Factors related to Medication Adherence according to Severity of Attention Deficit Hyperactivity Disorder in Children

주의력결핍과잉행동장애 아동의 증상수준에 따른 약물치료이행 관련요인

  • Kwag, Youn Kyoung (Department of Nursing, Yeungnam College of Science & Technology)
  • 곽윤경 (영남이공대학교 간호대학)
  • Published : 2012.12.31

Abstract

Purpose: The purpose of this study was to explore factors related to the medication compliance by severity levels of children on Attention Deficit Hyperactive Disorder (ADHD) medication. Methods: The method employed in this study was a descriptive correlational and cross-sectional survey design using face-to-face interviews. The survey was conducted from September, to October, 25, 2010 through a self-report questionnaire following consent of 143 mothers. Interview instruments, which were used in the study were CARS, PAI, ADHD knowledge instrument, BDI, a maternal behavior instrument, TAQ, and TAB instrument. Descriptive statistics, t-test, analysis of variance, and Pearson' correlation were used for data analysis. Results: Mothers who perceived their children as not hyperactive were significantly higher in accepting medication and positive maternal behaviors than mothers who perceived their children as hyperactive. The mother perceived their children as not hyperactive showed positive correlation to adherence with ADHD medication and ADHD knowledge but a negative correlation with depression and children's ADHD symptoms. There was, however, no correlation between medication adherence and any other variables in the mothers of children with hyperactivity. Conclusion: The results of this study indicate that different approaches are needed according to the severity of ADHD in children on medication and children's medication adherence.

