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Parental Etiological Explanations and Longitudinal Medication Use for Youths with Attention Deficit Hyperactivity Disorder

Administration and Policy in Mental Health and Mental Health Services Research volume 41, pages 401–409 (2014)Cite this article

Abstract

Due to the need to increase understanding of factors associated with medication usage for youth with ADHD, this study examined parental explanatory etiologies in relationship to psychotropic medication use in a sample of youth who met criteria for ADHD and utilized outpatient specialty mental health services in the previous year. When examined cross-sectionally, medication usage was positively associated with parental explanatory etiologies related to physical causes and negatively associated with those involving sociological causes. Longitudinal analyses did not show a significant effect of Time 1 parental explanatory etiologies on the slope of medication use, suggesting that the relationship between Time 1 parental explanatory etiologies and medication usage remains stable over time for those who have had past year involvement with outpatient specialty mental health services.

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References

  • Abikoff, H., Hechtman, L., Klein, R. G., Gallagher, R., Fleiss, K., Etcovitch, J., et al. (2004a). Social functioning in children with ADHD treated with long-term methylphenidate and multimodal psychosocial treatment. The American Academy of Child and Adolescent Psychiatry, 43(7), 820–829. doi:10.1097/01.chi.0000128797.91601.1a.

    Article  Google Scholar 

  • Abikoff, H., Hechtman, L., Klein, R. G., Weiss, G., Fleiss, K., Etcovitch, J., et al. (2004b). Symptomatic improvement in children with ADHD treated with long-term methylphenidate and multimodal psychosocial treatment. Journal of the American Academy of Child and Adolescent Psychiatry, 43(7), 802–811. doi:10.1097/01.chi.0000128791.10014.ac.

    Article  PubMed  Google Scholar 

  • American Academy of Pediatrics, Subcommittee on Attention Deficit/Hyperactivity Disorder, Steering Committee on Quality Improvement and Management (2011). ADHD: Clinical practice guideline for the diagnosis, evaluation, and treatment of Attention Deficit/Hyperactivity Disorder in Children and Adolescents. Pediatrics, 128(5), 1007–1022. doi:10.1542/peds.2011-2654.

  • Barbaresi, W. J., Katusic, S. K., Colligan, R. C., Weaver, A. L., & Jacobsen, S. J. (2007). Modifiers of long-term school outcomes for children with attention deficit/hyperactivity disorder: Does treatment with stimulant medication make a difference? Results from a population-based study. Journal of Developmental and Behavioral Pediatrics, 28(4), 274–287. doi:10.1097/DBP.0b013e3180cabc28.

    Article  PubMed  Google Scholar 

  • Bauermeister, J. J., Canino, G., Bravo, M., Ramírez, R., Jensen, P. S., Chavez, L., et al. (2003). Stimulant and psychosocial treatment of ADHD in Latino/Hispanic children. Journal of the American Academy of Child and Adolescent Psychiatry, 42(7), 851–855.

    Article  PubMed  Google Scholar 

  • Bennett, D. S., Power, T. J., Rostain, A. L., & Carr, D. E. (1996). Parent acceptability and feasibility of ADHD interventions: Assessment, correlates, and predictive validity. Journal of Pediatric Psychology, 21, 643–657. doi:10.1093/jpepsy/21.5.643.

    Article  PubMed  CAS  Google Scholar 

  • Biederman, J., Monuteaux, M. C., Spencer, T., Wilens, T. E., & Faraone, S. V. (2009). Do stimulants protect against psychiatric disorders in youth with ADHD? A 10-year follow-up study. Pediatrics, 124(1), 71–78. doi:10.1542/peds.2008-3347.

    Article  PubMed Central  PubMed  Google Scholar 

  • Bussing, R., Zima, B. T., Mason, D., Hou, W., Garvan, C. W., & Forness, S. (2005). Use and persistence of pharmacotherapy for elementary school students with attention-deficit/hyperactivity disorder. Journal of Child and Adolescent Psychopharmacology, 15(1), 78–87. doi:10.1089/cap.2005.15.78.

