According to DSM-IV criteria a child has attention-deficit hyperactivity disorder (ADHD) if the child consistently shows one or more of the following characteristics over a period of time, and to a degree that is maladaptive and inconsistent with the child's developmental level: (1) inattention, (2) hyperactivity, and (3) impulsivity (Santrock, 2002). Despite the years of research and the advances in understanding and treating children with ADHD, the disorder continues to be a serious educational and social impairment (Weiss & Hechtman, 1993). When examining the literature on ADHD, what is very clear is the scarcity of published literature that draws from parental perceptions on the disorder. If we are to fully understand ADHD and the effect that it has upon our society it is vital that a candid examination of parents' perceptions occur. This qualitative, phenomenological study used in-depth interviews to explore parents' perceptions of raising a child with ADHD. The present study focused on parents' perceptions regarding five aspects of raising children with ADHD, namely: 1) parents' perceptions regarding their interaction with health professionals and the child's use of medication, 2) parents' perceptions regarding the effects of ADHD on family life, 3) parents' perceptions about their ADHD child and the school experience, 4) parents' concerns and hopes for their ADHD child, and 5) getting through the day and advice for other parents of ADHD children. A number of implications for health and educational professionals arose from the current study's examination of parents' experiences, insights, and strategies for dealing with the ADHD child. Parents also discussed their concerns for the future for their ADHD child and offered valuable advice for other parents whose child has just been diagnosed with ADHD. How parents view the experience of raising a child with ADHD, their feelings about the experience, the actions that they take, and the strategies that they use to cope is important information that will assist in understanding and interacting with families who have a child with ADHD. / Psychology / D.Litt. et Phil. (Psychology)

The aim of this study was to investigate the experiences of mothers of primary school learners diagnosed with attention deficit hyperactivity disorder (ADHD). The main determinant of parenting stress was contained in the primary symptoms of ADHD, namely, attention deficit, hyperactivity and impulsive behaviour, as well as in the disruptive effects on others in the immediate environment. The three primary symptoms of ADHD as listed above, often result in such secondary problems as learning deficiencies, poor self-image and inadequate social relations. Seven mothers of learners with ADHD were selected to participate in the empirical investigation. A qualitative research model was employed with specific use of a list of questions, participatory perception and unstructured interviews. Results obtained from the empirical research indicated that the symptoms of ADHD as manifested by the learners, as well as the accompanying secondary problems, impacted negatively on the mothers of these learners. / Educational Studies / M. Ed. (Skoolvoorligting)

Learners with Attention Deficit Hyperactivity Disorder (ADHD) traditionally display disruptive and other associated negative behaviour in the classroom setting. Behaviour management strategies utilised by the teacher in the school environment can assist in reducing this type of behaviour that impacts negatively upon their academic performance. This research study develops and investigates the effectiveness of a programme of practical behaviour management strategies designed to reduce disruptive behaviour of learners with ADHD in the classroom. / Educational Studies / M. Ed. (Educational Psychology)

Psychology / M.A. (Psychology)

M.A. / Attention Deficit Hyperactivity Disorder (ADHD) affects between 1% and 20% of school-aged children. Many aspects of the disorder remain largely speculative including the treatment of it, and often these children experience significant learning, social and emotional difficulties from their childhood years through to adulthood. Pharmacological treatment of the disorder has gained wide acceptance and it has achieved much success in bringing about positive short-term changes in the behaviours of such children. However the long-term efficacy of medication still remains questionable and many children do not respond well to or do not tolerate such treatment. The use of psychological interventions for this condition has not received as much support as that of medication. While research shows that some psychological approaches have virtually no effect others have shown limited benefits. Taking into account the previous research conducted into the benefits of the psychological treatment of ADHD and through examining the limitations of these approaches, the present research aims to establish an effective psychological intervention in the treatment of this condition. This intervention follows the format of a Parent-training based Cognitive-Behavioural programme making use of Barkley's theory that Behavioural Inhibition is the central impairment in Attention Deficit Hyperactivity Disorder. Therefore the hypotheses of this research are twofold. Firstly, that psychological interventions can make a positive contribution to the treatment of this condition and secondly, that this parent-training based cognitive-behavioural progra

Background: The ideal treatment of Attention-Deficit/Hyperactivity Disorder is a highly debated issue. Opposition to pharmacological treatments has resulted in the popular use of non-pharmacological measures which are not necessarily efficacious for the management of ADHD. Objectives: The primary aim was to evaluate the treatment of children and adolescents diagnosed with ADHD in South Africa. Methods: The study consisted of two parts, a drug utilisation review (DUR) and questionnaire-based surveys. The DUR was conducted using a database containing central nervous system (CNS) drug prescriptions which were dispensed during 2008. A total of 21 650 prescriptions dispensed to 7 202 patients constituted the Primary study population which was analysed. The questionnaires were distributed to the parents/caregivers of children diagnosed with ADHD. A response rate of 20.81 percent was obtained. Results: The average age of patients in the DUR was 11.60 ±3.01 years. Male patients represented 74.09 percent (5 336: n = 7 202) of patients. Methylphenidate was the most commonly prescribed of the two drugs indicated for the treatment of ADHD (85.89 percent, 18 956: n = 21 650). A prescribing bias by practitioners in different parts of South Africa was identified. Drug holidays were identified during March and December of 2008. The average age of patients in the questionnaire was 10.67 ±2.83 years, with a male patient majority (86.11 percent, 31: n = 36). Methylphenidate was the most commonly used prescription treatment (93.75 percent, 30: n = 32). Drug holiday use was reported in 56.25 percent (18: n = 32) of patients. Most participants reported supplement use (83.33 percent, 30: n = 36), but 86.67 percent (26: n = 30) of these participants did not find them useful. Conclusion: ADHD is a poorly understood disorder which affects people in all spheres of life. Treatment of the disorder should be individualised and based on scientifically proven effectiveness. Further studies, both in South Africa and worldwide, need to be conducted on the treatment of ADHD

This study examined the effect of preweanling methyphenidate exposure on later drug reward. We examined the induction, extinction, and reinstatement of morphine induced conditioned place preference (CPP) in rats that received methylphenidate pretreatment during the preweanling period.

