Emotional/Behavioral Problems and Functional Impairment in Clinic- and Community-Based Children with Attention-Deficit/Hyperactivity Disorder in Taiwan

Gau, Susan Shur‐Fen; Lin, Yu‐Ju; Shang, Chi-Yung; Liu, Shih-Kai; Chiu, Yen-Nan; Soong, Wei‐Tsuen

doi:10.1007/s10802-009-9381-6

Cited by 30 publications

(19 citation statements)

References 40 publications

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“…In this context, it has been claimed that, due to its strong genetic component, parents of affected children may be more likely to have had ADHD themselves and, as a consequence, to have not been able to achieve higher education levels [41]. In contrast, the observation that a higher level of maternal education was associated with a greater prevalence of ADHD in offspring has not been reported before; but it is consistent with what Gau et al [42] have found: a positive association between the number of psychiatric referrals and higher maternal education levels in children with ADHD. This, in turn, suggests that mothers of higher education may be more likely to be aware of their children’s problematic behaviours and have more knowledge about ADHD.…”

Section: Discussionsupporting

confidence: 85%

Prevalence of and Associated Factors for Adult Attention Deficit Hyperactivity Disorder in Young Swiss Men

et al. 2014

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ObjectiveThe present study aimed to measure the prevalence of adult attention deficit hyperactivity disorder (ADHD) in a large, representative sample of young Swiss men and to assess factors associated with this disorder.MethodsOur sample consisted of 5656 Swiss men (mean age 20 years) who participated in the Cohort Study on Substance Use Risk Factors (C-SURF). ADHD was assessed with the World Health Organization (WHO) adult ADHD Self Report Screener (ASRS). Logistic regression analyses were conducted to assess the association between ADHD and several socio-demographic, clinical and familial factors.ResultsThe prevalence of ADHD was 4.0%, being higher in older and French-speaking conscripts. A higher prevalence also was identified among men whose mothers had completed primary or high school/university and those with a family history of alcohol or psychiatric problems. Additionally, adults with ADHD demonstrated impairment in their professional life, as well as considerable mental health impairment.ConclusionOur results demonstrate that ADHD is common among young Swiss men. The impairments in function and mental health we observed highlight the need for further support and interventions to reduce burden in affected individuals. Interventions that incorporate the whole family also seem crucial.

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Section: Discussionsupporting

confidence: 85%

Prevalence of and Associated Factors for Adult Attention Deficit Hyperactivity Disorder in Young Swiss Men

et al. 2014

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“…Therefore, it is not possible to determine whether this sample also represents other children that were not recruited and whether cooperation is confounded with ADHD variables. This limitation is typical to most clinic-based ADHD studies around the world (Lee and Ousley, 2006; Gau et al, 2010). Another limitation of the study is the exclusion of ADHD children with severe comorbidities.…”

Section: Discussionmentioning

confidence: 99%

Maturational delay in ADHD: evidence from CPT

Berger

Slobodin

Aboud

et al. 2013

Front. Hum. Neurosci.

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While data from behavioral, neuropsychological, and brain studies suggested that Attention-Deficit/Hyperactivity Disorder (ADHD) is related to a developmental lag that reduces with age, other studies have proposed that ADHD represents a deviant brain function. The present study used a cross-sectional approach to examine whether ADHD children show a developmental delay in cognitive performance measured by continuous performance test (CPT). We thus, compared six age groups of ADHD children (N = 559) and their unaffected peers (N = 365), aged 6–11, in four parameters of MOXO-CPT performance: Attention, Timing, Hyperactivity and Impulsivity. Results have shown that despite improvement in CPT performance with age, ADHD children continued to demonstrate impaired performance as compared to controls. In most parameters, CPT performance of ADHD children matched that of 1–3 years younger normal controls, with a delay most prominent in older children. However, in the Hyperactivity parameter, ADHD children's performance resembled that of much younger healthy children, with almost no evidence for a developmental catch up. This study suggests that while some cognitive functions develop slower but normally, other functions (e.g., inhibitory control) show a different trajectory.

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“…None of these studies, however, reported rates or levels of functional impairment. Researchers have assessed functional impairment in relation to specific disorders in other Asian countries (e.g., ADHD in Taiwan [19]; war-related PTSD in Sri Lanka [20], but not global functional impairment.…”

Section: Introductionmentioning

confidence: 99%

Functional impairment and mental health functioning among Vietnamese children

Dang

Weiss

Trung

2015

Soc Psychiatry Psychiatr Epidemiol

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Purpose Functional impairment is a key indicator of need for mental health services among children and adolescents, often a stronger predictor of service usage than mental health symptoms themselves. Functional impairment may be of particular importance in low and middle income countries (LMIC) because of its potential to focus policy on treatment of child mental health problems which is generally given low priority in LMIC. However, few studies have assessed functional impairment in LMIC. The present study assessed rates of functional impairment among children in Vietnam, as a case example of an LMIC, as well as effects of other risk/protective factors of particular relevance to LMIC (e.g., whether the family lived in an urban or rural area; family structure variables such as grandparents living with the family). Methods 1,314 parents of children 6–16 years old from 10 Vietnamese provinces were interviewed. Results The overall rate of functional impairment among Vietnamese children was 20%, similar to rates in high income countries such as Germany and the United States, suggesting that LMIC status may not be associated with dramatic increases in functional impairment in children. Functional impairment was significantly greater among mental health cases than non-cases, with increases of over 550% associated with mental health caseness. A number of other risk factors (e.g., marital status) had smaller but significant effects. Conclusions Mental health problems are a major but not the sole contributor to functional impairment among Vietnamese children. The pragmatic significance of this research lies in its potential to affect public awareness and policy related to child mental health in LMIC.

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Emotional/Behavioral Problems and Functional Impairment in Clinic- and Community-Based Children with Attention-Deficit/Hyperactivity Disorder in Taiwan

Cited by 30 publications

References 40 publications

Prevalence of and Associated Factors for Adult Attention Deficit Hyperactivity Disorder in Young Swiss Men

Prevalence of and Associated Factors for Adult Attention Deficit Hyperactivity Disorder in Young Swiss Men

Maturational delay in ADHD: evidence from CPT

Functional impairment and mental health functioning among Vietnamese children

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