The differential validity of hyperactivity/attention deficits and conduct problems among mentally retarded children

The independence of hyperactivity, attention deficits, and conduct problems among mentally retarded children was addressed using factors of the Conners' Teacher Rating Scale-39 (CTRS-39) and the more recently developed IOWA Conners' inattention/overactivity (IO) and aggression (A) subscales. CTRS-39 ratings were obtained for children of normal intelligence and for mentally retarded children. Differences between the groups were examined as were intercorrelations of the Conners' factors and IOWA subscales. Conduct problems proved to be less strongly associated with hyperactivity and attention deficits among mentally retarded children compared to children of normal intelligence. However, attention problems and conduct problems may be associated with mental retardation in general. Implications of these data and CTRS scoring system recommendations for mentally retarded children are discussed.     

Cognitive and attentional deficits in children vulnerable to psychopathology

Cognitive and attentional deficits were assessed in children with either a schizophrenic, an affectively disordered or a normal parent. The children were grouped both by their parents' DSM-II diagnoses (broadly defined group of schizophrenics and heterogeneous group of depressives)and by a new set of diagnoses (narrowly defined group of schizophrenics, unipolar depressive group and bipolar group). Children whose parents met the more stringent criteria for schizoprhenia performed somewhat more deviantly than children whose parents met only DSM-II criteria. In addition, the importance of splitting the heterogeneous depressive group into more homogeneous subgroups is indicated by the findings that children of unipolar parents generally could not be distinguished from children whose parents are schizophrenic. On the other hand, children of bipolar parents performed reliably better than children of schizophrenics. These findings are viewed within the context of current high-risk studies and psychological deficit literature and suggest that diagnostic issues require more attention by researchers in these areas.This research was supported by Grant MH 21145 from the National Institute of Mental Health. The authors are indebted to Lina Jandorf for assistance in testing the children and with the data analyses.     

On the distinction between visual salience and stimulus-driven attentional capture.

It is often assumed that the efficient detection of salient visual objects in search reflects stimulus-driven attentional capture. Evidence for this assumption, however, comes from tasks in which the salient object is task relevant and therefore may elicit a deliberate deployment of attention. In 9 experiments, participants searched for a nonsalient target (vertical among tilted bars). In each display, 1 bar was highly salient in a different dimension (e.g., color or motion). When the target and salient elements coincided only rarely, reducing the incentive to attend deliberately to the salient stimuli, response times depended little on whether the target was salient, although some interesting exceptions were observed. It is concluded that efficient selection of an element in visual search does not constitute evidence that the element captures attention in a purely stimulus-driven fashion.     

Attention-deficit/hyperactivity disorder and callous-unemotional traits as moderators of conduct problems when examining impairment and aggression in elementary school children

Examined whether attention-deficit/hyperactivity disorder (ADHD) and callous-unemotional (CU) traits moderate the association between conduct problems (CPs) and impairment and aggression. Participants were 214 children who were rated by their elementary school classroom teachers. Results indicated that the association between CP and impairment and aggressive outcomes is almost always moderated by ADHD and/or CU. Moreover, in many instances, the association between CP and outcomes was moderated by both ADHD and CU such that the moderating effects of CU on CP were more pronounced at lower levels of ADHD. Results are discussed with respect to developmental taxonomies and trajectories of the disruptive behavior disorders.     

Callous-unemotional traits and conduct problems in the prediction of conduct problem severity,aggression, and self-report of delinquency

The role of callous-unemotional (CU) traits and conduct problems in predicting conduct problem severity, severity and type of aggression, and self-reported delinquency at a 1-year follow-up was investigated in a sample of 98 children (mean age 12.43; SD = 1.72) recruited from a community-wide screening. Children with both CU traits and conduct problems had a greater number and variety of conduct problems at follow-up than children who at the screening had high levels of conduct problems alone. However, this poorer outcome for children with CU traits could largely be accounted for by differences in initial level of conduct problem severity. Children with CU traits and conduct problems were also at risk for showing higher levels of aggression, especially proactive aggression, and self-reported delinquency. Importantly, these outcomes could not be solely explained by initial level of conduct problem severity. Finally, CU traits predicted self-reported delinquency in some children who did not initially show high levels of conduct problems and this predictive relationship seemed to be strongest for girls in the sample who were high on CU traits but who did not show significant conduct problems.     

