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. 2019 May-Jun;41(3):252-257.
doi: 10.4103/IJPSYM.IJPSYM_456_18.

Factors Associated with Treatment Adherence in Children with Attention Deficit Hyperactivity Disorder

Parvin Safavi  1 , Mehrdad Saberzadeh  2 , Afsaneh Malekpour Tehrani  3
Affiliations

Factors Associated with Treatment Adherence in Children with Attention Deficit Hyperactivity Disorder

Parvin Safavi et al. Indian J Psychol Med. 2019 May-Jun.

Abstract

Background: Attention deficit/hyperactivity disorder (ADHD) is a common psychiatric disorder in children. The aim of this study was to investigate factors related to treatment adherence in children with ADHD.

Methods: This cross-sectional study was done in 118 children (aged 6-12 years) with ADHD who have been on medications for at least 6 months. The patients were selected based on the convenience sampling method from those who were referred to child psychiatry clinic. Medication Adherence Report Scale, Belief about Medicines Questionnaire specific version, and Children Symptom Inventory-4 were completed by parents and teachers.

Findings: Medication adherence had significant negative correlation with inattention scores on teacher-report forms (r = -0.27, P= 0.003) and poor economic status (P = 0.03). There was a positive correlation between medication adherence and history of psychopharmacological treatment in the family (P = 0.01), and father's education level (P = 0.001). Treatment adherence had no significant correlation with age, gender, comorbid disorders, mother's education, family history of ADHD, medication side effects, or parental concerns and beliefs about the necessity of drug use.

Conclusion: The factors found to have a correlation with adherence should be taken in to account by clinicians so that adherence can be improved in their patients.

Keywords: Attention deficit/hyperactivity disorder; In children with ADHD, adherence to medications is positively correlated with history of psychopharmacological treatment in the family and father's education level and negatively correlated with inattention scores on teacher-report forms and poor economic status.; children; treatment adherence.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Medication Adherence Report Scale scores in economic status groups
Figure 2
Figure 2
Correlation between father education and treatment adherence. MARS: Medication Adherence Report Scale
See this image and copyright information in PMC

References

    1. Polanczyk G, De Lima MS, Horta BL, Biederman J, Rohde LA. The worldwide prevalence of ADHD: A systematic review and metaregression analysis. Am J Psychiatry. 2007;164:942–8. - PubMed
    1. Caye A, Spadini AV, Karam RG, Grevet EH, Rovaris DL, Bau CH, et al. Predictors of persistence of ADHD into adulthood: A systematic review of the literature and meta-analysis. Eur Child Adolesc Psychiatry. 2016;25:1151–9. - PubMed
    1. Lacrimior S, Eugen Arnold L. Attention deficit hyperactivity disorder. In: Martin A, Wolkmar FR, editors. Lewis's Child and Adolescent Psychiatry: A Comprehensive TextBook. Philadelphia: Lippincott Williams and Wilkins; 2007. pp. 564–601.
    1. Sabate E. Geneva: World Health Organization; 2003. [Last accessed on 2005 Jul 11]. Adherence to long-term therapies: Evidence for action. Available from: http://www.who.int/chronic_conditions/en/adherence_report.pdf .
    1. Marcus SC, Durkin M. Stimulant adherence and academic performance in urban youth with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry. 2011;50:480–9. - PubMed