Evidence map›Paper›PMID 21248722›Full record

Trial reportNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2011

Effects of stimulant medication, incentives, and event rate on reaction time variability in children with ADHD.

Jeffery N Epstein, William B Brinkman, Tanya Froehlich, Joshua M Langberg, Megan E Narad, Tanya N Antonini, Keri Shiels, John O Simon, Mekibib Altaye

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 4 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 4 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Methylphenidate for children and adolescents with autism spectrum disorder.The Cochrane database of systematic reviews · 2017
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  12. Article
  13. From symptom-based heterogeneity to mechanism-based profiling in youth ADHD: the promise of computational psychiatry.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Jeffery N EpsteinDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. jeff.epstein@cchmc.org
William B Brinkman
Tanya Froehlich
Joshua M Langberg
Megan E Narad
Tanya N Antonini
Keri Shiels
John O Simon
Mekibib Altaye
Cincinnati Children's Hospital Medical Center · US

Funding

Examining the Biological Basis of ADHDK24MH064478 · NIMH · DUKE UNIVERSITY · PI EPSTEIN, JEFF N. · 2002 to 2014
$1.4M
Response Variability in Children with ADHDR01MH074770 · NIMH · CINCINNATI CHILDRENS HOSP MED CTR · PI EPSTEIN, JEFF N. · 2006 to 2009
$1.3M
Medication Continuity in Children Treated for ADHDK23MH083027 · NIMH · CINCINNATI CHILDRENS HOSP MED CTR · PI BRINKMAN, WILLIAM BERNARD · 2010 to 2014
$878k
Medication Response in Children with Predominantly Inattentive Type ADHDK23MH083881 · NIMH · CINCINNATI CHILDRENS HOSP MED CTR · PI FROEHLICH, TANYA E. · 2009 to 2013
$865k
NIMH NIH HHS K23 MH083027NIMH NIH HHS K23 MH083881NIMH NIH HHS K24 MH064478NIMH NIH HHS R01 MH074770NIMH NIH HHS R01MH074770
6 · The paper itself

Abstract

This study examined the effects of methylphenidate (MPH) on reaction time (RT) variability in children with attention deficit hyperactivity disorder (ADHD). Using a broad battery of computerized tasks, and both conventional and ex-Gaussian indicators of RT variability, in addition to within-task manipulations of incentive and event rate (ER), this study comprehensively examined the breadth, specificity, and possible moderators of effects of MPH on RT variability. A total of 93 children with ADHD completed a 4-week within-subject, randomized, double-blind, placebo-controlled crossover trial of MPH to identify an optimal dosage. Children were then randomly assigned to receive either their optimal MPH dose or placebo after which they completed five neuropsychological tasks, each allowing trial-by-trial assessment of RTs. Stimulant effects on RT variability were observed on both measures of the total RT distribution (ie, coefficient of variation) as well as on an ex-Gaussian measure examining the exponential portion of the RT distribution (ie, τ). There was minimal, if any, effect of MPH on performance accuracy or RT speed. Within-task incentive and ER manipulations did not appreciably affect stimulant effects across the tasks. The pattern of significant and pervasive effects of MPH on RT variability, and few effects of MPH on accuracy and RT speed suggest that MPH primarily affects RT variability. Given the magnitude and breadth of effects of MPH on RT variability as well as the apparent specificity of these effects of MPH on RT variability indicators, future research should focus on neurophysiological correlates of effects of MPH on RT variability in an effort to better define MPH pharmacodynamics.

Indexed as

Attention Deficit Disorder with HyperactivityCentral Nervous System StimulantsChildChoice BehaviorDiscrimination, PsychologicalDose-Response Relationship, DrugDouble-Blind MethodFemaleHumansInhibition, PsychologicalMaleMethylphenidateModels, StatisticalMotivationNeuropsychological TestsReaction TimeCentral Nervous System StimulantsMethylphenidate

Identifiers

PMID21248722
PMCPMC3059336
OpenAlexW1980340647

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.