INTERNATIONAL JOURNAL OF SPECIAL EDUCATION Vol 26, No: 3, 2011With respect to parent’s sociodemographics, no statistically significant differences were found betweenADHD children hyperactivity-impulsivity type and non- ADHD children, in regard to family income aswell as the educational level of mothers and fathers. In other words, the hyperactivity and impulsivitysymptomatology in children with ADHD did not vary according to their diverse backgrounds.Among the family environment and parenting variables, the only significant differences found betweenADHD hyperactivity-impulsivity type and non- – ADHD children was on the gender inequities scale t(198) = -1.99, p = 0.04 with ADHD children hyperactivity-impulsivity type reported higher levels ofgender inequities (see Table 1). Children who reported that they were subjected to genderdiscrimination and bias in their families in terms of receiving rewards, support, help, empathy, andresponsive care-giving exhibited symptoms of hyperactivity-impulsivity more than children who didn’tsuffer from gender bias in their families.Logistic regression was used to predict ADHD hyperactivity-impulsivity type. The results indicated thatnone of the child characteristics, parent’s sociodemographics, and family environment and parentingwere significant predictors of ADHD hyperactivity-impulsivity type.Table 2. Logistic Regression Predicting ADHD Inattentive type and ADHD Hyperactive –Impulsive typeVariableADHDInattentive typeADHDHyperactive –Impulsivetypeb r p OR b r p ORGender 3.43 .17 31.04** .86 .08 2.36School Performance -.04 -.26 .95 .02 -.09 1.02Family Income .000 -.01 1.00 .00 -.11 1.00Father <strong>Education</strong> .58 .30 1.78 .25 .11 1.29Mother <strong>Education</strong> -3.32 -.18 .03 -.39 -.10 .67Family Ambiance -1.84 -.09 .83 -.48 -.08 .61Parental Support -.22 -.10 .79 -.07 -.03 .92Gender Inequities .23 .25 1.26 -.00 .14 .99Harsh Discipline -.58 .01 .55 .49 .12 1.63Gender is coded: Male=1; Female=0. School Performance is coded: Cumulative Average. <strong>Education</strong>al level of Mothersand Fathers are coded in Years. Family Income is coded in Dirham. Family Ambiance is coded: 5-point scale ranging from7 to 35. Parental Support (PSC) is coded: 5-point ranging scale ranging from 10 to 100.Gender Inequities is coded: 5-pointranging scale ranging from 8 to 40 Harsh Discipline (HD) is coded: 5-point scale ranging from 6 to 30.* P < .01; * * P < .001DiscussionThe results of the current study indicate that the overall prevalence rate of ADHD was 12.5 % amongUnited Arab Emirates school-age children, with most children showing symptoms that are predominantlyinattentive, followed by those who are predominantly hyperactive-impulsive, and those who exhibit acombination of all symptoms- the combined type. Although the proportion of children identified asADHD may be higher than the estimates of the DSM (APA, 1994), the results are more or less consistentwith previous findings on UAE children which reported an overall prevalence rate of 14.9% (Bu-Haroon,Eapen, & Bener, 1999). Yet it was inconsistent with the results of a recent study on Arab children (i.e.,Palestinians) which has indicated a much higher prevalence rate of 34.1%. Differences in the prevalencerate of ADHD may be attributed to the fact that Palestinian children live in difficult circumstances, andexperience a considerable number of difficulties and stressors which may engender substantial harm tothem and make them more susceptible to the development and/or maintenance of the disorder (Khamis,2006). Nevertheless, the results of this study yielded similar rates of ADHD among children fromvarious countries (Baumgaertel, Wolraich, & Dietrich, 1995; Gaub & Carlson, 1997; Hinshaw ,1994;Pineda, Ardila, Rosselli, Arias, Henao, Gomez, Mejia, & Miranda, 1999). This is likely due to thesimilarity in research design, which relied on teachers’ ratings in which prominent symptoms were onlydisplayed in the school setting. An earlier study carried out in UAE (Daradkeh, 1993) noted that teachersmay be more accurate in their ratings of ADHD among school- aged children. Also, consistent withprevious findings (Barkley, DuPaul, & McMurray, 1990; Cantwell & Satterfield, 1978; Holborow &Berry, 1986; Lambert & Sandoval, 1980; McKinney, Mason, Perkerson, & Clifford, 1975), children with32
