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Measuring ADHD behaviors in children with symptomatic accommodative dysfunction or convergence insufficiency: a
Eric Borsting1, Michael Rouse, Ray Chu
1Southern California College of Optometry, 2575 Yorba Linda Boulevard, Fullerton, CA 92831, USA. eborsting@scco.edu
Summary
Children with vision problems like accommodative dysfunction or convergence insufficiency (CI) show more attention and hyperactivity behaviors. This suggests a link between these vision issues and learning challenges in school-aged children.
Area of Science:
- Pediatric Optometry
- Developmental Psychology
- Clinical Ophthalmology
Background:
- Accommodative dysfunction and convergence insufficiency (CI) are common pediatric vision issues.
- These conditions are linked to increased vision-specific symptoms during schoolwork.
- The relationship between CI, accommodative dysfunction, and learning disorders like ADHD is not well understood.
Purpose of the Study:
- To evaluate the frequency of attention deficit hyperactivity disorder (ADHD) behaviors in school-aged children with symptomatic accommodative dysfunction or CI.
Main Methods:
- Recruited children aged 8-15 with symptomatic accommodative dysfunction or CI.
- Excluded children with pre-existing learning disabilities or ADHD.
- Administered the Conners Parent Rating Scale-Revised Short Form (CPRS-R:S) to parents and compared scores to normative data.
Main Results:
- Twenty-four children participated (9 boys, 15 girls; mean age 10.93 years).
- Children scored significantly higher on the CPRS-R:S for cognitive problems/inattention, hyperactivity, and the ADHD index compared to normative values (p < .001).
Conclusions:
- School-aged children with symptomatic accommodative dysfunction or CI exhibit a higher frequency of behaviors associated with attention and school performance.
- Findings suggest a potential link between these vision disorders and ADHD-like behaviors.