Assessment, Diagnosis, and Treatment of ADHD in School-Aged Children

  • Hala Mohammed Berri
  • Anies Al-Hroub
Part of the SpringerBriefs in Psychology book series (BRIEFSPSYCHOL)


There have been many attempts to define ADHD, and the term attention deficit hyperactivity disorder has been in use since the late 1980s. The disorder affects millions of children across the world, with more boys than girls exhibiting symptoms of ADHD. The causes are attributed to genetic and/or psychosocial factors, and research shows that the culture of the child and his/her gender have a bearing on teachers’ and parents’ perceptions of ADHD. Clearly, diagnosis, assessment, and treatment are all very important for the well-being and education of the child with ADHD and are dependent on teachers having a good general understanding of the disorder and its subtypes, as well as being knowledgeable about the symptoms, diagnosis, and treatment. Unfortunately, this is not always the case and teachers’ knowledge appears frequently to be lacking, and their perceptions with respect to the gender of the child are often influenced by cultural expectations. In the Arab world, specifically southern Lebanon, there is a great need for research on ADHD and teachers’ knowledge and perceptions of the disorder.


ADHD across cultures Assessment Causes Conceptions of ADHD Diagnosis Intervention and treatment ADHD and gender Lebanon Prevalence Symptoms 


  1. Alloway, T., Elliott, J., & Holmes, J. (2010). The prevalence of ADHD-like symptoms in a community sample. Journal of Attention Disorders, 14, 52–56.CrossRefPubMedGoogle Scholar
  2. American Academy of Pediatrics. (2011). ADHD: Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics, 18, 1–18.Google Scholar
  3. American Psychiatry Association. (2013). Attention deficit/hyperactivity disorder. Retrieved from:
  4. Amiri, S., Fakhari, A., Maheri, M., & Asl, A. (2010). Attention deficit/hyperactivity disorder in primary school children of Tabriz, north-west Iran. Paediatric and Perinatal Epidemiology, 24, 597–601.CrossRefPubMedGoogle Scholar
  5. Badeleh, M. T. (2013). Attention deficit hyperactivity disorder and elementary teachers’ awareness. Journal of Medical Sciences, 13, 829–833.CrossRefGoogle Scholar
  6. Barkley, R. (2005). Attention-deficit hyperactivity disorder (3rd ed.). New York: The Guilford Press.Google Scholar
  7. Barkley, R., & Mash, E. (Eds.). (2006). Treatment of childhood disorders (3rd ed.). New York: Guilford Press.Google Scholar
  8. Bell, A. S. (2013). A critical review of ADHD diagnostic criteria: What to address in the DSM-V. Journal of Attention Disorders, 15, 3–10.CrossRefGoogle Scholar
  9. Brook, U., Watemberg, N., & Geva, D. (2002). Attitude and knowledge of attention deficit hyperactivity disorder and learning disability among high school teachers. Patient Education and Counseling, 40, 247–252.CrossRefGoogle Scholar
  10. Coles, E. K., Slavec, J., Bernstein, M., & Baroni, E. (2012). Exploring the gender gap in referrals for children with ADHD and other disruptive behavior disorders. Journal of Attention Disorders, 16, 101–108.CrossRefPubMedGoogle Scholar
  11. Farah, L. G., Fayyad, J. A., Eapen, V., Cassir, Y., Salamoun, M. M., Tabet, C. C., et al. (2009). ADHD in the Arab world a review of epidemiologic studies. Journal of Attention Disorders, 13, 211–222.CrossRefPubMedGoogle Scholar
  12. Ghanizadeh, A., Bahredar, M. J., & Moeini, S. R. (2005). Knowledge and attitudes towards attention deficit hyperactivity disorder among elementary school teachers. Patient Education and Counseling, 63, 84–88.CrossRefGoogle Scholar
  13. Graham, J., Seth, S., & Coghill, D. (2007). ADHD Medicine, 35, 181–185.Google Scholar
  14. Gregg, S. (2005). Understanding and identifying children with ADHD. Retrieved from
  15. Groenewald, C., Emond, A., & Sayal, K. (2009). Recognition and referral of girls with attention deficit hyperactivity disorder: Case vignette study. Child: Care, Health and Development, 35, 767–772.Google Scholar
  16. Guerra, F. R., & Brown, M. S. (2012). Teacher knowledge of attention deficit hyperactivity disorder among middle school students in south Texas. RMLE Online, 36, 1–7.CrossRefGoogle Scholar
  17. Hong, Y. (2008). Teachers’ perceptions of young children with ADHD in Korea. Early Child Development and Care, 178, 399–414.CrossRefGoogle Scholar
  18. Howe, D. (2010). ADHD and its comorbidity: An example of gene-environment interaction and its implications for child and family social work. Child and Family Social Work, 15, 265–275.CrossRefGoogle Scholar
