The effect of methylphenidate-OROS® on the narrative ability of children with attention-deficit hyperactivity disorder

Show simple item record Rausch, Tessa L. Kendall, D.L. (Diane) Kover, Sara T. Louw, Elizabeth M. Zsilavecz, Ursula Louise Van der Merwe, Anita 2018-05-18T12:40:45Z 2018-05-18T12:40:45Z 2017-02-27
dc.description The research was conducted by T.L.R. to complete her Master’s Degree in Speech-Language Pathology at the University of Pretoria. ( en_ZA
dc.description.abstract BACKGROUND AND OBJECTIVE : Children with attention-deficit hyperactivity disorder (ADHD) experience difficulty with expressive language, including form (e.g. grammatical construction) and content (e.g. coherence). The current study aimed to investigate the effect of methylphenidate- Osmotic Release Oral System® (MPH-OROS®) on the narrative ability of children with ADHD and language impairment, through the analysis of microstructure and macrostructure narrative elements. METHOD : In a single group off–on medication test design, narratives were obtained from 12 children with ADHD, aged 7–13 years, using wordless picture books. For microstructure, number of words, type–token ratio and mean length of utterance were derived from narrative samples using Systematic Analysis of Language Transcripts conventions. For macrostructure, the narratives were coded according to the Narrative Scoring Scheme, which includes seven narrative characteristics, as well as a composite score reflecting the child’s overall narrative ability. RESULTS : The administration of MPH-OROS® resulted in a significant difference in certain aspects of language macrostructure: cohesion and overall narrative ability. Little effect was noted in microstructure elements. CONCLUSION : We observed a positive effect of stimulant medication on the macrostructure, but not on the microstructure, of narrative production. Although stimulant medication improves attention and concentration, it does not improve all aspects of language abilities in children with ADHD. Language difficulties associated with ADHD related to language content and use may be more responsive to stimulant medication than language form, which is likely to be affected by cascading effects of inattention, hyperactivity and impulsivity beginning very early in life and to progress over a more protracted period. Therefore, a combination of treatments is advocated to ensure that children with ADHD are successful in reaching their full potential. en_ZA
dc.description.department Speech-Language Pathology and Audiology en_ZA
dc.description.department Statistics en_ZA
dc.description.librarian am2018 en_ZA
dc.description.sponsorship A tuition bursary from the University of Pretoria. en_ZA
dc.description.uri en_ZA
dc.identifier.citation Rausch, T.L., Kendall, D.L., Kover, S.T., & Louw, E.M. et al. (2017). The effect of methylphenidate-OROS® on the narrative ability of children with attentiondeficit hyperactivity disorder. South African Journal of Communication Disorders 64(1), a180. https://DOI. org/ 10.4102/sajcd.v64i1.180. en_ZA
dc.identifier.issn 0379-8046 (print)
dc.identifier.issn 2225-4765 (online)
dc.identifier.other 10.4102/sajcd.v64i1.180
dc.language.iso en en_ZA
dc.publisher AOSIS OpenJournals en_ZA
dc.rights © 2017. The Authors. Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License. en_ZA
dc.subject Children en_ZA
dc.subject Treatment en_ZA
dc.subject Attention deficit hyperactivity disorder (ADHD) en_ZA
dc.subject Methylphenidate-osmotic release oral system® (MPH-OROS®) en_ZA
dc.title The effect of methylphenidate-OROS® on the narrative ability of children with attention-deficit hyperactivity disorder en_ZA
dc.type Article en_ZA

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