    Article  PubMed  Google Scholar 

  • Canino, G., Shrout, P. E., Alegria, M., Rubio-Stipec, M., Chavez, L. M., Ribera, J. C., et al. (2002). Methodological challenges in assessing children’s mental health services utilization. Mental Health Services Research, 4(2), 97–107. doi:10.1023/A:1015252217154.

    Article  PubMed  Google Scholar 

  • Chaco, A., Newcorn, J. H., Feirsen, N., & Uderman, J. Z. (2010). Improving medication adherence in chronic pediatric health conditions: A focus on ADHD in youth. Current Pharmaceutical Design, 16, 2416–2423.

    Article  Google Scholar 

  • Charach, A., Volpe, T., & Boydell, K. M. (2008). A theoretical approach to medication adherence for children and youth with psychiatric disorders. Harvard Review of Psychiatry, 16, 126–135.

    Article  PubMed  Google Scholar 

  • Corkum, P., Rimer, P., & Schachar, R. (1999). Parental knowledge of attention-deficit hyperactivity disorder and opinions of treatment options: impact of enrollment and adherence to a 12-month treatment trial. Canadian Journal of Psychiatry, 44(10), 1043–1048.

    CAS  Google Scholar 

  • Davis, C. C., Claudius, M., Palinkas, L. A., Wong, J. B., & Leslie, L. K. (2012). Putting families in the center: Family perspectives on decision making and ADHD and implications for ADHD care. Journal of Attention Disorders, 16, 675–684.

    Article  PubMed  Google Scholar 

  • dosReis, S., Mychailyszyn, M. P., Evans-Lacko, S. E., Beltran, A., Riley, A. W., & Myers, M. A. (2009). The meaning of attention-deficit/hyperactivity disorder medication and parents’ initiation and continuity of treatment for their child. Journal of Child and Adolescent Psychopharmacology, 19(4), 377–383. doi:10.1089/cap.2008.0118.

    Article  PubMed Central  PubMed  Google Scholar 

  • Dunn, G., Everitt, B. S., & Pickles, A. (1993). Modelling covariances and latent variables using EQS. London: Chapman & Hall.

    Google Scholar 

  • Elia, J., Ambrosini, P. J., & Rapoport, J. L. (1999). Drug therapy: Treatment of attention-deficit hyperactivity disorder. The New England Journal of Medicine, 340(10), 780–788. doi:10.1056/NEJM199903113401007.

    Article  PubMed  CAS  Google Scholar 

  • Faraone, S. V. (2009). Using meta-analysis to compare the efficacy of medications for attention-deficit/hyperactivity disorder in youths. Pharmacy and Therapeutics, 34(12), 678–683.

    PubMed Central  PubMed  Google Scholar 

  • Garland, A., Hough, R. L., McCabe, K., Yeh, M., Wood, P. A., & Aarons, G. A. (2001). Prevalence of psychiatric disorders in youths across five sectors of care. Journal of the American Academy of Child and Adolescent Psychiatry, 40(4), 409–418. doi:10.1097/00004583-200104000-00009.

    Article  PubMed  CAS  Google Scholar 

  • Goldman, L. S., Genel, M., Bezman, R. J., & Slanetz, P. J. (1998). Diagnosis and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Journal of the American Medical Association, 279(14), 1100–1107. doi:10.1001/jama.279.14.1100.

    Article  PubMed  CAS  Google Scholar 

  • Hechtman, L., Abikoff, H., Klein, R. G., Weiss, G., Respitz, C., Kouri, J., et al. (2004). Academic achievement and emotional status of children with ADHD treated with long-term methylphenidate and multimodal psychosocial treatment. Journal of the American Academy of Child and Adolescent Psychiatry, 43(7), 812–819. doi:10.1097/01.chi.0000128796.84202.eb.

