Journal of Attention Disorders最新文献

{"title":"Parsing the Longitudinal Relationship Between Avoidant Automatic Thoughts and Avoidance.","authors":"Samuel R Chanenson, Laura E Knouse","doi":"10.1177/10870547261487760","DOIUrl":"10.1177/10870547261487760","url":null,"abstract":"<p><strong>Purpose: </strong>Avoidant automatic thoughts (AAT) have been proposed as a mechanism of problematic avoidance in ADHD. AAT are positively associated with task avoidance in the moment; however, the longitudinal and directional nature of this relationship has yet to be explored.</p><p><strong>Objective: </strong>The current study examines whether AAT better predicts future avoidance or if avoidance better predicts future AAT.</p><p><strong>Method: </strong>Using a longitudinal ecological momentary assessment (EMA) design, we measured AAT and avoidance for 97 undergraduate participants with and without ADHD at baseline and across each of the following 6 days, five times per day.</p><p><strong>Results: </strong>AAT at baseline predicted average avoidance across the 6 days above and beyond baseline avoidance but procrastination at baseline did not predict average future AAT frequency above AAT at baseline. ADHD diagnosis did not moderate either relationship. Lagged analyses revealed that task avoidance in a given moment predicts AAT at the next observation, even when controlling for AAT while the inverse relationship was not significant.</p><p><strong>Conclusion: </strong>This study evaluates the CBT notion that thoughts influence future behavior and reveals that conclusions may depend on the time-scale of the analysis and whether between- or within-person effects are evaluated. The findings may have clinical implications for CBT and other skills-based treatments of avoidance, especially for those with ADHD.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"10870547261487760"},"PeriodicalIF":3.2,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148956112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between Attention-Deficit Hyperactivity Disorder and Gastrointestinal Symptoms: A Systematic Review and Meta-Analysis.","authors":"Sarah Blake, Hugo Cannon, Saran Shantikumar","doi":"10.1177/10870547261469626","DOIUrl":"https://doi.org/10.1177/10870547261469626","url":null,"abstract":"<p><strong>Introduction: </strong>Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental condition with rising prevalence worldwide. Although alterations in the gut-brain axis have been implicated in its pathophysiology, underlying mechanisms remain unclear. An increase of gastrointestinal (GI) symptoms is well documented in autism spectrum disorder, but the extent of GI involvement in ADHD has not yet been systematically evaluated.</p><p><strong>Aim: </strong>To determine whether individuals with ADHD exhibit a higher prevalence of GI symptoms compared with neurotypical controls.</p><p><strong>Methods: </strong>Following PRISMA 2020 guidelines (PROSPERO: CRD42024602363) (Blake et al., 2024), we searched MEDLINE, Embase and APA PsycInfo (all via Ovid) up to 12 May 2026. We included primary studies involving participants of any age with a DSM- or ICD-defined ADHD diagnosis and reporting GI symptoms. Studies involving formally diagnosed organic GI disease (e.g., IBD) were excluded. Two independent reviewers conducted screening and quality appraisal using Joanna Briggs Institute (JBI) tools. Where appropriate, random-effects meta-analyses were performed for individual and composite GI symptoms.</p><p><strong>Results: </strong>From 9,613 records, 23 studies met inclusion criteria, representing over 1.9 million participants. ADHD was associated with increased odds of every GI symptom investigated, including total GI symptoms (<i>OR</i> 1.48, 95% CI [1.35, 1.62]), irritable bowel syndrome (<i>OR</i> 1.58, 95% CI [1.39, 1.78]), constipation (<i>OR</i> 1.97, 95% CI [1.49, 2.61]) and encopresis (<i>OR</i> 4.32, 95% CI [2.50, 7.47]).</p><p><strong>Conclusion: </strong>ADHD is associated with a substantial increase in functional GI symptoms, distinct from organic gastrointestinal disease. Possible mechanisms include gut microbiome dysbiosis, vagal dysregulation and behavioural contributors. Future research should differentiate intrinsic biological pathways from medication-related effects to improve clinical management.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"10870547261469626"},"PeriodicalIF":3.2,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148930030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Therapist-guided Internet-delivered versus Face-to-face CBT for Adults with ADHD: Differential Long-Term Maintenance and Exploratory Correlational Pathways.","authors":"Meirong Pan, Shiyu Zhang, Mengjie Zhao, Liqian Zhang, Haimei Li, Lu Liu, Yufeng Wang, Qiujin Qian","doi":"10.1177/10870547261483459","DOIUrl":"https://doi.org/10.1177/10870547261483459","url":null,"abstract":"<p><strong>Objective: </strong>Therapist-guided Internet-delivered Cognitive Behavioral Therapy (iCBT) offers a promising alternative to face-to-face CBT (FTF-CBT) for adults with attention-deficit/hyperactivity disorder (ADHD), but evidence on its comparative efficacy and long-term maintenance mechanisms is limited. This study aimed to analyze the efficacy of group-format therapist-guided iCBT and FTF-CBT in medicated ADHD adults immediately post-treatment and at 1-year follow-up; and explored potential maintenance correlational pathways.