Challenges in Measuring Attention Deficit Hyperactivity Disorder Prevalence in School Children: Methodological Issues and Real-World Barriers

Authors

  • Mrinalini Sabharwal
  • Garima Singh
  • Mohan Dhyani

Keywords:

N\A

Abstract

Background: Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder which is characterised by inattention, hyperactivity and impulsivity. It effects the day to day functioning of an individual, especially children. Although it a wide known disorder, still its prevalence remains unrecognized in India.

The aim of the present study is to investigate the difficulties that arise while determining the prevalence of ADHD in schools in Dehradun.

Method: We systematically searched PubMed,Scopus, Web of Science, andPsychINFO to find relevant studies to estimate the prevalence of ADHD in India.

Results: The main obstacles are a lack of knowledge among parents and educators, a lack of resources and training for educators, the stigma associated with mental health disorders in society, which makes it hard for families to get help, and the assistance that schools provide for diagnosing the disease. The study also draws attention to methodological issues, including the underrepresentation of particular demographics, the use of subjective reporting, and inconsistent diagnostic criteria.

Conclusion: Developing effective policy frameworks, guaranteeing early intervention, and enhancing ADHD identification all depend on removing these obstacles, according to the results of our review. This study emphasizes the need for improved mental health education and more cooperation between healthcare practitioners and schools in order to improve ADHD prevalence research in India.

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References

American Psychiatric Association. (2023). Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 5th edition.

American Psychiatric Association. (2022). What is ADHD?.

Barkley, R. A. (2015). Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment (4th ed.). New York, NY: Guilford Press.

Catherine, T., Golden, R., Nancy, G., Mala, K. K., Kanniammal, C., Arullapan, J. (2019). Assessment of prevalence of attention deficit hyperactivity disorder among schoolchildren in selected schools. Indian Journal of Psychiatry. 61(3)., 232-237,doi: 10.4103/psychiatry.IndianJPsychiatry_333_17.

Chadda, P., Madanlal, M., Kaur, P., Kaur, P.,Kaur, P., Kaur, P., & Priyanka (2023). A descriptive study to assess the knowledge of primary school teachers about the attention deficit hyperactivity disorder (ADHD) at the selected schools of district Sri Muktsar Sahib, Punjab. International journal of Literacy and Education.,3(2);21-24.

Danielson, M.L., Claussen, A.H., Bitsko, R.H., Katz, S.M., Newsome, K., Blumberg, S.J., Kogan, M.D., & Ghandour, R. (2024). ADHD Prevalence Among U.S. Children and Adolescents in 2022: Diagnosis, Severity, Co-Occurring Disorders, and Treatment. Journal of Clinical Child & Adolescent Psychology, 53(3), 343–360. https://doi.org/10.1080/15374416.2024.2335625.

Githinji, S., & Wandera S. (2024). Enhancing ADHD Management among Children: Integrating Family and School Strategies for Optimal Learning. International Journal of Research and Innovation in Social Science (IJRISS). 1147-1160. doi: 10.47772/IJRISS.2024.8110092

Gore, M., & Morgan, J. (2025). Children with Attention Deficit Hyperactivity Disorder in India: Strengthening Diagnosis, Support, Training and Research. Journal of Indian Association for Child and Adolescent Mental Health. 21(1).,https://doi.org/10.1177/09731342241310558.

Hamidzadeh, A., Kharatha, M., Bazghaleh, M., Basirinejad, H., Aghdam, N., & Ebrahimi, H. (2021). The prevalence of attention deficit hyperactivity disorder and its related risk factors among children at elementary school in Shahroud. Journal of Education and Health Promotion. Vol 10.

Harpin V, Mazzone L, Raynaud JP, Kahle J, Hodgkins P. (2013). Long-Term Outcomes of ADHD: A Systematic Review of Self-Esteem and Social Function. Journal of Attention Disorders. 20(4):295-305. doi: 10.1177/1087054713486516.

Harpin VA. (2005). The effect of ADHD on the life of an individual, their family, and community from preschool to adult life. Archives of Disease in Childhood. 90 (Suppl 1):i2-7. doi: 10.1136/adc.2004.059006.

