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      Overview of Attention Deficit Hyperactivity Disorder in Young Children

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          Abstract

          Attention deficit hyperactivity disorder (ADHD) is a complex disorder, which can be seen as a disorder of life time, developing in preschool years and manifesting symptoms (full and/or partial) throughout the adulthood; therefore, it is not surprising that there are no simple solutions. The aim of this paper is to provide a short and concise review which can be used to inform affected children and adults; family members of affected children and adults, and other medical, paramedical, non-medical, and educational professionals about the disorder. This paper has also tried to look into the process of how ADHD develops; what are the associated problems; and how many other children and adults are affected by such problems all over the world basically to understand ADHD more precisely in order to develop a better medical and or non-medical multimodal intervention plan. If preschool teachers and clinicians are aware of what the research tells us about ADHD, the varying theories of its cause, and which areas need further research, the knowledge will assist them in supporting the families of children with ADHD. By including information in this review about the connection between biological behavior, it is hoped that preschool teachers and clinicians at all levels will feel more confident about explaining to parents of ADHD children, and older ADHD children themselves about the probable causes of ADHD.

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          Most cited references148

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          Attention-deficit hyperactivity disorder.

          Attention-deficit hyperactivity disorder (ADHD) is a disorder of inattention, impulsivity, and hyperactivity that affects 8-12% of children worldwide. Although the rate of ADHD falls with age, at least half of children with the disorder will have impairing symptoms in adulthood. Twin, adoption, and molecular genetic studies show ADHD to be highly heritable, and other findings have recorded obstetric complications and psychosocial adversity as predisposing risk factors. Converging evidence from animal and human studies implicates the dysregulation of frontal-subcortical-cerebellar catecholaminergic circuits in the pathophysiology of ADHD, and molecular imaging studies suggest that abnormalities of the dopamine transporter lead to impaired neurotransmission. Studies during the past decade have shown the safety and effectiveness of new non-stimulant drugs and long-acting formulations of methylphenidate and amfetamine. Other investigations have also clarified the appropriate role of targeted psychosocial treatments in the context of ongoing pharmacotherapy.
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            The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI).

            This paper presents an overview of the World Mental Health (WMH) Survey Initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI) and a discussion of the methodological research on which the development of the instrument was based. The WMH-CIDI includes a screening module and 40 sections that focus on diagnoses (22 sections), functioning (four sections), treatment (two sections), risk factors (four sections), socio-demographic correlates (seven sections), and methodological factors (two sections). Innovations compared to earlier versions of the CIDI include expansion of the diagnostic sections, a focus on 12-month as well as lifetime disorders in the same interview, detailed assessment of clinical severity, and inclusion of information on treatment, risk factors, and consequences. A computer-assisted version of the interview is available along with a direct data entry software system that can be used to keypunch responses to the paper-and-pencil version of the interview. Computer programs that generate diagnoses are also available based on both ICD-10 and DSM-IV criteria. Elaborate CD-ROM-based training materials are available to teach interviewers how to administer the interview as well as to teach supervisors how to monitor the quality of data collection.
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              The persistence of attention-deficit/hyperactivity disorder into young adulthood as a function of reporting source and definition of disorder.

              This study examined the persistence of attention-deficit/hyperactivity disorder (ADHD) into young adulthood using hyperactive (N = 147) and community control (N = 71) children evaluated at ages 19-25 years. ADHD was rare in both groups (5% vs. 0%) based on self-report but was substantially higher using parent reports (46% vs. 1.4%). Using a developmentally referenced criterion (+2 SD), prevalence remained low for self-reports (12% vs. 10%) but rose further for parent reports (66% vs. 8%). Parent reports were more strongly associated with major life activities than were self-reports. Recollections of childhood ADHD showed moderate correlations with actual parent ratings collected in childd hood, which suggests some validity for such recollections. The authors conclude that previous follow-up studies that relied on self-reports might have substantially underestimated the persistence of ADHD into adulthood.
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                Author and article information

                Journal
                Health Psychol Res
                Health Psychol Res
                HPR
                Health Psychology Research
                PAGEPress Publications, Pavia, Italy
                2420-8124
                13 April 2015
                30 September 2015
                : 3
                : 2
                : 2115
                Affiliations
                [1 ]Department of Early Childhood and Elementary Education, College of Education and Human Services, Murray State University , Murray, KY, USA
                [2 ]Human Development and Family Science, College of Health and Human Performance, East Carolina University , Greenville, NC, USA
                [3 ]Department of Psychology, Kurukshetra University , Kurukshetra, India
                [4 ]Department of Adolescent, Career and Special Education, Murray State University , Murray, KY, USA
                Author notes
                Department of Early Childhood and Elementary Education, College of Education and Human Services, Murray State University 3103, Alexander Hall, Murray, KY 42071, USA +1.270.809.3098. ajaysingh363@ 123456gmail.com

                Contributions: AS, NV contributed equally as first authors.

                Conflict of interest: the authors declare no potential conflict of interest.

                Article
                10.4081/hpr.2015.2115
                4768532
                26973960
                e620ccad-63ab-4584-8c16-af0d02ffb784
                ©Copyright A. Singh et al.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 17 November 2014
                : 17 December 2014
                : 18 December 2014
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 229, Pages: 13
                Categories
                Review

                attention deficit hyperactivity disorder,preschool,children,families,intervention

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