</p><p><strong>Methods: </strong>Secondary analysis of data from two randomized controlled trials (<i>n</i> = 184) comprised participants into three groups: group-format therapist-guided iCBT (<i>n</i> = 43), group-format FTF-CBT (<i>n</i> = 49), and treatment as usual (TAU; <i>n</i> = 92). Outcomes included ADHD core symptoms, anxiety symptoms, dysfunctional attitudes, and psychological quality of life (QoL). Linear Mixed Models were utilized to assess treatment efficacy both at post-treatment and 1-year follow-up, and exploratory structural equation path modeling was used to investigate synchronous correlational patterns of long-term symptom changes between the two active intervention groups.</p><p><strong>Results: </strong>At post-treatment, both group-format interventions demonstrated significant improvements over the TAU group in reducing ADHD core symptoms, alleviating anxiety, and enhancing psychological QoL (|<i>d</i>| = 0.230-0.828). At 1-year follow-up, FTF-CBT maintained benefits for all outcomes and was superior to iCBT across all four domains, while iCBT only retained significant advantages over TAU on ADHD core symptoms (<i>d</i> = -0.483) and psychological QoL (<i>d</i> = 0.217). The exploratory structural equation path model identified three significant correlational patterns: changes in dysfunctional attitudes were directly associated with psychological QoL changes (β = .899), indirectly via anxiety changes (β = .861), and through sequential changes in anxiety and ADHD symptoms (β = .146).</p><p><strong>Conclusion: </strong>While both group-format therapist-guided iCBT and FTF-CBT were effective at post-treatment, only FTF-CBT maintained benefits across all outcomes at 1-year follow-up and showed larger effect sizes than iCBT in exploratory comparisons. Exploratory path analyses identified the role of changes in dysfunctional attitudes in synchronous long-term symptom covariation linked to sustained psychological QoL. These findings offer valuable insights into strategies for enhancing the real-world impact of therapist-guided iCBT, highlighting areas for future research and clinical practice.Trial RegistrationChiCTR1900021705, ChiCTR2100044201 (Chinese Clinical Trial Registry, www.chictr.org.cn).</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"10870547261483459"},"PeriodicalIF":3.2,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148919461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Electroencephalographic Signatures of Methylphenidate in ADHD: A Systematic Review and 10 Recommendations for Future Research.","authors":"Declan M Quinn, Clodagh Earley, Iulia-Mara Scarlat, Robert Whelan, Jane McGrath","doi":"10.1177/10870547261483457","DOIUrl":"https://doi.org/10.1177/10870547261483457","url":null,"abstract":"<p><strong>Objective: </strong>Methylphenidate is the first-line treatment for ADHD, yet its neurocognitive mechanisms remain incompletely understood. Electroencephalography (EEG) has been used to examine methylphenidate's effects on brain function and has been proposed as a potential tool for monitoring treatment response. This systematic review addressed whether EEG can (a) clarify methylphenidate's neurocognitive mechanisms and (b) serve as a biomarker of treatment response.</p><p><strong>Methods: </strong>A PRISMA-compliant systematic review (PROSPERO: CRD42024538039) searched six databases for English-language studies published after 1994. Included studies involved individuals with ADHD, used within-subject designs with acute methylphenidate administration, and collected resting-state or task-based EEG. Assessment of study quality and risk of bias assessment was conducted.</p><p><strong>Results: </strong>Forty-four studies were included. The most consistent finding was an increase in P3 amplitude following methylphenidate administration, observed in eleven of twenty P3 studies. In contrast, there was little evidence to support effects on early sensory processing, movement planning or response monitoring event-related potentials. Findings from quantitative EEG and event-related spectral perturbation analyses were limited, with either no effect observed, or a paucity of studies in some frequency bands.