Links for Keyword: ADHD

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Anya Kamenetz Are you a pen-clicker? A hair-twirler? A knee-bouncer? Did you ever get in trouble for fidgeting in class? Don't hang your head in shame. All that movement may be helping you think. A new study suggests that for children with attention disorders, hyperactive movements meant better performance on a task that requires concentration. The researchers gave a small group of boys, ages 8 to 12, a sequence of random letters and numbers. Their job: Repeat back the numbers in order, plus the last letter in the bunch. All the while, the kids were sitting in a swiveling chair. For the subjects with ADHD, moving and spinning in the chair were correlated with better performance. For typically developing kids, however, it was the opposite: the more they moved, the worse they did on the task. Dustin Sarver at the University of Mississippi Medical Center is the lead author of this study. ADHD is his field, and he has a theory as to why fidgeting helps these kids. "We think that part of the reason is that when they're moving more they're increasing their alertness." That's right — increasing. The prevailing scientific theory on attention disorders holds that they are caused by chronic underarousal of the brain. That's why stimulants are prescribed as treatment. Sarver believes that slight physical movements "wake up" the nervous system in much the same way that Ritalin does, thus improving cognitive performance. © 2015 NPR

Related chapters from BP7e: Chapter 18: Attention and Higher Cognition
Related chapters from MM:Chapter 14: Attention and Consciousness
Link ID: 20931 - Posted: 05.14.2015

|By Rebecca Harrington Kraft Macaroni & Cheese—that favorite food of kids, packaged in the nostalgic blue box—will soon be free of yellow dye. Kraft announced Monday that it will remove artificial food coloring, notably Yellow No. 5 and Yellow No. 6 dyes, from its iconic product by January 2016. Instead, the pasta will maintain its bright yellow color by using natural ingredients: paprika, turmeric and annatto (the latter of which is derived from achiote tree seeds). The company said it decided to pull the dyes in response to growing consumer pressure for more natural foods. But claims that the dyes may be linked to attention-deficit hyperactivity disorder (ADHD) in children have also risen recently, as they did years ago, putting food dyes under sharp focus once again. On its Web site Kraft says synthetic colors are not harmful, and that their motivation to remove them is because consumers want more foods with no artificial colors. The U.S. Food and Drug Administration maintains artificial food dyes are safe but some research studies have found the dyes can contribute to hyperactive behavior in children. Food dyes have been controversial since pediatrician Benjamin Feingold published findings in the 1970s that suggested a link between artificial colors and hyperactive behavior, but scientists, consumers and the government have not yet reached a consensus on the extent of this risk or the correct path to address it. After a 2007 study in the U.K. showed that artificial colors and/or the common preservative sodium benzoate increased hyperactivity in children, the European Union started requiring food labels indicating that a product contains any one of six dyes that had been investigated. The label states the product "may have an adverse effect on activity and attention in children." © 2015 Scientific American

Related chapters from BP7e: Chapter 18: Attention and Higher Cognition; Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology
Related chapters from MM:Chapter 14: Attention and Consciousness; Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology
Link ID: 20851 - Posted: 04.28.2015

|By Tara Haelle When it comes to treating attention-deficit hyperactivity disorder (ADHD) a lot of kids are getting the meds they need—but they may be missing out on other treatments. Despite clinical guidelines that urge that behavioral therapy always be used alongside medication, less than half of the children with ADHD received therapy as part of treatment in 2009 and 2010, according to the first nationally representative study of ADHD treatment in U.S. children. The findings, published online March 31 in The Journal of Pediatrics, come from data collected during that period on 9,459 children, aged four to 17, with diagnosed ADHD—just before the American Academy of Pediatrics (AAP) issued its clinical practice guidelines on treatments of the condition in 2011. They provide a baseline for comparison when the next report is issued in 2017. Medication alone was the most common treatment for children with ADHD: 74 percent had taken medication in the previous week whereas 44 percent had received behavioral therapy in the past year. Just under a third of children of all ages had received both medication and behavioral therapy, the AAP-recommended treatment for all ages. “It’s not at all surprising that medication is the most common treatment,” says Heidi Feldman, a professor of developmental and behavioral pediatrics at Stanford University School of Medicine who served on the AAP clinical practice guidelines committee. “It works very effectively to reduce the core symptoms of the condition,” she adds, “and stimulants are relatively safe if used properly. The limitation of stimulant medications for ADHD is that studies do not show a long-term functional benefit from medication use.” © 2015 Scientific American

