Recognizing and Treating Attention-Deficit/Hyperactivity Disorder in College Students

Traditionally diagnosed in children, attention-deficit/hyperactivity disorder (ADHD) is now regarded as a life span condition. The academic difficulties experienced by children and adolescents with ADHD have been observed to continue into young adulthood. Treatment outcome studies demonstrate that behavioral and pharmacotherapeutic interventions can be beneficial in improving ADHD symptoms such as inattention, and so facilitate academic performance in young adults with ADHD. This review discusses how ADHD leads to academic underperformance, the warning signs of undiagnosed ADHD, and the potential impact interventions can have on adult academic impairment.     

Parenting Stress and Youth Symptoms Among Girls With and Without Attention-Deficit/Hyperactivity Disorder

Objective. To examine the aspects of parenting stress—parental distress and parental stress due to dysfunctional interactions—reported by mothers of girls with attention-deficit/hyperactivity disorder in both childhood and adolescence and to understand their associations with internalizing and externalizing symptoms in adolescence. Design. The diverse sample comprised 120 girls with attention-deficit/hyperactivity disorder and 81 age- and ethnicity-matched comparison girls, evaluated at ages 6–12 years and followed prospectively for 5 years. Basic demographics, oppositionality, childhood behavioral outcomes and symptoms, and key parenting practice were covaried in the analyses. Results. Longitudinally, parental distress during the participants’ childhood was positively associated with adolescent externalizing and internalizing behaviors, even when statistically controlling for parallel childhood behaviors. Parental stress due to dysfunctional interactions during adolescence was associated with contemporaneous adolescent depressive symptoms and externalizing behaviors, but parental distress was associated with only internalizing behaviors. With respect to moderation by diagnostic group, parental stress due to dysfunctional interactions (in childhood) was associated with adolescent internalizing symptoms only in girls with attention-deficit/hyperactivity disorder. However, associations between parental distress in childhood and internalizing behaviors were stronger in the comparison than the ADHD sample. Conclusions. Minimizing early dysfunctional interactions might reduce internalizing behaviors in girls with attention-deficit/hyperactivity disorder. Interventions targeting parental distress may be beneficial for girls, regardless of attention-deficit/hyperactivity disorder status.     

A Weak Association between Traits of Attention-Deficit/Hyperactivity Disorder and Gambling in College Students

Attention-Deficit/Hyperactivity Disorder (ADHD) has been characterized as a comorbidity to pathological gambling (PG). However, contradictory evidence has emerged, and it has not been established whether nonimpulsive features of ADHD (e.g., inattention, hyperactivity) contribute to PG risk, or how robust this relationship is in college samples. Using data from 224 college students, multiple regression analyses examined the association between ADHD traits and gambling. A marginal link between impulsivity and gambling emerged, but only in males; hyperactivity and inattention were unrelated to gambling. Therefore, caution should be used in attributing risk for PG to college students with ADHD traits, particularly inattention and hyperactivity.     

Peer-Related Personal Experiences of Children with Attention-Deficit/ Hyperactivity Disorder With and Without Comorbid Learning Disabilities

This research investigates the peer-related social functioning of 291 children (185 males, 106 females), aged from 8 years to 17 years and 8 months diagnosed with varying Attention-Deficit/Hyperactivity Disorder (ADHD) subtypes (i.e., Predominantly Inattentive m I, Combined m C) with and without comorbid learning disabilities (LD). All were administered the Interpersonal Relationships Questionnaire which is comprised of six reliable and valid measures: Social Desirability, Interpersonal Difficulties, Social Self-Concept, Social Self-Confidence, Preference for Solitude, and Social Interaction Anxiety. Results revealed that neither Gender, Age, nor Social Desirability were significantly associated with children's self-reports. Pearson correlations demonstrated that the strength and magnitude of associations between self-reports of interpersonal relationships varied according to group status. With the exception of Preference for Solitude, analyses of variance revealed significant differences in self-reports by group, as related to the presence or absence of LD, particularly for the ADHD-C+LD compared to the ADHD-I+LD group. Psychoeducational and clinical implications for understanding the functional and discriminant significance of social impairment among children with varying ADHD subtypes with comorbid LD are discussed in light of these research findings.     

