학술논문

Identification of factors associated with the efficacy of atomoxetine in adult attention‐deficit/hyperactivity disorder
Document Type
article
Source
Neuropsychopharmacology Reports, Vol 42, Iss 3, Pp 249-255 (2022)
Subject
adrenergic uptake inhibitors
atomoxetine hydrochloride
attention‐deficit disorder with hyperactivity
cohort studies
multivariate analysis
Therapeutics. Pharmacology
RM1-950
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Language
English
ISSN
2574-173X
Abstract
Abstract Aim Atomoxetine (ATX) is a non‐central stimulant and a standard treatment for adult attention‐deficit/hyperactivity disorder (ADHD). The long‐term efficacy of Atomoxetine is about 40% at 6 months. The variability in efficacy between individuals is thought to be related to patient‐specific factors, but no detailed research has been conducted. In this retrospective cohort study, we aimed to identify the factors associated with Atomoxetine efficacy. Methods A total of 147 patients with attention‐deficit/hyperactivity disorder aged ≥18 years who were using Atomoxetine for the first time were included in this study. The outcome was treatment success (treatment maintained for at least 6 months and improvement in symptoms). Symptom assessment was based on the overall improvement in symptoms judged by an expert physician. Results Of the patient sample, 103 (70.1%) achieved the outcome. Logistic regression analysis identified “the maximum dose of ATX” and “gambling habit” as factors associated with efficacy ( P