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.     

Knowledge and Misperceptions about Attention Deficit Hyperactivity Disorder (ADHD) Among School Teachers in Mumbai,India

Teachers play an important role in the diagnosis and management of Attention Deficit Hyperactivity Disorder (ADHD). There are no published studies on Indian teachers’ knowledge of ADHD. In the present study, the aim was to assess knowledge and misperceptions about ADHD among schoolteachers in Mumbai. A total of 106 teachers from 12 English-medium schools completed the Knowledge of Attention Deficit Disorders Scale and a demographic questionnaire. Overall, the teachers lacked adequate knowledge of ADHD, with only 49% of the responses being correct. Repeated measures ANOVA results indicated that the teachers’ scores on the three subscales of the measure were significantly different (F = 7.96, p < .01), with the score being highest on the symptoms subscale. In conclusion, teachers in Mumbai need training on general information and treatment of ADHD, with a focus on correcting common misperceptions that they have with regards to ADHD.     

A coaching intervention for college students with Attention Deficit/Hyperactivity Disorder

In this article we describe coaching as an intervention for college students with attention deficit/hyperactivity disorder (ADHD). Coaching college students with ADHD empowers individuals to organize and execute their responsibilities, both in academia and in everyday life. With the assistance of a coach, individuals with ADHD can create structure and execute change by identifying strategies that circumvent their deficits in executive functioning. We also present an example of a representative client to illustrate the methods used in coaching. Given the increased risks facing college students with ADHD, coaching is a useful complement to academic advising and intensive therapy. Our discussion includes obstacles to implementing and evaluating an ADHD coaching intervention. © 2005 Wiley Periodicals, Inc. Psychol Schs 42: 647–656, 2005.     

成人注意力缺陷多动障碍研究的文献计量分析

采用VOSviewer软件分析2015-2019年Web of Science平台核心合集中成人注意力缺陷多动障碍文献,发现研究集中于症状表现、诊断及评量、病理与治疗,热点为成人注意力缺陷多动障碍与共病障碍的相互作用、儿童研究产生之诊断评量工具对于成人的适用性、药物和心理治疗对成人的应用效果。未来研究可集中在探索该障碍在整个生命周期的变化、后果及干预,建立多维诊断评量模式,加强成人患者的治疗及效果等方面。     

基于家庭动力学的儿童注意缺陷多动障碍干预研究

注意缺陷多动障碍(ADHD)是一种常见的儿童行为障碍,主要表现为注意力分散、活动过多和冲动行为。本文基于家庭动力学理论,对ADHD的病因、治疗和干预研究现状以及家庭开展的干预措施进行总结,为今后注意缺陷多动障碍儿童在家庭治疗和干预方面提供依据。     

The Body as a Site of Reproduction and Resistance: Attention Deficit Hyperactivity Disorder and the Classroom

In addition to transferring ideas, one of the primary tasks of schools, as theorized in the work of Pierre Bourdieu, is to monitor and shape bodies. The category of Attention Deficity Hyperactivity Disorder (ADHD) and the practices associated with it can be understood more thoroughly as a way in which schools reproduce a body management system. This article reviews the historical and critical literature on ADHD to show that the classroom has had, and still has, an essential place in the origination and implementation of the category; yet, the classroom context has been virtually absent from the causal analysis. The classroom has received attention from those in the behaviour modification camp, but this approach has reduced it to a set of contingencies between the teacher and the student. More often than not, the biological explanation has dominated thus entirely removing the classroom and its meanings from the explanation of ADHD. The classroom is one of the critical mechanisms which allows for the emergence of the behaviours and the practices associated with the category known as ADHD.     

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.     

Psychosocial Status of Adolescents with Learning Disabilities With and Without Comorbid Attention Deficit Hyperactivity Disorder

Some researchers suggest that having a learning disability (LD) may act as a risk factor, increasing the likelihood that adolescents experience more negative outcomes in many areas of their lives. However, researchers have yet to examine in one study how having LD with and without attention deficit hyperactivity disorder (ADHD) is related to a comprehensive set of psychosocial variables across a diverse set of domains (e.g., peer, family, school, intrapersonal). The purpose of the present study was to address that limitation by comparing the perceptions of adolescents with LD (N= 230), with comorbid LD/ADHD (N= 92), and without LD or ADHD (N= 322) regarding their academic orientation, temperament, well‐being, loneliness, parental relationships, victimization, activities, and friendships. Results are consistent with the hypothesis that LD may indeed act as a risk factor increasing the likelihood of more negative outcomes. The results also indicate that for some psychosocial variables this likelihood may be increased in adolescents with comorbid LD/ADHD. The findings have important implications for stakeholders concerned about supporting adolescents with LD with and without comorbid ADHD.     

知觉负荷对注意缺损多动障碍儿童过滤分心刺激能力的影响

研究选取了注意缺损多动障碍儿童34名,普通儿童36名,采用选择性注意任务,考察在目标刺激的知觉负荷高低两种情况下,注意缺损多动障碍儿童面对不同干扰程度的分心刺激时,对其的过滤能力是否落后。结果发现,注意缺损多动障碍儿童过滤分心刺激的能力是否落后取决于目标刺激的知觉负荷的高低:(1)在低知觉负荷任务中,不相容分心刺激对两组儿童的干扰程度要大于面对中性分心刺激时受到的干扰。但是注意缺损多动障碍组儿童受到的干扰效应要大于普通组儿童,说明注意缺损多动障碍组儿童过滤分心刺激的能力落后,并出现在注意选择的晚期阶段;(2)在高知觉负荷任务中,所有被试都没有因为分心刺激干扰程度的不同而受到不同的影响,即过滤中性分心刺激与不相容分心刺激的模式一样。     

注意缺陷多动障碍儿童社会交往问题教育干预研究述评

注意缺陷多动障碍儿童在社交方面存在显著困难,教育干预对其提高人际交往技能和社会适应性具有显著作用.该领域的研究主要集中在注意缺陷多动障碍儿童社交问题的家庭干预、群体干预、综合干预方面.后继研究应扩大研究对象的类型,进一步提高干预的可迁移性.     

