The current study evaluated a treatment designed specifically for children with attention-deficit/hyperactivity disorder (ADHD) and anxiety. The experimental treatment involved a combination of parent management training for ADHD and family-based treatment for anxiety. Sessions lasted approximately 90 minutes, and the treatment consisted of 10 weekly sessions. 8 children ages 8-12 with ADHD, Combined Type (ADHD-C) and at least one of three anxiety disorders (separation anxiety disorder, generalized anxiety disorder, social phobia) were selected for the study. Children were assessed with semi-structured diagnostic interviews and other standardized measures to determine study eligibility. The current study utilized a noncurrent multiple baseline design to evaluate treatment efficacy. Upon selection into the study, children were randomized to one of three baseline control conditions (i.e., 2, 3, or 4 weeks of waiting) in order to insure that change in behavior was associated with implementation of the treatment. Treatment commenced after the respective baseline periods. Families were assessed throughout treatment but more comprehensive assessments were conducted at pre-treatment, mid-treatment, and 1-week post-treatment. Results highlighted significant improvement in anxiety-related symptoms but more modest gains for ADHD-related symptoms. / Ph. D.

Research has shown that the effect of psychiatric hospitalization on the educational placement of students is a more restrictive educational placement. In a modification of a previous study, students diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) were divided into three groups, mild, moderate, or severe, based on the results of the Conners Behavior Rating Scale. Comparisons between pre and post-hospitalization educational placements were made in order to determine if the effect of psychiatric hospitalization was a more restrictive educational placement for the ADHD students. Student subjects were described by age, sex, I.Q., and reading level, as well as by their psychiatric discharge diagnosis and placement on medication. Results of this study indicated that for the mild and moderate ADHD groups, psychiatric hospitalization resulted in either a more restrictive educational placement or an increase in GED, vocational rehabilitation, private school programs, or school dropouts. For the severe ADHD group, none of the students returned to either regular or special education classes; all the students were enrolled in GED, vocational rehabilitation, private school programs, or had dropped out of school. The variables reading level and severity of the Conners Rating Scale were associated with discharge placement, while I.Q. and gender were not related. The drop-out rate was consistent with the special education drop-out rate which has been previously reported in the literature. Results indicated that for this group of ADHD students, psychiatric hospitalization resulted in either more restrictive educational placements or in withdrawal from public schools, including dropping-out. Legal precedents relating to the use of independent evaluations following a student's discharge from a private facility, as well as a comprehensive review of the history and etiology of ADHD are reviewed and discussed with the results. Implications for further research are also presented. / Ed. D.

Emerging adults who have Autism Spectrum Disorder (ASD) often encounter difficulties within the university setting. Despite an increase in the number of students with ASD enrolled in postsecondary educational institutions, there are few reports on the social, academic, and/or other needs of college students with ASD. The purpose of this study was to assess the perspectives of parents of emerging adults with ASD and ADHD, in order to inform efforts to address the poor postsecondary outcomes of students with ASD. Survey data were collected from parents who had a son or daughter in one of three educational placement groups (parents of high school students, parents of postsecondary students, and parents of individuals aged 18-25 not enrolled in education) among two disorders; ASD and ADHD. Participants were recruited nationally to participate in an online survey. Parents of emerging adults with ASD identified social interactions and daily living as primary difficulties for their son or daughter with ASD. Significant differences emerged with respect to difficulties among emerging adults with ADHD, who identified difficulties related to executive functioning and attention. Social interaction training was an identified needed service by parents of emerging adults with ASD. Additionally, independent living training was a common core service requested by parents of individuals with ASD and parents of individuals with ADHD. Results suggest that the postsecondary profile of parent-reported difficulties and needed services remains distinct for the diagnostic groups ASD and ADHD. These difficulties should be considered within the context of intervention for postsecondary students with ASD and ADHD. / Master of Science

