIT/HYPERACTIVITY DISORDER}, Journal = {Journal of the American Academy of Child and Adolescent Psychiatry}, Volume = {55}, Number = {10}, Pages = {S217-S218}, Publisher = {Elsevier BV}, Year = {2016}, Month = {October}, url = {http://dx.doi.org/10.1016/j.jaac.2016.09.362}, Doi = {10.1016/j.jaac.2016.09.362}, Key = {fds351075} } @misc{fds352054, Author = {Kollins, S and McClernon, F and English, J and Hood, D and Perkins, K}, Title = {Initial Response to Intranasal Nicotine Young Adults With and Without Attention Deficit Hyperactivity Disorder}, Journal = {Neuropsychopharmacology}, Volume = {41}, Pages = {S452-S453}, Year = {2016}, Key = {fds352054} } @misc{fds352055, Author = {McDonnell, M and Wigal, S and Childress, A and Kollins, S and DeSousa, N and Komolova, M and Sallee, F}, Title = {A Treatment Optimization Study of HLD200 in Children with Attention-Deficit/Hyperactivity Disorder}, Journal = {Annals of Neurology}, Volume = {80}, Pages = {S391-S391}, Year = {2016}, Key = {fds352055} } @misc{fds311590, Author = {Kollins, SH and McClernon, FJ}, Title = {ADHD and smoking}, Pages = {327-342}, Booktitle = {Attention-Deficit Hyperactivity Disorder in Adults and Children}, Publisher = {Cambridge University Press}, Year = {2015}, Month = {January}, ISBN = {9780521113984}, url = {http://dx.doi.org/10.1017/CBO9781139035491.027}, Abstract = {Introduction Cigarette smoking is the leading preventable cause of death and disability in the United States. Annually, smoking leads to more than 400 000 premature deaths in the USA and nearly 5 million deaths worldwide [1]. In the USA alone, $150 billion in annual costs are attributable to smoking-related illnesses and lost worker productivity [2]. Several large-scale, epidemiological studies have reported that individuals who have psychiatric disorders are significantly more likely to smoke than individuals from the general population [3, 4]. The prevalence of smoking among individuals with a current psychiatric condition is nearly double that of individuals without current mental illness [4, 5]. While individuals who reported a psychiatric diagnosis in the past month make up approximately 30% of the US population, they consume an estimated 44.3% of all cigarettes [4]. The number of co-occurring psychiatric disorders in an individual is also associated with higher levels of nicotine dependence and greater withdrawal severity [4, 6]. Most population- and clinic-based studies of smoking/psychiatric illness comorbidity have excluded attention-deicit hyperactivity disorder (ADHD). This may be because ADHD is oten considered a disorder of childhood and is thus not included as a psychiatric condition category when studying samples of adults. However, in the few studies in which the disorder has been examined, ADHD shows comparable rates of comorbidity with cigarette smoking as other psychiatric disorders (approximately 40%) [7]. Moreover, recent evidence suggests that ADHD symptoms, even at levels below the threshold required to make a clinical diagnosis, are signiicantly associated with risk for smoking [8].}, Doi = {10.1017/CBO9781139035491.027}, Key = {fds311590} } @misc{fds351076, Author = {Koblan, K and Hopkins, S and Sarma, K and Jin, F and Goldman, R and Loebel, A and Kollins, S}, Title = {Dasotraline as a Novel DAT/NET Inhibitor for the Treatment of Attention-Deficit/Hyperactivity Disorder: A Randomized, Double-Blind, Placebo-Controlled, Proof-of-concept Trial in Adults}, Journal = {Neuropsychopharmacology}, Volume = {39}, Pages = {S347-S347}, Publisher = {NATURE PUBLISHING GROUP}, Year = {2014}, Month = {December}, Key = {fds351076} } @misc{fds359850, Author = {Kollins, SH and Epstein, JN and Keith Conners, C}, Title = {Corners' rating scales-revised}, Pages = {215-233}, Booktitle = {The Use of Psychological Testing for Treatment Planning and Outcomes Assessment: Volume 2: Instruments for Children and Adolescents}, Year = {2014}, Month = {April}, ISBN = {9781410610621}, Key = {fds359850} } @misc{fds327696, Author = {McClernon, FJ and Mitchell, JT and Schick, RS and Bayham, RL and Dennis, ME and Kollins, SH and Beckham, JC}, Title = {COMBINED EMA AND GPS FOR ASSESSING THE SPATIAL DISTRIBUTION