</p><p><strong>Discussion: </strong>Methylphenidate reliably increased P3 amplitude across tasks, suggesting an improvement in higher order cognitive functioning. However, the P3 does not meet criteria for a pharmacodynamic or surrogate endpoint biomarker in this context, and the current evidence does not support EEG as a treatment-response biomarker for MPH in ADHD. Based on our findings, we make 10 recommendations for future research in this area.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"10870547261483457"},"PeriodicalIF":3.2,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148905940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parsing Day-to-Day Dynamics of ADHD and Perceived Stress in College Students: An Ecological Momentary Assessment Study.","authors":"Patrick K Goh, Christine A Lee, Ashlyn W W A Wong, Grace S Mellor, Sara Chung, Amori Yee Mikami","doi":"10.1177/10870547261484217","DOIUrl":"https://doi.org/10.1177/10870547261484217","url":null,"abstract":"<p><strong>Objective: </strong>Although ADHD is characterized as a lifelong condition, emerging evidence indicates that symptom severity can fluctuate day-to-day. In this study, we examined whether these fluctuations are directionally associated with fluctuations in perceived stress, using 28 days of ecological momentary assessment data.</p><p><strong>Method: </strong>Participants were 187 undergraduate students (M<i>age</i> = 19.7 years; 78% women). We estimated temporal, contemporaneous, and between-subject networks.</p><p><strong>Results: </strong>At the sum-score level, ADHD and perceived stress were consistently positively associated across all three network types. In analyses of ADHD symptoms and perceived stress, increases in ADHD-related concentration difficulties and procrastination were associated with higher levels of perceived stress on the following day. Conversely, increases in perceived stress, particularly feelings of lacking control, were associated with elevated ADHD symptoms the next day. In the contemporaneous network, ADHD-related procrastination, restlessness, and concentration difficulties showed the strongest associations with perceived stress. These symptoms were also prominent in the between-person network, which additionally identified dependence on others for organization as a key ADHD-related feature unique to this level of analysis. Negative ADHD-perceived stress relations also appeared in both contemporaneous and between-person networks.</p><p><strong>Conclusion: </strong>Overall, findings highlighted specific dynamics that may underlie the overlap between ADHD and perceived stress, particularly during the demanding period of college adjustment, with key elements serving as potential early warning signals and targets for micro-level interventions to disrupt escalating cycles of co-occurrence.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"10870547261484217"},"PeriodicalIF":3.2,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148891719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental Health and Coping in Women With ADHD During the Pandemic.","authors":"Rebecca Nurgitz, Carlin J Miller","doi":"10.1177/10870547261437893","DOIUrl":"10.1177/10870547261437893","url":null,"abstract":"<p><p>Recent research suggests that women make up a substantial proportion of adults with ADHD, but they are less likely to be identified, diagnosed, and adequately treated.</p><p><strong>Objective: </strong>A diverse group of 307 females (17-30 years of age) was recruited for an online mixed methods study on mental health and coping in women with ADHD.</p><p><strong>Methods: </strong>In the first phase of the study, data from women reporting low and high levels of ADHD symptoms, including some previously diagnosed with ADHD, were collected. Quantitative results suggest that women with substantial ADHD symptoms experience more difficulty with emotional regulation, more distress, greater loneliness, and they are less resilient and less self-compassionate. To follow up, all women who reported a previous diagnosis of ADHD in the first phase were invited to participate in interviews exploring how they cope with high stress. A total of 15 women were interviewed.</p><p><strong>Results: </strong>Qualitative results suggest that although participants described engaging with and regulating internal experiences as more effective, they were more likely to use avoidance coping, often thought to be less effective. Further, when participants reported less emotional insight/awareness, they were also less likely to use internally focussed approach strategies.</p><p><strong>Conclusion: </strong>Thus, the reduced self-awareness that is characteristic of ADHD may represent an additional challenge to effective coping. These results underline the importance of ongoing research and clinical attention for women with ADHD.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"1118-1132"},"PeriodicalIF":3.