Self-regulation of stimulation for ADD-H children during reading and vigilance task performance

The present study examines the hypothesis that motor responses added into rote tasks would modulate the sensation-seeking activity and impulsive errors of hyperactive (ADD-H) children. To this purpose 22 ADD-H and 25 comparison children were administered two repetitive tasks (word decoding and an auditory vigilance task) under both an active response and a passive response condition. Findings were that the impulsive errors, talking/noise-making, and activity of ADD-H children was normalized (i.e., did not differ from comparison children) only in the high stimulation active response conditions. Behavioral improvements for ADD-H children were documented in both tasks in the active condition, but performance gains were found only in the vigilance task. The findings supported predictions derived from the optimal stimulation theory that the excessive activity and attraction to novel stimuli of ADD-H children can be channeled into appropriate instrumental motor and attention responses.We thank Anne Dwyer for her help with data collection, and Phyllis Kikendall, Sylvia Kottler, Joe Boggs, and Cheryl Wieczorek for their assistance at various stages of this project. We are also most grateful to Martha Eger and to the teachers, Sally Schnieder and Denise Oliver, of West Central Joint Special Services, to Pat Welch of the Catholic Social Services, and to the teachers of St. Ann's School and St. Philip Neri School for their cooperation with this research.     

Context effects in the behavioral ratings of hyperactivity

It was proposed that parents of hyperactive children would observe more problems at home in some but not all home contexts. To test this hypothesis, parents of teacher-identified hyperactive and nonhyperactive children were asked to complete a context-specific behavioral rating scale (Werry, 1968). Hyperactive children were rated by their parents as changing activities, talking, interrupting, and exhibiting dependency more than nonhyperactive children. Furthermore, those differences between hyperactive and control children were observed primarily in the play and homework contexts.This research was supported by a National Institute of Mental Health Grant MH(32282).     

Establishing the constructs of childhood behavioral disturbances in a Chinese population: A questionnaire study

The behavioral problems of Chinese children were examined in a questionnaire study of a representative sample of 3,069 seven-year-old Chinese schoolboys in Hong Kong using Rutter's questionnaires for completion by parents and teachers. Separate robust dimensions of hyperactivity, antisocial, and neurotic behaviors were evident. The correlations among different dimensions were similar to those reported in the West. Short-term longitudinal analysis suggested that these dimensions were stable over time and that antisocial behaviors might develop in hyperactive children. The finding highlights the necessity of differentiating the hyperactive domain from the antisocial one. A significant source effect was found in all three dimensions. Chinese schoolboys had nearly two times the level of questionnaire-rated hyperactivity compared with school boys in the West; but it is premature to conclude that hyperactivity is more common in Chinese schoolboys in Hong Kong. Cross-cultural differences in adults' expectations and tolerance remain a plausible explanation.This study was supported by the Croucher Foundation. We would like to thank the Education Department of Hong Kong for assistance in sampling. We are particularly grateful to the children, teachers, and parents who participated in this study.     

Social perspective-taking and teacher ratings of peer interaction in hyperactive boys

Hyperactive and matched control boys at two age levels were compared on teacher ratings of peer interaction and three measures of social perspective-taking. The teachers' ratings of peer interaction discriminated between the hyperactive children and their controls. In addition, a significant interaction effect indicated that teachers rated the older hyperactive group as more deviant with peers than both their younger hyperactive counterparts and their age-matched controls. In a structured laboratory setting, the hyperactive children did not differ from control children on the three measures of social perspective-taking. The perspective-taking measures did, however, show differences across age groups. Implications for treatment are examined.The research reported in this paper is based on master's thesis submitted to the Graduate Faculty of Arts and Sciences of the University of Pittsburgh by the first author. The authors are indebted to Dr. C. Keith Conners for his assistance in recruiting hyperactive subjects and to Drs. Alex Siegel and Carl Barenboim for their critical evaluations regarding this investigation. Appreciation is expressed to the staff, teachers, parents, and students of the Forest Grove Elementary School for their cooperation.     

Stimulation seeking and hyperactive behavior in children with ADHD: a re-analysis

To examine the stimulation-seeking function of hyperactivity in children with ADHD, Antrop and colleagues analyzed the behavior of 30 hyperactive and 30 nonhyperactive children during a waiting situation, either with or without extra stimulation. The behavior was assessed by frequency measures. In their study it was hypothesized that children with ADHD would show a greater decrease in activity in the presence of stimulation than control children. Since confirmation for this hypothesis was only found for 2 of 25 target behaviors, the present re-analysis included other behavioral measures to assess two relationships: first, how hyperactivity varies under fixed time conditions, using measures of duration and intensity of behavior instead of frequency measures, and second, how the perceived duration of waiting time affects behavior. Analysis indicated that children with ADHD showed a greater decrease in behavior in the presence of stimulation for touching objects and movements of trunk, as reported. Further, children who underestimated the waiting period were more apt to seek additional stimulation in its absence than those who overestimated the waiting period.     