Related chapters from BP7e: Chapter 18: Attention and Higher Cognition; Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology
Related chapters from MM:Chapter 14: Attention and Consciousness; Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology
Link ID: 20827 - Posted: 04.21.2015

By Shereen Lehman (Reuters Health) - Children exposed to tobacco smoke at home are up to three times more likely to have attention deficit hyperactive disorder (ADHD) as unexposed kids, according to a new study from Spain. The association was stronger for kids with one or more hours of secondhand smoke exposure every day, the authors found. And the results held when researchers accounted for parents' mental health and other factors. "We showed a significant and substantial dose-response association between (secondhand smoke) exposure in the home and a higher frequency of global mental problems," the authors write in Tobacco Control, online March 25. According to the Centers for Disease Control and Prevention, two of every five children in the US are exposed to secondhand smoke regularly. Alicia Padron of the University of Miami Miller School of Medicine in Florida and colleagues in Spain analyzed data from the 2011 to 2012 Spanish National Health Interview Survey, in which parents of 2,357 children ages four to 12 reported the amount of time their children were exposed to secondhand smoke every day. The parents also filled out questionnaires designed to evaluate their children's mental health. According to the results, about eight percent of the kids had a probable mental disorder. About 7% of the kids were exposed to secondhand smoke for less than one hour per day, and 4.5% were exposed for an hour or more each day. © 2015 Scientific American,

Related chapters from BP7e: Chapter 18: Attention and Higher Cognition; Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology
Related chapters from MM:Chapter 14: Attention and Consciousness; Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology
Link ID: 20753 - Posted: 04.04.2015

by Michael Slezak What were we talking about? Oh yes, brain-training programmes may be useful for helping inattentive people focus on tasks in their daily life. At least, that's the implication of an analysis looking at one particular programme. It's the latest salvo in a field that has seen the battles lines drawn between those who believe there is no compelling scientific evidence that training the brain to do a specific task better can offer wider cognitive improvements, and those that think it can work in some cases. The party line is that brain training improves only that which it exercises, says Jared Horvath from the University of Melbourne in Australia. "What this means is, if the training programme uses a working memory game, you get better at working memory games and little else." But an analysis by Megan Spencer-Smith of Monash University in Melbourne, Australia, and Torkel Klingberg at the Karolinska Institute in Stockholm, Sweden, claims to show that there are benefits for daily life – at least for people with attention deficit hyperactivity disorder or other problems related to attentiveness. They focused on a programme called Cogmed, which Klingberg has helped develop, and combined the results of several smaller studies. Cogmed is designed to improve how much verbal or visual information you can temporarily remember and work with. © Copyright Reed Business Information Ltd.

Related chapters from BP7e: Chapter 18: Attention and Higher Cognition; Chapter 17: Learning and Memory
Related chapters from MM:Chapter 14: Attention and Consciousness; Chapter 13: Memory, Learning, and Development
Link ID: 20705 - Posted: 03.21.2015

People with attention deficit hyperactivity disorder are about twice as likely to die prematurely as those without the disorder, say researchers. Researchers followed 1.92 million Danes, including 32,000 with ADHD, from birth through to 2013. "In this nationwide prospective cohort study with up to 32-year followup, children, adolescents and adults with ADHD had decreased life expectancy and more than double the risk of death compared with people without ADHD," Soren Dalsgaard, from Aarhus University in Denmark, and his co-authors concluded in Wednesday's online issue of Lancet. Actress Kirstie Alley holds a picture of Raymond Perone while testifying in favour of a bill designed to curb the over-prescribing of psychotropic drugs. Danish researchers studying ADHD say medications can reduce symptoms of inattention and impulsivity. (Phil Coale/Associated Press) "People diagnosed with ADHD in adulthood had a greater risk of death than did those diagnosed in childhood and adolescence. This finding could be caused by persistent ADHD being a more severe form of the disorder." Of the 107 individuals with ADHD who died, information on cause of death was available for 79. Of those, 25 died from natural causes and 54 from unnatural causes, including 42 from accidents. Being diagnosed with ADHD along with oppositional defiant disorder, conduct disorder and substance use disorder also increased the risk of death, the researchers found. Mortality risk was also higher for females than males, which led Dalsgaard to stress the need for early diagnosis, especially in girls and women, and to treat co-existing disorders. Although talk of premature death will worry parents and patients, they can seek solace in knowing the absolute risk of premature death at an individual level is low and can be greatly reduced with treatment, Stephen Faraone, a professor of psychiatry and director of child and adolescent psychiatry research at SUNY Upstate Medical University in New York, said in a journal commentary published with the study. ©2015 CBC/Radio-Canada.

