Comparison of the play of children with attention deficit hyperactivity disorder by subtypes

Cordier, Reinie, Bundy, Anita, Hocking, Clare, and Einfeld, Stewart (2010) Comparison of the play of children with attention deficit hyperactivity disorder by subtypes. Australian Occupational Therapy Journal, 57 (2). pp. 137-145.

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Abstract

Background: Studies have found differences in the nature and severity of social problems experienced by children with different subtypes of attention deficit hyperactivity disorder (ADHD). Given that play is often the context for acquiring social skills, there is surprisingly limited research examining whether these differences distinguish the play of children within the groups.

Methods: Using the Test of Playfulness (ToP), we examined the similarities and differences in play between children (aged 5–11 years) diagnosed with the threeDSM-IV ADHD subtypes: inattentive (I-subtype;n = 46), hyperactive-impulsive (HI-subtype;n = 28) and combined subtypes (C-subtype;n = 31).

Results and conclusions: Bias interaction, an item-by-item analysis, revealed that the hierarchy of ToP items was similar for children with the HI- and C-subtypes, but differed for children with the I-subtype. Specifically, children with the I-subtype found it more difficult to become intensely engaged in play and to take on playful mischief and clowning; however, they found social play items to be easier. Conversely, whereas mischief and clowning were relatively easier for children with the HI- and C-subtypes, many items reflecting social interaction were more difficult. These findings suggest that interventions can be tailored to these differing presentations. However, further research is needed to confirm the findings.

Item ID: 26054
Item Type: Article (Research - C1)
ISSN: 1440-1630
Keywords: play; child development; paediatrics
Date Deposited: 13 May 2013 05:54
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111712 Health Promotion @ 100%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920401 Behaviour and Health @ 50%
92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920413 Social Structure and Health @ 50%
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