Browsing by Subject "ADHD"
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Item Open Access Branded: How Mental Disorder Labels Alter Task Performance in Perception and Reality(2013) Foy, Steven LarrimoreExtensive evidence demonstrates how mental illness symptomatology can inhibit perceptions of and actual performance on important tasks. However, receiving treatment from the medical establishment for such symptomatology requires diagnosis, whereby the patient becomes labeled and subject to the stereotypes connected to that label. Mental illness labeling is associated with a variety of negative outcomes including inhibited access to unemployment, housing, health insurance, and marriage and parenthood opportunities and can disrupt interpersonal relationships. However, the repercussions of mental illness labeling for one area of life have remained largely overlooked; that area is task performance. Adults spend a substantial portion of their lives at work engaged in group-based or individual level tasks. This dissertation explores external perceptions of mental illness in task groups and the role of self-internalization of stereotypes about mental illness in individual task performance through two experimental studies.
Previous research has revealed that, on average, task partners with a mental illness are stigmatized and subject to diminished status when they are identified to participants as having been hospitalized for general psychological problems for an extended period of time. Study 1 of this dissertation explores the stigma- and status-based attributions triggered by engaging with a partner in a mutual task who is identified as having a specific mental illness label: none, Generalized Anxiety Disorder (GAD), Major Depressive Disorder (MDD), Attention-Deficit/Hyperactivity Disorder (ADHD), or schizophrenia.
Additionally, research has revealed that members of a group about which negative stereotypes exist may face a situational threat in a domain relevant task--stereotype threat. Race, gender, social class, age, and a variety of other sociodemographic attributes can trigger stereotype threat. However, little research has considered the potential for stereotype threat to emerge on the basis of mental illness labeling. Study 2 of this dissertation focusing on individual-level performance, exploring the potential for ADHD to trigger stereotype threat in test-taking situations.
Results from Study 1 suggest that the specific mental illness labels studied, presented devoid of symptomatology severity, do not trigger stigmatized attributions but may trigger some negative status attributions in the case of a task relevant diagnosis. (ADHD). Study 2 suggests that a task relevant diagnosis may also trigger stereotype threat in a test-taking situation, negatively impacting performance. Taken together, the results indicate that task relevance of one's mental illness label may be a driving factor in negative external and internal perceptions of mental illness.
Item Open Access “Ceci n’est pas une pipe”: A Comparison of French and U.S. Health Research on the Neurodevelopmental and Epigenetic Effects of Tobacco Exposure on Vulnerable Populations(2016-04-25) Hwang, LaurieThis thesis explores how cultural beliefs and practices influence biomedical research landscapes in two high resource cultural contexts, the US and the Euro-American francophone world. First, I examine how cultural mores have differently shaped the pace of research engagement in the two economically advanced societies with advanced “Western” health research infrastructure and shared scientific goals. Through examining historical and global discourses of ADHD and perceptions of the disorder, I argue that the diagnosis we call “Attention Deficit Hyperactivity Disorder (ADHD)” is not a novel phenomenon of modern times, nor is its epidemic limited to the US. I then propose that different conceptions of liberty, approaches to public health, and realities of social and political systems all contribute to the divergence of social movements, regulations, and research. Finally, I suggest a cross-cultural approach to the science of tobacco’s effect on the developing brain as an essential conceptual change to advance the current understanding of the disorder and reducing global health disparities.Item Open Access Pre-Pregnancy Weight and Symptoms of Attention Deficit Hyperactivity Disorder and Executive Functioning Behaviors in Preschool Children.(International journal of environmental research and public health, 2019-02-25) Fuemmeler, Bernard F; Zucker, Nancy; Sheng, Yaou; Sanchez, Carmen E; Maguire, Rachel; Murphy, Susan K; Kollins, Scott H; Hoyo, CathrineThis study examines pre-pregnancy Body Mass Index (BMI) and gestational weight gain (GWG) in relation to early childhood Attention Deficit Hyperactivity Disorder (ADHD) symptoms and related executive self-regulation behaviors. The analyses sample (n = 331) included a subsample of participants from a birth cohort recruited from prenatal clinics and hospital facilities from April 2005 to June 2011 in Durham, North Carolina. Pre-pregnancy BMI was calculated from weight at the last menstrual period and height was extracted from medical records. Gestational weight gain was calculated from pre-pregnancy weight and weight measured at the time of delivery. ADHD symptoms and executive self-regulation behaviors were assessed by maternal report (mean age = 3 years). Multivariable regression methods with inverse probability weighting (IPW) were used to evaluate associations accounting for sample selection bias and confounding. Pre-pregnancy BMI at levels ≥35 was positively associated with higher ADHD symptoms and worse executive self-regulation behaviors (inhibitory control and attention). Compared to adequate GWG, less than adequate GWG was related to more ADHD hyperactive-impulsive symptoms, whereas greater than adequate GWG was related to more problematic behaviors related to working memory and planning. The findings support a link between maternal weight and child neurodevelopment. Continued research that help identify biological mechanisms are needed.