The purpose of this study was to assess the relationship among parent child-rearing practices, children’s internal/external attributional styles and social skills between Attention Deficit Disorder/Hyperactivity (ADD/H) and non-Attention Deficit Disorder/Hyperactivity (non-ADD/H) children. A review of the literature revealed a need to investigate the social skills and internal/external attributional styles of ADD/H and non-ADD/H children and their relationship to child-rearing practices. Results indicated group differences between the parents of ADD/H children versus the parents of non-ADD/H children on the dimension of encouragement of independence. It was found that the mothers of ADD/H children reported higher mean scores as compared to mothers of non-ADD/H children. Differences between the parents of ADD/H children versus the parents of non-ADD/H children were found on the authoritarian control dimension. Further analysis indicated that the mothers of ADD/H children reported higher authoritarian control scores than did the mothers of non-ADD/H children. Overall group differences were found on the parental control dimension with parents of ADD/H children having higher combined scores than the parents of non-ADD/H children. The relationship between parents’ child-rearing practices and their children’s internal/external attributional styles were examined. The results indicated a relationship between the child-rearing dimension of encouragement of independence and the children’s attributional styles for mothers only. No other significant correlations were found on the remaining child-rearing dimensions for mothers or fathers. Finally, some support was found for the prediction that the children’s ADD/H status and the attributional style (internal/external) of the children were related to their social functioning. The external ADD/H children reported lower overall social functioning, lower appropriate social functioning, and higher negative social skill scores than internal non-ADD/H children. / Ph. D.

The aim of this study was to explore the influence of yoga on learners with ADHD. In order to reach the aim of this study, an initial literature study was executed to describe ADHD and the practice of yoga. Particular aspects such as concentration, anxiety, self-esteem and aggression were highlighted. Semi-structured interviews with parents, teachers, learners and one yoga instructor were used to conduct the empirical study. Valuable data was also collected from the learners using projection tests and self-esteem questionnaires. Assessments were conducted at two points: during the situation analysis and at the outcome of the yoga intervention. Based on the data collected and analysed, findings were made and conclusions were drawn regarding the influence of yoga on learners with ADHD focusing on the aspects of concentration, anxiety, self-esteem and aggression. Recommendations for future research were then proposed. / Psychology of Education / M. Ed. (Guidance and Counselling)

The purpose of this study was twofold: to determine the construct validities of comparable AD/HD instruments that were developed according to our current, DSM-IV classification system for AD/HD; and to identify potential +neurocognitive and socioemotional markers for AD/HD. The sample consisted of 145 children ages 8 to 11 years of age who were diagnosed with Attention Deficit Hyperactivity Disorder (AD/HD), or Central Auditory Processing Disorder (CAPD). Children were administered a battery of neurocognitive tests and completed a self-report measure of personality. Parents completed several, AD/HD instruments pertaining to their children. The AD/HD instruments used in this study were the Attention Deficit Disorder Evaluation Scale-Home Version (ADDES), Attention Deficit Hyperactivity Disorder Test (ADHDT), and the Attention Problems and Hyperactivity scales from the BASC-Monitor (BASC-M). Of interest was how each AD/HD instrument compared to the DSM-IV, particularly in terms of the cross-consistency of AD/HD subtype classifications. The findings showed that the AD/HD instruments classified participants differently from the initial, DSM-IV entry diagnosis. Rates of agreement were better for some of the AD/HD instruments than for others yet there was little overall consistency. The neurocognitive measures used in the study were the Cognitive Assessment System-Basic Battery scales. The socioemotional measures used in the study were two parent-report scales from the BASC-M (Internalizing Problems and Adaptive Skills), and the child report scales from the BASC-Self Report of Personality. Results showed that the neurocognitive measures were relatively insensitive to AD/HD symptomatology while a nearly opposite trend was observed on the socioemotional measures. For the most part, participants classified as the ADHD-Combined Type (ADHD-CT), (regardless of which AD/HD instrument was used) had the most significant impairment in areas of social functioning and emotional symptoms across parent and self-reports.

