Schedule-induced behavior in hyperactive children

A schedule-induced behavior paradigm was used to investigate the activity patterns of hyperactive children in a standardized situation. In Experiment I, 10 hyperactive and 10 normal control children matched for age, sex, and IQ were observed under conditions of baseline and schedule. Measures of a number of categorized activities were taken on a time-sampling basis. Hyperactive children were more active than controls in baseline and did not respond to the schedule, unlike the controls who became significantly more active in schedule conditions. In Experiment II, 12 hyperactive and 6 normal children were again subjected to the same experimental paradigm, but in two of the four experimental sessions the stimulant drug methylphenidate was administered in an attempt to reduce the amount of baseline activity. Results were substantially similar to those of Experiment I, with hyperactive children more active than controls in baseline and insensitive to the schedule. There was no overall effect of drug administration on the behavior of either group. There were some ratedependent effects of both drug and schedule conditions.     

Stimulus-seeking behavior in hyperactive and nonhyperactive children

Auditory and visual stimulus-seeking behavior was measured in hyperactive and nonhyperactive youngsters. The design controlled for motor activity level. The results indicate that hyperactive children preferred auditory stimulation more than the control children. There were no differences in stimulus-seeking preferences in the visual modality. The groups did not differ in motor activity. It was concluded that abnormally high needs for stimulation are important in hyperactivity.The authors would like to express their appreciation to James Fogarty, Superintendent, Walter Galvin, Principal, and the many teachers, students, and parents of the Greene Avenue Learning Center of BOCES II in Sayville, New York for their cooperation and support in this study. We would also like to thank Susan O'Leary, Ph.D. Director of the Point of Woods Laboratory School and the students and parents for participation and support in this study.     

Self-control behavior in hyperactive and nonhyperactive children

This study was aimed at evaluating the self-control behaviors of hyperactive (HA) and nonhyperactive (NHA) first-grade pupils under conditions of repeated failure on a previously learned concept formation task. Subjects were divided into HA and NHA groups on the basis of their scores on the Conners (1969) Teacher Rating Scale. During the training stage of the experiment the children learned a concept formation task under a schedule of contingent positive reinforcement. In the test stage they performed the same task but under a negative noncontingent reinforcement schedule. The results revealed no differences in initial rate of learning the task between the groups. After the introduction of the negative noncontingent reinforcement schedule, however, the HA group showed a marked decrease in the use of effective problem-solving strategies. The HA children's performance on the concept formation task was accompanied by the emission of negative self-evaluations and solution-irrelevant statements. The NHA group used significantly more statements showing useful goal directed cognitive mediations than the HA children. The results suggested that HA children may have deficits in self-control skills.Grateful acknowledgment is made to the two anonymous reviewers whose insightful comments were very helpful in producing the final form of this paper.     

Classroom behavior and children with mental retardation: Comparison of children with and without ADHD

Thirty-four children (ages 6–12 years) with moderate to borderline mental retardation were studied in a laboratory classroom setting to determine whether children identified as having attention deficit hyperactivity disorder on the basis of Conners Questionnaires differed in classroom behavior. Half of the children scored 15 or greater on both the Parent and Teacher Conners; the remaining children scored 11 or less. All were participants in a Saturday Education Program serving children with mental retardation. Direct observation of the laboratory classroom documented significant differences between groups on measures of on-task behavior and fidgetiness, especially during situations where little direct teacher feedback or supervision was available. Saturday Education Program staff, while blind as to group designation, rated the two groups as differing significantly on all scales of two standardized behavior problem checklists. Checklists by parents and teachers appear to be valid measures of classroom behavior of children with moderate to borderline mental retardation.This research was supported by a grant to the first author from the National Institutes of Child Health and Human Development, U.S. Department of Health and Human Services, grant No. 1R29HD26186-01A1. The authors gratefully acknowledge the assistance of the staff of Children's Hospital of Pittsburgh's Saturday Education Program: Nancy Hall, Aimee Hart, Phyllis Loeffler, Robin Nelson, Christina Poljak, Kelley Sacco, Sarah Stewart, and Mary Zuberbuehler.     

Stimulation seeking and intelligence: a prospective longitudinal study

The prediction that high stimulation seeking 3-year-olds would have higher IQs by 11 years old was tested in 1,795 children on whom behavioral measures of stimulation seeking were taken at 3 years, together with cognitive ability at 11 years. High 3-year-old stimulation seekers scored 12 points higher on total IQ at age 11 compared with low stimulation seekers and also had superior scholastic and reading ability. Results replicated across independent samples and were found for all gender and ethnic groups. Effect sizes for the relationship between age 3 stimulation seeking and age 11 IQ ranged from 0.52 to 0.87. Findings appear to be the first to show a prospective link between stimulation seeking and intelligence. It is hypothesized that young stimulation seekers create for themselves an enriched environment that stimulates cognitive development.     