Longitudinal Study of Reading Disability and Attention-Deficit/Hyperactivity Disorder: Implications for Education

ABSTRACT— The majority of children who receive special education services meet criteria for reading disability (RD) or attention-deficit/hyperactivity disorder (ADHD), but additional research is needed to understand the long-term academic outcome of children in these groups. Individuals with RD only ( N = 71), ADHD only ( N = 66), both RD and ADHD ( N = 51), or neither disorder ( N = 118) were identified through the ongoing Colorado Learning Disabilities Research Center twin study and retested 5 years later. Results of the follow-up testing indicated that, in addition to ongoing reading difficulties, individuals with RD exhibited higher rates of academic difficulties, depression, and adolescent-onset conduct disorder. Initial ADHD status was associated with academic and social difficulties and elevated rates of nearly all comorbid disorders 5 years later. The group with comorbid RD and ADHD had more stable reading deficits than the group with RD without ADHD and exhibited greater impairment than groups with either disorder alone on outcome measures of academic functioning and social difficulties. These results suggest that individuals with both RD and ADHD are at increased risk for negative outcomes as adolescents and young adults and that when RD and ADHD co-occur, interventions should be provided for both disorders.     

Diagnosis,Treatment, and Educational Implications for Students With Attention-Deficit/Hyperactivity Disorder in the United States,Australia, and the United Kingdom

For many years there has been debate over Attention-Deficit/Hyperactivity Disorder (ADHD) and whether this condition, which commonly afflicts adolescent children, is a medical or social condition and whether it is exclusively an American phenomenon. This article reviews the basis of ADHD's definition, diagnosis, treatment, and educational implications across three countries: the United States, Australia, and the United Kingdom. The differences in approach have clear and significant consequences for children and their futures.     

Empirically Informed Attention‐Deficit/Hyperactivity Disorder Evaluation With College Students

Attention‐deficit/hyperactivity disorder (ADHD) is both an underdiagnosed and a misdiagnosed problem on college campuses, leading to pronounced academic and psychosocial difficulties. Counselors encounter diagnostic criteria that are child oriented, long lists of differential diagnoses, high rates of coexisting disorders, and no definitive tests for ADHD. This article reviews research findings concerning adults with ADHD, outlines empirical solutions for meeting diagnostic challenges, and provides new effect size data for selecting screening instruments.     

Contributions of Maternal Attention-Deficit Hyperactivity and Oppositional Defiant Disorder Symptoms to Parenting

Objective. The goal of the current study was to examine the impact of maternal attention-deficit hyperactivity disorder and oppositional defiant disorder symptoms on several dimensions of parenting. Design. One-hundred seven mothers of young adolescents provided ratings of their own attention-deficit hyperactivity disorder, oppositional defiant disorder, depressive symptoms, and parenting behavior, as well as their adolescents’ aggressive behaviors. Results. Hierarchical regression analyses examined the relative contributions of attention-deficit hyperactivity disorder and oppositional defiant disorder symptoms to parenting. Greater levels of maternal attention-deficit hyperactivity disorder symptomatology were associated with poorer monitoring, whereas more oppositional defiant disorder symptoms were associated with lower levels of parenting involvement and positive reinforcement and higher levels of overreactivity and use of corporal punishment. Conclusions. Maternal oppositional defiant disorder behaviors were particularly associated with negative, affective dimensions of parenting. Understanding the impact of maternal attention-deficit hyperactivity disorder symptoms on parenting may require consideration of concomitant maternal oppositional defiant disorder symptoms.     

Teacher and Student Teacher Ratings of Attention-Deficit/Hyperactivity Disorder in Three Cultural Settings

Since the criteria for diagnosis of childhood attention-deficit/hyperactivity disorder (AD/HD) include that the symptoms present in at least two situations, usually home and school, the role of teachers in the identification and diagnosis of this condition is crucial. There is, however, evidence of inter-cultural differences in ratings of AD/HD in children and young people, by teachers and others, though it is not possible to make comparisons between the various studies, because the conditions were not comparable. The focus of this article is the cultural influences on ratings of AD/HD-type behaviour. Evidence is presented of culturally related differences in such ratings, under conditions designed to ensure directly comparable conditions, involving teachers and student teachers from mainland China, Hong Kong, and the United Kingdom. There was some evidence that the teachers from mainland China rated the behaviour of a "target" child, presented on video, higher on a number of items than either the teachers from Hong Kong or the United Kingdom. There was only limited evidence of differences between the ratings of teachers and student teachers within the same culture.     

