Evidence map›Paper›PMID 38935132›Full record

ArticleEuropean child & adolescent psychiatry2025

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

Abstract readComparative Study
In one paragraph

Article in European child & adolescent psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Wendy W Y ChanSchool of Academic Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.ORCID http://orcid.org/0000-0003-2097-9298
Kathy Kar-Man ShumDepartment of Psychology, The University of Hong Kong, Hong Kong, China.ORCID http://orcid.org/0000-0003-4340-3160
Johnny DownsSchool of Academic Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.ORCID http://orcid.org/0000-0002-8061-295X
Ngai Tsit LiuDepartment of Psychology, The University of Hong Kong, Hong Kong, China.ORCID http://orcid.org/0000-0002-9362-1628
Edmund J S Sonuga-BarkeSchool of Academic Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK. edmund.sonuga-barke@kcl.ac.uk.ORCID http://orcid.org/0000-0002-6996-3935

Funding

NIHR Clinician Scientist Fellowship CS-2018-18-ST2-014
6 · The paper itself

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.

Indexed as

Attention Deficit Disorder with HyperactivityChild BehaviorCross-Cultural ComparisonChild, PreschoolFemaleHong KongHumansMaleRewardUnited KingdomAttention-deficit/hyperactivity disorder (ADHD)Delay aversionPreschoolers, self-regulation, cross-culturalWaiting

Identifiers

PMID38935132
PMCPMC11868378

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.