A dissertation submitted in partial fulfilment for the requirements of the degree of Master of Arts in Clinical Psychology at the University of Zululand, South Africa, 2004. / The use of drug stimulation to treat children who have been diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) sparks much controversy. Parental perception of this practise is crucial since it is the parents that have the task of making this sensitive decision. In order to subjectively explicate parental feelings regarding this issue, a qualitative approach was considered appropriate in this study. The study sought to highlight the views of parents around the use of stimulant medication in the treatment of ADHD. In- depth interviews of the four participants were audio taped and then transcribed verbatim. The interviews were unstructured and an open- ended question guideline was utilised. The interviews underwent stringent thematic analysis. Amongst others, the major themes that emerged were those of guilt, frustration, resignation and the strained mother- child relations associated with infant behaviour and the diagnosis. Findings revealed mixed feelings around the use of medication with Ritalin being the most commonly prescribed. However, even though there are mixed feelings associated with medication use, the positive outcomes of this practise outweigh the negative aspects. Although the benefits are great, the future risk of long-term use of stimulant medication is unknown

The aim of the study was to investigate educators’ knowledge and attitudes towards children with Attention Deficit Hyperactivity Disorder (ADHD). In particular the study sought: 1. To determine the level of educators knowledge and attitudes about ADHD 2. To ascertain whether or not is a significant difference in attitude between educators in the mainstream school and those in the resource centre (remedial school);and 3. To determine the relationship, if any, between educators’ perceptions of ADHD children and certain educators’ characteristics discussed further in the study. In this study, the focus was on primary school learners. Primary school learners are learners who are between grades one and seven. The target population was primary school educators in a mainstream school and in a resource centre. Sixty nine educators were divided into two groups:48 educators taught at a mainstream school (Group 1) and 21 educators teach at a resource center (remedial school) and deal with ADHD cases regularly (Group 2).A questionnaire was given to each responded as a method of data collection instrument. xiv The study concludes that mainstream education for ADHD children (with individualized education if necessary) causes considerable difficulty for all concerned. The educators’ attitudes towards ADHD children were far from ideal, and their knowledge is insufficient. One interesting finding from this study was that knowledge of Special Education seems to have a positive influence on the educators’ attitude towards learners with ADHD.

Attention-deficit/hyperactivity disorder (ADHD) is a commonly diagnosed disorder that is associated with many negative outcomes. For many children, the disorder is comorbid with externalizing and/or internalizing problems. Understanding the correlates of comorbid problems in children with ADHD could be important for better treatment and/or prevention strategies. The purposes of this study were (a) to determine what parent-related and child-related characteristics are associated with externalizing or internalizing problems in children with ADHD, and (b) to determine if there are differences in these characteristics between a group of children with ADHD and externalizing problems, and a group of children with ADHD and externalizing and internalizing problems. Results indicated that parent anxiety, parent aggression, and child hostility were associated with internalizing problems. Child aggression was associated with externalizing problems. Results also indicated that children with ADHD and externalizing and internalizing problems had significantly more hostility than children with ADHD and externalizing problems only.

Research shows that religious people have higher levels of self-control. Scientists also hypothesize that individuals with Attention Deficit Hyperactivity Disorder (ADHD) are less likely to participate in religious services which require long periods of attention and self discipline. However, little research has investigated the potential relationship between ADHD and religious participation. Using the National Longitudinal Study of Adolescent Health (Add Health), this study finds (1) mothers’ prayer frequency is marginally related to children’s ADHD symptoms and diagnosis although other religious indicators are not significantly related, (2) childhood religious involvement and affiliation are not significantly related to ADHD symptoms and diagnosis, and (3) childhood ADHD is not significantly related to adult religious involvement and affiliation.

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The current study examined verbal and visuospatial memory abilities as potential mediators of the relationship among ADHD behavior problems and near- and long-term scholastic achievement. Scholastic achievement was measured initially and at 4-year follow-up in an ethnically diverse sample of children (N = 325). Nested composite (reading, math, language) and domain-specific reading structural equation models revealed that ADHD behavior problems exerted a negative influence on scholastic achievement measures, both initially and at follow-up. Much of this influence, however, was mediated by verbal memory’s contribution to near-term achievement, whereas visuospatial memory contributed more robustly to long-term achievement. For the domain-specific math achievement model, the collective influence of verbal and visuospatial memory fully mediated the direct influence of ADHD behavior problems on nearterm math achievement, and visuospatial memory alone contributed to both near- and long-term achievement. In all models, measured intelligence made no contribution to later achievement beyond its initial influence on early achievement. The results contribute to the understanding of the developmental trajectory of scholastic achievement, and have potential implications for developing remedial programs targeting verbal and visual memory deficits in children with ADHD behavior problems

The current study investigates two recently identified threats to the construct validity of behavioral inhibition as a core deficit of attention-deficit/hyperactivity disorder (ADHD) based on the Stop-signal task: calculation of mean reaction time from go-trials presented adjacent to intermittent stop-trials, and non-reporting of the stop-signal delay metric. Children with ADHD (n=12) and typically developing children (TD) (n=11) were administered the standard stop-signal task and three variant stop-signal conditions. These included a No-Tone condition administered without the presentation of an auditory tone; an Ignore-Tone condition that presented a neutral (i.e., not associated with stopping) auditory tone; and a second Ignore-Tone condition that presented a neutral auditory tone after the tone had been previously paired with stopping. Children with ADHD exhibited significantly slower and more variable reaction times to go-stimuli, and slower stop-signal reaction times (SSRT) relative to TD controls. Stop-signal delay (SSD) was not significantly different between groups, and both groups' go-trial reaction times slowed following meaningful tones. Collectively, these findings corroborate recent meta-analyses and indicate that previous findings of stop-signal performance deficits in ADHD reflect slower and more variable responding to visually presented stimuli and concurrent processing of a second stimulus, rather than deficits of motor behavioral inhibition.

The purpose of this study was to explore if Attention Deficit Hyperactive Disorder (ADHD) is related to identity in undergraduate adults, as well as their self-esteem. Also investigated was whether prior diagnosis (including early detection versus later-in-life detection) would be related to higher self-esteem and healthier identity formation. College students in large metropolitan southeastern universities enrolled in psychology classes (N = 368) took an anonymous online self-report survey battery in exchange for course credit. The screening tool for ADHD identified close to 50% of the sample as possibly having ADHD, which is much higher than any previous study has reported. Possible reasons for and implications of this surprising finding are also discussed. Those that met the screening criteria for ADHD had significantly higher levels of identity distress and unproductive ruminative identity exploration. They also had higher levels of identity exploration in depth and lower levels of identification with identity commitments. Those with previous diagnosis of ADHD reported lower levels of self-esteem than those who met the screening criteria used in this study, but had never been diagnosed, suggesting that the diagnostic label itself might be contributing to the lower levels of self-esteem.

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