A pilot study: Use of the Adult Attention-Deficit/Hyperactivity Disorder Self-Report Scale in a South African patient population
Background: Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder which typically presents in childhood. This diagnosis may often be overlooked in adulthood, particularly in psychiatric populations. The Adult ADHD Self-Report Scale (ASRS) is an internationally used and rel...
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| Format: | Article |
| Language: | English |
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AOSIS
2019-05-01
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| Series: | South African Journal of Psychiatry |
| Subjects: | |
| Online Access: | https://sajp.org.za/index.php/sajp/article/view/1326 |
| _version_ | 1811234279150059520 |
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| author | Judith Regnart Ilse Truter Zukiswa Zingela Anneke Meyer |
| author_facet | Judith Regnart Ilse Truter Zukiswa Zingela Anneke Meyer |
| author_sort | Judith Regnart |
| collection | DOAJ |
| description | Background: Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder which typically presents in childhood. This diagnosis may often be overlooked in adulthood, particularly in psychiatric populations. The Adult ADHD Self-Report Scale (ASRS) is an internationally used and reliable screener; however, studies investigating its use in African populations are limited.
Aim: To investigate the application of the ASRS in a South African setting.
Setting: A patient population in Port Elizabeth, South Africa, was identified as representing a developing or low- and middle-income country population.
Methods: A convenience sample of acutely presenting psychiatric participants admitted for stabilisation was used. Fieldworkers administered the ASRS; collected information relating to demographics, differential diagnoses, substance use disorder (SUD) presence and substance consumption; and prescribed medication relating to current or historical treatment of ADHD.
Results: The study sample included 30 participants, with black people representing the majority of participants. Adult ADHD Self-Report Scale completion revealed the rate of ADHD within the study population to be 43.3%, a contrast to the initially presumed prevalence of 6.7% which was based on reported methylphenidate therapy. A difference in SUD prevalence was identified between subjects screening positively and negatively for ADHD with a greater tendency towards SUDs seen for ASRS-positive individuals. Significant differences were identified in relation to cannabis- and polysubstance use for ASRS-positive individuals.
Conclusion: Despite limitations related to the sample used and challenges in ASRS administration, investigation findings support recommendations for ADHD screening inclusion in acute inpatient settings in South Africa and ASRS translation into indigenous African languages. |
| first_indexed | 2024-04-12T11:33:55Z |
| format | Article |
| id | doaj.art-198d044c061b4315949dfa974442fdea |
| institution | Directory Open Access Journal |
| issn | 1608-9685 2078-6786 |
| language | English |
| last_indexed | 2024-04-12T11:33:55Z |
| publishDate | 2019-05-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Journal of Psychiatry |
| spelling | doaj.art-198d044c061b4315949dfa974442fdea2022-12-22T03:34:53ZengAOSISSouth African Journal of Psychiatry1608-96852078-67862019-05-01250e1e910.4102/sajpsychiatry.v25i0.1326456A pilot study: Use of the Adult Attention-Deficit/Hyperactivity Disorder Self-Report Scale in a South African patient populationJudith Regnart0Ilse Truter1Zukiswa Zingela2Anneke Meyer3Department of Pharmacy, Nelson Mandela University, Port ElizabethDepartment of Pharmacy, Nelson Mandela University, Port ElizabethDepartment of Psychiatry and Behavioural Sciences, Walter Sisulu University, MthathaDepartment of Psychology, Nelson Mandela University, Port ElizabethBackground: Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder which typically presents in childhood. This diagnosis may often be overlooked in adulthood, particularly in psychiatric populations. The Adult ADHD Self-Report Scale (ASRS) is an internationally used and reliable screener; however, studies investigating its use in African populations are limited. Aim: To investigate the application of the ASRS in a South African setting. Setting: A patient population in Port Elizabeth, South Africa, was identified as representing a developing or low- and middle-income country population. Methods: A convenience sample of acutely presenting psychiatric participants admitted for stabilisation was used. Fieldworkers administered the ASRS; collected information relating to demographics, differential diagnoses, substance use disorder (SUD) presence and substance consumption; and prescribed medication relating to current or historical treatment of ADHD. Results: The study sample included 30 participants, with black people representing the majority of participants. Adult ADHD Self-Report Scale completion revealed the rate of ADHD within the study population to be 43.3%, a contrast to the initially presumed prevalence of 6.7% which was based on reported methylphenidate therapy. A difference in SUD prevalence was identified between subjects screening positively and negatively for ADHD with a greater tendency towards SUDs seen for ASRS-positive individuals. Significant differences were identified in relation to cannabis- and polysubstance use for ASRS-positive individuals. Conclusion: Despite limitations related to the sample used and challenges in ASRS administration, investigation findings support recommendations for ADHD screening inclusion in acute inpatient settings in South Africa and ASRS translation into indigenous African languages.https://sajp.org.za/index.php/sajp/article/view/1326Attention-deficit/hyperactivity disorderSubstance use disorderAdult ADHD self-report scaleMental illnessAdult |
| spellingShingle | Judith Regnart Ilse Truter Zukiswa Zingela Anneke Meyer A pilot study: Use of the Adult Attention-Deficit/Hyperactivity Disorder Self-Report Scale in a South African patient population South African Journal of Psychiatry Attention-deficit/hyperactivity disorder Substance use disorder Adult ADHD self-report scale Mental illness Adult |
| title | A pilot study: Use of the Adult Attention-Deficit/Hyperactivity Disorder Self-Report Scale in a South African patient population |
| title_full | A pilot study: Use of the Adult Attention-Deficit/Hyperactivity Disorder Self-Report Scale in a South African patient population |
| title_fullStr | A pilot study: Use of the Adult Attention-Deficit/Hyperactivity Disorder Self-Report Scale in a South African patient population |
| title_full_unstemmed | A pilot study: Use of the Adult Attention-Deficit/Hyperactivity Disorder Self-Report Scale in a South African patient population |
| title_short | A pilot study: Use of the Adult Attention-Deficit/Hyperactivity Disorder Self-Report Scale in a South African patient population |
| title_sort | pilot study use of the adult attention deficit hyperactivity disorder self report scale in a south african patient population |
| topic | Attention-deficit/hyperactivity disorder Substance use disorder Adult ADHD self-report scale Mental illness Adult |
| url | https://sajp.org.za/index.php/sajp/article/view/1326 |
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