Time-dependent affective disturbances in abstinent patients with methylphenidate use disorder

Abstract Background Methylphenidate (MPH), also called Ritalin, is used to treat attention-deficit hyperactivity disorder (ADHD) patients. With occasional reports of subjects suffering from Methylphenidate use disorder (MPHUD), few studies analyzed the neuropsychological changes in this population....

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Main Authors: Jie Xu, Yi Zhang, Nan Wang, Pei Sun, Fuqiang Mao, Ti-Fei Yuan
Format: Article
Language:English
Published: BMC 2022-08-01
Series:BMC Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s12888-022-04187-5
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author Jie Xu
Yi Zhang
Nan Wang
Pei Sun
Fuqiang Mao
Ti-Fei Yuan
author_facet Jie Xu
Yi Zhang
Nan Wang
Pei Sun
Fuqiang Mao
Ti-Fei Yuan
author_sort Jie Xu
collection DOAJ
description Abstract Background Methylphenidate (MPH), also called Ritalin, is used to treat attention-deficit hyperactivity disorder (ADHD) patients. With occasional reports of subjects suffering from Methylphenidate use disorder (MPHUD), few studies analyzed the neuropsychological changes in this population. Purpose This study aims to evaluate the clinical outcomes of individuals with MPHUD. Methods We retrospectively analyzed 61 MPH patients (aged 16–27 years) admitted to the Beijing Gaoxin Hospital drug rehabilitation program from Jan 2017 to Mar 2019. The drug use history and drug abuse motivation scale were collected at admission. Clinicians rated the Hamilton Depression Rating Scale, Hamilton Anxiety Rating Scale, and DSM-5 Stimulant use disorder criteria each week during the 4 weeks rehabilitation program. Correlation analyses were conducted between drug use history and affective disturbances. Results The results showed that the adolescent period is the peak for MPH exposure, and 1/3 of patients got their first exposure to MPH from their parents. MPH abstinence accompanies severe anxiety and depression symptoms, significantly alleviating after four weeks of treatment. Conclusions MPHUD is associated with substantial affective disturbances, which warrants a more considerable sample investigation.
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spelling doaj.art-2ec23d258827406193e9009379f6957b2022-12-22T02:15:51ZengBMCBMC Psychiatry1471-244X2022-08-012211710.1186/s12888-022-04187-5Time-dependent affective disturbances in abstinent patients with methylphenidate use disorderJie Xu0Yi Zhang1Nan Wang2Pei Sun3Fuqiang Mao4Ti-Fei Yuan5Department of Psychiatry and Psychology, Tianjin Medical UniversityShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiaotong University School of MedicineDepartment of Psychiatry and Psychology, Tianjin Medical UniversityDepartment of Psychology, Tsinghua UniversityDepartment of Psychiatry and Psychology, Tianjin Medical UniversityShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiaotong University School of MedicineAbstract Background Methylphenidate (MPH), also called Ritalin, is used to treat attention-deficit hyperactivity disorder (ADHD) patients. With occasional reports of subjects suffering from Methylphenidate use disorder (MPHUD), few studies analyzed the neuropsychological changes in this population. Purpose This study aims to evaluate the clinical outcomes of individuals with MPHUD. Methods We retrospectively analyzed 61 MPH patients (aged 16–27 years) admitted to the Beijing Gaoxin Hospital drug rehabilitation program from Jan 2017 to Mar 2019. The drug use history and drug abuse motivation scale were collected at admission. Clinicians rated the Hamilton Depression Rating Scale, Hamilton Anxiety Rating Scale, and DSM-5 Stimulant use disorder criteria each week during the 4 weeks rehabilitation program. Correlation analyses were conducted between drug use history and affective disturbances. Results The results showed that the adolescent period is the peak for MPH exposure, and 1/3 of patients got their first exposure to MPH from their parents. MPH abstinence accompanies severe anxiety and depression symptoms, significantly alleviating after four weeks of treatment. Conclusions MPHUD is associated with substantial affective disturbances, which warrants a more considerable sample investigation.https://doi.org/10.1186/s12888-022-04187-5MethylphenidateRitalinAddictionDepressionAnxietyAdolescents
spellingShingle Jie Xu
Yi Zhang
Nan Wang
Pei Sun
Fuqiang Mao
Ti-Fei Yuan
Time-dependent affective disturbances in abstinent patients with methylphenidate use disorder
BMC Psychiatry
Methylphenidate
Ritalin
Addiction
Depression
Anxiety
Adolescents
title Time-dependent affective disturbances in abstinent patients with methylphenidate use disorder
title_full Time-dependent affective disturbances in abstinent patients with methylphenidate use disorder
title_fullStr Time-dependent affective disturbances in abstinent patients with methylphenidate use disorder
title_full_unstemmed Time-dependent affective disturbances in abstinent patients with methylphenidate use disorder
title_short Time-dependent affective disturbances in abstinent patients with methylphenidate use disorder
title_sort time dependent affective disturbances in abstinent patients with methylphenidate use disorder
topic Methylphenidate
Ritalin
Addiction
Depression
Anxiety
Adolescents
url https://doi.org/10.1186/s12888-022-04187-5
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