Indian Journal of Psychiatry. (2022). ADHD in India: Current status and future directions. Indian Journal of Psychiatry, 64(1), 12–18. https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_456_22.

Mesfin W, Habtamu K. (2024). Challenges and coping mechanisms of parents of children with attention deficit hyperactivity disorder in Addis Ababa, Ethiopia: a qualitative study. BMC Psychology., 17;12(1):354. doi: 10.1186/s40359-024-01828-0.

Pathan, H.G., Akunuri, S., Tayyab, S., & Sultana, Z. (2024). Prevalence of Attention Deficit Hyperactivity Disorder among Primary School Children in Hyderabad, South India. Annals of Child Neurology.https://doi.org/10.26815/acn.2024.00570.

Power, T. J., Tresco, K. E., Cassano, M. C., & Scarmella, L. V. (2016). Improving school-based intervention for ADHD: A review of evidence-based interventions. School Mental Health, 8(3), 192-205. https://doi.org/10.1007/s12310-016-9171-0.

Reuben, C., & Elgaddal, N. (2024). Attention-deficit/ hyperactivity disorder in children ages 5–17 years: United States, 2020–2022. NCHS Data Brief, no 499. Hyattsville, MD: National Center for Health Statistics. DOI: https://doi.org/10.15620/ cdc/148043.

Salaria, N., Ghasemi, H., Abdoli, N., Rahmani, A., Shiri, M.H., Hashemian, A, H., Akbari, H., & Mohammadi, M. (2023). The global prevalence of ADHD in children and adolescents: a systematic review and meta-analysis. Italian Journal of Pediatrics, 49, 48. https://doi.org/10.1186/s13052-023-01456-1.

Sayal, K., Prasad, V., Daley, D., Ford, T., & Coghill, D. (2018). ADHD in children and young people: Prevalence, care pathways, and service provision. The Lancet Psychiatry, 5(2), 175–186. https://doi.org/10.1016/S2215-0366(17)30167-0.

Sharma, P., Gupta, R. K., Banal, R., Majeed, M.,; Kumari, R., Langer, B., Akhter, N., Gupta, C., Raina, S. K.(2020). Prevalence and correlates of Attention Deficit Hyperactive Disorder (ADHD) risk factors among school children in a rural area of North India. Journal of Family Medicine and Primary Care. 9(1)., 115-118. doi 10.4103/jfmpc.jfmpc_587_19.

Shinde, J.,& Chavan, D. (2021).Prevalence of Attention Deficit Hyperactivity Disorder (ADHD) among school children in Kolhapur, India. International Journal of Science and Research (IJSR). 10 (11)., DOI: 10.21275/SR211118150953.

Suthar, N., Garg, N., Verma, K.K., Singhal, A., Singh, H.,& Baniya, G. (2018). Prevalence of Attention-deficit hyperactivity disorder in primary school children: A crosssectional study. Journal of Indian Assoc. Child Adolesc. Ment. Health. 14(4); 74-88.

Thomas, R., Sanders, S., Doust, J., Beller, E., & Glasziou, P. (2015). Prevalence of Attention-Deficit/Hyperactivity Disorder: A Systematic Review and Meta-analysis. Pediatrics, 135 (4): e994–e1001. https://doi.org/10.1542/peds.2014-3482.

Ward, R.J., Bristow, S.J., Kovshoff, H., Cortese, S., & Kreppner, J. (2022). The Effects of ADHD Teacher Training Programs on Teachers and Pupils: A Systematic Review and Meta-Analysis. Journal of Attention Disorders. 22(6), 225-244. DOI:10.1177/1087054720972801.

World Health Organization (2023). International statistical classification of diseases and related health problems, (11th ed.), http://id.who.int/icd/entity/1516623224.

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Published

2025-07-08

How to Cite

1.
Sabharwal M, Singh G, Dhyani M. Challenges in Measuring Attention Deficit Hyperactivity Disorder Prevalence in School Children: Methodological Issues and Real-World Barriers. J Neonatal Surg [Internet]. 2025Jul.8 [cited 2025Sep.19];14(32S):4223-4227. Available from: https://www.jneonatalsurg.com/index.php/jns/article/view/8101