INTERNATIONAL JOURNAL OF SPECIAL EDUCATION Vol 26, No: 3, 2011ADHD inattentive subtype displayed significant academic underachievement compared to non-ADHDchildren.Consistent with previous findings the prevalence of ADHD was much more common among males thanfemales (Bu-Haroon, Eapen, & Bener, 1999; Khamis, 2006), with males showing more symptoms of theinattentive type rather than the hyperactive-impulsive type. However, in a recent study on Arab children(i.e., Palestine), males were found to have a higher rate of symptoms of the hyperactive-impulsive andcombined types rather than the inattentive type (Khamis, 2006).Consistent with previous findings (Barkley, DuPaul, & McMurray, 1990; Cantwell & Satterfield, 1978;Holborow & Berry, 1986; Lambert & Sandoval, 1980; McKinney, Mason, Perkerson, & Clifford, 1975),children with ADHD inattentive subtype displayed significant academic underachievement compared tonon-ADHD childrenWhile gender inequities were found to be associated with ADD and ADH in UAE school age children,this variable was not a significant predictor in the final models. Nevertheless, the analyses of the resultsemphasized the crucial role of harsh discipline in predicting ADD symptomatology in UAE children.Children with ADD symptoms were more likely to report higher levels of parental harsh discipline suchas coercive punishment, immediate obedience to parental orders, monitoring and directing activities. Theresults are consistent with previous studies that linked gender inequities and harsh discipline(Buhrmester et.al.,1992; Gardner ,1994;Khamis, 2006) ,childhood maltreatment(Egeland, 1985;Rosenzweigh & Kaplan, 1996) , and conflicted patterns of family communication (Barkley,Antastopoulous, Guevremont, & Fischer, 1992) to attention problems. Since causal statements cannot besupported by correlational results, additional investigations are needed to identify family contextualvariables (e.g., influence of parental styles) that may account for differences observed in ADHDsymptomatology among children.To summarize, the results of the current study reveal the existence of ADHD symptomatology amongUAE school-age children. As a result there is an urgent need for policies aimed at identifying,preventing, and treating this childhood disorder in schools. At the same time, the public school systemhas to emphasize remedial education aimed at improving the study skills and academic achievement ofchildren with ADHD, particularly those who are at high risk for ADHD such as males and children whoare subjected to harsh disciplining in their home environment.Interventions directed towards the family could be used to promote more positive styles of parentalinfluence. Such interventions may include parental awareness programs that would draw attention to theadverse affects of gender inequities, and harsh disciplining. This could be achieved through in-serviceworkshops and training programs directly aimed at parents’ awareness and empowerment in an attemptto alter or change their orientations towards child-rearing practices. While the main findings providesome reassurance that success resulting from evidence-based ADHD treatments is related to the degreeof change in negative/ineffective discipline (Hinshaw et al. 2000), policies are needed to includediagnostic and clinical procedures in the school setting.ReferencesAmerican Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4 thedition ). Washington, DC:Author.Anastopulos, A. D., Guevremont, D. C., Shelton, T. L., & Du Paul, J. J. (1992). Parenting stress amongfamilies of children with attention deficit hyperactivity disorder. <strong>Journal</strong> of Abnormal Child Psychology,20, 503-520.Anderson, C. A., Hinshaw, S. P., & Simmel, C. (1994). Mother-child interactions in ADHD andcomparison boys: Relationships to overt and covert externalizing behavior. <strong>Journal</strong> of Abnormal ChildPsychology,22, 247-265.Barkley, R.(1998). Attention deficit and hyperactivity disorder: A handbook for diagnosis andtreatment(2 nd ed.) New York,USA:Guilford.Barkley, R., Anastopoulos, A.,Guevremont, D., & Fletcher, K.(1992). Adolescents with attention deficithyperactivity disorder: Mother adolescent interactions, family beliefs and conflicts, and maternalpsychopathology. <strong>Journal</strong> of Abnormal Child Psychology, 20, 263-288.Barkley, R., Du Paul, G., & McMurray, M. (1990). A comprehensive evaluation of attention deficitdisorder with and without hyperactivity defined by research criteria. <strong>Journal</strong> of Consulting and ClinicalPsychology,58, 775-789.33
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