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Cross-cultural differences in rating hyperactive-disruptive behaviors in children
E M Mann1, Y Ikeda, C W Mueller
1Department of Psychiatry, School of Medicine, University of Hawaii, Honolulu 96826.
The American Journal of Psychiatry
|November 1, 1992
Summary
Cultural perceptions of attention-deficit hyperactivity disorder (ADHD) vary significantly. Clinicians in China and Indonesia rated behaviors more hyperactive than those in Japan and the US, impacting ADHD prevalence rates.
Area of Science:
- Child and Adolescent Psychiatry
- Cross-Cultural Psychology
- Behavioral Science
Background:
- Reported variations in attention-deficit hyperactivity disorder (ADHD) prevalence exist across countries.
- Cultural differences among raters may contribute to these observed prevalence discrepancies.
Purpose of the Study:
- To investigate if cultural factors influence the assessment of hyperactive-disruptive behaviors in children.
- To determine the extent of variation in ratings among mental health professionals from different cultural backgrounds.
Main Methods:
- Mental health professionals from China, Indonesia, Japan, and the United States participated.
- Participants rated hyperactive-disruptive behaviors in standardized videotape vignettes of four boys.
Main Results:
- Clinicians from China and Indonesia assigned significantly higher scores for hyperactive-disruptive behaviors.
- Japanese and American clinicians provided lower scores for the same behaviors.
Conclusions:
- Perceptions of hyperactivity differ substantially across cultural contexts, even with standardized criteria.
- Cross-cultural ADHD prevalence rates require adjustment for these perceptual variations to ensure comparability.