Psychophysiology of aggression, psychopathy, and conduct problems: a meta-analysis

A meta-analysis of 95 studies was conducted to investigate the relations of heart rate (HR) and electrodermal activity (EDA) with aggression, psychopathy, and conduct problems. Analyses revealed a complex constellation of interactive effects, with a failure in some cases of autonomic patterns to generalize across antisocial spectrum behavior constructs. Low resting EDA and low task EDA were associated with psychopathy/sociopathy and conduct problems. However, EDA reactivity was positively associated with aggression and negatively associated with psychopathy/sociopathy. Low resting HR and high HR reactivity were associated with aggression and conduct problems. Physiology--behavior relations varied with age and stimulus valence in several cases. Empirical and clinical implications are discussed.     

Moral/conventional transgression distinction and psychopathy in conduct disordered adolescent offenders

To date there are no studies examining the ability to make a moral/conventional transgression distinction in adolescent offenders with psychopathic traits. Based on the Psychopathy Checklist: Youth Version, we compared males with high (HP, n = 45), medium (MP, n = 31) and low psychopathy scores (LP, n = 39) on the moral convention distinction task. Under normal rule conditions the psychopathy groups did not differ in their ability to make a moral/conventional distinction. The HP group tended to view both transgression types as more permissible and conventional transgressions as less serious, than the LP group. Under modified rule conditions, the HP group exhibited reduced moral/conventional distinction scores compared to the MP group. The findings only partially replicate findings from previous M/C studies in children and adults with psychopathic traits. The work fits with more recent reports suggesting that psychopathy is not strongly associated with marked difficulties in cognitive theory of mind, perspective taking and moral judgements. Future studies should focus on the affective aspects of moral reasoning in offender samples.     

Maternal depression and early positive parenting predict future conduct problems in young children with attention-deficit/hyperactivity disorder

Children with attention-deficit/hyperactivity disorder (ADHD) are at risk for adverse outcomes such as substance abuse and criminality, particularly if they develop conduct problems. Little is known about early predictors of the developmental course of conduct problems among children with ADHD, however. Parental psychopathology and parenting were assessed in 108 children who first met Diagnostic and Statistical Manual of Mental Disorders (4th ed.) criteria for ADHD at 4-7 years old. When demographic variables and baseline ADHD and conduct problems were controlled, maternal depression predicted conduct problems 2-8 years following the initial assessment, whereas positive parenting during the structured parent- child interaction task predicted fewer future conduct problems. These findings suggest that maternal depression is a risk factor, whereas early positive parenting is a protective factor, for the developmental course of conduct problems among children with ADHD.     

On the distinction between perception and cognition

To uphold the distinction between perception and cognition for certain classes of tasks or phenomena, it is proposed that three criteria must be met: (1) when perceptual and cognitive functions serve different biological purposes, (2) when stimulus information in dynamic events is necessary, but not sufficient for veridical perception, and (3) when the task emphasizes explicit retrieval, as opposed to implicit use of information. Conversely, when the three criteria have not been met, conditions for theoretical unification exist.     

The relative influence of conduct problems and attention-deficit hyperactivity disorder in the development of adolescent psychopathy

An in depth literature review was conducted into the relative influence of conduct problems and attention-deficit hyperactivity disorder in the development of child/adolescent psychopathy. Lynam (1996) wrote that children/adolescents exhibiting behaviors of both were ‘fledgling psychopaths;’ however, recent evidence suggests that if youth with comorbid conduct problems and ADHD exhibit a persistent form of antisocial and/or psychopathic behavior, the cause is primarily due to the levels of conduct problems, not the influence of ADHD. This article looks at the three perspectives regarding the development of psychopathy: (1) Conduct Problem Mediation, (2) the Independent Position, and (3) the Comorbid Subtype. The studies examining the three perspectives found that the Conduct Problem Mediation, not the Comorbid Subtype, was the most important in the development of psychopathy.     

On the distinction between artifacts and information

Sperling, Landy, Dosher, and Perkins (1989) argued that all previous research on the kinetic depth effect has been contaminated by stimulus artifacts, and they developed a new task that they believe can successfully overcome this problem. The present discussion offers a counter-argument that artifacts are not as pervasive in previous research as Sperling et al. imply and that their proposed method is subject to precisely the same limitations as earlier studies. Also discussed are some general guidelines of experimental design in this type of research to minimize the possibility that subjects will adopt an inappropriate response strategy that does not truly reflect their visual perceptions of three-dimensional form.     