OF SMOKING BEHAVIOR: A PROOF OF CONCEPT STUDY}, Journal = {Annals of Behavioral Medicine}, Volume = {45}, Pages = {S93-S93}, Publisher = {SPRINGER}, Year = {2013}, Month = {March}, Key = {fds327696} } @misc{fds328900, Author = {Mitchell, JT and Kollins, SH}, Title = {Attention-deficit/hyperactivity disorder in adolescence}, Pages = {423-445}, Booktitle = {Handbook of Adolescent Health Psychology}, Publisher = {Springer New York}, Year = {2013}, Month = {January}, ISBN = {9781461466321}, url = {http://dx.doi.org/10.1007/978-1-4614-6633-8_27}, Doi = {10.1007/978-1-4614-6633-8_27}, Key = {fds328900} } @misc{fds311592, Author = {Mitchell, JT and Kollins, SH}, Title = {ADHD in adolescence}, Pages = {423-445}, Booktitle = {Adolescent health psychology}, Publisher = {SPRINGER}, Editor = {O'Donohue, W and Benuto, L and Tolle, L}, Year = {2013}, Key = {fds311592} } @misc{fds311598, Author = {Bidwell, LC and Garrett, ME and McClernon, FJ and Fuemmeler, BF and Williams, RB and Ashley-Koch, AE and Kollins, SH}, Title = {Genotype and ADHD symptoms interact to predict adolescents' early smoking experiences in an epidemiological sample}, Journal = {Behavior Genetics}, Volume = {41}, Number = {6}, Pages = {893-893}, Publisher = {SPRINGER}, Year = {2011}, Month = {November}, ISSN = {0001-8244}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000295326600022&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds311598} } @misc{fds273995, Author = {Kollins, SH}, Title = {Abuse potential of stimulant drugs used to treat ADHD}, Pages = {230-239}, Booktitle = {ADHD in Adults: Characterization, Diagnosis, and Treatment}, Publisher = {Cambridge University Press}, Year = {2011}, Month = {January}, ISBN = {9780521864312}, url = {http://dx.doi.org/10.1017/CBO9780511780752.020}, Abstract = {The use of psychostimulants and, more recently, other classes of drugs for the treatment of attention-deficit hyperactivity disorder (ADHD) is widespread. Although it is generally agreed that use in the United States is higher than in other countries, evidence for increasing medication use for ADHD in other countries exists (Schmidt-Troschke et al., 2004). The medications used to treat ADHD have unequivocal support for their efficacy in managing the core symptoms of ADHD in both children and adults (Faraone & Biederman, 2002; Faraone, Biederman, & Roe, 2002; Faraone et al., 2004; Wolraich, 2003). However, significant controversy has arisen in recent years over the possibility that stimulant use may be associated with substance use and abuse (Greenhill, Halperin, & Abikoff, 1999), and a significant challenge confronting researchers, clinicians, and the public is to understand the myriad issues pertaining to stimulant drug use and ADHD. To this end, the purpose of this chapter is (1) to delineate several related questions pertaining to stimulant drug use and ADHD and (2) to review the relevant research that bears on these questions. Specifically, this chapter addresses the following questions.}, Doi = {10.1017/CBO9780511780752.020}, Key = {fds273995} } @misc{fds352056, Author = {Volkow, N and Wang, G-J and Tomasi, D and Kollins, S and Wigal, T and Newcorn, J and Telang, F and Fowler, J and Logan, J and Swanson, J}, Title = {Methylphenidate induced dopamine increases in striatum and temporal and frontal cortices predicts response to treatment in ADHD}, Journal = {Journal of Nuclear Medicine : Official Publication, Society of Nuclear Medicine}, Volume = {52}, Year = {2011}, Key = {fds352056} } @misc{fds352057, Author = {Turnbow, J and Kollins, S and Lopez, F and Lyne, A and Youcha, S and Rubin, J}, Title = {Response to Guanfacine Extended Release in Children and Adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD)}, Journal = {Biological Psychiatry}, Volume = {67}, Number = {9}, Pages = {218S-218S}, Year = {2010}, Key = {fds352057} } @misc{fds352058, Author = {Connor, D and Kollins, S and Findling, R and Lopez, F and Sallee, F and Lyne, A and Tremblay, G}, Title = {Effects of Guanfacine Extended Release in Children Aged 6 to 12 Years with Oppositional Symptoms and a Diagnosis of Attention-Deficit/Hyperactivity Disorder}, Journal = {Biological Psychiatry}, Volume = {67}, Number = {9}, Pages = {217S-217S}, Year = {2010}, Key = {fds352058} } @misc{fds352059, Author = {Volkow, ND and Wang, G-J and Kollins, S and Wigal, T and Newcorn, J and Telang, F and Fowler, J and Swanson, J}, Title = {Dopamine's Role in ADHD Symptoms: Beyond an Attention Deficit}, Journal = {Biological Psychiatry}, Volume = {67}, Number = {9}, Pages = {96S-96S}, Year = {2010}, Key = {fds352059} } @misc{fds352060, Author = {Wang, G-J and Volkow, N and Wigal, T and Kollins, S and Newcorn, J and Telang, F and Logan, J and Wong, C and Fowler, J and Swanson, J}, Title = {Tolerance to the dopaminergic effects of methylphenidate in adults with ADHD after one-year treatment with methylphenidate}, Journal = {Journal of Nuclear Medicine : Official Publication, Society of Nuclear Medicine}, Volume = {51}, Year = {2010}, Key = {fds352060} } @misc{fds352061, Author = {Wang, G-J and Volkow, N and Wigal, T and Kollins, S and Newcorn, J and Telang, F and Logan, J and Wong, C and Fowler, JS and Swanson, JM}, Title = {Chronic treatment with methylphenidate increases dopamine transporter density in patients with attention deficit hyperactive disorder}, Journal = {Journal of Nuclear Medicine : Official Publication, Society of Nuclear Medicine}, Volume = {50}, Year = {2009}, Key = {fds352061} } @misc{fds311597, Author = {Witt, KL and Shelby, MD and Itchon-Ramos, N and Faircloth, M and Kissling, GE and Chrisman, AK and Ravi, H and Murli, H and Mattison, DR and Kollins, SH}, Title = {Chromosomal aberrations, sister chromatid exchanges, and micronuclei in lymphocytes of pediatric ADHD patients treated with stimulant drugs}, Journal = {Environmental and Molecular Mutagenesis}, Volume = {49}, Number = {7}, Pages = {528-528}, Publisher = {WILEY-BLACKWELL}, Year = {2008}, Month = {August}, ISSN = {0893-6692}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000258725800052&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds311597} } @misc{fds311596, Author = {Goodman, D and Adler, L and Kollins, SH and Weisler, R and Krishnan, S and Zhang, Y and Biederman, J}, Title = {Efficacy and safety of lisdexamfetamine dimesylate in adults with attention-deficit/hyperactivity disorder}, Journal = {The International Journal of Neuropsychopharmacology}, Volume = {11}, Pages = {292-293}, Publisher = {CAMBRIDGE UNIV PRESS}, Year = {2008}, Month = {July}, ISSN = {1461-1457}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000258855501489&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds311596} } @misc{fds311595, Author = {Kollins, SH and Wigal, T and Vince, B and Lyne, A and Farrand, K}, Title = {Cognitive and sedative effects of guanfacine extended release in children and adolescents aged 6 to 17 years with attention-deficit/hyperactivity disorder: Safety and sleep effects}, Journal = {Biological Psychiatry}, Volume = {63}, Number = {7}, Pages = {246S-246S}, Publisher = {ELSEVIER SCIENCE INC}, Year = {2008}, Month = {April}, ISSN = {0006-3223}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000254163700781&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds311595} } @misc{fds340614, Author = {Kollins, S and Epstein, J and Tonev, S and Anastopoulos, A and Lachiewicz, A and Fitzgerald, D and Kane, E and Kail, M and Cuccaro, M and Exelbierd, L and Gilbert, J and Ashley-Koch, A}, Title = {Genetic associations with reaction time variability in AD/HD}, Journal = {American Journal of Medical Genetics. Part B, Neuropsychiatric Genetics : the Official Publication of the International Society of Psychiatric Genetics}, Volume = {141B}, Number = {7}, Pages = {771-772}, Publisher = {WILEY-LISS}, Year = {2006}, Month = {October}, Key = {fds340614} } @misc{fds340615, Author = {Schug, MD and Anastopoulos, A and Kollins, S and Hennis, L and Nelson, S and Mehltretter, L and Gilbert, J and Cuccaro, M and Ashley-Koch, A}, Title = {The genetics of AD/HD: Subtyping, comorbidity and developmental considerations}, Journal = {American Journal of Medical Genetics}, Volume = {130B}, Number = {1}, Pages = {103-103}, Publisher = {WILEY-LISS}, Year = {2004}, Month = {September}, Key = {fds340615} } | |
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