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13400798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147690430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accessibility of ADHD Assessments in Australia: A Secret Shopper Study.","authors":"Clare O'Toole, John Finlayson, Stuart Johnstone, Kate Croaker","doi":"10.1177/10870547261421983","DOIUrl":"10.1177/10870547261421983","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to provide a representative indication of the accessibility of both adult and child ADHD assessments in Australia for psychologists, psychiatrists, and paediatricians. Accessibility was considered in terms of clinician availability, wait times for an initial session, initial session costs, and total assessment costs across Australian states and territories, remoteness areas, and socioeconomic ranges.</p><p><strong>Methods: </strong>Using a secret shopper design, researchers posed as potential consumers seeking an ADHD assessment for themselves and/or their child. A total of 736 clinicians were contacted via telephone between May and August 2024.</p><p><strong>Results: </strong>Fifty-nine percent of clinicians responded, and 49.8% of respondents were available to book an ADHD assessment. The average wait times for psychologists, psychiatrists, and paediatricians were 7, 16, and 31 weeks, respectively (Mdn = 3, 15, and 26; IQR = 7, 16, and 31). The average initial session costs and estimated total assessment costs were $266 and $1,622 for psychologists (Mdn = 250 and 1,625; IQR = 57 and 929), $748 and $1,163 for psychiatrists (Mdn = 750 and 1,086; IQR = 340 and 555), and $500 and $598 for paediatricians (Mdn = 495 and 585; IQR = 123 and 739).</p><p><strong>Conclusion: </strong>This study identified substantial barriers to ADHD assessment accessibility in Australia. Low clinician availability, long wait times, and high costs for assessments are all factors contributing to healthcare access inequality. Policy changes and investment, as well as further research into contributing factors, are needed to improve availability and accessibility.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"1104-1117"},"PeriodicalIF":3.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13400827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147306363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attachment Style and Family Functioning as Predictors of Trauma Symptoms in Children With ADHD After a Major Disaster.","authors":"Serkan Gunes, Nazmiye Ince, Dilek Altun Varmis, Elif Kocak, Emine Merve Kalinli, Tugce Hilda Demirci, Emine Cilogulları, Kubra Sahin, Gupse Inal Ulutas, Cumali Yuksekkaya, Elif Gozde Yuce Antepuzumu","doi":"10.1177/10870547261432423","DOIUrl":"10.1177/10870547261432423","url":null,"abstract":"<p><strong>Background: </strong>Children with attention deficit hyperactivity disorder (ADHD) are vulnerable to the psychological impact of traumatic events due to inherent difficulties in emotion regulation and executive functioning. This study examines the predictive roles of attachment styles and family functioning on depressive, anxiety, and posttraumatic stress disorder (PTSD) symptoms in children with ADHD following the 2023 Türkiye earthquakes.</p><p><strong>Methods: </strong>A longitudinal design was employed with 124 children diagnosed with ADHD, assessed at 3 months (T1) and 12 months (T2) after the earthquakes. Attachment styles were evaluated using the Three-Dimensional Attachment Styles Scale, and family functioning was assessed via the Family Assessment Device. Psychological symptoms were measured using the Children's Depression Inventory, State-Trait Anxiety Inventory, and Children's Revised Impact of Event Scale-13. Hierarchical multiple regression analyses were conducted to identify predictors of T2 emotional outcomes.</p><p><strong>Results: </strong>Significant reductions were observed in depressive, state anxiety, and PTSD symptoms between T1 and T2, while trait anxiety remained stable. Poor family functioning and insecure attachment styles, particularly anxious attachment, were robust predictors of elevated emotional symptoms at follow-up. Avoidant attachment was uniquely associated with PTSD symptoms but not with depression or anxiety. Pharmacological treatment was related to lower symptom severity across all domains.</p><p><strong>Conclusions: </strong>The findings underscore the influence of relational and familial factors in shaping psychological responses to disaster-related trauma in children with ADHD. Post-disaster interventions should incorporate attachment-informed and family-centered approaches alongside pharmacological treatment to optimize recovery in this high-risk group.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"1151-1162"},"PeriodicalIF":3.