Related chapters from BP7e: Chapter 18: Attention and Higher Cognition
Related chapters from MM:Chapter 14: Attention and Consciousness
Link ID: 20623 - Posted: 02.26.2015

By Katherine Ellison Dr. Mark Bertin is no A.D.H.D. pill-pusher. The Pleasantville, N.Y., developmental pediatrician won’t allow drug marketers in his office, and says he doesn’t always prescribe medication for children diagnosed with attention deficit hyperactivity disorder. Yet Dr. Bertin has recently changed the way he talks about medication, offering parents a powerful argument. Recent research, he says, suggests the pills may “normalize” the child’s brain over time, rewiring neural connections so that a child would feel more focused and in control, long after the last pill was taken. “There might be quite a profound neurological benefit,” he said in an interview. A growing number of doctors who treat the estimated 6.4 million American children diagnosed with A.D.H.D. are hearing that stimulant medications not only help treat the disorder but may actually be good for their patients’ brains. In an interview last spring with Psych Congress Network, http://www.psychcongress.com/video/are-A.D.H.D.-medications-neurotoxic-or-neuroprotective-16223an Internet news site for mental health professionals, Dr. Timothy Wilens, chief of child and adolescent psychiatry at Massachusetts General Hospital, said “we have enough data to say they’re actually neuroprotective.” The pills, he said, help “normalize” the function and structure of brains in children with A.D.H.D., so that, “over years, they turn out to look more like non-A.D.H.D. kids.” Medication is already by far the most common treatment for A.D.H.D., with roughly 4 million American children taking the pills — mostly stimulants, such as amphetamines and methylphenidate. Yet the decision can be anguishing for parents who worry about both short-term and long-term side effects. If the pills can truly produce long-lasting benefits, more parents might be encouraged to start their children on these medications early and continue them for longer. Leading A.D.H.D. experts, however, warn the jury is still out. © 2015 The New York Times Company

Related chapters from BP7e: Chapter 18: Attention and Higher Cognition; Chapter 7: Life-Span Development of the Brain and Behavior
Related chapters from MM:Chapter 14: Attention and Consciousness; Chapter 13: Memory, Learning, and Development
Link ID: 20544 - Posted: 02.03.2015

By Michael Balter Our ancestors likely had sex with Neandertals, but when and where did these encounters take place? The discovery of a 55,000-year-old partial skull of a modern human in an Israeli cave, the first sighting of Homo sapiens in this time and place, offers skeletal evidence to support the idea that Neandertals and moderns mated in the Middle East between 50,000 and 60,000 years ago. What’s more, the skull could belong to an ancestor of the modern humans who later swept across Europe and Asia and replaced the Neandertals. The find supports a raft of recent genetic studies. A 2010 analysis, for example, found that up to 2% of the genomes of today’s Europeans and Asians consist of Neandertal DNA, a clear sign of at least limited interbreeding in the past. Two years later, scientists compared ancient DNA extracted from Neandertal fossils to that of contemporary modern human populations around the world, concluding that this interbreeding took place in the Middle East, most likely between 47,000 and 65,000 years ago. And last year, a 45,000-year-old modern human found in Siberia, the oldest modern to have its genome sequenced, was revealed to have harbored a little more than 2% Neandertal DNA, allowing researchers to refine the interbreeding event to roughly 50,000 to 60,000 years ago. From the Neandertal side, this time and place make sense. That’s because numerous skeletons dated to that time period have been found in caves in Israel and other parts of the Middle East over the years, and Neandertals were still living in the region as late as 49,000 years ago. Yet the other side of this mating partnership has been conspicuously absent from the fossil record of the Middle East. © 2015 American Association for the Advancement of Science

Related chapters from BP7e: Chapter 1: Biological Psychology: Scope and Outlook
Related chapters from MM:Chapter 1: An Introduction to Brain and Behavior
Link ID: 20532 - Posted: 01.29.2015

