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Barriers to seeking help among children with attention deficit hyperactivity disorder in Taiwan

Ruu-Fen Tzang1, Yue-Cune Chang, Chiao-Chicy Chen

  • 1Department of Psychiatry, Mackay Memorial Hospital, Taipei, Taiwan.

Asia-Pacific Psychiatry : Official Journal of the Pacific Rim College of Psychiatrists
|July 17, 2013
PubMed

Insights

Understanding barriers to care for children with Attention Deficit Hyperactivity Disorder (ADHD) is crucial. Regular methylphenidate (MPH) use improves adherence and seeking specialist care for ADHD.

Area of Science:

  • Child and Adolescent Psychiatry
  • Developmental Psychology
  • Behavioral Health

Background:

  • Attention Deficit Hyperactivity Disorder (ADHD) presents unique challenges in seeking timely and effective care.
  • Taiwanese families face specific barriers in accessing appropriate mental health services for children with ADHD.

Purpose of the Study:

  • To investigate the barriers encountered by caregivers of children with ADHD when seeking help.
  • To analyze the relationship between treatment adherence, demographic factors, and help-seeking behaviors.

Main Methods:

  • A cohort of 104 children diagnosed with ADHD and their caregivers were assessed in an outpatient setting.
  • Data collected included sociodemographic information, attitudes towards stimulant medication, and barriers to care.
  • Comparison of help-seeking barriers between groups with good and poor treatment compliance.

Main Results:

  • Regular methylphenidate (MPH) use was associated with reduced multiple medical care seeking and increased preference for child psychiatrists.
  • Boys with ADHD showed a preference for MPH treatment.
  • Higher maternal education correlated with initial reluctance towards psychiatric treatment and a tendency to seek alternative therapies like sensory integration training.

Conclusions:

  • Misdiagnosis of ADHD as sensory integration dysfunction can hinder access to effective mental healthcare.
  • Enhancing parental understanding of ADHD is vital for improving treatment effectiveness and adherence.
  • Policy interventions are needed to support families in navigating the healthcare system for ADHD.
Abstract

Keywords:
attention deficit hyperactivity disorderhelp seekingsensory integration

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