{"id":163655,"date":"2025-08-21T11:32:18","date_gmt":"2025-08-21T11:32:18","guid":{"rendered":"https:\/\/www.europesays.com\/us\/163655\/"},"modified":"2025-08-21T11:32:18","modified_gmt":"2025-08-21T11:32:18","slug":"adhd-meds-offer-benefits-far-beyond-core-symptom-relief","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/us\/163655\/","title":{"rendered":"ADHD Meds Offer Benefits Far Beyond Core Symptom Relief"},"content":{"rendered":"<p>Attention-deficit\/hyperactivity disorder (ADHD) medications appeared to reduce the risk for suicide, drug misuse, transport incidents, and criminal activity, a new study showed.<\/p>\n<p>After adjusting for covariates, ADHD medications were associated with a 17% reduction in suicidal behavior, a 15% decrease in substance misuse, a 13% reduction in criminality, and a 12% decrease in transport accidents.<\/p>\n<p>Although randomized clinical trials have shown that ADHD medication can help alleviate core symptoms of the disorder, \u201cthere is less evidence on whether these symptom improvements translate to meaningful benefits in daily life,\u201d principal investigator, Zheng Chang, PhD, and principal researcher at the Department of Medical Epidemiology and Biostatistics, Karolinska Institute in Stockholm, Sweden, told Medscape Medical News.<\/p>\n<p>The study was <a href=\"https:\/\/www.bmj.com\/content\/390\/bmj-2024-083658\" rel=\"nofollow noopener\" target=\"_blank\">published online<\/a> on August 13 in The BMJ.<\/p>\n<p><strong>Five Key Real-World Outcomes<\/strong><\/p>\n<p>ADHD affects an estimated 15.5 million adults (6%) and <a href=\"https:\/\/www.cdc.gov\/adhd\/data\/index.html\" rel=\"nofollow noopener\" target=\"_blank\">7 million children<\/a> (11.4%) in the US, with the <a href=\"https:\/\/www.medscape.com\/viewarticle\/sharp-rise-us-pediatric-adhd-diagnoses-2024a1000b1o\" target=\"_blank\" rel=\"noopener\">rate of diagnoses<\/a> growing annually.<\/p>\n<p>Randomized controlled trials often exclude a substantial portion of the population \u2014 approximately 50% of individuals taking ADHD medications \u2014 thereby limiting the applicability of the studies\u2019 findings in clinical practice, the investigators noted.<\/p>\n<p>A 2024 study of 113 randomized controlled trials led by Samuele Cortese, MD, PhD, and NIHR research professor at the University of Southampton, Southampton, England, <a href=\"https:\/\/www.medscape.com\/viewarticle\/most-effective-treatments-adult-adhd-identified-2024a1000nf5\" target=\"_blank\" rel=\"noopener\">showed that<\/a> only stimulants and atomoxetine were effective at reducing the main symptoms of ADHD, such as hyperactivity and inattention.<\/p>\n<p>Although previous research by Chang has linked ADHD medications to improved <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0006322319312740\" rel=\"nofollow noopener\" target=\"_blank\">behavioral outcomes<\/a>, this study is the first to employ target trial emulation to understand the relationship. Target trial emulation mimics randomized control trial design using observational data.<\/p>\n<p>To gauge the efficacy of ADHD medication, the investigators analyzed data from 148,581 individuals aged 6-64 years (median age, 17.4 years; 41.3% women) from 2007 to 2020.<\/p>\n<p>The data were pulled from Swedish national registers and included individuals with a new ADHD diagnosis who either initiated or did not initiate drug treatment within 3 months of diagnosis.<\/p>\n<p>The researchers examined five key outcomes: substance misuse, accidental injury, transport accidents, criminality (any crime conviction), and suicidal behaviors based on International Statistical Classification of Diseases and Related Health Problems, 10th Revision, codes.<\/p>\n<p>To assess the effect of 2 years of sustained ADHD drug treatment on these outcomes, the researchers used data cloning, censoring, and inverse probability weighting. This approach was \u201cdesigned to emulate the key features of randomized controlled trials and eliminate immortal time bias,\u201d the investigators wrote.