Motor timing deficits in community and clinical boys with hyperactive behavior: the effect of methylphenidate on motor timing

In a previous paper we showed that community children with hyperactive behavior were more inconsistent than controls in the temporal organization of their motor output. In this study we investigated: (1) various aspects of motor timing processes in 13 clinically diagnosed boys with attention deficit hyperactivity disorder (ADHD) who were compared to 11 community boys with hyperactive behavior and to a control group and (2) the effect of methylphenidate on the motor timing processes in the clinical group with ADHD in a double blind, cross-over, medication-placebo design, including 4 weeks of medication. The clinical group with ADHD, like the community group with hyperactivity, showed greater variability in sensorimotor synchronization and in sensorimotor anticipation relative to controls. The clinical group was also impaired in time perception, which was spared in the community group with hyperactivity. The persistent, but not the acute dose, of methylphenidate reduced the variability of sensorimotor synchronization and anticipation, but had no effect on time perception. This study shows that motor timing functions are impaired in both clinical and community children with hyperactivity. It is the first study to show the effectiveness of persistent administration of methylphenidate on deficits in motor timing in ADHD children and extends the use of methylphenidate from the domain of attentional and inhibitory functions to the domain of executive motor timing.     

Attention styles of hyperactive and normal girls

Behavioral characteristics and cognitive skills of teacher-identified hyperactive (n=24) and normally active (n=24) first- and second-grade girls were investigated. Teachers rated subjects on the Conners Teacher Rating Scale (TRS). Subjects were given several tasks measuring attentional styles and motor skills. Results suggested that hyperactive girls, like hyperactive boys, have short attention spans and poor concentration when compared with normals. Unlike hyperactive boys, hyperactive girls did not show an impulsive response style, and presented few conduct problems to their teachers. TRS profile patterns of the hyperactive girls were similar to those of hyperactive boys, but cutoff scores currently used for males may not be applicable to females. A direct comparison of hyperactive females and males is advocated.This study is based on a doctoral dissertation submitted to the Department of Psychology, Indiana University, by the first author. Thanks are expressed to the students and teachers of the Monroe County Community School Corporation who took part in the study.     

Development of visual stimulus-seeking in kittens

Three studies of the development of stimulus-seeking kittens are reported. In Experiment I kittens were housed, from before eye-opening, in total darkness or in a normal laboratory environment. They were given the opportunity, for one hour each day, to press a panel to illuminate a pattern in an otherwise dark experimental chamber. The normally-reared kittens scarcely availed themselves of this opportunity throughout the experiment. In contrast, the dark-reared kittens showed a sudden onset of visual stimulus-seeking around the end of the second month and thereafter pressed the panel for extended periods. This behaviour was maintained for as long as the cats were kept in the dark. In Experiment II, kittens were given varying periods of normal visual experience before being housed in the dark. The results showed that onset of stimulus-seeking was age-dependent and required only that the animals be housed in darkness at or after the end of the second month. Experiment III showed that stimulus-seeking did not extend to auditory stimuli and also that moving and stationary visual stimuli were equally effective in promoting the phenomenon. It is suggested that visual stimulus-seeking is one aspect of the maturation of a system underlying visual approach and exploratory behaviour. Evidence bearing on this point is discussed.     

Attention styles and peer relationships of hyperactive and normal boys and girls

Attention skills of hyperactive and normal boys and girls and behavioral ratings by teachers were investigated. Peer perceptions were obtained using a sociometric measure. Results supported previous research that found attentional deficits in hyperactive children. Results also suggested that hyperactive girls, as well as hyperactive boys, have difficulty with peer relationships. Hyperactive boys and girls displayed different patterns of problem behavior, although both groups displayed more problems than normal boys and girls. Specifically, the hyperactive girls displayed more conduct problem behavior than normal girls, but less than hyperactive boys. Because of the disruptive behavior problems they present, hyperactive boys may be identified earlier than are hyperactive girls.Portions of this paper were presented at the 56th annual meeting of the Midwestern Psychological Association, Chicago, 1984. Thanks are expressed to the students and teachers of the Eastwood Local Schools who took part in the study.The author wishes to thank the Department of Psychology and the Faculty Research Committee at Bowling Green State University, Bowling Green, Ohio, for their support of this study.     

