Evaluation of attitudes towards treatment in adolescents with attention deficit hyperactivity disorder (ADHD)

Ferrín, Maite; Ruiz‐Veguilla, Miguel; Blanc-Betes, Maria; El, Samaa; Lax-Pericall, Teresa; Sinclair, Maxine; Taylor, Eric

doi:10.1007/s00787-012-0277-6

Cited by 28 publications

(34 citation statements)

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“…47 Ferrin et al developed a 33-item questionnaire on attitudes towards treatment for ADHD, and while this instrument does not directly target stigma measurement, parental responses identified a threeitem social stigma subscale in exploratory factor analysis. 49 The authors caution that social stigma is too complex a construct to be fully covered in their treatment-attitudes questionnaire and suggest that social stigma perceptions deserve separate evaluation (see page 396). 49 The study established internal consistency and factor structure of the 26-item ADHD stigma questionnaire (ASQ) for teachers.…”

Section: Stigma Measurementmentioning

confidence: 99%

“…49 The authors caution that social stigma is too complex a construct to be fully covered in their treatment-attitudes questionnaire and suggest that social stigma perceptions deserve separate evaluation (see page 396). 49 The study established internal consistency and factor structure of the 26-item ADHD stigma questionnaire (ASQ) for teachers.…”

Section: Stigma Measurementmentioning

confidence: 99%

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Stigmatization and self-perception of youth with attention deficit/hyperactivity disorder

Bussing¹,

Mehta²

2013

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Increasing numbers of families must learn to manage their child's attention deficit/ hyperactivity disorder (ADHD) through multimodal interventions that may include psychosocial, educational, and medication treatments. Like others with mental disorders, youth with ADHD face significant stigma in its various forms, including public (expressed as prejudice and discrimination), courtesy (stigma suffered by family members or associates of individuals with ADHD), and self-stigma (stigmatized individual's acceptance of negative views by others). Successful ADHD management requires awareness of stigma and of its potential adverse consequences on treatment initiation and persistence, but also calls for effective means to combat it. This review on stigmatization and self-perception of youth with ADHD first considers the current context of management and treatment options. Next, we appraise recent research in ADHD stigma measurement, identifying a dearth of validated tools and a need for additional instrument development, especially brief measures suitable for clinical encounters. The review then addresses studies of public stigma from the perspectives of youth and adults. A number of qualitative studies document the ubiquitous nature of public stigma experiences associated with ADHD from the perspectives of caregivers. Notably, impressions gathered in qualitative research are confirmed through quantitative studies of representative youth and adult samples, such as the National Stigma Study -Children, which report considerable stigmatization of ADHD by the general public. Unlike public stigma, courtesy stigma has not been examined through large-scale quantitative studies. However, courtesy stigma has been amply documented in qualitative research as a phenomenon experienced at various ecological levels, within the dyadic relationship with the affected child to interactions with immediate and extended family, community, and health and educational systems. Very limited research could be identified for self-stigma of youth affected by ADHD, with reports of lowered self-esteem in response to public stigma. General societal antistigma programs have been developed and implemented, consisting of three paradigms -protest, education, and contact -but insufficient guidance exists for ADHD treatment providers on how to combat stigma experienced by individual patients with ADHD and their families. Keywords: attention deficit/hyperactivity disorder, stigma, public stigma, courtesy stigma, self-stigma, treatment barriers Management issues in attention deficit/ hyperactivity disorderAttention deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder with childhood onset, characterized by severe and pervasive patterns of inattention, hyperactivity, and impulsivity in more than one setting, and associated with significant functional impairment.1 Increasing numbers of families must learn to manage their child's ADHD, because this disorder is among the most commonly diagnosed neurobehavioral 2 An important aspec...

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Section: Stigma Measurementmentioning

confidence: 99%

Section: Stigma Measurementmentioning

confidence: 99%

Stigmatization and self-perception of youth with attention deficit/hyperactivity disorder

Bussing¹,

Mehta²

2013

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“…In ADHD, beliefs and attitudes are reported to influence the use of medication (Charach et al, 2014;Ferrin et al, 2012). For instance, having concerns about the safety of stimulant treatment has been related to low adherence in children (Gau et al, 2008), while positive attitudes have been associated with higher adherence in adolescents (Ferrin et al, 2012). In addition, feeling knowledgeable about the ADHD medication has been demonstrated to influence the willingness to use it (Bussing et al, 2012).…”