<\/p>\n<p>In a secondary analysis, the researchers examined the association between treatment with ADHD medication and recurrent events of the study\u2019s prespecified outcomes.<\/p>\n<p>To avoid counting repeated treatment visits as outcome events, the study design only allowed for one event per month. The medications assessed in the emulated head-to-head trial included stimulants \u2014 methylphenidate, amphetamine, dexamphetamine, and lisdexamfetamine \u2014 and nonstimulants \u2014 atomoxetine and guanfacine.<\/p>\n<p>Just over 50% of those started ADHD drug treatment within 3 months of diagnosis. Methylphenidate was the most frequently prescribed (88.4%) medication.<\/p>\n<p>Stimulants were associated with lower event rates than nonstimulants.<\/p>\n<p>After adjusting for covariates including sex, education level, age, comorbid physical or psychiatric conditions, and medical history, ADHD medications were associated with a reduced risk across all outcomes except accidental injuries.<\/p>\n<p>However, among individuals with recurrent events, ADHD medications were linked to risk reductions across all five outcomes: 25% for criminality (95% CI, 0.71-0.79) and drug misuse (95% CI, 0.72-0.78), 16% for transport accidents (95% CI, 0.76-0.91), 15% for suicidal behaviors (95% CI, 0.77-0.93), and 4% for accidental injuries (95% CI, 0.92-0.99).<\/p>\n<p>The study limitations included the lack of data on nondrug therapies and medication dosage. In addition, target trial emulation doesn\u2019t account for other potential factors such as lifestyle choices or ADHD severity.<\/p>\n<p><strong>Experts Weigh In<\/strong><\/p>\n<p>This study is the \u201cfirst of its kind\u201d to show beneficial effects of ADHD drugs on a broader range of clinical outcomes in the entire ADHD population, Cortese said in a press briefing for UK Science Media Center (SMC).<\/p>\n<p>In <a href=\"https:\/\/www.sciencemediacentre.org\/expert-reaction-to-target-trial-emulation-study-of-adhd-medication-and-risk-of-adverse-outcomes\/\" rel=\"nofollow noopener\" target=\"_blank\">a statement<\/a> from SMC, some outside experts characterized the study as \u201clandmark\u201d research, while others like Ian Maidment, PhD, professor of clinical pharmacy at Aston University in Birmingham, England, sounded a more cautious note.<\/p>\n<p>\u201cThe databases have detailed information on dispensing, but we don\u2019t know whether or not the patient took the medication. The study also couldn\u2019t assess the impact of different doses and ethnicity is not reported. However, overall the study adds to our understanding of the potential benefits of these drugs,\u201d he said.<\/p>\n<p>See study for the full list of author disclosures.<\/p>\n","protected":false},"excerpt":{"rendered":"Attention-deficit\/hyperactivity disorder (ADHD) medications appeared to reduce the risk for suicide, drug misuse, transport incidents, and criminal activity,&hellip;\n","protected":false},"author":3,"featured_media":20665,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[19173,19174,4219,8140,2669,210,19176,1060,6016,8429,1197,67,132,68],"class_list":{"0":"post-163655","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-medication","8":"tag-adhd-attention-deficit-hyperactivity-disorder","9":"tag-attention-deficit-hyperactivity-disorder-adhd","10":"tag-crime","11":"tag-criminal","12":"tag-drug-abuse","13":"tag-health","14":"tag-injury","15":"tag-medication","16":"tag-stimulant","17":"tag-substance-abuse","18":"tag-suicide","19":"tag-united-states","20":"tag-unitedstates","21":"tag-us"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@us\/115066539025121849","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts\/163655","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/comments?post=163655"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts\/163655\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/media\/20665"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/media?parent=163655"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/categories?post=163655"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/tags?post=163655"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}