Distinct Patterns of Impaired Cognitive Control Among Boys and Girls with ADHD Across Development

Research on Child and Adolescent Psychopathology - This study examined whether girls and boys with ADHD show similar impairments in cognitive control from childhood into adolescence and the...     

Few Preschool Boys and Girls with ADHD are Well-Adjusted During Adolescence

To estimate the prevalence of being well-adjusted in adolescence, boys and girls with (n = 96) and without (n = 126) attention-deficit/hyperactivity disorder (ADHD) were assessed seven times in eight years starting when they were 4–6 years of age. Symptoms of ADHD, ODD/CD, and depression/anxiety in addition to social skills and social preference were gathered using multiple methods and informants. Being well-adjusted was defined by surpassing thresholds in at least four of the five domains. At the 7- and 8-year follow-up, when youth were 11–14 years old, probands were significantly less likely to be well-adjusted relative to age- and ethnicity-matched control children. Only a minority of children with ADHD was well-adjusted in adolescence when emotional, behavioral, and social domains were considered simultaneously. Even when their ADHD symptoms improved over time, most probands exhibited significant impairment 7–8 years after their initial assessment.     

Increased Intrasubject Variability in Boys with ADHD Across Tests of Motor and Cognitive Control

Increased intrasubject variability (ISV), or short-term, within-person fluctuations in behavioral performance is consistently found in Attention-Deficit/Hyperactivity Disorder (ADHD). ADHD is also associated with impairments in motor control, particularly in boys. The results of the few studies that have examined variability in self-generated motor output in children with ADHD have been inconsistent. The current study examined variability in motor control during a finger sequencing task among boys with and without ADHD as well as the relationship between intrasubject variability during motor and cognitive control tasks. Changes in performance over the course of the task and associations with ADHD symptom domains were also examined to elucidate the nature of impaired motor control in children with ADHD. Fifty-one boys (ages 8 to 12 years) participated in the study, including 28 boys with ADHD and 23 typically developing (TD) boys. Participants completed a finger sequencing task and a Go/No-Go task providing multiple measures of response speed and variability. Boys with ADHD were slower and more variable in both intertap interval on the finger sequencing task and reaction time on the Go/No-Go task, with measures of speed and variability correlated across the two tasks. For the entire cohort, the only unique predictor of parent ratings of hyperactive-impulsive symptoms was variability in intertap interval during finger sequencing, whereas inattentive symptoms were only predicted by reaction time variability on the Go/No-Go task. These findings suggest that inefficient motor control is implicated in the pathophysiology of ADHD, particularly in regards to developmentally inappropriate levels of hyperactivity and impulsivity.     

Gender-Role Cognition in Three-Year-Old Boys and Girls

Although the multidimensionality of gender roles has been well established, few researchers have investigated male and female roles separately. Because of the substantial differences in the ways male and female roles are portrayed in our culture, boys and girls may think and learn about these roles differently. The male role is more clearly defined, more highly valued, and more salient than the female role; thus, children's cognitions about these two roles may be expected to differ. The present study addressed the question of whether there is sex-typical variation in gender labeling, gender-role knowledge, and schematicity. Participants were 120 families; 15% were from minority ethnic groups, and 17% were single-parent families; 25% of the parents had a high school education or less. Results indicated that at 36 months of age, boys were less able to label gender and less knowledgeable about gender roles than were girls. Boys' knew more about male stereotypes than female stereotypes, whereas girls knew considerably more than boys about the female role and as much as boys about the male role. Boys and girls were found to be similar in gender schematicity. Traditionality of parental attitudes regarding child-rearing and maternal employment were not strongly related to children's gender cognition.     

The Speech and Vocalization Patterns of Boys with ADHD Compared with Boys with Dyslexia and Boys Without Learning Disabilities

The domain-specific hypothesis of L. Cosmides (1989) and L. Cosmides and J. Tooby (1989, 1992) positing that conditional logic has its origin in the evolution of social exchange and in the detection of potential cheaters was tested against a more domain-general hypothesis positing that adult reasoning is logical and that errors in conditional reasoning arise from misunderstandings, not from a lack of logicality. The results of 5 experiments with undergraduate students (n = 682 for Experiments 1-4; n = 188 for Experiment 5), which involved a series of selection tasks that yielded specific predictions about participant performance, were not consistent with the cheater detection hypothesis. Findings supported the misunderstandings hypothesis and imply that adults possess general-purpose logical competence versus domain-specific modules.     