    Article  PubMed  Google Scholar 

  • Hoagwood, K., Horwitz, S., Stiffman, A. R., Weisz, J. R., Bean, D. L., Rae, D., et al. (2000). Concordance between parent reports of children’s mental health services and service records: The Service Assessment for Children and Adolescents (SACA). Journal of Child and Family Studies, 9(3), 315–331. doi:10.1023/A:1026492423273.

    Article  Google Scholar 

  • Horwitz, S., Hoagwood, K., Stiffman, A. R., Summerfeld, T., Weisz, J. R., Costello, E. J., et al. (2001). Reliability of the services assessment for children and adolescents. Psychiatric Services, 52(8), 1088–1094. doi:10.1176/appi.ps.52.8.1088.

    Article  PubMed  CAS  Google Scholar 

  • Hu, L., & Bentler, P. M. (1998). Fit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification. Psychological Methods, 3(4), 424–453. doi:10.1037/1082-989X.3.4.424.

    Article  Google Scholar 

  • Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55. doi:10.1080/10705519909540118.

    Article  Google Scholar 

  • Jensen, P. S., Kettle, L., Roper, M. T., Sloan, M. T., Dulcan, M. K., Hoven, C., et al. (1999). Are stimulants overprescribed? Treatment of ADHD in four US communities. Journal of the American Academy of Child and Adolescent Psychiatry, 38(7), 797–804. doi:10.1097/00004583-199907000-00008.

    Article  PubMed  CAS  Google Scholar 

  • Johnston, C., Seipp, C., Hommersen, P., Hoza, B., & Fine, S. (2005). Treatment choices and experiences in attention deficit and hyperactivity disorder: Relations to parents’ beliefs and attributions. Child: Care, Health and Development, 31(6), 669–677. doi:10.1111/j.1365-2214.2005.00555.x.

    Google Scholar 

  • Kelloway, E. K. (1998). Using LISREL for structural equation modeling: A researcher’s guide. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Krain, A. L., Kendall, P. C., & Power, T. J. (2005). The role of treatment acceptability in the initiation of treatment for ADHD. Journal of Attention Disorders, 9(2), 425–434. doi:10.1177/1087054705279996.

    Article  PubMed  Google Scholar 

  • Leslie, L. K., Plemmons, D., Monn, A., & Palinkas, L. A. (2007). Investigating ADHD treatment trajectories: Listening to families’ stories. Journal of Developmental and Behavioral Pediatrics, 28(3), 179–188. doi:10.1097/DBP.0b013e3180324d9a.

    Article  PubMed  Google Scholar 

  • Marcus, S. C., Wan, G. J., Kemner, J. E., & Olfson, M. (2005). Continuity of methylphenidate treatment for attention-deficit/hyperactivity disorder. Archives of Pediatric and Adolescent Medicine, 159, 572–578.

    Article  Google Scholar 

  • McLeod, J. D., Fettes, D. L., Jensen, P. S., Pescosolido, B. A., & Martin, J. K. (2007). Public knowledge, beliefs, and treatment preferences concerning attention-deficit hyperactivity disorder. Psychiatric Services, 58, 626–631.

    Article  PubMed Central  PubMed  Google Scholar 

  • Mueller, R. (1996). Basic principles of structural equation modeling: An introduction to LISREL and EQS. New York, NY: Springer.

    Book  Google Scholar 

  • Muthen, L. K., & Muthen, B. O. (1998). Mplus user’s guide (3rd ed.). Los Angeles, CA: Muthen and Muthen.

    Google Scholar 

  • Mychailyszyn, M. P., DosReis, S., & Meyers, M. (2008). African American caretakers’ view of ADHD and use of outpatient mental health care services for children. Family Systems and Health, 4, 447–458.