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147574105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unmasking Potential Impacts of Parent and Coparent ADHD on Mental Health in the First Year Postpartum.","authors":"Elyse G Mark, Leslie A Rajendran, Lindsay Taraban, Michelle A Wilson, Brooke S G Molina, Heather M Joseph","doi":"10.1177/10870547261438170","DOIUrl":"10.1177/10870547261438170","url":null,"abstract":"<p><strong>Objective: </strong>Parental mental health plays a critical role in the wellbeing of the family, yet few studies have examined how parental ADHD affects postpartum depression and anxiety. This study investigates the hypothesis that parent (including coparent) ADHD symptoms are associated with postpartum depressive and anxiety symptoms.</p><p><strong>Methods: </strong>117 mother-father dyads (half with parental ADHD) were recruited when their infants were 6 to 10 months old. Participants completed questionnaires on ADHD, depression, anxiety, and social support. Clinician-administered semi-structured interviews assessed ADHD symptoms and psychiatric histories.</p><p><strong>Results: </strong>Participants in ADHD and non-ADHD dyads were demographically comparable but differed in prevalence of prior mood disorder (47% vs. 24%). Individuals with ADHD had significantly higher odds of moderate-to-severe depressive (OR = 2.70, 95% CI [1.10, 6.62]) and anxiety symptoms (OR = 4.58, 95% CI [1.82, 11.53]). Parallel mixed effects models accounting for parent dyad found that self-reported and clinician-reported ADHD symptoms and prior mood disorder history were significant predictors of depressive and anxiety symptoms (<i>p</i> < .025). Coparent ADHD symptoms were significantly associated with postpartum mood symptoms in the self-report models only. Higher perceived social support was associated with fewer depressive symptoms, approaching or reaching statistical significance in self- and clinician-report models, respectively. Secondary analysis identified self-reported ADHD symptoms and prior mood disorder as predictors of postpartum depressive and anxiety symptoms regardless of parent sex (<i>p</i> < .05).</p><p><strong>Conclusion: </strong>Findings suggest that parental ADHD - in either parent - contributes to postpartum psychological distress. Screening and treatment of ADHD in new parents may reduce depressive and anxiety symptoms for those showing ADHD symptoms and their coparents, supporting the mental health outcomes of the whole family.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"1178-1188"},"PeriodicalIF":3.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13400788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147690461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parent Perspectives on Barriers to Behavioral Health Services for Children With ADHD.","authors":"Brittany J Taylor, Ann DiGirolamo, Angela Snyder, Colleen Smith, Angelika H Claussen, Helena J Hutchins, Amanda Phillips Martinez","doi":"10.1177/10870547251412660","DOIUrl":"10.1177/10870547251412660","url":null,"abstract":"<p><strong>Objective: </strong>The American Academy of Pediatrics (AAP) recommends behavioral therapy as first-line evidence-based treatment for young children with ADHD, and in combination with medications for children ages 6 years and older. However, a significant percentage of young children are receiving medication treatment for ADHD rather than behavioral treatment. There is limited research capturing parent experiences of barriers to implementing behavioral health services for young children with ADHD diagnoses. This paper seeks to fill this gap by exploring these perceived barriers among parents of children diagnosed with ADHD.</p><p><strong>Method: </strong>Parents of children with ADHD diagnoses (<i>N</i> = 29) were invited to participate in four focus groups to discuss their experiences with accessing treatment for their child. Focus group participants were recruited from one Southeast city through an ADHD parental support group and nationally from parents attending a conference on ADHD.</p><p><strong>Results: </strong>Three themes emerged as perceived barriers that impact ADHD treatment. Parents reported barriers that can be conceptualized as (1) misconceptions and stigma; (2) availability of financial and time-related resources; and (3) treatment messaging and provider coordination. These barriers may be more pronounced for parents of young children with ADHD living in the Southeast.</p><p><strong>Conclusion: </strong>Parent responses about perceived barriers in this study suggest a need for better coordinated care of ADHD across places of service, providers, and families. These findings may inform future efforts to improve access to and utilization of evidence-based treatments for ADHD in the Southeast and nationwide.</p>","PeriodicalId":15237,"journal":{"name":"Journal of Attention Disorders","volume":" ","pages":"1091-1103"},"PeriodicalIF":3.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13312204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146018627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}