KINE 2P41 Lecture Notes - Lecture 10: Compulsive Buying Disorder, Methylphenidate, Health Promotion

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01:06
Why are we discussing medications?
Most rigorous scientific testing of any health promoted product or device
International Health: all countries world-wide use medications
Singh (2004)
Mothering with Ritalin in a culture of mother-blame
THINK about other two readings this week
Evidence within context
Mindfulness
The story of Ritalin
Society impacting evidence based health promotion
Public demand vs. evidence
Experts, clinicians ‘bend’ the evidence
Evidence medicalizing society
Creation of drug creates/medicalizes of behavior
Drug creates new social perception of childhood behavior
(like our discussion of compulsive buying)
Trends in use
All psychoactive medications for children
From 2000-2003 increase by 20%
Spending on needs for ADHD increased 300% for children under 5
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History of ADHD medications
Hyperactivity in children identified in 1930s
Orphanages difficult to manage
Give them a stimulant, and in less than 30 minutes, calm, polite, focus on
task
85% of children respond as intended
stimulant to calm children?
All pre-pubescent children (not just ADHD) in 1970s
Stimulates focus attention (as with adults)
Stimulants reduce physical activity and energy (unlike adults)
2 main types of stims
methylphenidate
Ritalin (2.5-3 hours), concerta (10-12 hours)
Amphetamine
Adderall XR (10-12 hours), devedine
Scope of use of psychiatric medications for children
7% of American children between ages of 6-11 have ADHD
75% are boys
3% of all American children take a methylphenidate (e.g. Ritalin)
use of methylphenidate in US has increased by 600% from 1994-2004
Americans use 85% of world’s methylphenidate
Problem 1: diagnosis of psychiatric childhood disease
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