    Article  Google Scholar 

  • Pappadopulos, E., Jensen, P. S., Chait, A. R., Arnold, L. E., Swanson, J. M., Greenhill, L. L., et al. (2009). Medication adherence in the MTA: Saliva methylphenidate samples versus parental report and mediating effect of concomitant behavioral treatment. Journal of the American Academy of Child and Adolescent Psychiatry, 48, 501–510. doi:10.1097/CHI.0b013e31819c23ed.

    Article  PubMed  Google Scholar 

  • Perwien, A., Hall, J., Swensen, A., & Swindle, R. (2004). Stimulant treatment patterns and compliance in children and adults with newly treated attention-deficit/hyperactivity disorder. Journal of Managed Care Pharmacy, 10(2), 122–129.

    PubMed  Google Scholar 

  • Pham, A. V., Carlson, J. S., & Kosciulek, J. F. (2010). Ethnic differences in parental beliefs of attention-deficit/hyperactivity disorder and treatment. Journal of Attention Disorders, 13(6), 584–591. doi:10.1177/1087054709332391.

    Article  PubMed  Google Scholar 

  • Pliszka, S., & AACAP Workgroup on Quality Issues. (2007). Practice parameter for the assessment and treatment of children and adolescents with attention-deficit/hyperactivity disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 46(7), 894–921. doi:10.1097/chi.0b013e318054e724.

    Article  Google Scholar 

  • Powers, R. L., Marks, D. J., Miller, C. J., Newcorn, J. H., & Halperin, J. M. (2008). Stimulant treatment in children with attention-deficit/hyperactivity disorder moderates adolescent academic outcome. Journal of Child and Adolescent Psychopharmacology, 18(5), 449–459. doi:10.1089/cap.2008.021.

    Article  PubMed Central  PubMed  Google Scholar 

  • Rosner, B. (1995). Fundamentals of biostatistics. Belmont, CA: Duxbury Press.

    Google Scholar 

  • Rowland, A. S., Umbach, D. M., Stallone, L., Naftel, A. J., Bohlig, E. M., & Sandler, D. P. (2002). Prevalence of medication treatment for attention deficit-hyperactivity disorder among elementary school children in Johnston County, North Carolina. American Journal of Public Health, 92(2), 231–234. doi:10.2105/AJPH.92.2.231.

    Article  PubMed Central  PubMed  Google Scholar 

  • Scheffler, R. M., Brown, T. T., Fulton, B. D., Hinshaw, S. P., Levine, P., & Stone, S. (2009). Positive association between attention-deficit/hyperactivity disorder medication use and academic achievement during elementary school. Pediatrics, 123(5), 1273–1279. doi:10.1542/peds.2008-1597.

    Article  PubMed  Google Scholar 

  • Shaffer, D., Fisher, P., Lucas, C. P., Dulcan, M. K., & Schwab-Stone, M. E. (2000). NIMH Diagnostic Interview Schedule for Children version IV (NIMH DISC-IV): description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 39(1), 28–38. doi:10.1097/00004583-200001000-00014.

    Article  PubMed  CAS  Google Scholar 

  • Stiffman, A. R., Horwitz, S., Hoagwood, K., Compton, W, I. I. I., Cottler, L., Bean, D. L., et al. (2000). The Service Assessment for Children and Adolescents (SACA): Adult and child reports. Journal of the American Academy of Child and Adolescent Psychiatry, 39(8), 1032–1039. doi:10.1097/00004583-200008000-00019.

    Article  PubMed  CAS  Google Scholar 

  • Sussman, L. K., Robins, L. N., & Earls, F. (1987). Treatment-seeking for depression by African-American and white Americans. Social Science and Medicine, 24(3), 187–196. doi:10.1016/0277-9536(87)90046-3.

    Article  PubMed  CAS  Google Scholar 

  • The MTA Cooperative Group. (1999). A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. Archives of General Psychiatry, 56(12), 1073–1086. doi:10.1001/archpsyc.56.12.1073.

