Authors :
Abdullahi Ali Ulusow
Volume/Issue :
Volume 10 - 2025, Issue 12 - December
Google Scholar :
https://tinyurl.com/58mef2j7
Scribd :
https://tinyurl.com/2n7m32tr
DOI :
https://doi.org/10.38124/ijisrt/25dec1530
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Attention-Deficit/Hyperactivity disorder (ADHD) is a neurodevelopmental condition characterized by persistent
inattention, hyperactivity, and impulsivity, affecting both functioning and development (American Psychiatric Association,
2013; Barkley, 2015). Research conducted globally and within Africa indicates that children diagnosed with ADHD
encounter significant educational, social, and emotional difficulties, a situation frequently exacerbated in environments
with limited resources and those affected by conflict (Polanczyk & Rohde, 2014; Schulze et al., 2023). This qualitative
secondary study investigates the psychological, educational, and social ramifications of ADHD on Somali children,
achieved through the synthesis of evidence derived from reviews of ADHD within Africa, studies concerning child mental
health in Somalia, and qualitative research focused on Somali perspectives regarding mental disorders and
neurodevelopmental disabilities (Guerin et al., 2004; Naeem et al., 2024; Schulze et al., 2023). This study utilizes a
narrative review and thematic analysis, referencing peer-reviewed journals, reports from the World Health Organization
and UNICEF, publications from non-governmental organizations, and case studies focused on Somali or analogous
environments. The analysis identifies several critical themes: academic challenges and classroom disturbances, behavioral
conflicts and the implementation of severe disciplinary actions, social ostracism and occurrences of bullying, emotional
turmoil and reduced self-worth, as well as a considerable strain on caregivers, all situated within a framework marked by
stigma and insufficient service availability (Naeem et al., 2024; Schulze et al., 2023; Willcutt et al., 2012).The results are
analyzed through the lenses of neurodevelopmental, behavioral, and ecological systems, illustrating the interplay between
biological predispositions and cultural norms, educational settings, and vulnerable healthcare infrastructures in
determining the trajectories of Somali children exhibiting ADHD-like characteristics (Bronfenbrenner, 1979; Barkley,
2015). This research posits that ADHD is probably underdiagnosed and inadequately addressed within the Somali child
population, advocating for culturally sensitive awareness initiatives, fundamental psychosocial and educational strategies,
and additional primary qualitative investigations to guide policy and practical applications.
References :
- American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.
- Barnevik‑Olsson, M., Gillberg, C., & Fernell, E. (2008). Prevalence of autism in Somali children living in Stockholm: Brief report. Developmental Medicine & Child Neurology, 50(8), 598–601.
- Barkley, R. A. (2015). Attention‑deficit hyperactivity disorder: A handbook for diagnosis and treatment (4th ed.). Guilford Press.
- Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.
- Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Harvard University Press.
- Guerin, B., Guerin, P. B., Diiriye, R. O., & Yates, S. (2004). Somali conceptions and expectations concerning mental health and mental health services. New Zealand Journal of Psychology, 33(2), 59–67.
- Hewitt, A., Gulaid, A., Hamre, K., Esler, A., Punyko, J., Reichle, J., & Reiff, M. (2016). Autism spectrum disorder among Somali and non‑Somali children. Journal of Autism and Developmental Disorders, 46(8), 2599–2608.
- Hill, N., Hunt, E., & Hyrkäs, K. (2012). Somali immigrant families’ perceptions of autism: Implications for teaching and practice. Journal of School Nursing, 28(6), 428–436.
- Naeem, F., Abdullahi, A. A., Farah, M., Warsame, A. M., Farah, A. A., & Abdi, S. M. (2024). Mental health problems in Somalia after decades of humanitarian crises: A qualitative study. BJPsych Open, 10(5), e191. https://doi.org/10.1192/bjo.2024.191
- Olashore, A. A., Paruk, S., Akanni, O. O., & Bracken, S. (2020). Attention‑deficit hyperactivity disorder in school‑age children in Gaborone, Botswana: Comorbidity and risk factors. South African Journal of Psychiatry, 26, a1525. https://doi.org/10.4102/sajpsychiatry.v26i0.1525
- Polanczyk, G. V., & Rohde, L. A. (2014). Epidemiology of attention‑deficit/hyperactivity disorder across the lifespan. Current Opinion in Psychiatry, 27(5), 362–368.
