Evidence map›Paper›PMID 31711956›Full record

ArticleNeuroImage. Clinical2020

Prediction of sleep side effects following methylphenidate treatment in ADHD youth.

Jae Hyun Yoo, Vinod Sharma, Jae-Won Kim, Dana L McMakin, Soon-Beom Hong, Andrew Zalesky, Bung-Nyun Kim, Neal D Ryan

Open access · goldAbstract read
In one paragraph

Article in NeuroImage. Clinical, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Neuroimaging-Based Deep Learning in Autism Spectrum Disorder and Attention-Deficit/Hyperactivity Disorder.Soa--ch'ongsonyon chongsin uihak = Journal of child & adolescent psychiatry · 2020
    Article
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

8 authors at 5 institutions in 3 countries.

Jae Hyun YooDepartment of Psychiatry, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea.
Vinod SharmaDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, United States.
Jae-Won KimDivision of Child and Adolescent Psychiatry, Department of Neuropsychiatry, Seoul National University Hospital, 101 Daehak-no, Chongno-gu, Seoul, 03080, Republic of Korea. Electronic address: kimjw412@snu.ac.kr.
Dana L McMakinDepartment of Psychology, Florida International University, Miami, Florida.
Soon-Beom HongDivision of Child and Adolescent Psychiatry, Department of Neuropsychiatry, Seoul National University Hospital, 101 Daehak-no, Chongno-gu, Seoul, 03080, Republic of Korea.
Andrew ZaleskyMelbourne Neuropsychiatry Centre, University of Melbourne, Victoria, Australia.
Bung-Nyun KimDivision of Child and Adolescent Psychiatry, Department of Neuropsychiatry, Seoul National University Hospital, 101 Daehak-no, Chongno-gu, Seoul, 03080, Republic of Korea.
Neal D RyanDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, United States.
Seoul National University Hospital · KRUniversity of Pittsburgh · USFlorida International University · USThe Catholic University of Korea Seoul St. Mary's Hospital · KRThe University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSleep problems is the most common side effect of methylphenidate (MPH) treatment in ADHD youth and carry potential to negatively impact long-term self-regulatory functioning. This study aimed to examine whether applying machine learning approaches to pre-treatment demographic, clinical questionnaire, environmental, neuropsychological, genetic, and neuroimaging features can predict sleep side effects following MPH administration.

methodThe present study included 83 ADHD subjects as a training dataset. The participants were enrolled in an 8-week, open-label trial of MPH. The Barkley Stimulant Side Effects Rating Scale was used to determine the presence/absence of sleep problems at the 2nd week of treatment. Prediction of sleep side effects were performed with step-wise addition of variables measured at baseline: demographics (age, gender, IQ, height/weight) and clinical variables (ADHD Rating Scale-IV (ADHD-RS) and Disruptive Behavior Disorder rating scale) at stage 1, neuropsychological test (continuous performance test (CPT), Stroop color word test) and genetic/environmental variables (dopamine and norepinephrine receptor gene (DAT1, DRD4, ADRA2A, and SLC6A2) polymorphisms, blood lead, and urine cotinine level) at stage 2, and structural connectivities of frontostriatal circuits at stage 3. Three different machine learning algorithms ((Logistic Ridge Regression (LR), support vector machine (SVM), J48) were used for data analysis. Robustness of classifier model was validated in the independent dataset of 36 ADHD subjects.

resultsClassification accuracy of LR was 95.5% (area under receiver operating characteristic curve (AUC) 0.99), followed by SVM (91.0%, AUC 0.85) and J48 (90.0%, AUC 0.87) at stage 3 for predicting sleep problems. The inattention symptoms of ADHD-RS, CPT response time variability, the DAT1, ADRA2A DraI, and SLC6A2 A-3081T polymorphisms, and the structural connectivities between frontal and striatal brain regions were identified as the most differentiating subset of features. Validation analysis achieved accuracy of 86.1% (AUC 0.92) at stage 3 with J48.

conclusionsOur results provide preliminary support to the combination of multimodal classifier, in particular, neuroimaging features, as an informative method that can assist in predicting MPH side effects in ADHD.

Indexed as

AdolescentAttention Deficit Disorder with HyperactivityCentral Nervous System StimulantsFemaleHumansMachine LearningMaleMethylphenidatePrognosisReproducibility of ResultsSensitivity and SpecificitySleep Wake DisordersCentral Nervous System StimulantsMethylphenidateADHDMachine learningMethylphenidatePredictionSide effectsSleep problems

Identifiers

PMID31711956
PMCPMC7229354
OpenAlexW2982093611

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.