This session we are discussing ADHD in children and young people with autism, in relation to pharmacological treatment, with the focus on Dr. Stephanie Ameis’ in JCPP ‘Practitioner Review: Pharmacological treatment of attention‐deficit/hyperactivity disorder symptoms in children and youth with autism spectrum disorder: a systematic review and meta‐analysis’ first published 26 August 2020.
At the end of the recording Dr. Stephanie Ameis, Professor Samuele Cortese, have answered the four most popular questions that we didn’t have time to address in the session. Please look at our events section for the latest ‘CAMHS around the Campfire’ session.
To get the most from the session we suggest reading/watching the following resources;
- Our Research Digest of the paper, a 2 min read
- Mental Elf blog on the paper
- The full paper doi: 10.1111/jcpp.13305
Clinically significant attention‐deficit/hyperactivity disorder (ADHD) symptoms are common and impairing in children and youth with autism spectrum disorder(ASD). The aim of this systematic review and meta‐analysis was to (a) evaluate the efficacy and safety of pharmacotherapy for the treatment of ADHD symptoms in ASD and (b) distil findings for clinical translation.
Other resources recommend by Dr. Stephanie Ameis and Professor Samuele Cortese
- Pharmacologic Treatment of Attention Deficit-Hyperactivity Disorder – via The New England Journal of Medicine DOI: 10.1056/NEJMra1917069
- Systematic review and meta-analysis on prevalence of co-occurring mental health conditions including ADHD in ASD – https://doi.org/10.1016/S2215-0366(19)30289-5
Overlap between ASD and ADHD
- Decoding the overlap between autism and ADHD – via Spectrum
- The Association between Autism Symptoms and Child Functioning in a Sample with ADHD Recruited from the Community – via Journal of Attention Disorders doi.org/10.1177/1087054719886352
- ADHD and Autism Spectrum Disorder via Children and Adults with Attention-Deficit/Hyperactivity Disorder (CHADD)
Assessment and management of ASD and ADHD
- Differentiating between ADHD and ASD in childhood: some directions for practitioners – via European Child & Adolescent Psychiatry https://doi.org/10.1007/s00787-018-1165-5
- Guidance for identification and treatment of individuals with attention deficit/hyperactivity disorder and autism spectrum disorder based upon expert consensus – via BMC Medicine https://doi.org/10.1186/s12916-020-01585-y
Non-distinct brain features found in ASD and ADHD
- Doctors’ Notes: New brain imaging data points to better treatments for autism and ADHD – via Toronto Star
- A Diffusion Tensor Imaging Study in Children With ADHD, Autism Spectrum Disorder, OCD, and Matched Controls: Distinct and Non-Distinct White Matter Disruption and Dimensional Brain-Behavior Relationships – The American Journal of Psychiatry https://doi.org/10.1176/appi.ajp.2016.15111435
- Association of White Matter Structure With Autism Spectrum Disorder and Attention-Deficit/Hyperactivity Disorder – JAMA Psychiatry doi:10.1001/jamapsychiatry.2017.2573
Mental Health Resource for individuals with ASD
- Know Your Normal – via Ambitious About Autism
ACAMH’s vision is to be ‘Sharing best evidence, improving practice’, to this end in December 2020 we launched ‘CAMHS around the Campfire’, a free monthly virtual journal club, run in conjunction with André Tomlin. We use #CAMHScampfire on Twitter to amplify the discussion.
Each 1-hour meeting features a new piece of research, which we discuss in an informal journal club session. The focus is on critical appraisal of the research and implications for practice. Primarily targeted at CAMHS practitioners, and researchers, ‘CAMHS around the Campfire’ will be publicly accessible, free to attend, and relevant to a wider audience.
About the panel
Dr. Stephanie Ameis is the Associate Director of the Cundill Centre for Child and Youth Depression and a Clinician Scientist in the Brain Health Imaging Centre, The Margaret and Wallace McCain Centre for Child, Youth & Family Mental Health and the Campbell Family Mental Health Research Institute at CAMH. She collaborates closely with the Temerty Centre for Therapeutic Brain Intervention, the Kimel Family Translational Imaging-Genetics Laboratory and the Azrieli Adult Neurodevelopmental Centre at CAMH. Dr. Ameis is a child and youth psychiatrist at CAMH and is appointed to the Child and Youth Mental Health Collaborative at CAMH, the University of Toronto and SickKids. She is Associate Professor in the Department of Psychiatry in the Faculty of Medicine at the University of Toronto.
Bio and image via CAMH Canada website
Samuele Cortese, Child and Adolescent Psychiatrist, is Professor of Child and Adolescent Psychiatry at the University of Southampton and Honorary Consultant Child Psychiatrist at the Solent NHS Trust. He is also Adjunct Associate Professor at the University of New York, USA. His main clinical and research interests focus on the epidemiology, neurobiology and treatment of neurodevelopmental disorders (in particular on ADHD) and on evidence-based practice in child psychiatry. Dr. Cortese is author/co-author of more than 200 papers in international peer-reviewed journals. He is on the editorial board of the Journal of the American Academy of Child and Adolescent Psychiatry, (JAACAP), Child and Adolescent Mental Health (CAMH), Evidence Based Mental Health (EBMH), CNS Drugs and on the advisory board of the Journal of Child Psychology and Psychiatry. Dr. Cortese is a member of the European Network for Hyperkinetic Disorder (EUNETHYDIS), the European ADHD Guidelines Group (EAGG), and the Child & Adolescent Neuropsychopharmacology Network of the European College of Neuropsychopharmacology (ECNP).
André Tomlin is an Information Scientist with 20 years experience working in evidence-based healthcare. He’s worked in the NHS, for Oxford University and since 2002 as Managing Director of Minervation Ltd, a consultancy company who do clever digital stuff for charities, universities and the public sector. Most recently André has been the driving force behind the Mental Elf and the National Elf Service. The Mental Elf is a blogging platform that presents expert summaries of the latest reliable research and disseminates this evidence across social media. They have published thousands of blogs over the last 10 years, written by experts and discussed by patients, practitioners and researchers. This innovative digital platform helps professionals keep up to date with simple, clear and engaging summaries of evidence-based research. André is a Trustee at the Centre for Mental Health and an Honorary Research Fellow at University College London Division of Psychiatry. He lives in Bristol, surrounded by dogs, elflings and lots of woodland! Bio via The Mental Elf
I am an information scientist with an interest in making knowledge from systematic research more accessible to people who need it. This means you. I’ve been attempting this in the area of Evidence-Based Health Care since 1995. So far the results have been mixed. For some reason we expected busy clinicians to search databases and appraise papers instead of seeing patients. We also expected publishers to make the research freely available to the people who paid for it. Ha! Hence The National Elf service.