Effectiveness of students and parents in a psycho-educational intervention programme for children with learning problems

This study investigated the effects of involving two sources of ‘non-traditional manpower’ — namely, university students and parents — in a programme of psycho-educational intervention. It was predicted that, while intervention for children with learning problems would produce significant changes in their perceptions in relation to their families, in their scholastic skills and in their adjustment, the additional involvement of their parents would lead to even greater changes. To test this prediction, 36 children referred to a university Education Clinic were randomly divided into three equal-sized groups: youth counselling plus parent counselling (E₁), youth counselling (E₂), and a control group (C). While the hypothesised changes following intervention were not statistically demonstrated, clinical data did yield support for the effectiveness and potential value of the intervention programmes.     

Visual‐motor and executive functions in children born preterm: The Bender Visual Motor Gestalt Test revisited

Böhm, B., Lundequist, A. & Smedler, A.‐C. (2010). Visual‐motor and executive functions in children born preterm: The Bender Visual Motor Gestalt Test revisited. Scandinavian Journal of Psychology, 51, 376–384. Visual‐motor development and executive functions were investigated with the Bender Test at age 5½ years in 175 children born preterm and 125 full‐term controls, within the longitudinal Stockholm Neonatal Project. Assessment also included WPPSI‐R and NEPSY neuropsychological battery for ages 4–7 ( Korkman, 1990 ). Bender protocols were scored according to Brannigan & Decker (2003) , Koppitz (1963) and a complementary neuropsychological scoring system (ABC), aimed at executive functions and developed for this study. Bender results by all three scoring systems were strongly related to overall cognitive level (Performance IQ), in both groups. The preterm group displayed inferior visual‐motor skills compared to controls also when controlling for IQ. The largest group differences were found on the ABC scoring, which shared unique variance with NEPSY tests of executive function. Multiple regression analyses showed that hyperactive behavior and inattention increased the risk for visual‐motor deficits in children born preterm, whereas no added risk was seen among hyperactive term children. Gender differences favoring girls were strongest within the preterm group, presumably reflecting the specific vulnerability of preterm boys. The results indicate that preterm children develop a different neurobehavioral organization from children born at term, and that the Bender test with a neuropsychological scoring is a useful tool in developmental screening around school start.     

A review of psychophysiological research with hyperkinetic children

A number of studies have appeared which focus on the issue of whether hyperactive children are psychophysiologically different from normal children and what impact the stimulant drugs may have on psychophysiological characteristics of these children. The present paper reviews these studies under the type of measures that were employed. In general, the results suggest that hyperactive children are probably not under- or overaroused in their resting levels of autonomic functions, although some children may display resting cortical underarousal. However, the findings of studies on the impact of stimulation on autonomic or central functions intimate that some hyperactive children are probably underreactive to environmental stimulation, or are "underarousable." Indeed, where differences between hyperactive and normal children are found in such evoked-response studies, they are consistently in this direction of "underarousability." Results for the effects of stimulant drugs suggest that these drugs energize or increase the "arousal" of these children and enhance the impact of stimulation on the nervous system. The implications of these results for current theories of hyperactivity and for future research are discussed.     

Service Needs of Foster Families with Children who have Disabilities

We examined the service needs of foster families with children who have disabilities. Foster parents in a large Canadian city were asked “What services or supports would be helpful to you?” The responses to this question were edited for clarity and to eliminate redundancies, and sorted into piles of like statements by a group of 15 foster care professionals. Two types of statistical analysis were applied to the sorting of the statements to describe the relationship between statements and their groupings. The major concepts were identified according to the contents of the cluster and a map was constructed to provide a graphic representation of the conceptualization process. The major services and supports identified in this study were: support in the community, financial support, accommodating school system, good relationships with social workers, responsive professionals, information, comprehensive medical care, services for aboriginal children and families, transitional services, and respite.     

The social and emotional well-being of divorced residential parents

Social and emotional well-being of 141 divorced mothers and 36 divorced fathers were examined. All parents had children living in their households. There were no differences between mothers' and fathers' reports of psychosomatic symptomatology, life satisfaction, life-area rankings, family cooperation, social support from relatives, and satisfaction with the contact with their former spouses. Mothers reported more health improvements since the divorce and higher levels of family esteem than fathers did. These findings are discussed in relation to the expectations associated with and the enactment of social and familial roles.This study was partially funded by the University of Minnesota Experiment Station. The author would like to thank M. J. Hogan for her support of this project and Jo Lynn Cunningham for her helpful comments on an earlier draft of this paper.     

The effects of fine motor movement and tactile stimulation on the math problem solving of students with attention problems

This study evaluated the effectiveness of fine motor physical activity with tactile stimulation during two conditions of math problem solving, visual and auditory. Eight 4th and 5th grade students with attention problems participated. Using an alternating treatments design, students solved as many math story problems as they could, presented on worksheets or verbally during two conditions, with and without tactile stimulation during 20 min. Motor behavior, recorded from videotape, and number of correctly completed word problems were measured. Results suggest that fine motor manipulation of a tactile stimulation object reduced excessive motor movement and increased task completion of students with attention problems.     

