Wednesday, October 21, 2009

Does your child show symptoms of ADHD? Learn more about the evidence-based assessment of ADHD in children.

From CNN News:

Attention deficit hyperactivity disorder (ADHD) is “a childhood mental disorder characterized by inattentiveness, impulsiveness and over activity” (Hazelwood, Bovingdon, & Tiemens, 2002). As one of the most common mental health disorder among children and adolescents, a higher number of ADHD cases in male children and adolescents who belong to low-income families.

ADHD is a serious mental health condition since the child’s inattentiveness, impulsiveness and over activity could negatively affect the child’s academic performance, self-esteem, and the child’s relationship with family members and friends. ADHD can also lead to behavioural problems which often make the child unable to socialize with other people.

In the absence of proper treatment like medicine and behavioural therapy, children with ADHD could cause behavioural problems not only at home but also in school and work environment. This type of mental health condition can also cause relationship problems with the opposite sex which may lead to depression, frustration, and the use of illegal drugs.

Early medical intervention is necessary to prevent worsening of the child's mental health condition. As part of assessing whether a child has ADHD, medical professionals would often use analogue methods like conducting an interview with the child, go through the patient’s medical history in relation to the child's social, emotional, educational, and behavioural patterns, physical exam, and the use of behaviour rating and/or checklist in detecting ADHD. Likewise, laboratory measures such as the Conners’ Continuous Performance Test (CPT) and Gordon Diagnostic System – a self-contained computer device can also be utilized in detecting symptoms of ADHD.

There are so many assessment techniques that are commonly used in detecting ADHD in children. In line with this, it is safe and accurate to make use of self-report rating scales when assessing the ADHD symptoms in adult patients because adults are capable of verbalizing their behavioural experiences with the psychiatrists but not the children. Since children are unable to accurately verbalize their personal behaviour, the use of self-reporting rating scale is not advisable in assessing children for ADHD. Instead, psychologists should have a direct observation on children within a natural setting when using assessment method like CPT, BRIEF, DSM-IV factors, Conners’ Scales, and/or the behaviour assessment scale for children.

There is no single method that could provide the medical practitioners with a justifiable result given that the use of each assessment technique will generate a totally different result. Because of the limitations of each type of assessment method available in examining a child with ADHD, developing a comprehensive assessment technique is necessary before treating a child with ADHD. In line with this, the use of BADDS and ADHD rating scale is best when used in predicting clinical diagnosis.

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