Australian Aboriginal perspectives of attention deficit hyperactivity disorder

Loh, Pek Ru; Hayden, George; Vicary, David; Mancini, Vincent; Martin, Neilson; Piek, Jan P.

doi:10.1177/0004867415624551

Cited by 12 publications

(11 citation statements)

References 2 publications

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“…Studies on indigenous peoples' attitudes find parental behavior of the kind identified in this study (Loh et al, 2016;Oldani, 2009). Aboriginal parents in Western Australia, for example, accept their children as normal even when professionals interpret the youngsters' behavior as typical of people with ADHD.…”

Section: Attitude Toward Adhdmentioning

confidence: 74%

“…Aboriginal parents in Western Australia, for example, accept their children as normal even when professionals interpret the youngsters’ behavior as typical of people with ADHD. Thus, they allow them to misbehave at family activities and refrain from defining them as with ADHD and medicating them with Ritalin (Loh et al, 2016). A Canadian study yielded similar findings: A mother of indigenous origin excused her children’s maladjusted behavior as occasioned by poor character due to unsuccessful education.…”

Section: Discussionmentioning

confidence: 99%

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Negev Bedouin Teachers’ Attitudes Toward ADHD and Its Pharmacological Treatment

Fleischmann

Dabbah²

2018

Qual Health Res

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Little is known about the attitudes of Negev Bedouin toward attention-deficit/hyperactivity disorder (ADHD) and its pharmacological treatment. This study examines the perspectives of Negev Bedouin teachers on pharmacological treatment. Thirty-six teachers are asked to consider how their views influence the way they relate to pupils’ parents. A grounded-theory analysis of semistructured interviews illuminates ambivalence in teachers’ attitudes. Teachers, like the rest of their community, when asked about the implications of an ADHD evaluation for their children, respond that ADHD and its pharmacological treatment cause dishonor. When asked what ADHD means when it is their pupils who are diagnosed and treated, however, teachers, like the education establishment, accept the need for medication. However, they fail to communicate this need to parents because their attempts to do so show parents that they consider their children “flawed”—causing parents to oppose treatment even more lest they succumb to social stigma.

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Section: Attitude Toward Adhdmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Negev Bedouin Teachers’ Attitudes Toward ADHD and Its Pharmacological Treatment

Fleischmann

Dabbah²

2018

Qual Health Res

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“…Families saw a need for interventions and resources that recognised these differences and involved the wider family unit. 46 Deficit-focused, Western-based assumptions about Aboriginal health including CBD can have negative implications for Aboriginal people. It is important to continue to advocate for the voices and knowledge systems of Aboriginal people to be recognised.…”

Section: Cbds Amongst Aboriginal Peoplementioning

confidence: 99%

What does the term childhood behavioural disorders mean in the context of Aboriginal culture within Australia? Part 2: Historical and social context

Rungan

Liu

Edwige

et al. 2022

J Paediatrics Child Health

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Childhood behavioural disorders (CBDs) are a common reason for referral to paediatric services and are associated with negative individual and societal outcomes. This article addresses how childhood became a distinct entity and how historical changes shaped its definition. Thereafter, the evolution of diagnostic criteria for CBD and associated limitations will be summarised. This will be followed by a discussion about Aboriginal culture, and the impact of colonisation on social and emotional well‐being. This will provide a contextual frame for understanding how social and cultural context influences diagnoses of CBD in Aboriginal children. From this, a conversation about the journey moving forward will begin.

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“…Other authors have noted that the variability of mental disorders point prevalence rates is reduced when the cultural variation of the countries sampled are limited (Canino et al, 2010) and First Nations specific understandings of Western constructs of ADHD, ODD, CD and anxiety/depressive disorders are ascertained (Betancourt et al, 2009). Finally, the advantages of First Nations people and mental health professionals working collaboratively and as co-investigators in a mutually beneficial dialogue with shared understandings of symptoms and their associated impairment in a variety of domains, have been outlined internationally (Storck et al, 2009) and in Australia (Loh et al, 2016). An additional important issue in determining the point prevalence of mental disorders in First Nations young people is community versus clinic referred case ascertainment.…”

Section: Introductionmentioning

confidence: 99%

Key demographic and mental disorder diagnostic differences between Australian First Nations and non-First Nations clinic-referred children and adolescents assessed in a culturally appropriate and safe way

Vance

Winther

McGaw

et al. 2021

Aust N Z J Psychiatry

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Objective: Increased point prevalence rates of oppositional defiant disorder and conduct disorder have been reported in American Indian and Canadian First Nations children and adolescents. To date, in Australia, there has been no published examination of standardized Diagnostic and Statistical Manual mental disorder diagnoses in First Nations children and adolescents, determined after addressing key cultural methodological issues. Methods: In all, 113 First Nations children and adolescents and 217 non-First Nations young people, aged 6–16 years, age, gender, mental disorder symptom severity, symptom-linked distress and impairment matched were recruited in a case control study. Also, 112 typically developing non-First Nations participants, age and gender matched to the other two clinical groups as a second comparison group were recruited. Diagnostic and Statistical Manual mental disorder diagnoses via semi-structured clinical interview, social adversity status and full scale IQ were determined in all participants with cultural validity and reliability of the impairing patterns of symptoms in First Nations young people determined by First Nations mental health staff and Aboriginal Health Liaison Officers. Full scale IQ and social adversity status were appropriately controlled in the Logistic Regression analyses of Diagnostic and Statistical Manual mental disorder diagnoses between the two clinical groups. Results: Oppositional defiant disorder was the only diagnostic and statistical manual mental disorder diagnosis that differed between the First Nations and non-First Nations clinical groups, adjusting for confounding by social adversity status and full scale IQ in the multivariable model. The point prevalence of oppositional defiant disorder was 2.94 times higher (95% confidence interval: 1.14–7.69) among the First Nations compared to the non-First Nations clinical group. Conclusion: Key known risk factors for oppositional defiant disorder can be identified early and holistically managed in First Nations young people. This will prevent oppositional defiant disorder decreasing their access to mental health services and increasing their involvement in the criminal justice system. In addition, the resilience building aspects of oppositional defiant disorder that may enhance self-respect need to be nurtured.

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Australian Aboriginal perspectives of attention deficit hyperactivity disorder

Cited by 12 publications

References 2 publications

Negev Bedouin Teachers’ Attitudes Toward ADHD and Its Pharmacological Treatment

Negev Bedouin Teachers’ Attitudes Toward ADHD and Its Pharmacological Treatment

What does the term childhood behavioural disorders mean in the context of Aboriginal culture within Australia? Part 2: Historical and social context

Key demographic and mental disorder diagnostic differences between Australian First Nations and non-First Nations clinic-referred children and adolescents assessed in a culturally appropriate and safe way

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