Folia Medica Indonesiana
ISSN 0303-7932
Vol. 48 / No. 4 / Published : 2012-10
Order : 9, and page :190 - 197
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Original Article :
Atomoxetine therapy effectiveness in children with adhd at day care, dr. soetomo hospital, surabaya
Author :
- Alviani Februana WP*1
- Yunias Setiawati*2
- Budiono*3
- Mahasiswa Fakultas Kedokteran
- Dosen Fakultas Kedokteran
- Dosen Fakultas Kedokteran
Abstract :
Attention Deficit Hyperactivity Disorder (ADHD) is a chronic psychiatry disorder, onset in childhood, with inattention, hyperactivity and impulsive syndrome within minimal two different social conditions, and usually diagnosed before seven years old. ADHD prevalence estimated between 3-7% school aged students. On Daycare RSU Dr. Soetomo, ADHD takes the second place the most case within these 5 years. Drug of choice used for ADHD is stimulant methylphenidate. Since its nontolerable side effects and growth retardation effect, nonstimulant atomoxetine is used as the alternative pharmacotherapy. In Indonesia, as far as writer knows, atomoxetine is either rarely used or observed. This observational analytical research aims to know the efficacy of atomoxetine in Daycare RSU Dr. Soetomo Surabaya by comparing the symptoms severity level before and after therapy. This research also compared the efficacy of atomoxetine between two types of ADHD found at Daycare. Total sampling assignment is used for ADHD patients and their parents who required the inclusion criteria (N: 42 inattention: 22 combined: 20). The data used is secondary data from Iowa Conner’s Rating Scale score assessed by parents, available on patient’s medical records, and primary data through the interview. Data analysis used statistical test. The results showed comparison of scores before and after therapy had p-value <0.0001. The difference of the severity of ADHD symptoms on the inattention and combined types showed differences p <0.05. Average change in scores on the ADHD combined type is larger than inattention type. In conclusion, atomoxetine therapy is effective in reducing severity level in ADHD patients at Daycare RSU Dr. Soetomo, and more effective for combined type patients than inattention type. (FMI 2012;48:190-197)
Keyword :
ADHD, Atomoxetine, Efficacy, Inattention Type, Combined Type,
References :
American Psychiatric Association,(2000) Diagnostic and Statistical Manual of Mental Disorders, 4th ed, Text Revision (DSM-IV-TR) Washington DC : American Psychiatric Association
Barkley RA,(1998) Attention Deficit Hyperactivity Disorder A Handbook for Diagnosis and Treatment, 2nd ed New York : The Guillford Press
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