By ALAN SCHWARZ CONCORD, Calif. — Every time Matthias is kicked out of a school or day camp for defying adults and clashing with other children, his mother, Joelle Kendle, inches closer to a decision she dreads. With each morning of arm-twisting and leg-flailing as she tries to get him dressed and out the door for first grade, the temptation intensifies. Ms. Kendle is torn over whether to have Matthias, just 6 and already taking the stimulant Adderall for attention deficit hyperactivity disorder, go on a second and more potent medication: the antipsychotic Risperdal. Her dilemma is shared by a steadily rising number of American families who are using multiple psychotropic drugs — stimulants, antipsychotics, antidepressants and others — to temper their children’s troublesome behavior, even though many doctors who mix such medications acknowledge that little is known about the overall benefits and risks for children. In 2012 about one in 54 youngsters ages 6 through 17 covered by private insurance was taking at least two psychotropic medications — a rise of 44 percent in four years, according to Express Scripts, which processes prescriptions for 85 million Americans. Academic studies of children covered by Medicaid have also found higher rates and growth. Combined, the data suggest that about one million children are currently taking various combinations of psychotropics. Risks of antipsychotics alone, for example, are known to include substantial weight gain and diabetes. Stimulants can cause appetite suppression, insomnia and, far more infrequently, hallucinations. Some combinations of medication classes, like antipsychotics and antidepressants, have shown improved benefits (for psychotic depression) but also heightened risks (for heart rhythm disturbances). But this knowledge has been derived substantially from studies in adults — children are rarely studied because of concerns about safety and ethics — leaving many experts worried that the use of multiple psychotropics in youngsters has not been explored fully. There is also debate over whether the United States Food and Drug Administration’s database of patients’ adverse drug reactions reliably monitors the hazards of psychotropic drug combinations, primarily because only a small fraction of cases are ever reported. Some clinicians are left somewhat queasy about relying mostly on anecdotal reports of benefit and harm. © 2014 The New York Times Company

Related chapters from BP7e: Chapter 18: Attention and Higher Cognition; Chapter 7: Life-Span Development of the Brain and Behavior
Related chapters from MM:Chapter 14: Attention and Consciousness; Chapter 13: Memory, Learning, and Development
Link ID: 20314 - Posted: 11.15.2014

|By Lindsey Konkel and Environmental Health News New York City children exposed in the womb to high levels of pollutants in vehicle exhaust had a five times higher risk of attention problems at age 9, according to research by Columbia University scientists published Wednesday. The study adds to earlier evidence that mothers' exposures to polycyclic aromatic hydrocarbons (PAHs), which are emitted by the burning of fossil fuels and other organic materials, are linked to children's behavioral problems associated with Attention Deficit Hyperactivity Disorder (ADHD). “Our research suggests that environmental factors may be contributing to attention problems in a significant way,” said Frederica Perera, an environmental health scientist at Columbia’s Mailman School of Public Health who was the study's lead author. About one in 10 U.S. kids is diagnosed with ADHD, according to the Centers for Disease Control and Prevention. Children with ADHD are at greater risk of poor academic performance, risky behaviors and lower earnings in adulthood, the researchers wrote. “Air pollution has been linked to adverse effects on attention span, behavior and cognitive functioning in research from around the globe. There is little question that air pollutants may pose a variety of potential health risks to children of all ages, possibly beginning in the womb,” said Dr. Andrew Adesman, chief of developmental and behavioral pediatrics at Steven & Alexandra Cohen Children’s Medical Center of New York. He did not participate in the new study. © 2014 Scientific American

Related chapters from BP7e: Chapter 18: Attention and Higher Cognition; Chapter 7: Life-Span Development of the Brain and Behavior
Related chapters from MM:Chapter 14: Attention and Consciousness; Chapter 13: Memory, Learning, and Development
Link ID: 20285 - Posted: 11.06.2014