Observed classroom behavior of children with ADHD: relationship to gender and comorbidity

Examined hypothesized gender and comorbidity differences in the observed classroom behavior of children with attention deficit hyperactivity disorder (ADHD). The behavior of 403 boys and 99 girls with ADHD, ages 7–10, was compared (a) to observed, sex-specific classroom behavior norms, (b) by sex, and (c) by comorbid subgroups. Boys and girls with ADHD deviated significantly from classroom norms on 15/16 and 13/16 categories, respectively. Compared to comparison girls, girls with ADHD had relatively high rates of verbal aggression to children. Boys with ADHD engaged in more rule-breaking and externalizing behaviors than did girls with ADHD, but the sexes did not differ on more neutral, unobtrusive behaviors. The sex differences are consistent with notions of why girls with ADHD are identified and referred later than boys. Contrary to hypothesis, the presence of comorbid anxiety disorder (ANX) was not associated with behavioral suppression; yet, as hypothesized, children with a comorbid disruptive behavior disorder (DBD) had higher rates of rule-breaking, and impulsive and aggressive behavior, than did children with ADHD alone and those with ADHD+ANX. Elevated rates of ADHD behaviors were also observed in children with comorbid DBD, indicating that these behaviors are truly present and suggesting that reports of higher ADHD ratings in this subgroup are not simply a consequence of negative halo effects and rater biases.     

Preschool peer perceptions of the behavior of hyperactive and aggressive children

To assess if preschool children can successfully identify externalizing symptomatic behaviors in their male classmates, and if these perceptions are associated with peer-rated popularity and rejection, 154 preschool boys and girls were interviewed using a peer nomination procedure. Behavioral data on the same preschool boys (N=86) were also provided by their respective teachers. Preschool children were capable of providing stable nominations of popularity, rejection, and aggression, boys and girls significantly agreed in their nominations, and these nominations were not a function of the age of the rated child, although they differed somewhat as a function of the age of the rater. Teachers and peers reflected significant convergence in ratings of hyperactivity and aggression and teacher ratings of peer problems significantly agreed with actual peer nominations of popularity and rejection. Boys nominated as aggressive were more rejected by their classmates, whereas boys nominated as hyperactive were either more popular and /or more rejected. Limited evidence for differential patterns of relationships among hyperactivity, aggression, and peer status was obtained for both the peer and teacher data.Portions of this paper were presented as part of a symposium, W. Pelham (Chair),Peer relations in hyperactive children: Diagnostic, symptomatic, and treatment consideration, at the annual meeting of the American Psychological Association, Los Angeles, August 1981. This research was supported, in part, by NIMH grant #32992 to the first author.     

An analysis of the hyperactive syndrome: A comparison of hyperactive,behavior problem,asthmatic, and normal children

In an attempt to determine whether the commonly described deficits associated with hyperactivity — inappropriate activity, short attention span, low frustration tolerance, and impulsivity — are unique to this population, hyperactive, behavior problem, asthmatic, and normal control children were studied. The tests most often used in research with hyperactives were administered. Hyperactives, when compared to normals, did show deficits in the aforementioned areas. However, when compared to the behavior problem and asthmatic children only the attentional deficits clearly differentiated hyperactives from the other children.This research was supported, in part, by grants from the Ontario Ministry of Health (DM-304) and the Ontario Mental Health Foundation (#652-76A).     

Effects of methylphenidate alone and in combination with behavior modification procedures on the behavior and academic performance of hyperactive children

Twenty hyperactive 6- to 9-year-old children of normal intelligence were studied in a half-day laboratory classroom in a 2-week period baseline-treatment-reversal design for behavior modification. Under double-blind conditions half the children were placed on .3 mg/kg of Ritalin and half on placebo for the entire program. The classroom program consisted of a group period with immediate reinforcement possible, and an individual time period without immediate reinforcement possible. Behavior modification caused a significant decrease in nonattending, out-of-seat, inappropriate vocalizing and inappropriate peer interaction behavior in the group period. Fidgeting, a nontargeted behavior, was not significantly decreased during this period but did signficantly decrease as a result of medication. No other drug effects occurred during this period. During the individual period, the results were essentially reversed. There were no significant behavior modification effects observed. Significant reductions resulted from medication in all behaviors except out-of-seat and fidgeting. Behavior modification alone significantly affected the two academic measures. No significant effects were seen on the Conners Abbreviated Teacher Rating Scale. No significant interactions were noted between medication and behavior modification.This study was supported by a grant from the Health Services and Mental Health Administration, Maternal and Child Health Service Project 920. Special thanks are due to Judy Racheleu, Charles Cunningham, Christopher P. S. Williams, Dan Lee, Russell Barkley, Ross Danielson, Sally Gray, Don Slyman, and Linda Shambeck.     

