Attention-deficit/hyperactivity disorder (ADHD) in cultural context II: a comparison of the links between ADHD symptoms and waiting-related responses in Hong Kong and UK

Wendy W.Y. Chan, Kathy Kar man Shum, Johnny Downs, Ngai Tsit Liu, Edmund J.S. Sonuga-Barke*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

The concept of attention-deficit/hyperactivity disorder (ADHD) is considered to have cross-cultural validity, but direct comparisons of its psychological characteristics across cultures are limited. This study investigates whether preschool children’s ADHD symptoms expressed in two cultures with different views about child behaviour and parenting, Hong Kong and the UK, show the same pattern of associations with their waiting-related abilities and reactions, an important marker of early self-regulation. A community sample of 112 preschoolers (mean age = 46.22 months; 55 from UK, 57 from HK) completed three tasks measuring different waiting elements – waiting for rewards, choosing the amount of time to wait, and having to wait unexpectedly when a task is interrupted. Participants’ waiting-related behavioural and emotional reactions were coded. Parents rated their children’s ADHD symptoms and delay aversion. Our findings revealed that the associations between ADHD symptoms and waiting-related responses were comparable in both UK and HK samples. This suggests that the core psychological characteristics of ADHD, particularly in relation to waiting behaviours, may exhibit similarity across cultural contexts. Future research can extend this cross-cultural analysis to other ADHD-related psychological domains and explore additional cultural settings.

Original languageEnglish
JournalEuropean Child and Adolescent Psychiatry
Early online date27 Jun 2024
DOIs
Publication statusE-pub ahead of print - 27 Jun 2024

Keywords

  • Attention-deficit/hyperactivity disorder (ADHD)
  • Delay aversion
  • Preschoolers, self-regulation, cross-cultural
  • Waiting

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