Inattention dissociation overlapping constructs
Download
1 / 14

Inattention & Dissociation: Overlapping Constructs? - PowerPoint PPT Presentation


  • 127 Views
  • Uploaded on

Inattention & Dissociation: Overlapping Constructs?. Dr. Allyson G. Harrison & Dr. Jan Baker Wilson Regional Assessment & Resource Centre. Copy of paper. ADHD Report (in press, 2005). Prevalance of ADHD. Estimate 3-6% of school-age children (Tannock & Rucklidge, 2002)

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Inattention & Dissociation: Overlapping Constructs?' - tracy


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Inattention dissociation overlapping constructs l.jpg

Inattention & Dissociation: Overlapping Constructs?

Dr. Allyson G. Harrison & Dr. Jan Baker Wilson

Regional Assessment & Resource Centre


Copy of paper l.jpg
Copy of paper

  • ADHD Report (in press, 2005)


Prevalance of adhd l.jpg
Prevalance of ADHD

  • Estimate 3-6% of school-age children (Tannock & Rucklidge, 2002)

  • Less than half will go on to have clinically impairing symptoms in adulthood

    (Searight, Burke, & Rottnek, 2000)

  • Information from Post-Secondary statistics indicates 1% identify as having ADHD


Dx criteria for adhd l.jpg
Dx criteria for ADHD

  • Symptoms have to have appeared early in life (usually before age 7, certainly before age 12)

  • Symptoms have been chronic

  • Symptoms cause significant impairment in at least TWO major life areas

  • Symptoms are not the result of co-existing disorders (rule out clause)


Dx criteria for adhd5 l.jpg
Dx criteria for ADHD

  • DSM-IV specifically says one cannot diagnose ADHD if the symptoms could be better explained by a dissociative disorder

  • Question remains-how different are the symptoms of dissociation and inattention? ie. How easy is it to differentiate inattention from dissociation?


Dissociation l.jpg
Dissociation

  • Dissociation s/o vs inattention

    • Dissociation refers to “disruption in the normally integrated functions of consciousness, memory, identity & perception of the environment”

    • Symptoms include inattention, forgetfulness, distractibility, as well as more serious symptoms such as depersonalization & amnesia for events.

    • Symptoms may emerge in childhood secondary to trauma, and often continue into adulthood


Dissociation continued l.jpg
Dissociation continued

  • Dissociation often found in PTSD

  • Many symptoms of ADHD, including inattentive s/o, overlap with s/o of PTSD Weinstein, Stafflebach, and Biaggio (2000)

  • Screening for dissociation s/o, or even asking about trauma hx typically not part of assessment for ADHD.


Difficulties dx adhd in adults l.jpg
Difficulties dx ADHD in adults

  • In ideal world, clinicians could collect retrospective history of symptoms provided by a collateral source (e.g., a parent), to help with differential diagnosis

  • Issues: Parents may not always disclose abuse; may be dead/unavailable

  • Establishment of onset after age 12 can help with differentiation of ADHD from other disorders (cf Rucklidge & Tannock, 2000).

  • Sadly, not always possible with adults


Purpose of present study l.jpg
Purpose of present study

  • To investigate the extent to which reported symptoms of ADHD and Dissociation are related or overlap.

  • Establish whether or not the symptoms of ADHD overlap with those of dissociation.


Present study l.jpg
Present study

  • 224 students presenting to Health/ Counselling Service first 2 weeks January

  • Exclusion criteria was prior dx ADHD

  • 180 students from Health

  • 32 Counselling & Academic skills

  • 12 Psychiatry

  • Median age 21

  • 65% female, but no difference by sex


Procedure l.jpg
Procedure

  • As part of survey about attention problems, asked participants to complete the Dissociative Experiences Scale (DES).

  • Also completed the Brown Attention Activation Disorders Scale (BAADS-2)


Results l.jpg
Results

  • Scores on DES significantly & positively correlated with all subscales of BAADS

  • Overall correlation between two scales was .50 (p<.01)

  • Even taking more “pathological” items from DES did not help-correlations continued to be high.

  • Indicates moderate overlap between symptoms of two disorders.


Results13 l.jpg
Results

  • People scoring in “ADD highly probable” range on BAADS scored significantly higher on DES (mean=18.7) vs. those below that range (mean=9.4)

  • Using cut off of 30 on DES, 7.1% of students endorsed clinically significant levels of dissociation.


Conclusions l.jpg
Conclusions

  • ADHD inattentive symptoms overlap substantially with symptoms of dissociation

  • Concern because dissociative disorder one of the main rule outs in diagnosis of ADHD

  • Always screen for dissociative symptoms and ask about past or current abuse/trauma

  • Engage in further research to improve differentiation of two constructs.


ad