Compliance and Problem-Solving Competence in Girls and Boys

The problem-solving abilities of 4- and 5-year old children (N = 208) were assessed to test the hypothesis that high levels of compliance are negatively related to problem solving. Problem-solving competence was examined with a task-specific measure and a standardized measure of general problem-solving performance. Low compliant children performed better on both measures. The role of compliance in the cognitive development of girls and boys is discussed.     

Maternal Control of Girls Versus Boys: Relations to Empathy and Persuasive Style with Peers

We investigated relations between maternal control and girls’and boys’ concern for others. Fifty-six pairs of children were separately interviewed, using a newly developed measure of empathy. While mothers completed a parenting inventory, we videotaped children as one child attempted to convince a friend to make greeting cards for hospitalized children. High maternal control was associated with lower empathy and less interpersonally sensitive verbal persuasion, but only in girls.     

Social Memory of Preschool Girls and Boys

In two experiments, 40 female and 40 male preschoolers attending a day-care center were shown photographs of children attending the center, and were asked either to name each pictured child (recall condition) or to point to the picture of the child as the experimenter said the child's name (recognition condition). In both experiments, girls and boys did not differ significantly in the number of correct identifications on either the recall or recognition tasks. The results do not support Feldstein's (1976) conclusion that preschool girls show better social memory than preschool boys.     

Children's Beliefs About Violating Gender Norms: Boys Shouldn't Look Like Girls,and Girls Shouldn't Act Like Boys

This research examined 3- to 11-year-old children's knowledge of and beliefs about violating several gender norms (e.g., toys, play styles, occupations, parental roles, hairstyles, and clothing) as compared to social and moral norms. Knowledge of the norms and understanding that norm violations were possible increased with age. The children's evaluations of violations of gender norms varied from item to item. Violations concerning becoming a parent of the other gender were devalued in both boys and girls, whereas most toy and occupation violations were not especially devalued in either. Boys with feminine hairstyles or clothing were evaluated more negatively than girls with masculine hairstyles or clothing. On the other hand, girls who played in masculine play styles were devalued relative to boys who played in feminine styles. Evaluations of norm violations were not consistently related to age.     

The Delinquency Outcomes of Boys with ADHD with and Without Comorbidity

This study examined the association between childhood ADHD and juvenile delinquency by examining data from the Pittsburgh ADHD Longitudinal Study (PALS), a follow-up study of individuals diagnosed with ADHD in childhood (ages 5–12) and recontacted in adolescence and young adulthood for yearly follow-up (age at first follow-up interview M = 17.26, SD = 3.17). Participants were 288 males with childhood ADHD and 209 demographically similar males without ADHD who were recruited into the follow-up study. Delinquency information gathered yearly during the second through eighth follow-up provided a comprehensive history of juvenile delinquency for all participants. Four childhood diagnostic groups [ADHD-only (N = 47), ADHD + ODD (N = 135), ADHD + CD (N = 106), and comparison (N = 209)] were used to examine group differences on delinquency outcomes. Analyses were conducted across three dimensions of delinquency (i.e., severity, age of initiation, and variety). Individuals with childhood ADHD + CD displayed significantly worse delinquency outcomes than the other three groups, across almost all indices of offending. When compared to comparison participants, boys with ADHD-only and ADHD + ODD in childhood displayed earlier ages of delinquency initiation, a greater variety of offending, and higher prevalence of severe delinquency. These findings suggest that although childhood ADHD + CD creates the greatest risk for delinquency, boys with ADHD-only and ADHD + ODD also appear at a higher risk for later offending. The patterns of offending that emerged from the PALS are discussed in the context of the relationship between ADHD, comorbidity, and delinquency.     

Cognitive Response Repertoires to Child Noncompliance by Mothers of Aggressive Boys

Cognitive response repertoires to videotaped child noncompliance episodes were examined in mothers of aggressive (MAs) and nonaggressive 4–6-year-old boys. Mothers provided open-ended solutions to three subtypes of child noncompliance under conditions of time pressure, or after they waited for 15 s to consider alternatives. Solutions were coded as assistance/facilitation, coercion, deference, or explanation/clarification. Compared with controls, MAs offered fewer explanation/clarification responses, more coercive responses, and fewer unique solutions during pressured responding. Two to 6 weeks later, mothers were videotaped while participating with their sons in a challenging block-building task. Maternal responses to the vignettes predicted conflict escalation during block building, even after rates of concurrent and past child noncompliance were partialled out. Implications for parent-training models are considered.     