The purpose of this study was to explore the differences in how parents of ADHD children and non-ADHD parents attribute undesirable and prosocial child behavior, and to determine if attributions about undesirable child behavior influence parents' perceived levels of parenting stress. Parent attributions from 69 parent-child dyads, half with a child ADHD diagnosis, were measured coding videotaped interactions. Results indicated that parents of ADHD children do not make significantly more stable attributions about undesirable child behavior than non-ADHD parents. Additionally, compared to non-ADHD parents, parents of ADHD children did not make significantly more unstable attributions about their children's prosocial behaviors. Regarding parenting stress, individuals who generated higher frequencies of stable attributions also appeared to maintain more negative views of their children's behaviors in comparison to other children.

Dissertation submitted in partial compliance with the requirements of the Master's Degree in Technology: Homoeopathy, Durban Institute of Technology, 2006. / The aim of the study was to evaluate the efficacy of a Nutritional Supplement (Advanced Brain Food®) and a homoeopathic complex (Quietude®) in the management of Attention Deficit Hyperactivity Disorder (ADHD). ADHD is primarily a childhood disorder affecting ten to twenty percent of school going children. The three main presenting features of ADHD are inattention, impulsivity, and hyperactivity. This triad often results in numerous adjustment difficulties for the child in the social and academic sectors (NIH Consensus Statement, 1998). / M

Metopic synostosis is a condition in which the metopic suture of the human cranium fuses prematurely and may be related to poor behavioral inhibition leading to behaviors commonly associated with Attention-Deficit Hyperactivity Disorder (ADHD). The purpose of this project was to examine the behavior patterns among children with a history of metopic synostosis. It was hypothesized that children with a history of metopic synostosis would exhibit many of the same behavioral patterns associated with ADHD. It was also hypothesized that children with a history of simple synostosis not involving the metopic suture would not evidence this type of behavioral pattern. In order to test these hypotheses, the behavior of three groups of children was compared including (1) children who had a history of metopic synostosis (M= 7.63 years, SD = 1.92 years), (2) children who had a history of simple craniosynostosis not involving the metopic suture (M= 7.54 years, SD = 1.88 years), and (3) a group of children diagnosed with ADHD (M=7.78 year, SD = 1.87 years). It was found using the Home and School versions of the Attention Deficit Disorders Evaluation Scale (ADDES) that children with a history of metopic synostosis demonstrate significantly more behavioral disturbances than children with a history of simple craniosynostosis not involving the metopic suture. Using the BASC Teacher Rating Form it was found that children with a history of metopic synostosis have a behavior pattern similar to children diagnosed with ADHD and a dissimilar behavior pattern compared to children who have a history of craniosynostosis not involving the metopic suture. Using the BASC Parent Rating Form it was found that children with a history of metopic synostosis have a behavior pattern dissimilar to children diagnosed with ADHD and a dissimilar behavior pattern compared to children who have a history of craniosynostosis not involving the metopic suture.

Attention Deficit/Hyperactivity Disorder (ADHD) is one of the most commonly diagnosed disorders of childhood. This study was designed to evaluate the effectiveness of combined parent training and structured group therapy with children diagnosed with ADHD. The study sought to evaluate the amount of parent training needed to lead to significant changes in children and parents. Families were assigned to a wait-list control condition or to one of two parent treatment conditions: a complete parent group or a handout-only group. Children participated in a seven session social skills and behavior management group. The treatments were designed to concurrently enhance skills of both parents and children. Dependent measures assessed change in the following three areas: (1) child symptomatic behaviors, (2) parental attitudes, and (3) parental behaviors. Results showed that the full parent group led to greater levels of improvement in both child behavior problems and parental feelings of stress and control. The full parent group also led to greater consistency in parenting methods. Findings in the study are discussed in the context of the parent-child coercive cycle model.