Behavioral and physiologic response measures of occupational task performance: a preliminary comparison between typical children and children with attention disorder.

OBJECTIVE. To compare performance on the Assessment of Motor and Process Skills (AMPS), a measure of functional task performance and physiological responses (salivary cortisol levels) during AMPS administration, between typically developing children and children diagnosed with attention deficit hype...

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Publicado en:American Journal of Occupational Therapy Vol. 59; no. 4; pp. 426 - 437
Autores principales: White BP, Mulligan SE
Formato: research tables/charts Journal Article
Publicado: American Occupational Therapy Association Jul/Aug2005
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul/Aug2005
      vid: 59
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      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        atl: Behavioral and physiologic response measures of occupational task performance: a preliminary comparison between typical children and children with attention disorder.
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        au:
          White BP
          Mulligan SE
        affil: Assistant Professor, 117 Hewitt Hall, 4 Library Way, University of New Hampshire, Durham, New Hampshire 03824; bpwhite@cisunix.unh.edu
      sug:
        subj:
          Attention Deficit Hyperactivity Disorder In Infancy and Childhood
          Functional Assessment In Infancy and Childhood
          Saliva Analysis
          Task Performance and Analysis In Infancy and Childhood
          Activities of Daily Living
          Analysis of Variance
          Arousal In Infancy and Childhood
          Child
          Descriptive Statistics
          Funding Source
          P-Value
          Power Analysis
          Quasi-Experimental Studies
          Repeated Measures
          Research Instruments
          T-Tests
          Time
          Human
          Child: 6-12 years
      ab: OBJECTIVE. To compare performance on the Assessment of Motor and Process Skills (AMPS), a measure of functional task performance and physiological responses (salivary cortisol levels) during AMPS administration, between typically developing children and children diagnosed with attention deficit hyperactivity disorder (ADHD).METHOD. In this quasi-experimental study, independent t tests, and mixed, repeated measures analysis of variance were conducted to compare a group of typically developing children (n=21) with a group of children with ADHD (n=12) on two dependent measures: (a) the AMPS and (b) salivary cortisol. Salivary cortisol, a stress hormone, was taken at three time points, baseline, mid-way through AMPS administration, and 20 min following AMPS administration.RESULTS. Significant differences were found on the activities of daily living (ADL) process ability measure of the AMPS (p=.001) and the ADL motor ability measure (p=.04), with the ADHD group performing more poorly than typical children. There was no significant group (ADHD vs. control) by time period interaction effect on cortisol levels. Overall, the cortisol levels of the AND group were higher than the levels of those in the control group (p=.02). Cortisol levels tended to drop significantly over time (p= .01) for both groups, however the patterns differed somewhat between groups. Cortisol levels of the typical children dropped at the final time period (20 min post-AMPS administration) whereas the levels of the children in the ADHD remained higher during this time period. This interaction effect approached, but did not reach, statistical significance (p=.15).CONCLUSION. The results of this investigation suggest that the AMPS is sensitive to detecting functional performance concerns, and both motor and process skill deficits, associated with ADHD, and therefore may be a useful assessment tool with this population. Data also suggests that cortisol expression to a well-known ADL task may be lower if the task is not overly challenging for the individual, and provides support for further study of the role of cortisol with disorders of attention.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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