MPM / Oliver Tambo Institute of Governance and Policy Studies

PhD (Psychology) / Department of Psychology. / Attention Deficit Hyperactivity Disorder (ADHD) is the most common diagnosed neurocognitive behavioural developmental disorder among school going–age children. ADHD in most instances is found to comorbid with internalising disorders such as anxiety and depression, therefore causing impairment on behaviour, emotions, academic, social and many areas of functioning. The existence of comorbid internalising disorders complicates the presentation of ADHD symptoms than if it was pure ADHD. The aim of the study was to explore the comorbidity of internalising disorders and ADHD symptoms. The study investigated whether children with ADHD have more symptoms of anxiety and depression than children without ADHD. The study went further to investigate whether children with ADHD have low self-esteem than children without ADHD. Also, that internalising comorbidities (anxiety and depression) are more prevalent in girls than in boys who have more externalising comorbidities which are Oppositional Defiant Disorder (ODD) and Conduct Disorder (CD) and anger issues. The null hypotheses further showed that, children with ADHD do not have more symptoms of anxiety and depression than children without ADHD. Moreover, children with ADHD have no lower self-esteem than children without ADHD. Also, internalising disorders (anxiety and depression) are not prevalent in girls than in boys who do not exhibit more externalising disorders which are Oppositional Defiant Disorder (ODD), Conduct Disorder (CD) and anger issues. The study was conducted in Lepelle-Nkumpi Municipality in Lebowakgomo sub circuit. A total of 250 children (94 boys and 156 girls, aged 6 – 12) who were purposively selected participated in the study. A total of 125 clinically diagnosed ADHD were matched to 125 control group for age and gender. Participants were assessed on a battery consisting of Parent/Teacher Disruptive Behavioural Rating Scale (DBD), which was used to assess the presence and degree of ADHD- related symptoms (inattention and hyperactive/ impulsive); Oppositional Defiant Disorder and Conduct Disorder and Beck Youth Inventory Second Edition (BYI II), which was used to assess emotional and psychological issues that children experience. ADHD scores obtained on the DBD scale were correlated with scores obtained on BYI II scale. The study only focused on learners from primary schools in Lepelle-Nkumpi in Lebowakgomo sub circuit. In this research study, children who were reported to have a history of neurological problems such as head injurie, epilepsy, cerebral palsy or severe psychiatric disorders were excluded from the study. The results were analysed using the analysis of variance (ANOVA) and post hoc benferoni analysis to determine the significant difference within ADHD subtypes. Results of the study showed that children with ADHD had comorbid internalising disorders (anxiety and depression) when compared to their neurotypical group. Both boys and girls with a clinical diagnosis of ADHD showed symptoms of anxiety and depression. More symptoms of anxiety and depression were observed within the ADHD-HI, ADHD-PI and ADHD-C subtypes. Comorbid internalising disorders (anxiety and depression) were also associated with impairments with ADHD symptom, in particular inattention. Children with ADHD also showed more symptoms of low self-esteem when compared to their neurotypical group. Both boys and girls showed significant difference level of low self-esteem in all ADHD subtypes (ADHD-HI, ADHD-PI and ADHD-PI). The results further revealed that both boys and girls equally showed symptoms of comorbid internalising disorders (anxiety and depression), whereas girls showed significantly more symptoms of externalising comorbidities such as ODD, CD and anger issues. In conclusion, the findings suggest that the comorbidity of internalising disorders in a clinically diagnosed child with ADHD worsens or complicates the child’s expected normal functioning unlike when the child was presenting with only ADHD. The results further suggest that a child with clinical diagnosis has double impairment as a result of many impairments which are occurring at the same time. Moreover, the existence of externalising comorbidities which are salient in girls with ADHD may require proper screening and assessment. / NRF

Attention deficit hyperactivity disorder, ADHD, är en av de vanligaste neuropsykiatriska funktionsnedsättningarna hos barn och ungdomar. Funktionsnedsättningen påverkar barnet i både skola, sociala sammanhang och i familjelivet. Detta påverkar i sin tur föräldrars liv. Syfte: Syftet med denna studie var att beskriva föräldrars upplevelse av att leva med barn med ADHD. Metod: Datainsamlingen genomfördes med semistrukturerade intervjuer med tre föräldrar till barn som har diagnosen ADHD samt text från fem föräldrars bloggar. Data analyserades med kvalitativ innehållsanalys med manifest ansats. Resultat: Fyra kategorier framkom i analysen: Att föräldraskapet är utmanande; Att känna sig missförstådd och frustrerad; Att känna trygghet och gemenskap samt Att känna lättnad när livet fungerar. Slutsats: Föräldrar upplevde utmaningar med föräldraskapet, men föräldrautbildning kunde bidra till att stärka föräldrar och öka deras kunskap att hantera vardagen och därigenom få ökad empowerment. Det skulle bidra till att de hade verktyg att stärka barnets självkänsla, vilket kunde öka barnets resiliens mot psykisk ohälsa och bidra till välmående genom livet för barnet och familjen med ADHD.