Batstra Laura, Foget Linda, van Haeringen Caroline, Te Meerman Sanne, Thoutenhoofd Ernst Daniël
Faculty of Behavioral and Social Sciences, The University of Groningen, Groningen, The Netherlands.
Youth, Education and Society, Centre of Expertise Healthy Ageing, Hanze University of Applied Sciences, Groningen, The Netherlands.
Scand J Child Adolesc Psychiatr Psychol. 2020 Jan 30;8:1-9. doi: 10.21307/sjcapp-2020-001. eCollection 2020.
Attention Deficit Hyperactivity Disorder (ADHD) is not a singular concept. For the purposes of this study, understandings of ADHD are assumed also to spread along a conceptual dimension that includes some combination of biomedical and psychosocial knowledge. Biomedically, ADHD may be considered a somatic affliction causing inattention and hyperactivity, amenable to pharmaceutical treatment. Psychosocially, ADHD ranks among adverse behaviour patterns that are amenable to psychosocial and pedagogical intervention. Considering both biomedical and psychosocial factors are associated with the ADHD construct, it seems self-evident that young people should be offered information that gives equal consideration to both ways of addressing ADHD, but the question is just how balanced the information available to young people is. This study investigated nine information books on ADHD available in the Netherlands in Dutch, aimed at children and young people up to age 17. Thirteen perspective-dependent text elements were identified in qualitative content analysis. Eight attributes associate with a biomedical view: ADHD as cause, biological factors, clinical diagnosis, brain abnormality, medication, neurofeedback, heritability and persistence. Five text elements associate with a psychosocial view: ADHD as perceived behaviour, environmental factors, descriptive diagnosis, behavioural intervention and normalisation. The most frequent text passages encountered describe ADHD as a brain abnormality, along with medical and behavioural treatment. Providing the main focus for information in eight out of nine books, biomedical information about ADHD predominates in the available youth information books, while psychosocial information about ADHD is far less well covered.
注意力缺陷多动障碍(ADHD)并非一个单一的概念。就本研究而言,对ADHD的理解也被认为是沿着一个概念维度展开的,这个维度包括生物医学和心理社会知识的某种组合。从生物医学角度来看,ADHD可能被视为一种导致注意力不集中和多动的躯体疾病,适合药物治疗。从心理社会角度来看,ADHD属于适合心理社会和教育干预的不良行为模式。鉴于生物医学和心理社会因素都与ADHD的概念相关,年轻人应该获得对ADHD两种应对方式给予同等考虑的信息,这似乎是不言而喻的,但问题在于年轻人可获得的信息到底有多平衡。本研究调查了荷兰九本以荷兰语编写的、面向17岁及以下儿童和青少年的关于ADHD的信息书籍。在定性内容分析中识别出了13个依赖视角的文本元素。八个属性与生物医学观点相关:ADHD作为病因、生物因素、临床诊断、大脑异常、药物治疗、神经反馈、遗传性和持续性。五个文本元素与心理社会观点相关:ADHD作为感知到的行为、环境因素、描述性诊断、行为干预和正常化。最常出现的文本段落将ADHD描述为大脑异常,以及医学和行为治疗。在九本书中的八本中,关于ADHD的生物医学信息是信息的主要焦点,在现有的青少年信息书籍中占主导地位,而关于ADHD的心理社会信息则很少被涉及。