Visual attention and academic performance in children with developmental disabilities and behavioural attention deficits

Despite well‐documented attention deficits in children with intellectual and developmental disabilities (IDD), distinctions across types of attention problems and their association with academic attainment has not been fully explored. This study examines visual attention capacities and inattentive/hyperactive behaviours in 77 children aged 4 to 11 years with IDD and elevated behavioural attention difficulties. Children with autism spectrum disorder (ASD; n = 23), Down syndrome (DS; n = 22), and non‐specific intellectual disability (NSID; n = 32) completed computerized visual search and vigilance paradigms. In addition, parents and teachers completed rating scales of inattention and hyperactivity. Concurrent associations between attention abilities and early literacy and numeracy skills were also examined. Children completed measures of receptive vocabulary, phonological abilities and cardinality skills. As expected, the results indicated that all groups had relatively comparable levels of inattentive/hyperactive behaviours as rated by parents and teachers. However, the extent of visual attention deficits varied as a result of group; namely children with DS had poorer visual search and vigilance abilities than children with ASD and NSID. Further, significant associations between visual attention difficulties and poorer literacy and numeracy skills were observed, regardless of group. Collectively the findings demonstrate that in children with IDD who present with homogenous behavioural attention difficulties, at the cognitive level, subtle profiles of attentional problems can be delineated.     

Behavioral and social development of children born extremely premature: 5-year follow-up

A cohort of extremely prematurely born children and matched term controls was assessed at 5 years of age. The parents completed a questionnaire on their behavioral and social development. The purpose was to illuminate whether the children's general intellectual ability and parental sensitivity were associated with behavioral and social development. The index children exhibited more hyperactive behavior and had poorer social skills than the controls. Lower Full Scale IQ (FSIQ) was associated with outward reacting and hyperactive behavior and poorer social skills. Sensitive parenting was associated with less outward reacting and less hyperactive behavior. When controlling for differences in FSIQ and parental sensitivity, the index children persisted to have an increased risk of exhibiting hyperactive behavior but not poorer social skills. The index children with normal intellectual development, however, did not exhibit more behavioral problems or poorer social skills than the control children did.     

School-Based Intervention for Social Skills in Children from Divorced Families

Divorce is an increasingly prevalent occurrence in society that has the potential to result in many adverse short- and long-term consequences for children and their parents. Social skills, such as those with peers, are one of the problems that may emerge for children of divorce. Despite this growing problem, there is a paucity of research available to effectively address the social skills needed to build and maintain positive peer interactions and subsequent relationships in students whose parents are no longer married. It was hypothesized that a social skills training program would be effective in remediating social skill deficits related to building relationships with peers in students from divorced families. The purpose of this study was to employ COPE, a school-based social skills program, to examine the effect on social skills in elementary students whose parents are divorced. Results of the social skills intervention indicated that the treatment was effective for most participants, but generalization of the COPE program had mixed results.     

Professional support for adolescent mothers: Who gives it,how adolescent mothers evaluate it,what they would prefer

Forty-two adolescent mothers with 2-year-old children were questioned about their sources of social support, their satisfaction with that support, and their views about including members of their informal support network in the receipt of professional services. The results indicated that 74% of the mothers received parenting advice from some professional source, as well as from their informal support network, and that most were satisfied with their professional contacts. Nonetheless, 75% of the mothers indicated that they would like additional parenting advice from parenting classes, organized neighborhood groups, or from visiting public health nurses or other child development specialists. Ninety percent of the mothers thought it would be helpful to have members of their informal support network participate with them in the receipt of professional services, and 81% thought these individuals would be willing to do so. The implications of these findings for both future research and the design and implementation of programs directed toward adolescent parents and their children are discussed.     

A computerized test of self-control predicts classroom behavior

We assessed choices on a computerized test of self-control (CTSC) for a group of children with features of attention deficit hyperactivity disorder (ADHD) and a group of controls. Thirty boys participated in the study. Fifteen of the children had been rated by their parents as hyperactive and inattentive, and 15 were age- and gender-matched controls in the same classroom. The children were observed in the classroom for three consecutive mornings, and data were collected on their activity levels and attention. The CTSC consisted of two tasks. In the delay condition, children chose to receive three rewards after a delay of 60 s or one reward immediately. In the task-difficulty condition, the children chose to complete a difficult math problem and receive three rewards or complete an easier problem for one reward. The children with ADHD features made more impulsive choices than their peers during both conditions, and these choices correlated with measures of their activity and attention in the classroom.