注意缺陷/多动性障碍儿童教育训练的个案报告

近年来 ,国际特殊教育领域内儿童期被诊断的行为障碍中最普遍和最具争议性的是注意缺陷 /多动性障碍。大约 3- 6%的学龄儿童患有注意缺陷 /多动性障碍。本文对一例注意缺陷 /多动性障碍儿童的教育训练过程进行了分析研究 ,探讨了多种训练方法的过程和效果。并结合国内外最新文献 ,分析了造成注意缺陷 /多动性障碍的原因     

Efficacy of an Intervention Program for Attention and Reflexivity in Children With Attention Deficit Hyperactivity Disorder

There has been increasing evidence in recent years of the need to adapt intervention programs to the specific needs of children with attention deficit hyperactivity disorder (ADHD). The main goal of this research work was to study the efficacy of an educational intervention program to improve attention and reflexivity in school children with ADHD in order to verify the improvements in symptoms associated with ADHD such as aggressivity, social isolation, anxiety, and attention deficit. The sample was comprised of 26 primary school children ranging from 7 to 10 years of age with ADHD. Symptoms of children with ADHD were evaluated by applying the Escalas Magallanes Screening Scale for Attention Deficits and Other Developmental Problems in Children (EMA‐DDA) at two time points (pre and post). The results show a statistically significant reduction in symptoms on the aggressivity and social isolation scales measured with the EMA‐DDA after applying the intervention program. These data supports the potential value of an intervention program for working with ADHD children.     

Early identification and systemic educational intervention for young children with Attention-Deficit/Hyperactivity Disorder (AD/HD)

This paper focuses on the international experience with early identification and intervention for children with AD/HD. Much less is known about AD/HD in two- to five-year-old preschool children than is known for older school-aged youngsters. Despite this lack of knowledge, AD/HD is increasingly recognized in this population and stimulant medication increasingly prescribed to treat it. The lack of control of temperamental patterns in preschoolers seems related to later observations of hyperactivity, attention problems and antisocial behaviours in school-aged children. The emergence and continuity of AD/HD-like behaviours is influenced not only by genetic, pre- and perinatal factors, but also by social context factors. All these influences interact with a child's developmental needs in complex ways according to a systemic bio-psychosocial model. The undiagnosed AD/HD child will often be labelled by parents as difficult and the family scapegoat. Because of the age of the children and the variety of ‘normal behaviour’ in this group, interventions should include systemic, environmental and play-centred approaches.     

Motor control and sequencing of boys with Attention-Deficit/Hyperactivity Disorder (ADHD) during computer game play

The motor control of 49 unmedicated boys clinically diagnosed with ADHD, case‐matched with 49 non‐ADHD boys, was assessed while playing Crash Bandicoot I, a Sony^TM Playstation platform computer video game. In Crash Bandicoot participants control the movements of a small‐animated figure through a hazardous jungle environment. Operationally defined measures of motor control were designated by (1) the stage of the game completed (ie, the number of obstacles successfully passed) before losing the figure's ‘life’, (2) the level of complexity that the stage represented and (3) the time taken to get to that point during the video game play. These measures were assessed under contrasting conditions of low or high working memory and distracter loads. Four tasks were administered (totalling 12 trials), incorporating both with and without distracter conditions. For those trials with the distracter, a segment of the television show The Simpsons was simultaneously played on a television screen adjacent to the computer game monitor. A 5‐way MANOVA revealed that ADHD boys took less time to complete their trials under the direct condition (ie, no working memory load) on Crash Bandicoot, compared to their matched non‐ADHD peers. When the task required additional working memory, however, the ADHD boys took significantly longer. Cumulative frequency plots of game performance revealed that in terms of the number of obstacles completed, the control participants successfully navigated more obstacles on the low working memory load task than the ADHD participants, but that the performance of the two groups was less distinguishable on the high working memory load task. The findings have implications for assessment and management of children with ADHD.     