Section: Factors With Possible Influence On Adherence Behaviour In Asmentioning

confidence: 99%

“…In asthma, beliefs about the necessity (Axelsson et al, 2015;Koster et al, 2014;Menckeberg et al, 2008) and effectiveness (Ulrik et al, 2006) of medication as well as having more knowledge about medication (ICS) mechanisms are known to relate positively to adherence (Koster et al, 2014;Mosnaim et al, 2014), while having concerns relates negatively (Cooper et al, 2015;Horne & Weinman, 2002;Menckeberg et al, 2008;Ponieman et al, 2009). In ADHD, beliefs and attitudes are reported to influence the use of medication (Charach et al, 2014;Ferrin et al, 2012). For instance, having concerns about the safety of stimulant treatment has been related to low adherence in children (Gau et al, 2008), while positive attitudes have been associated with higher adherence in adolescents (Ferrin et al, 2012).…”

Section: Factors With Possible Influence On Adherence Behaviour In Asmentioning

confidence: 99%

“…Two studies (Charach, Yeung, Volpe, Goodale, & Dosreis, 2014;Ferrin et al, 2012) have reported that beliefs and attitudes influence the use of medication. Furthermore, beliefs about the effectiveness of medication coupled with minimal experience of side effects have been linked to willingness to use ADHD medication (Bussing et al, 2012).…”

Section: Beliefs About Medicationmentioning

confidence: 99%

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Treatment adherence in Asthma and Attention Deficit Hyperactivity Disorder (ADHD), Personality traits, Beliefs about medication and Illness perception

Emilsson¹

2017

Linköping University Medical Dissertations

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Adherence to medication in asthma and attention deficit hyperactivity disorder (ADHD) is important because medication may prevent serious consequences, possibly with lifelong effects. Several factors have been identified that influence adherence to medication in these disorders, but the importance of personality traits, beliefs about medication and illness perception has been insufficiently explored. The overall aim of this thesis was to study adherence to medication in asthma and ADHD, and in particular factors associated with adherence.The participants (n=268) in Study I were recruited epidemiologically and consisted of young adults with asthma, aged 22 years (±1 year). Impulsivity and, in men Antagonism and Alexithymia were associated with low adherence among respondents with regular asthma medication (n=109). The participants (n=35) in Study II were recruited from primary care clinics and consisted of adults (mean age 53 years). In men, Neuroticism was associated with low adherence, but Conscientiousness with high adherence. Beliefs about the necessity of medication were positively associated with adherence behaviour in women. In the total sample, a positive necessity-concern differential of beliefs predicted higher adherence. The participants in Study III, IV (n=101) and V (n=99) were recruited from Child and Adolescent Psychiatric clinics and consisted of adolescents with ADHD on long-term ADHD medication. Study IV assessed the reliability and validity of Swedish translations of the Beliefs about Medicines Questionnaire-specific (BMQ-Specific) and Brief Illness Perception Questionnaire (B-IPQ) for use in adolescents with ADHD. Exploratory Principal Component Analysis (PCA) loadings of the BMQ-Specific items confirmed the original components, the specific-necessity and specific-concerns. The exploratory PCA for B-IPQ revealed two components; the first one, B-IPQ Consequences, captured questions regarding perceptions of the implication of having ADHD (items 1, 2, 5, 6 and 8) and the second one, B-IPQ-Control, the perceptions of the ability to manage the ADHD disorder (items 3, 4 and 7). Adherence correlated positively with BMQnecessity-concern differential but negatively with beliefs about medication regarding concerns and side effects as well as Antagonism. Adolescents with more beliefs in the necessity, but with less concerns and side effects were less intentionally non-adherent. Adolescents with more perceptions that ADHD affected life showed less unintentional non-adherence. Negative Affectivity was associated with beliefs in the necessity of medication, but also with concern about medication and side effects. Negative Affectivity was positively associated with perceived consequences in life caused by ADHD and less control over ADHD. Hedonic Capacity was associated with less concerns about medication. In conclusion: In asthma and ADHD, adherence was associated with personality and beliefs about medications treatment. The personality traits showed numerous associations with perception about ADHD a...

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Pharmacological, medically‐led and related treatments

Taylor

2015

Rutter's Child and Adolescent Psychiatry

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Evaluation of attitudes towards treatment in adolescents with attention deficit hyperactivity disorder (ADHD)

Cited by 28 publications

References 50 publications

Stigmatization and self-perception of youth with attention deficit/hyperactivity disorder

Stigmatization and self-perception of youth with attention deficit/hyperactivity disorder

Treatment adherence in Asthma and Attention Deficit Hyperactivity Disorder (ADHD), Personality traits, Beliefs about medication and Illness perception

Pharmacological, medically‐led and related treatments

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