Academic Locus of Control and LOGO Performance among Black and White Zimbabwean Girls and Boys

Abstract

Data from a national survey of African-American workers were used to test predictions from equity theory regarding the “distress” that results from negative inequity (below expected level) and positive inequity (above expected level) in pay and occupational prestige. The results showed differential effects of the two types of inequity on dependent variables of job satisfaction and self-report of job-related skill. Although those faced with opposite forms of inequity fostered different strategies for inequity reduction, in each case, workers chose a strategy that was self-protective.     

Behavior Problems and Peer Rejection in Preschool Boys and Girls

The authors tested the hypothesis that deviant behaviors within a preschool peer group would be linked with peer rejection, irrespective of child gender. Seventy-six children, aged 3 to 5 years, participated. Teachers rated children's behavior on the Child Adaptive Behavior Inventory, and children provided sociometric ratings. For a subsample of children (n = 47), observers coded aggressive, noncompliant, and withdrawn behavior using a time-sampling system. For both boys and girls, noncompliance, hyperactivity, and social withdrawal were associated with peer rejection; overt aggression was associated with peer rejection for boys, but not for girls. Analysis revealed that approximately half of the variance in sociometric and teacher ratings of peer rejection was accounted for by aggression and social withdrawal for both boys and girls. The results suggest that the association between behavior problems and peer rejection emerges at a very early age.     

Positive Illusions of Social Competence in Girls with and Without ADHD

We compared social self-competence ratings in 9–12 year old girls with (n = 42) versus without (n = 40) ADHD, relative to ratings of the girls’ social competence made by mothers, teachers, and blind raters during a social laboratory task. Relative to scores from mothers, teachers, and the lab-task, girls with ADHD over-estimated their competence significantly more than control girls. Over-estimates were greater for girls with ADHD who also had heightened oppositional-defiant symptoms, or lower depressive symptoms. Over-estimates were positively related to a socially desirable reporting bias for girls with ADHD, but not for control girls, suggesting that girls with ADHD attempt to present themselves in an unduly positive, self-protective light. For girls with ADHD, over-estimates also were positively related to maladjustment and negatively related to adjustment. However, for girls without ADHD, over-estimates were positively related to adjustment. Overall, over-estimates of competence function differently in girls with and without ADHD.     

The Measurement of Negative After-Images in First-Grade Boys and Girls

Three days prior to sexual integration of a residential school for delinquent adolescent females, 85 students participated in a survey of attitudes towards boys. Factor analysis of the 21 item survey yielded eight factors. The Ss also completed a semantic differential (SD) for “myself,” “boy,” and “girl.” Ss were assigned to one of three gender-identity groups for male identification, female identification, and uncertain identification based on SD profile matching. A second survey was conducted two months after sexual integration of the school. Data were collected on 49 of the original sample. Results showed significant changes for the male identity group toward rejection of the male role. The uncertain identity group increased identification with the feminine role. As anticipated, no changes appeared for the female identity group. Findings suggest that sexual integration of adolescent reform institutions is effective in avoiding sex-role diffusion.     

Hot and Cool Aspects of Cognitive Control in Children with ADHD: Decision-Making and Inhibition

This study investigated hot and cool aspects of cognitive control in children with Attention Deficit Hyperactivity Disorder (ADHD). The study aimed to: (1) replicate the postulated response inhibition deficit of children with ADHD; (2) explore whether children with ADHD choose disadvantageously in a decision-making task and to explore the mechanisms underlying the expected response pattern; and (3) study whether performance on a combination of hot and cool executive control measures has predictive value for an ADHD diagnosis. The sample consisted of 20 children with ADHD and 22 normal developing children (NC, 8 to 12 years) matched on age, FSIQ, and gender. Two paradigms have been applied: (1) the stop signal paradigm, and (2) the adapted children's version of the IOWA Gambling task. There were no group differences for both paradigms. Both groups chose in a reward-oriented manner and seemed to develop the ability to take future consequences into account in making decisions. Moreover, feedback resulted in direct behavioral changes. Children with ADHD did not have a specific response inhibition deficit or a decision-making deficit.     

Activity Level and Sex-Stereotyped Toy Choice in Toddler Boys and Girls

In the first study, the motor activity level and vigor of play of 52 toddlers was assessed as they played with a set of sex-role stereotyped and neutral toys. Boys and girls showed the same level of activity, and both were significantly more active when playing with stereotypically masculine toys. In the second study, 27 toddlers were observed playing with toys defined as potentially eliciting high, medium, or low activity within the masculine, feminine, and neutral categories. Again, boys and girls did not differ in overall activity level. All children preferred toys that allowed moderate to high activity, but given this preference, they selected toys stereotyped for their own gender above those stereotyped for the other gender.