By RICHARD A. FRIEDMAN ATTENTION deficit hyperactivity disorder is now the most prevalent psychiatric illness of young people in America, affecting 11 percent of them at some point between the ages of 4 and 17. The rates of both diagnosis and treatment have increased so much in the past decade that you may wonder whether something that affects so many people can really be a disease. And for a good reason. Recent neuroscience research shows that people with A.D.H.D. are actually hard-wired for novelty-seeking — a trait that had, until relatively recently, a distinct evolutionary advantage. Compared with the rest of us, they have sluggish and underfed brain reward circuits, so much of everyday life feels routine and understimulating. To compensate, they are drawn to new and exciting experiences and get famously impatient and restless with the regimented structure that characterizes our modern world. In short, people with A.D.H.D. may not have a disease, so much as a set of behavioral traits that don’t match the expectations of our contemporary culture. From the standpoint of teachers, parents and the world at large, the problem with people with A.D.H.D. looks like a lack of focus and attention and impulsive behavior. But if you have the “illness,” the real problem is that, to your brain, the world that you live in essentially feels not very interesting. One of my patients, a young woman in her early 20s, is prototypical. “I’ve been on Adderall for years to help me focus,” she told me at our first meeting. Before taking Adderall, she found sitting in lectures unendurable and would lose her concentration within minutes. Like many people with A.D.H.D., she hankered for exciting and varied experiences and also resorted to alcohol to relieve boredom. But when something was new and stimulating, she had laserlike focus. I knew that she loved painting and asked her how long she could maintain her interest in her art. “No problem. I can paint for hours at a stretch.” Rewards like sex, money, drugs and novel situations all cause the release of dopamine in the reward circuit of the brain, a region buried deep beneath the cortex. Aside from generating a sense of pleasure, this dopamine signal tells your brain something like, “Pay attention, this is an important experience that is worth remembering.” © 2014 The New York Times Company

Related chapters from BP7e: Chapter 18: Attention and Higher Cognition; Chapter 17: Learning and Memory
Related chapters from MM:Chapter 14: Attention and Consciousness; Chapter 13: Memory, Learning, and Development
Link ID: 20272 - Posted: 11.03.2014

By Scott Barry Kaufman “Just because a diagnosis [of ADHD] can be made does not take away from the great traits we love about Calvin and his imaginary tiger friend, Hobbes. In fact, we actually love Calvin BECAUSE of his ADHD traits. Calvin’s imagination, creativity, energy, lack of attention, and view of the world are the gifts that Mr. Watterson gave to this character.” — The Dragonfly Forest In his 2004 book “Creativity is Forever“, Gary Davis reviewed the creativity literature from 1961 to 2003 and identified 22 reoccurring personality traits of creative people. This included 16 “positive” traits (e.g., independent, risk-taking, high energy, curiosity, humor, artistic, emotional) and 6 “negative” traits (e.g., impulsive, hyperactive, argumentative). In her own review of the creativity literature, Bonnie Cramond found that many of these same traits overlap to a substantial degree with behavioral descriptions of Attention Deficit Hyperactive Disorder (ADHD)– including higher levels of spontaneous idea generation, mind wandering, daydreaming, sensation seeking, energy, and impulsivity. Research since then has supported the notion that people with ADHD are more likely to reach higher levels of creative thought and achievement than those without ADHD (see here, here, here, here, here, here, here, here, here, and here). What’s more, recent research by Darya Zabelina and colleagues have found that real-life creative achievement is associated with the ability to broaden attention and have a “leaky” mental filter– something in which people with ADHD excel. Recent work in cognitive neuroscience also suggests a connection between ADHD and creativity (see here and here). Both creative thinkers and people with ADHD show difficulty suppressing brain activity coming from the “Imagination Network“: © 2014 Scientific American

Related chapters from BP7e: Chapter 18: Attention and Higher Cognition
Related chapters from MM:Chapter 14: Attention and Consciousness
Link ID: 20228 - Posted: 10.22.2014

By Gretchen Reynolds Encourage young boys and girls to run, jump, squeal, hop and chase after each other or after erratically kicked balls, and you substantially improve their ability to think, according to the most ambitious study ever conducted of physical activity and cognitive performance in children. The results underscore, yet again, the importance of physical activity for children’s brain health and development, especially in terms of the particular thinking skills that most affect academic performance. The news that children think better if they move is hardly new. Recent studies have shown that children’s scores on math and reading tests rise if they go for a walk beforehand, even if the children are overweight and unfit. Other studies have found correlations between children’s aerobic fitness and their brain structure, with areas of the brain devoted to thinking and learning being generally larger among youngsters who are more fit. But these studies were short-term or associational, meaning that they could not tease out whether fitness had actually changed the children’s’ brains or if children with well-developed brains just liked exercise. So for the new study, which was published in September in Pediatrics, researchers at the University of Illinois at Urbana-Champaign approached school administrators at public elementary schools in the surrounding communities and asked if they could recruit the school’s 8- and 9-year-old students for an after-school exercise program. This group was of particular interest to the researchers because previous studies had determined that at that age, children typically experience a leap in their brain’s so-called executive functioning, which is the ability to impose order on your thinking. Executive functions help to control mental multitasking, maintain concentration, and inhibit inappropriate responses to mental stimuli. © 2014 The New York Times Company

