Benefits and Harms of ADHD Interventions: Umbrella Review and Platform for Shared Decision Making

Nov 1, 2025·
Corentin J Gosling
,
Miguel Garcia-Argibay
,
Michele De Prisco
,
Gonzalo Arrondo
,
Anaël Ayrolles
,
Stéphanie Antoun
,
Serge Caparos
,
Ana Catalán
,
Pierre Ellul
,
Maja Dobrosavljevic
,
Luis C Farhat
,
Giovanna Fico
,
Luis Eudave
,
Annabeth P Groenman
,
Mikkel Højlund
,
Lucie Jurek
,
Mikail Nourredine
,
Vincenzo Oliva
,
Valeria Parlatini
,
Constantina Psyllou
,
Gonzalo Salazar-De-Pablo
,
Anneka Tomlinson
,
Samuel J Westwood
,
Andrea Cipriani
,
Christoph U Correll
,
Dong Keon Yon
,
Henrik Larsson
,
Edoardo G Ostinelli
,
Jae Il Shin
,
Paolo Fusar-Poli
,
John P a Ioannidis
,
Joaquim Radua
,
Marco Solmi
,
Richard Delorme
,
Samuele Cortese
· 0 min read
Abstract
Objectives: To assess the effects of and related evidence certainty of interventions for attention deficit/hyperactivity disorder (ADHD) across an individual’s lifespan, and to develop a continuously updated web platform for people with lived experience of ADHD as a method to disseminate living evidence synthesis for shared decision making. This umbrella review of 115 eligible articles comprising 221 unique combinations of participants, interventions, comparators, and outcomes found that alpha-2 agonists, amphetamines, atomoxetine, methylphenidate, and viloxazine showed medium to large effect sizes in reducing ADHD symptom severity in children and adolescents in the short term, with moderate to high certainty evidence.
Type
Publication
BMJ