Explanatory Models of ADHD

Author:

Bussing Regina1,Schoenberg Nancy E.2,Rogers Kenneth M.3,Zima Bonnie T.4,Angus Sherwin5

Affiliation:

1. Regina Bussing, MD, MSHS, is an associate professor in the Departments of Psychiatry and Epidemiology and Health Policy, and an associate training director for the Division of Child and Adolescent Psychiatry at the University of Florida in Gainesville. Her research has addressed the impact of chronic childhood conditions on children and their families. Address: Regina Bussing, Box 100177 UFHC, Gainesville, FL 32610–0177.

2. Nancy E. Schoenberg, PhD, is an assistant professor in the Departments of Behavioral Science, Anthropology, and Internal Medicine at the University of Kentucky in Lexington. A medical anthropologist, her research explores (a) the connection between health beliefs/explanatory models of chronic illness and health behavior, and (b) the provision of culturally appropriate health-care services to various populations, including rural residents, elders, and African Americans.

3. Kenneth M. Rogers, MD, MSHS, is an instructor of psychiatry at the William S. Hall Psychiatric Institute at the University of South Carolina in Columbia. He is presently a scholar in the UCLA faculty scholar program for mental health services research.

4. Bonnie T. Zima, MD, MPH, is an assistant professor-in-residence in the Department of Psychiatry and Biobehavioral Science at the University of California at Los Angeles. She is the director of training for the Division of Child and Adolescent Psychiatry and the associate training director of the UCLA faculty scholar program for mental health services research.

5. Sherwin Angus, BS, is a third-year medical student at the University of Florida. He was awarded a Comer Minority Research Fellowship from the American Academy of Child and Adolescent Psychiatry to participate in this study.

Abstract

This study describes parents' understanding, or explanatory models, of attention-deficit/hyperactivity disorder (ADHD) and examines how such explanatory models differ by ethnicity, child gender, treatment status, and sociodemographic status. Children with ADHD were identified through a two-stage study of a school district special education population; this study included a screening and a diagnostic phase. In addition, a survey concerning parent-reported knowledge and attitudes about ADHD, and ethnographic interviews—based on Kleinman's patient explanatory model—to elicit parental beliefs were conducted. White parents were more likely than African American parents to apply medical labels, expect a lifelong course, include school interventions in the desired treatment plan, and address academic and social outcomes. Compared to parents of boys, parents of affected girls were less likely to expect short duration of ADHD. Further research needs to be done to address the etiology of cultural and gender variations of explanatory models for ADHD, and to examine how specific explanatory styles affect help-seeking, treatment adherence, and outcomes for this important, treatable childhood condition.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health,Clinical Psychology,Developmental and Educational Psychology,Education

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3