近5年我国神经反馈治疗注意缺陷多动症儿童的研究状况

为了了解2014-2019年我国神经反馈治疗注意缺陷多动症(ADHD)儿童的基本研究情况,采用文献分析法,从中国知网CNKI、万方数据、维普数据中检索到含有神经反馈(Neurofeedback,NF)治疗ADHD儿童的相关论文共47篇.将此47篇文献纳入以下分析:治疗研究类型、干预方式、随机对照条件、治疗的脑电方案以及疗效评估,并从以上几方面探讨相关治疗研究的规律、特点与发展趋势.     

Attention‐Deficit/Hyperactivity Disorder (ADHD): A national survey of training and current assessment practices in the schools

The primary purpose of this research was to survey school psychologists to investigate their training and current assessment practices for attention‐deficit/hyperactivity disorder (ADHD) in the schools. The survey consisted of 38 questions regarding participant characteristics and three main areas relevant to ADHD: (a) training, (b) caseloads/referral patterns, and (c) assessment. The respondents reported receiving adequate training in the assessment of ADHD, with doctorate‐level psychologists self‐reporting being better trained than nondoctorate psychologists. Results confirmed a substantial caseload of ADHD referrals. In the assessment of ADHD, the results indicated school psychologists are using multiple informants, methods, and settings for the assessment of ADHD with rating scales, observations, and interviews the most common methods identified. Limitations of current practices will be discussed. © 2003 Wiley Periodicals, Inc. Psychol Schs 40: 583–597, 2003.     

Assessment of Attention‐Deficit/Hyperactivity Disorder (ADHD): A comparative evaluation of five,commonly used,published rating scales

ADHD is one of the most common referrals to school psychologists and child mental health providers. Although a best practice assessment of ADHD requires more than the use of rating scales, rating scales are one of the primary components in the assessment of ADHD. Therefore, the goal of this paper is to provide the reader with a critical and comparative evaluation of the five most commonly used, narrow‐band, published rating scales for the assessment of ADHD. Reviews were conducted in four main areas: content and use, standardization sample and norms, scores and interpretation, and psychometric properties. It was concluded the rating scales with the strongest standardization samples and evidence for reliability and validity are the ADDES, the ADHD‐IV, and the CRS‐R. In determining which of these to use, the prospective users may want to reflect on their goals for the assessment. The ACTeRS and the ADHDT are not recommended for use because they are lacking crucial information in their manuals and have less well‐documented evidence of reliability and validity. Conclusions and recommendations for scale usage are discussed. © 2003 Wiley Periodicals, Inc. Psychol Schs 40: 341–361, 2003.     

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.     

The Role of Surface Text Processing in Centrality Deficit and Poor Text Comprehension of Adolescents with Attention Deficit Hyperactivity Disorder: A Think‐Aloud Study

The present study employed a think‐aloud method to explore the origin of centrality deficit (i.e., poor recall of central ideas) in individuals with Attention Deficit Hyperactivity Disorder (ADHD). Moreover, utilizing the diverse think‐aloud responses, we examined the overall quality of text processing employed by individuals with ADHD during reading, in order to shed more light on text‐level deficiencies underlying their poor comprehension after reading. To address these goals, adolescents with and without ADHD were asked to state aloud whatever comes to their minds during the reading of two expository texts. After reading, the participants freely recalled text ideas and answered multiple‐choice questions on the texts. Compared to controls, participants with ADHD generated fewer responses that reflect deep, efficient text processing, and reinstated fewer prior text ideas, particularly central ones, during reading. Moreover, the proportions of deep processing responses positively associated with participants’ performance on recall and comprehension tasks. These findings suggest that individuals with ADHD exhibit poor text comprehension and memory, particularly of central ideas, because they construct a low‐quality, less‐connected text representation during reading, and produce fewer, less‐elaborated retrieval cues for subsequent tasks after reading.     

Investigation of the Relationship of Attention Deficit Hyperactivity Disorder to the EKN1 Gene on Chromosome 15q21

Recently a gene, termed EKN1, has been identified because of a chromosomal breakpoint that occurred in this gene. This chromosomal breakpoint was found in 4 family members that had specific reading disabilities (RDs), indicating that disruption of this gene may be contributing to the risk of developing RDs. This gene was further supported as contributing to RD by association studies. Because of the evidence from twin studies for shared genetic factors contributing to RD and attention deficit hyperactivity disorder (ADHD), particularly inattention symptoms, we investigated the relationship of DNA markers in this gene to ADHD and ADHD symptoms in a sample of 186 nuclear families (probands, their parents, and affected siblings) collected through a proband with ADHD. We used 6 polymorphic DNA markers located across the gene, including the 2 markers previously reported to be associated with RD in a Finnish sample and a marker associated with RD in a sample of families collected in Toronto. We found a trend for association for several markers to the ADHD phenotype analyzed as a categorical trait using the transmission disequilibrium test and significant evidence for biased transmission of the haplotypes containing these markers, χ²(3) = 9.312, p =. 025. Using quantitative analysis, we observed evidence for association of one of the haplotypes to the inattention and hyperactive/impulsive symptom dimensions as reported by parents and to the inattention symptoms as reported by teachers, as well as a trend for association with the reading phenotypes of word identification and decoding. The results provide preliminary support for the role of the EKN1 chromosomal region in ADHD, suggesting that this region may contribute to ADHD symptoms in addition to RD.