Vol.:(0123456789) 1 3
Clin Child Fam Psychol Rev
DOI 10.1007/s10567-017-0245-2
Perceptions of ADHD Among Diagnosed Children and Their
Parents: A Systematic Review Using the Common‑Sense Model
of Illness Representations
Iana Y. T. Wong
1
· David J. Hawes
1
· Simon Clarke
2,3,4
· Michael R. Kohn
2,3,4
·
Ilan Dar‑Nimrod
1
© Springer Science+Business Media, LLC 2017
parents and youngsters on each of these facets. The compre-
hensive assessment of the representations of ADHD indi-
cates imbalance attention to the diferent representations of
ADHD in the literature; disproportional research attention
has been paid to the perceived efectiveness of treatment
(i.e., treatment control dimension) compared to other ill-
ness representations (e.g., timeline, consequence, and coher-
ence), despite research showing their relevance to treatment
adherence among other implications. The review identifes
the limitation of existing relevant research, needed foci for
future studies, specifc testable hypotheses, and potential
clinical implications of the multifaceted representations of
ADHD among youngsters and carers alike.
Keywords Attention-defcit/hyperactivity disorder ·
Illness perception · Children · Adolescents · Common-
sense model · Parents
Introduction
Attention-defcit/hyperactivity disorder (ADHD) is a neu-
rodevelopmental disorder, characterized by a persistent
pattern of inattention and/or hyperactivity/impulsivity that
interferes with functioning or development (American Psy-
chiatric Association 2013). It is the most common childhood
behavioral disorder, afecting 3–7% of school-aged children
(American Psychiatric Association; Pineda et al. 1999). As a
condition with diverse manifestations, it has profound efects
on the lives of children and families in academic, family, and
social aspects. Although research on children and parents’
experience of ADHD has grown in recent years, relatively
little is known about their subjective perceptions of ADHD
as a disorder and the role of such perceptions in conferring
risk versus amelioration. According to the common-sense
Abstract Research on children and parents’ experiences
of ADHD has grown in recent years, attracting attention to
their subjective perception of ADHD as a disorder. Theoreti-
cal accounts of illness perception suggest that it is multi-
dimensional, consisting of at least fve core constructs (see
the common-sense model of illness representations or CSM:
Leventhal et al., in: Rachman (ed) Medical psychology, Per-
gamon, New York, vol 2, pp 7–30, 1980, in: Baum, Taylor,
Singer (eds) Handbook of psychology and health: social
psychological aspects of health, Earlbaum, Hillsdale, vol
4, pp 219–252, 1984). We suggest that the application of
CSM in children/adolescents with ADHD and their parents
may play an important role in understanding their coping
behavior, treatment adherence, and emotional well-being. A
systematic search identifed 101 eligible studies that investi-
gated the perception of ADHD among diagnosed children/
adolescents and their parents. In general, these studies sup-
port the existence of the multiple facets of illness represen-
tations proposed by the CSM in both diagnosed youngsters
and parents indicating substantial variability among both
Electronic supplementary material The online version of this
article (doi:10.1007/s10567-017-0245-2) contains supplementary
material, which is available to authorized users.
* Iana Y. T. Wong
ywon8532@uni.sydney.edu.au
1
School of Psychology, University of Sydney, Sydney,
NSW 2006, Australia
2
Brain Dynamics Centre, The Westmead Institute for Medical
Research, The University of Sydney, Westmead, Australia
3
Adolescent and Young Adult Medicine, Westmead Hospital,
Sydney, Australia
4
Centre for Research into Adolescents’ Health (CRASH),
Sydney, Australia