Related chapters from BP7e: Chapter 18: Attention and Higher Cognition; Chapter 11: Motor Control and Plasticity
Related chapters from MM:Chapter 14: Attention and Consciousness; Chapter 5: The Sensorimotor System
Link ID: 20174 - Posted: 10.08.2014

James Hamblin Mental exercises to build (or rebuild) attention span have shown promise recently as adjuncts or alternatives to amphetamines in addressing symptoms common to Attention Deficit Hyperactivity Disorder (ADHD). Building cognitive control, to be better able to focus on just one thing, or single-task, might involve regular practice with a specialized video game that reinforces "top-down" cognitive modulation, as was the case in a popular paper in Nature last year. Cool but still notional. More insipid but also more clearly critical to addressing what's being called the ADHD epidemic is plain old physical activity. This morning the medical journal Pediatrics published research that found kids who took part in a regular physical activity program showed important enhancement of cognitive performance and brain function. The findings, according to University of Illinois professor Charles Hillman and colleagues, "demonstrate a causal effect of a physical program on executive control, and provide support for physical activity for improving childhood cognition and brain health." If it seems odd that this is something that still needs support, that's because it is odd, yes. Physical activity is clearly a high, high-yield investment for all kids, but especially those attentive or hyperactive. This brand of research is still published and written about as though it were a novel finding, in part because exercise programs for kids remain underfunded and underprioritized in many school curricula, even though exercise is clearly integral to maximizing the utility of time spent in class. The improvements in this case came in executive control, which consists of inhibition (resisting distraction, maintaining focus), working memory, and cognitive flexibility (switching between tasks). The images above show the brain activity in the group of kids who did the program as opposed to the group that didn't. It's the kind of difference that's so dramatic it's a little unsettling. The study only lasted nine months, but when you're only seven years old, nine months is a long time to be sitting in class with a blue head. © 2014 by The Atlantic Monthly Group.

Related chapters from BP7e: Chapter 18: Attention and Higher Cognition; Chapter 11: Motor Control and Plasticity
Related chapters from MM:Chapter 14: Attention and Consciousness; Chapter 5: The Sensorimotor System
Link ID: 20152 - Posted: 10.02.2014

By Megan Allison Diagnoses of Attention Hyperactivity Disorder are on the rise. The Centers for Disease Control and Prevention calculated that by 2011, 11 percent of children had been diagnosed with ADHD, and 6.1 percent of all US children were taking an ADHD medication. But could a solution be as simple as exercise? A study published this month in the Journal of Abnormal Child Psychology found that aerobic activity sessions before school helped children with ADHD with their moods and attention spans. The study involved a group of just over 200 students in kindergarten through second grade at schools in Indiana and Vermont. For 12 weeks, the students did 31 minutes of physical activity. The control group participated in classroom activities during this time. Although the results showed that all students showed improvement, authors noted that the exercise especially helped kids with ADHD. “It benefits all the kids, but I definitely see where it helps the kids with ADHD a lot,” said Jill Fritz, a fourth-grade teacher in Jacksonville, Fla. in an interview with The Wall Street Journal. “It really helps them get back on track and get focused.” In the Boston area, Dr. Sarah Sparrow Benes, Program Director of Physical and Health Education Programs at Boston University, teaches elementary and special educators how to use movement as a strategy in their classroom for learning. She finds that all students can benefit from exercise.