Disinhibitory psychopathology in male adolescents: discriminating conduct disorder from attention-deficit/hyperactivity disorder through concurrent assessment of multiple autonomic states.

T. P. Beauchaine recently proposed a model of autonomic nervous system functioning that predicts divergent patterns of psychophysiological responding across disorders of disinhibition. This model was tested by comparing groups of male adolescents with attention-deficit/hyperactivity disorder (ADHD) and attention-deficit/hyperactivity disorder plus conduct disorder (CD/ADHD) with controls while performing a repetitive motor task in which rewards were administered and removed across trials. Participants then watched a videotaped peer conflict. Electrodermal responding (EDR), cardiac pre-ejection period (PEP), and respiratory sinus arrhythmia (RSA) were monitored. Compared with controls, the ADHD and CD/ADHD participants exhibited reduced EDR. The CD/ADHD group was differentiated from the ADHD and control groups on PEP and from the control group on RSA. Findings are discussed in terms of the motivational and regulational systems indexed. Implications for understanding rates of comorbidity between CD and ADHD are considered.     

On the distinction between Karma and Rebirth in Hinduism

The doctrines of Kanna and rebirth dovetail so neatly that they are often treated as a single philosophical package. This paper demonstrates that when they are each treated separately in their own right and their possible relationships are re‐examined, it leads to a much more nuanced understanding of not only these concepts but also the issues they were developed to address.     

Hyperactivity/inattention problems moderate environmental but not genetic mediation between negative parenting and conduct problems

This study investigated the association between negative parenting (NP) and conduct problems (CP) in 6-year-old twins, taking into account the severity of hyperactivity/inattention problems (HIAP). Analyses of the data from 1,677 pairs of twins and their parents revealed that the shared environmental covariance between NP and CP was moderated by the level of HIAP but not by CP or NP, where the shared environmental covariance was larger in children with higher levels of HIAP than in children with lower levels of HIAP. The genetic covariance between NP and CP was not moderated by the level of HIAP, whereas it was larger in the group with lower levels of CP and NP than in the group with higher levels. These results suggest that severe HIAP strengthens shared environmental associations between NP and CP and that interventions focusing on the shared environmental component of NP would be effective for parents and children with severe HIAP.     

On the distinction between physical and psychological stressors

The distinction between physical and psychological stressors is reviewed, including some implications for anxiety research. The relationships among anxiety states, anxiety traits, and type of stressor are complex and can be influenced by such factors as the preciseness by which the stressor is identified, how it is measured, and the coping mechanisms available to deal with the stress. The choice of appropriate state and trait anxiety measures is crucial when assessing the differential impact of physical and psychological stressors.     

Predictors of physical aggression in children with attention-deficit/hyperactivity disorder

The present investigation examined factors that predict physical aggression in children with attention-deficit/hyperactivity disorder (ADHD). Stepwise, multiple regression-analyses were used to examine predictors of children's physical aggression as rated by parents at a 1-year follow-up point and by teachers at both 1- and 2-year follow-up points. Early parent and teacher ratings of verbal aggression (ie, cursing, teasing, and threatening) accounted for the greatest proportion of the variance in physical aggression ratings obtained at follow-up. None of the other predictor variables, including early ratings of physical aggression and ADHD behaviors, contributed significant additional variance beyond that accounted for by early verbal aggression ratings. Temporal and cross-informant analyses revealed that the relationship between verbal aggression and later physical aggression was situation-specific for teacher ratings but not parent ratings. Although physical aggression may emerge early in development, these data suggest that verbal aggression represents a stable, temperamental characteristic that may be of greater value than early physical aggression for predicting later physically aggressive acts.     

Cognitive-neuropsychological function in chronic physical aggression and hyperactivity

Histories of violence and of hyperactivity are both characterized by poor cognitive-neuropsychological function. However, researchers do not know whether these histories combine in additive or interactive ways. The authors tested 303 male young adults from a community sample whose trajectories of teacher-rated physical aggression and motoric hyperactivity from kindergarten to age 15 were well defined. No significant interaction was found. In a 1st model, both histories of problem behavior were independently associated with cognitive-neuropsychological function in most domains. In a 2nd model controlling for IQ, general memory, and test motivation, the 3 working-memory tests (relevant to executive function) remained associated with physical aggression, and 1 remained associated with hyperactivity. These results support an additive model.