Original Article

Evaluation of Knowledge and Attitude of Parents of Attention Deficit/Hyperactivity Disorder Children towards Attention Deficit/Hyperactivity Disorder in Clinical Samples

Abstract

Objective: Knowledge and attitude of parents about attention deficit/hyperactivity disorder (ADHD) is an important factor in management of the disorder in children. This study investigates the parents’ knowledge and attitude towards ADHD, its symptoms, diagnosis, treatment and prognosis.
Method: In this cross-sectional descriptive study, the subjects were 150 parents (120 mother and 30 father) of ADHD children who were referred to a child psychiatry clinic affiliated in university of social welfare and rehabilitation sciences in Tehran. The diagnosis was made by a child psychiatrist according to DSM-IV TR criteria. The parents completed a 40 items questionnaire that was prepared by the authors and assessed their knowledge and attitude towards ADHD and source of their information.
Results: The most common source of parent’s information about ADHD was TV. The parent’s knowledge about the symptoms of the disorder was relatively good. But in regard to diagnosis, treatment and prognosis of the disorder, they have very low knowledge and even incorrect beliefs. The parent’s knowledge significantly correlated with their educational level (p=0.01).
Conclusion: In general, knowledge of the parents was low and it can lead to misdiagnosis or mismanagement of this common and important disorder and need to further consideration in terms of educating parents about the disorder in media specially TV.

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (4th ed., text revision). Washington, DC: American Psychiatric Pub; 2000.

Mannuzza S, Klein RG, Bessler A, Malloy P, LaPadula M. Adult outcome of hyperactive boys. Educational achievement, occupational rank, and psychiatric status. Arch Gen Psychiatry 1993; 50: 565-576.

Weiss G, Hechtman LT. Hyperactive Children Grown up (2nd ed.). New York: Guilford, 1993.

Barkley RA. Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment (2nd ed.). New York: Guilford, 1990.

Szatmari P, Offord DR, Boyle MH. Ontario Child Health Study: prevalence of attention deficit disorder with hyperactivity. J Child Psychol Psychiatry 1989; 30: 219-230.

Carlson CL, Pelham WE, Jr., Milich R, Dixon J. Single and combined effects of methylphenidate and behavior therapy on the classroom performance of children with attention-deficit hyperactivity disorder. J Abnorm Child Psychol 1992; 20: 213-232.

Liu C, Robin AL, Brenner S, Eastman J. Social acceptability of methylphenidate and behavior modification for treating attention deficit hyperactivity disorder. Pediatrics 1991; 88: 560-565.

Sleator EK. Measurement of compliance. Psychopharmacol Bull 1985; 21: 1089-1093.

Brown RT, Borden KA, Clingerman SR. Adherence to methylphenidate therapy in a pediatric population: a preliminary investigation. Psychopharmacol Bull 1985; 21: 28-36.

Firestone P. Factors associated with children's adherence to stimulant medication. Am J Orthopsychiatry 1982; 52: 447-457.

Corkum P, Rimer P, Schachar R. Parental knowledge of attention-deficit hyperactivity disorder and opinions of treatment options: impact on enrollment and adherence to a 12-month treatment trial. Can J Psychiatry 1999; 44: 1043-1048.

Dulkan MK. Dulkan’s Textbook of Child and Adolescent Psychiatry (4th ed.). American Psychiatric Publishing, Inc. Arlington, VA, 2010.

Shahrivar Z, Kousha M, Moallemi S, Tehrani‐Doost M, Alaghband‐Rad J. The Reliability and Validity of Kiddie‐Schedule for Affective Disorders and Schizophrenia‐Present and Life‐time Version‐Persian Version. Child and Adolescent Mental Health 2010; 15: 97-102.

Ghanizadeh A, Mohammadi MR, Yazdanshenas A. Psychometric properties of the Farsi translation of the Kiddie Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version. Bmc Psychiatry 2006; 6: 10.

Ghanizadeh A. Educating and counseling of parents of children with attention-deficit hyperactivity disorder. Patient Educ Couns 2007; 68: 23-28.

Pham AV, Carlson JS, Kosciulek JF. Ethnic differences in parental beliefs of attention-deficit/hyperactivity disorder and treatment. J Atten Disord 2010; 13: 584-591.

Perry CE, Hatton D, Kendall J. Latino parents' accounts of attention deficit hyperactivity disorder. J Transcult Nurs 2005; 16: 312-321.

Barkley RA. Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD. Psychol Bull 1997; 121: 65-94.

Sonuga-Barke EJ. Psychological heterogeneity in AD/HD--a dual pathway model of behaviour and cognition. Behav Brain Res 2002; 130: 29-36.

Corkum P, Rimer P, Schachar R. Parental knowledge of attention-deficit hyperactivity disorder and opinions of treatment options: impact on enrollment and adherence to a 12-month treatment trial. Can J Psychiatry 1999; 44: 1043-1048.

Lazaratou H, Anagnostopoulos DC, Alevizos EV, Haviara F, Ploumpidis DN. Parental attitudes and opinions on the use of psychotropic medication in mental disorders of childhood. Ann Gen Psychiatry 2007; 6: 32.

Swanson JM, McBurnett K, Wigal T, Pfiffner LJ, Lerner MA, Williams L, et al. Effect of stimulant medication on children with attention deficit disorder: a “review of reviews”. Exceptional children 1993; 60: 154-162.

Mannuzza S, Klein RG, Moulton JL and 3rd. Persistence of Attention-Deficit/Hyperactivity Disorder into adulthood: what have we learned from the prospective follow-up studies? J Atten Disord 2003; 7: 93-100.

Satterfield JH, Satterfield BT, Schell AM. Therapeutic interventions to prevent delinquency in hyperactive boys. J Am Acad Child Adolesc Psychiatry 1987; 26: 56-64.

Ghanizadeh A, Zarei N. Are GPs adequately equipped with the knowledge for educating and counseling of families with ADHD children? BMC Fam Pract 2010; 11: 5.

Jawaid A, Zafar AM, Naveed A, Sheikh S, Waheed S, Zafar MA, et al. Knowledge of primary paediatric care providers regarding attention deficit hyperactivity disorder and learning disorder: a study from Pakistan. Singapore Med J 2008; 49: 985-993.

Hirfanoglu T, Soysal AS, Gucuyener K, Cansu A, Serdaroglu A. A study of perceptions, attitudes, and level of knowledge among pediatricians towards attention-deficit/hyperactivity disorder. Turk J Pediatr 2008; 50: 160-166.

Koosha M, Soleymani R, Mehrabadi A. Knowledge, Attitude and Performance of Primary School Teachers Dealing with Attention Deficit Hyperactivity Disorder. Journal of Guilan University of Medical Scien 2011; 80: 26-33 [in Persian].

Jerome L, Gordon M, Hustler P. A comparison of American and Canadian teachers' knowledge and attitudes towards Attention Deficit Hyperactivity Disorder (ADHD). Can J Psychiatry 1994; 39: 563-567.

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SectionOriginal Article(s)
Keywords
Attention Deficit/Hyperactivity Disorder Knowledge and Attitude Parents

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How to Cite
1.
Dodangi N, Vameghi R, Habibi N. Evaluation of Knowledge and Attitude of Parents of Attention Deficit/Hyperactivity Disorder Children towards Attention Deficit/Hyperactivity Disorder in Clinical Samples. Iran J Psychiatry. 2017;12(1):42-48.