PMID- 32031873 OWN - NLM STAT- MEDLINE DCOM- 20210610 LR - 20210610 IS - 1557-8992 (Electronic) IS - 1044-5463 (Linking) VI - 30 IP - 3 DP - 2020 Apr TI - Levels of Proneness to Boredom in Children with Attention-Deficit/Hyperactivity Disorder On and Off Methylphenidate Treatment. PG - 173-176 LID - 10.1089/cap.2019.0151 [doi] AB - Objective: To evaluate the relationship between attention-deficit/hyperactivity disorder (ADHD) severity and propensity for boredom in children with ADHD, both on and off methylphenidate (MPH). Methods: A group of children and adolescents with ADHD (n = 30), aged 7-18 years, were assessed using the Parent-Reported-ADHD Rating Scale-5 (PR-ADHD-RS-5) and Short Boredom Proneness Scale (SBPS), at baseline, after 3 months of MPH treatment, and again after 3 weeks of MPH treatment discontinuation. Results: Significant correlation was found at baseline between PR-ADHD-RS-5 and SBPS scores [n = 30, r = 0.40 (95% confidence interval CI = 0.048-0.67), p = 0.027]. Both ADHD and boredom levels decreased significantly after 3 months of MPH treatment. Significant correlation was found between the reductions in PR-ADHD-RS-5 and SBPS scores at this time [n = 30, r = 0.39 (95% CI = 0.035-0.66), p = 0.045]. MPH discontinuation for 3 weeks resulted in mild but statistically significant increases in ADHD and SBPS levels. No significant correlation was detected between the changes in PR-ADHD-RS-5 and SBPS scores after 3 weeks of MPH discontinuation. Conclusions: Three months of MPH treatment resulted in parallel improvement in ADHD severity and in the level of proneness to boredom (PtB), whereas discontinuation of MPH administration is associated with increases in the two parameters, causing them to approach pretreatment levels. Clinicians and parents should be aware of the possibility of increased PtB in children with ADHD who discontinue MPH treatment. Structured daily activity and continuation of MPH treatment may preserve the beneficial effects of MPH on academic and leisure activities and may prevent aggravation of subjective boredom sensations that could lead to risky sensation-seeking behaviors and overuse of electronic devices. FAU - Golubchik, Pavel AU - Golubchik P AD - Child and Adolescent Outpatient Clinic, Geha Mental Health Center, Petah Tikva, Israel. AD - Department of Psychiatry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. FAU - Manor, Iris AU - Manor I AD - Child and Adolescent Outpatient Clinic, Geha Mental Health Center, Petah Tikva, Israel. AD - Department of Psychiatry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. FAU - Shoval, Gal AU - Shoval G AD - Child and Adolescent Outpatient Clinic, Geha Mental Health Center, Petah Tikva, Israel. AD - Department of Psychiatry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. FAU - Weizman, Abraham AU - Weizman A AD - Department of Psychiatry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. AD - Research Unit, Geha Mental Health Center, Petah Tikva, Israel. AD - Laboratory of Biological Psychiatry, Felsenstein Medical Research Center, Tel Aviv University, Petah Tikva, Israel. LA - eng PT - Journal Article DEP - 20200207 PL - United States TA - J Child Adolesc Psychopharmacol JT - Journal of child and adolescent psychopharmacology JID - 9105358 RN - 0 (Central Nervous System Stimulants) RN - 207ZZ9QZ49 (Methylphenidate) SB - IM MH - Adolescent MH - Attention Deficit Disorder with Hyperactivity/*drug therapy/psychology MH - *Boredom MH - Central Nervous System Stimulants/*administration & dosage MH - Child MH - Female MH - Humans MH - Male MH - Methylphenidate/*administration & dosage MH - Parents MH - Severity of Illness Index MH - Time Factors MH - Treatment Outcome OTO - NOTNLM OT - attention-deficit/hyperactivity disorder OT - boredom proneness OT - children and adolescents OT - methylphenidate EDAT- 2020/02/08 06:00 MHDA- 2021/06/11 06:00 CRDT- 2020/02/08 06:00 PHST- 2020/02/08 06:00 [pubmed] PHST- 2021/06/11 06:00 [medline] PHST- 2020/02/08 06:00 [entrez] AID - 10.1089/cap.2019.0151 [doi] PST - ppublish SO - J Child Adolesc Psychopharmacol. 2020 Apr;30(3):173-176. doi: 10.1089/cap.2019.0151. Epub 2020 Feb 7.