Evidence map›Paper›PMID 41679734›Full record

ArticleJournal of attention disorders2026

Treatment Patterns and Clinical Outcomes in Youth with Comorbid ADHD and PTSD: Insights from Real-World Data.

Raman Baweja, Fabiana Lopes, Felix M Padilla, Ritika Baweja, Lisa Amaya-Jackson, Daniel A Waschbusch, James G Waxmonsky

Abstract read
In one paragraph

Article in Journal of attention disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

7 authors.

Raman BawejaPenn State College of Medicine, Hershey, PA, USA.ORCID 0000-0002-0492-0643
Fabiana LopesPenn State College of Medicine, Hershey, PA, USA.
Felix M PadillaPenn State College of Medicine, Hershey, PA, USA.
Ritika BawejaPenn State College of Medicine, Hershey, PA, USA.
Lisa Amaya-JacksonDuke University School of Medicine, Dunham, NC, USA.
Daniel A WaschbuschPenn State College of Medicine, Hershey, PA, USA.ORCID 0000-0002-8115-1286
James G WaxmonskyPenn State College of Medicine, Hershey, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAttention-deficit/hyperactivity disorder (ADHD) and post-traumatic stress disorder (PTSD) often co-occur in youth, complicating the clinical presentation. However, little is known about how PTSD influences treatment selection or outcomes in youth with ADHD. This study examined prescribing patterns and clinical outcomes among youth with ADHD, with and without comorbid PTSD.

methodsThis retrospective cohort study used electronic health record data from the TriNetX Research Network, including over 714,000 youth (ages 6-18) diagnosed with ADHD (F90), of whom 30,341 (4.25%) also had comorbid PTSD (F43.1). Outcomes included treatment trends, emergency visits, hospitalizations, and subsequent antipsychotic or mood stabilizer prescriptions. Relative risks (RR), hazard ratios (HR), and 95% confidence intervals were calculated using propensity score matching and Cox proportional hazards models adjusted for sociodemographic and psychiatric variables.

resultsAmong youth with ADHD, those with comorbid PTSD were older, had more psychiatric comorbidities, and were more likely to receive non-stimulants (

conclusionsYouth with ADHD and PTSD are clinically complex and receive broader treatment interventions. Clinicians appear to de-prioritize stimulants after PTSD diagnosis, despite evidence of superior clinical outcomes. Findings underscore the need for prospective studies and evidence-based treatment guidelines for this high-risk population.

Indexed as

Attention Deficit Disorder with HyperactivityPractice Patterns, Physicians'Stress Disorders, Post-TraumaticAdolescentAntipsychotic AgentsCentral Nervous System StimulantsChildComorbidityFemaleHospitalizationHumansMaleRetrospective StudiesTreatment OutcomeAntipsychotic AgentsCentral Nervous System StimulantsADHDpsychopharmacologypsychotherapyPTSDtreatment

Identifiers

PMID41679734
PMCPMC13230649

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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.