Related chapters from BP7e: Chapter 18: Attention and Higher Cognition; Chapter 7: Life-Span Development of the Brain and Behavior
Related chapters from MM:Chapter 14: Attention and Consciousness; Chapter 13: Memory, Learning, and Development
Link ID: 20083 - Posted: 09.17.2014

By Marek Kohn “You know how they say that we can only access 20% of our brain?” says the man who offers stressed-out writer Eddie Morra a fateful pill in the 2011 film Limitless. “Well, what this does, it lets you access all of it.” Morra is instantly transformed into a superhuman by the fictitious drug NZT-48. Granted access to all cognitive areas, he learns to play the piano in three days, finishes writing his book in four, and swiftly makes himself a millionaire. Limitless is what you get when you flatter yourself that your head houses the most complex known object in the universe, and you run away with the notion that it must have powers to match. A number of so-called ‘smart drugs’ or cognitive enhancers have captured attention recently, from stimulants such as modafinil, to amphetamines (often prescribed under the name Adderall) and methylphenidate (also known by its brand name Ritalin). According to widespread news reports, students have begun using these drugs to enhance their performance in school and college, and are continuing to do so in their professional lives. Yet are these smart drugs all they are cracked up to be? Can they really make all of us more intelligent or learn more? Should we be asking deeper questions about what these pharmaceuticals can and can’t do? BBC © 2014

Related chapters from BP7e: Chapter 18: Attention and Higher Cognition; Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology
Related chapters from MM:Chapter 14: Attention and Consciousness; Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology
Link ID: 19897 - Posted: 07.30.2014

Claire McCarthy I have many patients with ADHD (Attention Deficit Hyperactivity Disorder) and it seems like I have the same conversation over and over again with their parents: to medicate or not to medicate. I completely understand the hesitation I hear from so many parents. I have to admit, I'm not entirely happy myself about prescribing a medication that has side effects and can be abused or misused, and one for which there is a black market. I also worry that too often when a child is on medication and so learning and behaving better, parents and teachers lose the incentive to help the child learn the organizational and other skills that could make all the difference later in life. Since ADHD often persists into adulthood, we have to have the long view with these kids. But....the long view works the other way, too. Not treating ADHD with medication can lead to problems. Like drug abuse. ADHD is really common. It affects 8 percent of children and youth--that's about 2 in every classroom of 20. Kids with ADHD can have real problems with both learning and behavior, problems that can haunt them for a lifetime (if you end up dropping out of high school because of poor grades or behavior, or end up getting arrested, it has a way of interfering with your future income and quality of life). But another thing we know is that kids with ADHD have a higher risk of drug abuse. We don't know exactly why this is the case. Some of it is likely the impulsivity that is so common in people with ADHD; they don't always make the best decisions. It may also be that people with ADHD are more prone to addiction. Whatever it is, the risk is very real. Not only are kids with ADHD 2.5 times more likely to abuse drugs, they are more likely to start earlier, use more types of drugs, and continue into adulthood. ©2014 Boston Globe Media Partners, LLC

Related chapters from BP7e: Chapter 18: Attention and Higher Cognition; Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology
Related chapters from MM:Chapter 14: Attention and Consciousness; Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology
Link ID: 19782 - Posted: 07.02.2014

Claudia M. Gold Tom Insel, director of the National Institute of Mental Health (NIMH,) in his recent blog post "Are Children Overmedicated?" seems to suggest that perhaps more psychiatric medication is in order. Comparing mental illness in children to food allergies, he dismisses the "usual" explanations given for the increase medication prescribing patterns. In his view, these explanations are: Blaming psychiatrists who are too busy to provide therapy, parents who are too busy to provide a stable home environment, drug companies for marketing their products, and schools for lack of recess. By concluding that perhaps the explanation for the increase in prescribing of psychiatric medication to children is a greater number of children with serious psychiatric illness, Insel shows a lack of recognition of the complexity of the situation. When a recent New York Times article, that Insel makes reference to, reported on the rise in prescribing of psychiatric medication for toddlers diagnosed with ADHD, with a disproportionate number coming from families of poverty, one clinician remarked that if this is an attempt to medicate social and economic issues, then we have a huge problem. He was on to something. In conversations with pediatricians (the main prescribers of these medications) and child psychiatrists on the front lines, I find many in a reactive stance. When people feel overwhelmed, they go into survival mode, with their immediate aim just to get through the day. They find themselves prescribing medication because they have no other options.

