Background: In recent years the incidence of Attention Deficit/Hyperactivity Disorder (ADHD) has increased. Objectives: The primary aim of the study was to determine the treatment of children and adolescents diagnosed with ADHD in South Africa and more specifically the Eastern Cape. Methods: The study consisted of two parts, a retrospective drug utilisation study and a questionnaire survey. The drug utilisation study was conducted on chronic medication records of a private sector medical scheme administrator and contained records from 1994 to 2006. A total of 42 250 records representing 8 274 patients and 4 001 families, were analysed. The questionnaire survey was conducted in the Eastern Cape. The questionnaires were distributed by responsible pharmacists to parents of children receiving medication for the treatment of ADHD from his/her pharmacy. Fifty one completed questionnaires were analysed. Results: The average age of patients in the drug utilisation study were 14.28 (SD = 5.50) years. Males represented 77.37 percent of patients. Ritalin® 10 mg was the most frequently prescribed methylphenidate-containing product, followed by Ritalin® LA 20 mg. The two most frequently prescribed active ingredients apart from methylphenidate were fluticasone and budesonide. The two most common comorbid conditions were allergic rhinitis and asthma. The average age of patients in the questionnaire survey was 10.26 (SD = 2.51) years. Males represented 73.58 percent of patients. A third of patients had relatives previously diagnosed with ADHD. Ritalin® 10 mg was the most frequently prescribed methylphenidate-containing product. Conclusion: ADHD is a complex life-long disorder. It does not only affect the child diagnosed with the disorder, but also has effects on the family, schooling system and peer relationship. Therefore, more studies regarding the incidence and treatment of ADHD need to be conducted in South Africa.

M.A. (Psychology) / Please refer to full text to view abstract

A research report submitted to the Faculty of Humanities University of the Witwatersrand, Johannesburg, in partial fulfilment of the requirements for the degree of Master of Arts (Research Psychology), 2017 / ADHD is one of the most prevalent disorders in child psychiatry today. Whilst the phenomenon of ADHD is well researched in Europe and North America, there are limited studies available in South Africa that explore the link between ADHD and different forms of schooling. Furthermore, few studies focus on the children who have been socially positioned in this way. This study focused on the prevalence of ADHD with a particular aim to explore how gender, race and class play out in an unequal schooling system. The secondary aim was to contribute to the knowledge about adolescents’ own understandings and experiences of ADHD. The research was conducted in two distinct phases, Phase 1 included the administration of a demographic questionnaire to determine the prevalence of the disorder within four different Gauteng schools. Phase 2 of the project included semi-structured interviews to explore the understandings, perceptions and experiences of children living with this diagnosis. This study explored the prevalence of ADHD across four different schools in Gauteng. Results of the study propose that the diagnosis and prevalence of this phenomena is strongly influenced by gender, race and class, as the majority of children diagnosed are boys (65%), more than half are from upper class families (61%) and most of the children are white (71%). The adolescents who were interviewed indicated that teachers were mostly the initiators of their diagnosis due to deviations from classroom behaviour and academic performance. While the children claimed that the diagnosis and the medication had certain benefits, they also identified distinct disadvantages with the most notable adverse effects on mood and interactions with their peers. The predominant biomedical view of the disorder seemed to be internalised by the children which positioned them in a subordinate relationship with health care professionals. A strong theme of disempowerment emerged, with medical experts and mothers, identified as gatekeepers to their sense of agency. / XL2018