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AD/HD

Causes


Current scientific consensus shows that AD/HD is principally a genetic, inherited medical condition. This means that many families have a parent or close relative who has similar problems. Sometimes a parent may show the condition more severely than the child and vice versa (Alban-Metcalfe & Alban-Metcalfe, 2001). Twin studies suggest a 90% concordance rate in mono-zygotic twins. In other words, if one identical twin has ADHD there is a 90% chance that the other twin is also affected (Myttas, 2004; ADDISS, 2004; Knivsberg, Reichelt, & Nodland, 1999). Further, if there is one child that has ADHD in the family, there is a 30-40% chance that other siblings may also have the disorder (ADDISS, 2004).

Prevailing research has shown that individuals with AD/HD compared with those without AD/HD have ‘under-active’ parts of the brain under specific test conditions. Modern brain scans (PET and SPECT) have shown that there is less brain activity, particularly in the frontal area of the brain. Studies have shown decreased amounts of blood flow to the striatum and orbital prefrontal brain regions of AD/HD children. Decreased blood flow is seen more in the right hemisphere than the left. Diminished flow in these underactive brain centres is caused by reduced brain activity. These areas of the brain are known to be important in behaviour inhibition, inattention and incentive learning. In rare circumstances AD/HD arises without a genetic predisposition. Such cases include children exposed to significant neurological injuries such as environmental toxins, alcohol or drug abuse during pregnancy and also very low birth weight (Barkley, 1992; Flick, 1998; Myttas, 2004; ADDISS, 2004; Knivsberg, Reichelt, & Nodland, 1999).

It is important to remember that AD/HD is not caused by poor parenting or dysfunctional families. This is not, however, to deny that environmental factors affect the extent to which the symptoms are manifested in a given child (Barkley, 1992; Flick, 1998; Myttas, 2004; ADDISS, 2004).

Food additives are also being blamed from time to time as a potential cause of hyperactivity and learning disabilities. However, research has been unable to support this claim. Although, individuals showed a slight increase in activity level or inattentiveness when consuming these substances it was later found that the behaviours were instigated due to allergic responses by a specific additive that in turn caused discomfort to the individual and resulted in the observable symptoms. There has been no evidence that suggests that normal children acquire AD/HD when they consume such substances or that these substances make their behaviour considerably worse (Pumfrey & Reason, 1995; Barkley, 1992).
 

 

 Source:  Irene Ioannidou Philippou, MA Special Educational Needs, Special Education Needs Teacher and Trainer.  For a .pdf version of the booklet prepared for ADD-ADHD Support click here.

 

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Copyright © 2006  Learning Difficulties Network of Cyprus, All rights reserved.

Last Updated 9/2/2006

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