Related chapters from BP7e: Chapter 18: Attention and Higher Cognition; Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology
Related chapters from MM:Chapter 14: Attention and Consciousness; Chapter 4: The Chemistry of Behavior: Neurotransmitters and Neuropharmacology
Link ID: 19715 - Posted: 06.10.2014

By ALAN SCHWARZ ATLANTA — More than 10,000 American toddlers 2 or 3 years old are being medicated for attention deficit hyperactivity disorder outside established pediatric guidelines, according to data presented on Friday by an official at the Centers for Disease Control and Prevention. The report, which found that toddlers covered by Medicaid are particularly prone to be put on medication such as Ritalin and Adderall, is among the first efforts to gauge the diagnosis of A.D.H.D. in children below age 4. Doctors at the Georgia Mental Health Forum at the Carter Center in Atlanta, where the data was presented, as well as several outside experts strongly criticized the use of medication in so many children that young. The American Academy of Pediatrics standard practice guidelines for A.D.H.D. do not even address the diagnosis in children 3 and younger — let alone the use of such stimulant medications, because their safety and effectiveness have barely been explored in that age group. “It’s absolutely shocking, and it shouldn’t be happening,” said Anita Zervigon-Hakes, a children’s mental health consultant to the Carter Center. “People are just feeling around in the dark. We obviously don’t have our act together for little children.” Dr. Lawrence H. Diller, a behavioral pediatrician in Walnut Creek, Calif., said in a telephone interview: “People prescribing to 2-year-olds are just winging it. It is outside the standard of care, and they should be subject to malpractice if something goes wrong with a kid.” Friday’s report was the latest to raise concerns about A.D.H.D. diagnoses and medications for American children beyond what many experts consider medically justified. Last year, a nationwide C.D.C. survey found that 11 percent of children ages 4 to 17 have received a diagnosis of the disorder, and that about one in five boys will get one during childhood. A vast majority are put on medications such as methylphenidate (commonly known as Ritalin) or amphetamines like Adderall, which often calm a child’s hyperactivity and impulsivity but also carry risks for growth suppression, insomnia and hallucinations. Only Adderall is approved by the Food and Drug Administration for children below age 6. However, because off-label use of methylphenidate in preschool children had produced some encouraging results, the most recent American Academy of Pediatrics guidelines authorized it in 4- and 5-year-olds — but only after formal training for parents and teachers to improve the child’s environment were unsuccessful. © 2014 The New York Times Company

Related chapters from BP7e: Chapter 18: Attention and Higher Cognition; Chapter 7: Life-Span Development of the Brain and Behavior
Related chapters from MM:Chapter 14: Attention and Consciousness; Chapter 13: Memory, Learning, and Development
Link ID: 19627 - Posted: 05.16.2014

By DANIEL GOLEMAN Which will it be — the berries or the chocolate dessert? Homework or the Xbox? Finish that memo, or roam Facebook? Such quotidian decisions test a mental ability called cognitive control, the capacity to maintain focus on an important choice while ignoring other impulses. Poor planning, wandering attention and trouble inhibiting impulses all signify lapses in cognitive control. Now a growing stream of research suggests that strengthening this mental muscle, usually with exercises in so-called mindfulness, may help children and adults cope with attention deficit hyperactivity disorder and its adult equivalent, attention deficit disorder. The studies come amid growing disenchantment with the first-line treatment for these conditions: drugs. In 2007, researchers at the University of California, Los Angeles, published a study finding that the incidence of A.D.H.D. among teenagers in Finland, along with difficulties in cognitive functioning and related emotional disorders like depression, were virtually identical to rates among teenagers in the United States. The real difference? Most adolescents with A.D.H.D. in the United States were taking medication; most in Finland were not. “It raises questions about using medication as a first line of treatment,” said Susan Smalley, a behavior geneticist at U.C.L.A. and the lead author. In a large study published last year in The Journal of the American Academy of Child & Adolescent Psychiatry, researchers reported that while most young people with A.D.H.D. benefit from medications in the first year, these effects generally wane by the third year, if not sooner. “There are no long-term, lasting benefits from taking A.D.H.D. medications,” said James M. Swanson, a psychologist at the University of California, Irvine, and an author of the study. “But mindfulness seems to be training the same areas of the brain that have reduced activity in A.D.H.D.” © 2014 The New York Times Company

Related chapters from BP7e: Chapter 18: Attention and Higher Cognition; Chapter 17: Learning and Memory
Related chapters from MM:Chapter 14: Attention and Consciousness; Chapter 13: Memory, Learning, and Development
Link ID: 19608 - Posted: 05.13.2014