Positive effects of methylphenidate on social communication and self-regulation in children with pervasive developmental disorders and hyperactivity

J Autism Dev Disord. 2009 Mar;39(3):395-404. doi: 10.1007/s10803-008-0636-9. Epub 2008 Aug 28.

Abstract

This report examined the effect of methylphenidate on social communication and self-regulation in children with pervasive developmental disorders and hyperactivity in a secondary analysis of RUPP Autism Network data. Participants were 33 children (29 boys) between the ages of 5 and 13 years who participated in a four-week crossover trial of placebo and increasing doses of methylphenidate given in random order each for one week. Observational measures of certain aspects of children's social communication, self-regulation, and affective behavior were obtained each week. A significant positive effect of methylphenidate was seen on children's use of joint attention initiations, response to bids for joint attention, self-regulation, and regulated affective state. The results go beyond the recent literature and suggest that methylphenidate may have positive effects on social behaviors in children with PDD and hyperactivity.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Asperger Syndrome / drug therapy
  • Asperger Syndrome / psychology
  • Autistic Disorder / drug therapy
  • Autistic Disorder / psychology
  • Central Nervous System Stimulants / therapeutic use*
  • Child
  • Child Development Disorders, Pervasive / drug therapy*
  • Child Development Disorders, Pervasive / psychology*
  • Child, Preschool
  • Cross-Over Studies
  • Dose-Response Relationship, Drug
  • Female
  • Humans
  • Male
  • Methylphenidate / therapeutic use*
  • Psychiatric Status Rating Scales
  • Psychomotor Agitation / drug therapy
  • Social Behavior*
  • Social Control, Informal*
  • Treatment Outcome

Substances

  • Central Nervous System Stimulants
  • Methylphenidate