Early Histories of School‐Aged Children With Attention‐Deficit/ Hyperactivity Disorder

In a prospective study of developmental outcomes in relation to early‐life otitis media, behavioral, cognitive, and language measures were administered to a large, diverse sample of children at 2, 3, 4, 6, and 9–11 years of age (N = 741). At 9–11 years of age, 9% of the children were categorized as having attention‐deficit/hyperactivity disorder (ADHD) based on parent report. Compared to the non‐ADHD group, the ADHD group had higher (i.e., less favorable) scores on parent and teacher versions of the Child Behavior Checklist at all ages. Children in the ADHD group also had lower scores on cognitive and receptive language measures in preschool. The findings support the concept that ADHD is a cognitive as well as a behavioral disorder.     

The Role of Extended Time on the SAT® for Students with Learning Disabilities and/or Attention‐Deficit/Hyperactivity Disorder

Accommodation policymaking and practice should be guided by empirical research and informed clinical judgment. Findings from our study can provide information to test users about the validity of inferences that can be made from scores obtained from accommodated test administrations for students with disabilities. The factor structure of the newly revised Scholastic Aptitude Reasoning Test (SAT®, 2005) was examined across two groups of students (students without disabilities tested under standard time conditions, and students with disabilities tested with extended time) to determine whether the test measures the same construct for both groups. Invariance across the two groups was supported for all parameters of interest, suggesting that the scores on the Critical Reading, Math, and Writing sections of the SAT Reasoning Test can be interpreted in the same way when students have an extended‐time administration as opposed to the standard‐time administration.     

Vocational Safety Preference of College Men With and Without Attention‐Deficit/Hyperactivity Disorder: An Exploratory Study

For college students with attention‐deficit/hyperactivity disorder (ADHD), which is associated with increased accidental injury, mindfulness regarding safety issues in vocational choice may be indicated. In this study, a group of male college students with ADHD‐predominantly inattentive type (ADHD‐IA) reported placing less emphasis on job safety than did their peers when considering their professional direction. College counselors might help prevent work‐related injury for similar clients by broaching the topic of safety when discussing vocational choice.     

Atypical Developmental Trajectories of Early Perception Among School-Age Children With Attention Deficit Hyperactivity Disorder During a Visual Search Task

Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by cognitive deficits associated with attention. Prior studies have revealed the potential impact of ADHD on basic perception and cognitive ability in patients with ADHD. In this study, bilateral posterior P1 and N1 were measured in 122 Chinese children aged 7–12 years (64 with ADHD) to investigate the developmental characteristics of early perception during visual processing in school-age children with ADHD. For children with ADHD, a larger P1 activity with an atypical developmental pattern was evoked and observed for the visual search performance. These findings offer new insights into the mechanisms of cognitive developmental deficits and intervention techniques in children with ADHD.     

Improvement of Word Problem Solving and Basic Mathematics Competencies in Students with Attention Deficit/Hyperactivity Disorder and Mathematical Learning Difficulties

Problem solving represents a salient deficit in students with mathematical learning difficulties (MLD) primarily caused by difficulties with informal and formal mathematical competencies. This study proposes a computerized intervention tool, the integrated dynamic representation (IDR), for enhancing the early learning of basic mathematical competencies and word problem solving skills. The goal was to compare and contrast the effects of IDR on the acquisition of informal and formal mathematical competencies in students with attention deficit/hyperactivity disorder (ADHD) and MLD. Participants were 216 students (6–9 years), who were classified into three groups: ADHD (n = 72), MLD (n = 82), ADHD and MLD (n = 62). They completed the Test of Early Mathematics Ability (Third Edition). The results showed that all three diagnosed groups improved significantly postintervention in all mathematical competencies, with the MLD‐only group benefiting the most at posttest.     

In search of a middle ground: the dangers and affordances of diagnosis in relation to Attention Deficit Hyperactivity Disorder and Developmental Language Disorder

ABSTRACT

In this paper, we draw on the ‘dilemma of difference’ to discuss the dangers and affordances of diagnosis within two of the most prevalent, yet under-supported, disabilities affecting school-age children: Attention Deficit Hyperactivity Disorder (ADHD) and Developmental Language Disorder (DLD). The dilemma that exists between denying and thereby ignoring difference on the one hand, versus recognising and potentially stigmatising difference on the other, will be explored and the consequences outlined. Our aim is to achieve a middle ground that conceives of diagnosis as a helpful starting point to enable educators to address barriers to access and participation through appropriate adjustments to curriculum, pedagogy and assessment.