Actigraphic Recording of Manic Symptoms Induced by Methylphenidate
Objective. Attention-deficit hyperactivity disorder (ADHD) is a developmental disorder characterized by a long-standing pattern of impulsive behavior, hyperkinesia, and inattention. Psychostimulants, for example, methylphenidate, are the treatment of choice for ADHD both in children, adolescents, an...
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| Format: | Article |
| Language: | English |
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Wiley
2009-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2009/286430 |
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| author | Tuuli Lahti Sami Leppämäki Pekka Tani Timo Partonen |
| author_facet | Tuuli Lahti Sami Leppämäki Pekka Tani Timo Partonen |
| author_sort | Tuuli Lahti |
| collection | DOAJ |
| description | Objective. Attention-deficit hyperactivity disorder (ADHD) is a developmental disorder characterized by a long-standing pattern of impulsive behavior, hyperkinesia, and inattention. Psychostimulants, for example, methylphenidate, are the treatment of choice for ADHD both in children, adolescents, and adults. Method. The effect of methylphenidate on sleep structure is not well known. We studied the effect of long-acting methylphenidate on sleep in adult ADHD patients, in a naturalistic treatment setting, using actigraphic and polysomnographic recordings. Results. One of our patients experienced manic episode after starting methylphenidate. A wrist-worn accelerometer recording demonstrated a decrease in the duration and quality of sleep. After discontinuation of methylphenidate treatment, the patient's symptoms subsided and there was no need for hospital admission. Actigraphic recording showed a decrease in the amount and quality of the patient's sleep as triggering factor for the manic symptoms. Conclusions. Disruptions of the sleep-wake cycle are probably important etiologic factors in mood disorders, especially bipolar disorder. The changes in length and quality of sleep described in this case report bear close resemblance to those of patients with a manic episode, although these symptoms were induced by methylphenidate. |
| format | Article |
| id | doaj-art-cb8aa2f2aac94e3883dbbbbe51b00b4e |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-cb8aa2f2aac94e3883dbbbbe51b00b4e2025-02-03T01:20:51ZengWileyCase Reports in Medicine1687-96271687-96352009-01-01200910.1155/2009/286430286430Actigraphic Recording of Manic Symptoms Induced by MethylphenidateTuuli Lahti0Sami Leppämäki1Pekka Tani2Timo Partonen3Department of Mental Health and Substance abuse Services, National Institute for Health and Welfare, 00271 Helsinki, FinlandDepartment of Psychiatry, Helsinki University Central Hospital, 00290 Helsinki, FinlandDepartment of Psychiatry, Helsinki University Central Hospital, 00290 Helsinki, FinlandDepartment of Mental Health and Substance abuse Services, National Institute for Health and Welfare, 00271 Helsinki, FinlandObjective. Attention-deficit hyperactivity disorder (ADHD) is a developmental disorder characterized by a long-standing pattern of impulsive behavior, hyperkinesia, and inattention. Psychostimulants, for example, methylphenidate, are the treatment of choice for ADHD both in children, adolescents, and adults. Method. The effect of methylphenidate on sleep structure is not well known. We studied the effect of long-acting methylphenidate on sleep in adult ADHD patients, in a naturalistic treatment setting, using actigraphic and polysomnographic recordings. Results. One of our patients experienced manic episode after starting methylphenidate. A wrist-worn accelerometer recording demonstrated a decrease in the duration and quality of sleep. After discontinuation of methylphenidate treatment, the patient's symptoms subsided and there was no need for hospital admission. Actigraphic recording showed a decrease in the amount and quality of the patient's sleep as triggering factor for the manic symptoms. Conclusions. Disruptions of the sleep-wake cycle are probably important etiologic factors in mood disorders, especially bipolar disorder. The changes in length and quality of sleep described in this case report bear close resemblance to those of patients with a manic episode, although these symptoms were induced by methylphenidate.http://dx.doi.org/10.1155/2009/286430 |
| spellingShingle | Tuuli Lahti Sami Leppämäki Pekka Tani Timo Partonen Actigraphic Recording of Manic Symptoms Induced by Methylphenidate Case Reports in Medicine |
| title | Actigraphic Recording of Manic Symptoms Induced by Methylphenidate |
| title_full | Actigraphic Recording of Manic Symptoms Induced by Methylphenidate |
| title_fullStr | Actigraphic Recording of Manic Symptoms Induced by Methylphenidate |
| title_full_unstemmed | Actigraphic Recording of Manic Symptoms Induced by Methylphenidate |
| title_short | Actigraphic Recording of Manic Symptoms Induced by Methylphenidate |
| title_sort | actigraphic recording of manic symptoms induced by methylphenidate |
| url | http://dx.doi.org/10.1155/2009/286430 |
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