title: [Influential factors for methylphenidate treatment compliance in children with attention deficit hyperactivity disorder].
abstract: OBJECTIVE
  To investigate influential factors for the tendency to medicate and medication compliance in children with attention deficit hyperactivity disorder (ADHD).
  
  
  METHODS
  A total of 188 children aged from 5 to 16 years, who were initially diagnosed with ADHD according to DSM-IV criteria, were included in the study. They underwent symptom assessment and cognitive function test. The compliance of methylphenidate treatment was evaluated.
  
  
  RESULTS
  Patients with better emotional state, and fewer oppositional and hyperactive behaviors and those who had a family history of psychiatric diseases and who obtained lower scores in the number cancellation test (NCT), were more prone to medication and/or exhibited better medication compliance. Logistic regression analysis showed that fewer oppositional and hyperactive behaviors and lower NCT scores were the predictive factors for a higher tendency to medicate, and a better emotional state was the predictive factor for better medication compliance. Patients of predominantly inattentive type were more prone to medication and showed better medication compliance, as compared with those of combined type. Gender, age and symptom severity were not associated with the tendency to medicate and/or medication compliance.
  
  
  CONCLUSIONS
  There is a need to enhance medication compliance in children with ADHD who have hyperactive, impulsive and oppositional behaviors, and to improve their long-term social functions.
authors.affiliation: Department of Psychiatry, First Affiliated Hospital of Kunming Medical University, Kunming 650032, China.
authors.forename: Kai-Jing
authors.initials: KJ
authors.lastname: Ding
authors.forename: Yun-Fen
authors.initials: YF
authors.lastname: Liu
authors.forename: Chuan-Yuan
authors.initials: CY
authors.lastname: Kang
authors.forename: Rui-Xiang
authors.initials: RX
authors.lastname: Liu
authors.forename: Xue-Rong
authors.initials: XR
authors.lastname: Li
authors.forename: Shuai
authors.initials: S
authors.lastname: Wan
mesh_terms: D000293:Adolescent; D001289:Attention Deficit Disorder with Hyperactivity / Q000188:drug therapy* / Q000523:psychology; D000697:Central Nervous System Stimulants / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D004644:Emotions; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D055118:Medication Adherence; D008774:Methylphenidate / Q000627:therapeutic use*
chemical_list: D000697:Central Nervous System Stimulants; D008774:Methylphenidate