Keywords

References

  1. Abdin, R. R. (1992). The determinants of parenting behavior. Journal of Clinical Child Psychology, 21, 407-412.
  2. Arica, E., Fernandez, M. C., & Jaquez, M. (2004). Latina mothers' stances on stimulant medication: Complexity, conflict, and compromise. Journal of Developmental and Behavioral Pediatrics, 25, 311-317.
  3. Brinkman, W. B., Sherman, S. N., Zmitrovich, A. R., Visscher, M. O., Crosby, L. E., Phelan, K. J., et al. (2009). Parental angst making and revisiting decisions about treatment of ADHD. Pediatrics, 124, 580-589.
  4. Charach, A., Ickowicz, A., & Schachar, R. (2004). Stimulant treatment over five years: Adherance, effectiveness, and adverse effects. Journal of American Academy of Child & Adolescent Psychiatry, 43, 559-567
  5. Chou, W. J., Chou, M. C., Tzang, R. F., Hsu, Y. C., Gau, S. S., Chen, S. J., et al. (2009). Better efficacy for the osmotic release oral system methylphenidate among poor adherents to immediate-release methylphenidate in the three ADHD subtypes. Psychiatry and Clinical Neurosciences, 63, 167-175.
  6. Cormier, E. (2008). ADHD: A review and update. Journal of Pediatric Nursing, 23, 345-357.
  7. Gau, S. S., Shen, H. Y., Chou, M. C., Tang, C. S., Chiu, Y. N., & Gau, C. S. (2006). Determinants of adherence to methylphenidate and the impact of poor adherence on maternal and family measures. Journal of Child and Adolescent Psychopharmacology, 16, 286-297.
  8. Groenewald, C., Emond, A., & Sayal, K. (2009). Recognition and referral of girls with ADHD: Case vignette study. Child: Care, Health and Development, 36, 767-772.
  9. Hwang, J. H. (2008). An analysis of the effects of enneagram program for parent on communication style, child-rearing attitude, and self-esteem. Unpublished doctoral dissertation, Yeungnam University, Daegu.
  10. Jackson, D., & Peters, K. (2008). Use of drug therapy in children with attention deficit hyperactivity disorder. Journal of Clinical Nursing, 17, 2725-2732.
  11. Jerome, L., Gordon, M., & Hustler, P. (1994). A comparison of American and Canadian teachers' knowledge and attitudes towards ADHD. Canadian Journal of Psychiatry, 39, 563-567.
  12. Johnston, C., Hommersen, P., & Seipp, C. (2008). Acceptability of behavioral and pharmacological treatments for attentiondeficit/hyperactivity disorder: Relations to child and parent characteristics. Journal of Behavior Therapy and Experimental Psychiatry, 39, 22-32.
  13. Krain, A. L., Kendall, P. C., & Power, T. J. (2005). The role of treatment acceptability in the initiation of treatment for ADHD. Journal of Attention Disorders, 9, 425-434.
  14. Lee, Y. H., & Song, J. Y. (1991). A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales. Korean Journal of Clinical Psychology, 10, 98-113.
  15. Leslie, L. K., Plemmons, D., Monn, A. R., & Palinkas, L. A. (2007). Investigating ADHD treatment trajectories: Listening to families' stories about medication use. Journal of Developmental and Behavioral Pediatrics, 28, 179-188.
  16. Letourneau, N. L., Tramonte, L., & Willms, J. D. (2012). Maternal depression, family functioning and children's longitudinal development. Journal of Pediatric Nursing, 31, 1-12.
  17. Nam, H. A., & Yang, S. (2005). Parenting stress and parenting role stress in parents of primary school students. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 14, 323-334.
  18. Oh, H. Y., Kim, S., & Kim, J. S. (2008). Knowledge and attitudes of school nurses to ADHD. Journal of Korean Academy of Child Health Nursing, 14, 243-251.
  19. Oh, K. J., & Lee, H. R. (1989). Assessment of ADHD with abbreviated conners rating scale. Korean Journal of Clinical Psychology, 8, 69-81.
  20. Oh, W. O., & Park, E. S. (2007). Parenting experiences of parents of children with ADHD: Approaching the normal. Journal of Korean Academy of Nursing, 37, 91-104.
  21. Pham, A. V., Carlson, J. S., & Kosciulek, J. F. (2009). Ethnic differences in parental beliefs of ADHD and treatment. Journal of Attention Disorders, 13, 584-591.
  22. Rogers, M. A., Wiener, J., Marton, I., & Tannock, R. (2009). Parental involvement in children's learning: Comparing parents of children with and without ADHD. Journal of School Psychology, 47, 167-185.
  23. Seo, M. J., Chang, E. J., Jung, C. H., & Chei, S. Y. (2003). The study of the parenting stress, depression and parenting efficacy on the mother of attention deficit hyperactivity disorder children. Korean Journal of Woman Psychology, 8, 69-81.
  24. Shin, S. J. (1997). Effects od stress, social support and efficacy on mother's parenting behaviors. Unpublished doctoral dissertation, Yonsei University, Seoul.
  25. Szobot, C. M., Ketzer, M. A., Parente, J., Biederman, J., & Rohde, L. A. (2004). The acute effect of methylphenidate in Brazilian male children and adolescents with ADHD: A randomized clinical trial. Journal of Attention Disorders, 8, 37-43.
  26. Tarnowski, J. K., & Simonian, S. J. (1992). Assessing treatment acceptance: The abbreviated acceptability rating profile. Journal of Behavior Therapy and Experimental Psychiatry, 23 , 101-106.
  27. Trostl, J. A. (1997). The history and meaning of patient compliance as an ideology. In D. S. Gochman, editors. Handbook of health behavior research. New York: Plenum Press.
  28. Yang, J. W., Yoon, B. M., Lee, M. S., Joe, S. H., Jung, I. K., & Kim, S. H. (2012). Adherence with electronic monitoring and symptoms in children with ADHD. Psychiatry Investigation, 9, 263-268.
  29. Yoo, I. Y., Ra, J. S., Oh, E. G., & Kim, M. J. (2009). Knowledge and attitude to attention deficit hyperactive disorder in Korean preschool teachers. Journal of Korean Academy of Child Health Nursing, 15, 383-392.
  30. You, J. O., Kim, H. S., & Ha, T. H. (2011). Factors influencing life satisfaction for mothers of elementary school children. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 20, 242-251.