Does Methylphenidate Improve Academic Performance? A Systematic Review and Meta‑analysis

Research output: Contribution to JournalReview articleAcademicpeer-review

Abstract

Academic improvement is amongst the most common treatment targets when prescribing stimulants to children with ADHD.Previous reviews on stimulant-related academic improvements are inconclusive and focus on task engagement. Recentliterature suggests outcome-domain-specific medication effects that are larger for productivity than for accuracy. The aimsof this study are quantifying methylphenidate effects on academic productivity and accuracy for math, reading, spelling;exploring the mediating or moderating effects of symptom improvements, demographic-, design- and disorder-related variables.PubMed, EMBASE, ERIC and PsycINFO were searched for articles reporting methylphenidate effects on academicproductivity and accuracy. Thirty-four studies met entry criteria. Methylphenidate improved math productivity (7.8% increase,p < .001); math accuracy (3.0% increase, p = .001); increased reading speed (SMD .47, p < .001) but not reading accuracy.None of the mediators or moderators tested affected methylphenidate efficacy. Academic improvements were small comparedto symptom improvements; qualitative changes limited to math. Clinicians should take this discrepancy into account whenprescribing medication for ADHD.
LanguageEnglish
Pages1-10
Number of pages10
JournalEuropean Child and Adolescent Psychiatry
Volume28
Issue number2
Early online date20 Jan 2018
DOIs
Publication statusPublished - Feb 2018

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Methylphenidate
Meta-Analysis
Reading
PubMed
Demography
Therapeutics

Keywords

  • ADHD · Methylphenidate · Academic · Math · Reading · Meta-analysis

Cite this

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abstract = "Academic improvement is amongst the most common treatment targets when prescribing stimulants to children with ADHD.Previous reviews on stimulant-related academic improvements are inconclusive and focus on task engagement. Recentliterature suggests outcome-domain-specific medication effects that are larger for productivity than for accuracy. The aimsof this study are quantifying methylphenidate effects on academic productivity and accuracy for math, reading, spelling;exploring the mediating or moderating effects of symptom improvements, demographic-, design- and disorder-related variables.PubMed, EMBASE, ERIC and PsycINFO were searched for articles reporting methylphenidate effects on academicproductivity and accuracy. Thirty-four studies met entry criteria. Methylphenidate improved math productivity (7.8{\%} increase,p < .001); math accuracy (3.0{\%} increase, p = .001); increased reading speed (SMD .47, p < .001) but not reading accuracy.None of the mediators or moderators tested affected methylphenidate efficacy. Academic improvements were small comparedto symptom improvements; qualitative changes limited to math. Clinicians should take this discrepancy into account whenprescribing medication for ADHD.",
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Does Methylphenidate Improve Academic Performance? A Systematic Review and Meta‑analysis. / Kortekaas-Rijlaarsdam, Anne Fleur; Luman, Marjolein; Sonuga-Barke, Edmund; Oosterlaan, J.

In: European Child and Adolescent Psychiatry, Vol. 28, No. 2, 02.2018, p. 1-10.

Research output: Contribution to JournalReview articleAcademicpeer-review

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