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Being an Educated Consumer of "ADHD" Research - Introduction |
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Tuesday, 28 February 2006 |
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Page 2 of 6
1. Watch out for bad science
Over the past 30 years there have
been countless times we have heard about "breakthroughs" in
"ADHD" research, and each time the breakthrough has proven to be
hollow. Many of these studies have attempted to find differences in
the brains of children diagnosed with "ADHD" and "normal
children". These studies often had major flaws in their design
which cast significant doubt on the validity of their findings.
Specifically, there have been two
major problems with ADHD studies. First, many of them studied a very
small sample of children, sometimes fewer than ten. It is a rule of
the experimental method that you have to have a sufficient random
sample for the results of any study to be able to be generalized to
the whole population. Second, the "ADHD" children in these
samples typically were taking stimulant drugs, or had taken them in
the past. Since we know the potential for stimulant drugs to cause
brain damage in children, it raised the question of whether any
changes in these children's brains were because of "ADHD" or
the side effects of these dangerous drugs. Other studies did not
bother to report on the medication history of their subjects, making
it impossible to determine the causes of any difference in brain
structure or chemistry. Finally, more recent research has failed to
compare previously unmedicated 'ADHD' children with 'non-ADHD'
children of the same age or gender. This is problematic given that
brain size is closely associated with age. So comparing the brains
of different aged children, whether they are labelled 'normal' or
labelled with 'ADHD', will invariably find differences.
If you would like some guidance on
reading research reports, YANQ has published a concise document on
it's website entitled "Research Reports for the Non-Scientist" by
Rachel Martin. See the further
reading section for more details.
The Key Questions below will help
readers to spot some of major problems that have been highlighted
with ADHD research.
Key Questions
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Has the research report provided
details of the medication history of it's subjects?
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If yes, do the authors discuss
the effects the medication will have on their subjects and the
implications for their findings?
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Has the research compared
similar subjects? For example, is the control group of similar age,
weight and sex to the experimental group?
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