  19. Jackson, D. A., & King, A. R. (2004). Gender differences in the effects of oppositional behavior on teacher ratings of ADHD symptoms. Journal of Abnormal Child Psychology, 32, 215–224.CrossRefPubMedGoogle Scholar
  20. Kleynhans, S. E. (2005). Primary school teachers’ knowledge and misperceptions of attention deficit hyperactivity disorder. (Unpublished Master’s Thesis). University of Stellenbosch, Matieland, South Africa.Google Scholar
  21. Kovshoff, H., Williams, S., Vrijens, M., Danckaerts, M., Thompson, M., Yardley, L., et al. (2012). The decisions regarding ADHD management (DRAMA) study: Uncertainties and complexities in assessment, diagnosis and treatment, from the clinician’s point of view. European Child & Adolescent Psychiatry, 21, 87–99.CrossRefGoogle Scholar
  22. Krowski, K. F. (2009). ADHD: Urban teachers’ knowledge, beliefs and classroom practice. University of Massachusetts: These and Dissertations. Retrieved from:
  23. Legato, J. (2011). Effects of teacher factors on expectations of students with ADHD. DePaul University. Theses and Dissertations. Retrieved from:
  24. Maniadaki, K., Sonuga-Barke, E. J. S., & Kakouros, E. (2003). Trainee nursery teachers’ perceptions of disruptive behaviour disorders; The effect of sex of child on judgments of typicality and severity. Child: Care, Health and Development, 29, 433–440.Google Scholar
  25. Millichap, J. G. (2010). Attention deficit hyperactivity disorder handbook: A physician’s guide to ADHD. New York: Springer. Retrieved from: Scholar
  26. Moon, S. K. (2011). Cultural perspectives on attention deficit hyperactivity disorder: A comparison between Korea and the U.S. Journal of International Business & Cultural Studies, 6, 1–11.Google Scholar
  27. Morisoli, K., & McLaughlin, T. F. (2006). Medication and school intervention for elementary students with attention deficit hyperactivity disorder. International Journal of Special Education, 19, 97–106.Google Scholar
  28. Nur, N., & Kavakci, O. (2010). Elementary school teachers’ knowledge and attitudes related to attention deficit hyperactivity disorder. Journal of Society for Development in New Net Environment in B&H, 4, 350–355.Google Scholar
  29. Oh, W., Park, E. S., Suk, M. H., Song, D. H., & Im, Y. (2012). Parenting of children with ADHD in South Korea: The role of socio-emotional development of children with ADHD. Journal of Clinical Nursing, 21, 1932–1942.CrossRefPubMedGoogle Scholar
  30. Ohan, J. L., & Visser, T. A. W. (2009). Why is there a gender gap in children presenting for attention deficit/hyperactivity disorder services? Journal of Clinical Child and Adolescent Psychology, 38, 650–660.CrossRefPubMedGoogle Scholar
  31. Pires, T., da Silva, C. M. F. P., & de Assis, S. G. (2013). Association between family environment and attention deficit hyperactivity disorder in children–mothers’ and teachers’ views. BMC Psychiatry, 13, 624–633.CrossRefGoogle Scholar
  32. Salway, M. (2010). Repertoires of ADHD in UK newspaper media. Health, 15(5), 533–549.Google Scholar
  33. Sarraf, N., Karahmadi, M., Marasy, M. R., & Azhar, S. M. (2011). A comparative study of the effectiveness of nonattendance and workshop education of primary school teachers in their knowledge, attitude and function towards ADHD students in Isfahan in 2010. Journal of Research in Medical Sciences, 16, 1196–1201.PubMedPubMedCentralGoogle Scholar
  34. Sciutto, M. J., Nolfi, C. J., & Bluhm, C. (2004). Effects of child gender and symptom type on referrals for ADHD by elementary school teachers. Journal of Emotional and Behavioral Disorders, 12, 247–253.CrossRefGoogle Scholar
  35. Taylor, E. (2011). Antecedents of ADHD: A historical account of diagnostic concepts. Attention Deficit and Hyperactivity Disorders, 3, 69–75.CrossRefPubMedGoogle Scholar
  36. Vereb, H. L., & DiPerna, J. C. (2004). Teachers’ knowledge of ADHD, treatments for ADHD, and treatment acceptability: An initial investigation. School Psychology Review, 33, 421–428.Google Scholar
  37. Wedge, M. (2012). Why French kids don’t have ADHD. Psychology Today. Retrieved from:
  38. Weyandt, L. L., Fulton, K. M., Schepman, S. B., Verdi, G. R., & Wilson, K. G. (2009). Assessment of teacher and school psychologist knowledge of attention deficit/hyperactivity disorder. Psychology in the Schools, 46, 951–961.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Hala Mohammed Berri
    • 1
  • Anies Al-Hroub
    • 1
  1. 1.Department of EducationAmerican University of BeirutBeirutLebanon

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