- Said, M. A., Guerin, B., & Denson, L. (2020). Barriers to accessing mental health services in Somali‑Australian communities. International Journal of Mental Health Systems, 14, 74. https://doi.org/10.1186/s13033‑020‑00401‑z
- Save the Children. (2023). Somalia child protection and education budget analysis report 2023. Save the Children.
- Schulze, M., Dube, K., & Mbelu, A. M. (2023). Navigating unique challenges and advancing equitable care for children with ADHD in Africa: A review. Child and Adolescent Psychiatry and Mental Health, 17, 87. https://doi.org/10.1186/s13034‑023‑00641‑3
- UNICEF. (2021). Education and child protection in Somalia: Situation analysis. UNICEF.
- Warfa, N., Ndegwa, D., Bhui, K., Craig, T., Mohamud, S., Hussein, A., Busuri, N., & Bhui, K. (2012). Khat use and mental illness: A critical review. Social Science & Medicine, 75(1), 24–33.
- Willcutt, E. G., Doyle, A. E., Nigg, J. T., Faraone, S. V., & Pennington, B. F. (2012). Validity of the executive function theory of attention‑deficit/hyperactivity disorder: A meta‑analytic review. Biological Psychiatry, 57(11), 1336–1346.
- World Health Organization. (2021). Guidelines on mental health promotive and preventive interventions for adolescents. WHO.
- World Health Organization. (2022). Child and adolescent mental health in humanitarian settings: Policy and practice guidance. WHO.
Attention-Deficit/Hyperactivity disorder (ADHD) is a neurodevelopmental condition characterized by persistent
inattention, hyperactivity, and impulsivity, affecting both functioning and development (American Psychiatric Association,
2013; Barkley, 2015). Research conducted globally and within Africa indicates that children diagnosed with ADHD
encounter significant educational, social, and emotional difficulties, a situation frequently exacerbated in environments
with limited resources and those affected by conflict (Polanczyk & Rohde, 2014; Schulze et al., 2023). This qualitative
secondary study investigates the psychological, educational, and social ramifications of ADHD on Somali children,
achieved through the synthesis of evidence derived from reviews of ADHD within Africa, studies concerning child mental
health in Somalia, and qualitative research focused on Somali perspectives regarding mental disorders and
neurodevelopmental disabilities (Guerin et al., 2004; Naeem et al., 2024; Schulze et al., 2023). This study utilizes a
narrative review and thematic analysis, referencing peer-reviewed journals, reports from the World Health Organization
and UNICEF, publications from non-governmental organizations, and case studies focused on Somali or analogous
environments. The analysis identifies several critical themes: academic challenges and classroom disturbances, behavioral
conflicts and the implementation of severe disciplinary actions, social ostracism and occurrences of bullying, emotional
turmoil and reduced self-worth, as well as a considerable strain on caregivers, all situated within a framework marked by
stigma and insufficient service availability (Naeem et al., 2024; Schulze et al., 2023; Willcutt et al., 2012).The results are
analyzed through the lenses of neurodevelopmental, behavioral, and ecological systems, illustrating the interplay between
biological predispositions and cultural norms, educational settings, and vulnerable healthcare infrastructures in
determining the trajectories of Somali children exhibiting ADHD-like characteristics (Bronfenbrenner, 1979; Barkley,
2015). This research posits that ADHD is probably underdiagnosed and inadequately addressed within the Somali child
population, advocating for culturally sensitive awareness initiatives, fundamental psychosocial and educational strategies,
and additional primary qualitative investigations to guide policy and practical applications.