An Electronic Diary Study of Contextual Triggers and ADHD: Get Ready, Get Set, Get Mad - 09/08/11
, Barbara Henker, Ph.D., Sharon S Ishikawa, Ph.D., Larry D Jamner, Ph.D., Joshua N Floro, M.A., Joseph A Johnston, M.D., Ralph Swindle, Ph.D.ABSTRACT |
Objective |
This study was designed to examine context effects or provocation ecologies in the daily lives of children with ADHD.
Method |
Across 7 days, mothers and children (27 children with attention-deficit/hyperactivity disorder [ADHD] taking stimulant medication; 25 children without ADHD; ages 7-12 years) provided electronic diary reports every 30 ± 5 minutes during nonschool hours. Child and maternal perceptions of behaviors, moods, and interaction quality during preparatory and transitional (“getting ready”) activities were compared with those during other activities.
Results |
Maternal reports revealed that child symptomatic behaviors and negative moods, maternal negative moods, and parent-child disagreement were elevated in the ADHD but not in the comparison group while getting ready versus other activities. Children’s self-ratings also revealed situational effects, indicating that school-age children with ADHD can give meaningful self-reports using carefully structured electronic diaries.
Conclusions |
Even when children with ADHD are receiving stimulant pharmacotherapy, the preparatory tasks of daily living are especially challenging and linked disproportionately to child behavior problems, parent negative affect, and contentious interactions. Treatment targeted on these transitional hurdles may improve child behavior patterns and enhance parent-child relationships and family harmony.
Le texte complet de cet article est disponible en PDF.Key Words : attention-deficit/hyperactivity disorder, mother-child relationship, electronic diaries, situational effects, child self-reports
Plan
| This research was supported in part by Eli Lilly & Company. The authors are indebted to their dedicated research team, especially Dana Le, Ryan Murray, Allison Wright, Dennis Dierck, Christina E. Merrilees, and Cara Kiff, and to the children and parents for their enthusiastic participation in this study. They appreciate the invaluable contributions of several colleagues, particularly Tim Wigal, Sally Snyder, John Chai, and Ralph J. Delfino. |
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| Article Plus (online only) materials for this article appear on the Journal’s Web site: www.jaacap.com. |
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| Disclosure: Drs. Whalen, Henker, and Jamner have received research support (within the past 3 years) from Eli Lilly. Drs. Johnston and Swindle are employees and stockholders of Eli Lilly. The other authors have no financial relationships to disclose. |
Vol 45 - N° 2
P. 166-174 - février 2006 Retour au numéro
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