    Article  Google Scholar 

  • Toomey, S. L., Sox, C. M., Rusinak, D., & Finkelstein, J. A. (2012). Why do children with ADHD discontinue their medication? Clinical Pediatrics, 51, 763–769.

    Article  PubMed  Google Scholar 

  • Visser, S. N., Lesesne, C. A., & Perou, R. (2007). National estimates and factors associated with medication treatment for childhood attention-deficit/hyperactivity disorder. Pediatrics, 119, S99–S106.

    Article  PubMed  Google Scholar 

  • Westermeyer, J. (1987). Cultural factors in clinical assessment. Journal of Consulting and Clinical Psychology, 55(4), 471–478. doi:10.1037/0022-006X.55.4.471.

    Article  PubMed  CAS  Google Scholar 

  • Winterstein, A. G., Gerhard, T., Shuster, J., Zito, J., Johnson, M., Liu, H., et al. (2008). Utilization of pharmacologic treatment in youths with attention deficit/hyperactivity disorder in Medicaid database. Annals of Pharmacotherapy, 42, 24–31.

    Article  PubMed  Google Scholar 

  • Yeh, M., & Hough, R. L. (1997). Beliefs about the causes of child problems questionnaire. San Diego, CA: Child and Adolescent Services Research Center at Rady Children's Hospital-San Diego. (Unpublished manuscript).

  • Yeh, M., McCabe, K., Hough, R. L., Lau, A., Fakhry, F., & Garland, A. (2005). Why bother with beliefs? Examining relationships between race/ethnicity, parental beliefs about cause of child problems, and mental health service use. Journal of Consulting and Clinical Psychology, 73(5), 800–807. doi:10.1037/0022-006X.73.5.800.

    Article  PubMed  Google Scholar 

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Acknowledgments

This publication was made possible by Grant Numbers U01MH55282, K01MH01767, R01MH071483, R01MH072961, and F31MH082607 from the National Institute of Mental Health (NIMH). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIMH or NIH. The authors would also like to thank Dr. Scott Roesch for his statistical consultation.

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Authors and Affiliations

  1. Department of Psychology, San Diego State University, San Diego, CA, USA

    May Yeh

  2. Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive (0812), La Jolla, CA, 92093-0812, USA

    May Yeh & Gregory A. Aarons

  3. SDSU/UCSD Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA

    May Yeh, Gregory A. Aarons & Katherine Tsai

  4. Child and Adolescent Services Research Center at Rady’s Children’s Hospital-San Diego, San Diego, CA, USA

    May Yeh, Gregory A. Aarons, Kristen McCabe, Katherine Tsai & Richard Hough

  5. Graduate School of Education and Psychology, Pepperdine University, Los Angeles, CA, USA

    Judy Ho

  6. Departments of Medicine and Pediatrics, Tufts University School of Medicine, 800 Washington Street MC 345, Boston, MA, 02111, USA

    Laurel K. Leslie

  7. Department of Psychology, University of San Diego, San Diego, CA, USA

    Kristen McCabe

  8. Department of Sociology, San Diego State University, San Diego, CA, USA

    Richard Hough

  9. Departments of Psychiatry and of Community and Family Medicine, University of New Mexico, Albuquerque, NM, USA

    Richard Hough

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  1. May Yeh
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  2. Gregory A. Aarons
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  3. Judy Ho
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  4. Laurel K. Leslie
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  6. Katherine Tsai
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  7. Richard Hough
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Correspondence to May Yeh.

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Yeh, M., Aarons, G.A., Ho, J. et al. Parental Etiological Explanations and Longitudinal Medication Use for Youths with Attention Deficit Hyperactivity Disorder. Adm Policy Ment Health 41, 401–409 (2014). https://doi.org/10.1007/s10488-013-0477-5

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Keywords

  • Attention deficit hyperactivity disorder
  • Medication
  • Explanatory etiologies
  • Mental health
  • Beliefs
  • YouthChild
  • Adolescent