Effects of cognitive training on academic and on-task behavior of hyperactive children

A cognitive training program that taught both self-instructional and self-management skills was used with three 7-to 8-year-old hyperactive children. A multiple baseline across individuals design was used to evaluate the effects of training on on- task behavior and math accuracy. There were significant changes in math accuracy for all subjects, and two subjects showed significant improvements in on- task behavior. Evidence suggesting generalization to untrained behaviors was shown by an increase in self-correction of oral reading for all subjects. The results suggest that cognitive training specifically designed to promote generalization to classroom tasks can improve the classroom behavior and academic achievement of hyperactive children.The study was supported by a scholarship to the first author from the Specific Learning Difficulties Association (SPELD, Auckland). The authors would like to thank Mr. T. F. Walbran, deputy district senior inspector of primary schools, and Mrs. S. Gribben and the staff of Dominion Road Primary School; Mrs. F. Donovan helped with the collection of reading data and Dr. G. Arvidson gave assistance with data analysis. Special thanks also go to the graduate students who served as trainers or observers.     

Motor performance in hyperactive children treated with imipramine

The effects of the tricyclic antidepressant imipramine were evaluated in a study of 9 children with Attention Deficit-Hyperactivity Disorder. The study was double-blind, placebo-controlled, with three drug conditions, low, medium, and high doses. The focus was on neuropsychological drug effects. Imipramine exerted negative dose-response effects on motor performance (motor speed, motor pursuit), while it improved hyperactive behavior and attention and raised the heart rate slightly.     

Effects of two treatment techniques on delay and vigilance tasks with attention deficit hyperactive disorder (ADHD) children.

In this study, we examined the effects of two treatment techniques under on-medication and off-medication conditions on the hyperactive behavior patterns of children. Three groups of subjects were compared: a control group, a behavior modification group, and a cognitive training group. The Gordon Diagnostic System (Gordon, McClure, & Post, 1986) was used to assess the subjects at the initial screening, during treatment without medication, and during treatment with medication. The two medication conditions were counterbalanced during the second and third testing sessions. Results showed that when the cognitive intervention was combined with medication, there was a significant improvement in the subjects' ability to delay impulsive responding. However, no significant effects were seen for sustained vigilance for either the behavioral or cognitive groups. Parents rated children in the cognitive group significantly higher than those in the control group.     

Methylphenidate in hyperactive children: Differential effects of dose on academic,learning, and social behavior

Methylphenidate (Ritalin) has been shown to have differential effects on hyperactive children's behavior as a function of dose level. In the present investigation, a triple-blind, placebo-control, within-subject (crossover) experimental design was employed in which 12 hyperactive boys between 6 and 10 years received three different dosages of methylphenidate (5, 10, and 15 mg) in a randomly assigned sequence. Dosage effects were assessed on clinic(PAL-Paired Associates Learning test) and school-(percent on task, teacher ratings, work completion rates, and accuracy) related behaviors. For 10 of the children, classified as responders to medication by the PAL using the criteria of Swanson, Kinsbourne, and colleagues, a series of ANCOVAs with repeated measures showed significant dosage effects on teacher ratings (p 01), percent on task (p 01), academic accuracy (p 05), and assignment completion rates (p 05). PAL performance was also significantly enhanced (p 01) after optimal dose levels were considered. Subsequent trend analysis showed a significant positive linear relationship between dose and each of the dependent variables. A comparison of fixed-dose and miligram-per-kilogram plots showed that children's performance across the different dosages were clearly individualistic and task-specific, even when similar body weights were compared. The implications of using clinic-based testing to determine optimal medication responsivity were discussed.We would like to express our sincere appreciation to the following pediatricians for their valuable assistance: W. H. McDermott, D. J. Chronley, R. B. Trivett, F. J. Jehle, P. M. Small, and F. T. Leong. Grateful acknowledgement is also extended to the two anonymous reviewers whose comments contributed to the content of this paper, and to the undergraduate and graduate student members of the Children's Learning Clinic.     

Laterality and selective attention in hyperactive children

Laterality and selective attention were investigated in a group of 20 hyperactive children and their matched controls using a dichotic listening task. There was a strong rightear advantage for both groups indicating that hyperactive children were not different from normal children in hemispheric specialization for verbal stimuli. In the selective attention experiment hyperactive children were again not different from normal children in their ability either to select the input designated as relevant or to resist the distraction of input designated irrelevant. Both groups gave more correct responses from the right ear than from the left ear, and more intrusions from the right ear than from the left. The results do not suggest abnormalities of lateralization for verbal material or indicate the existence of a selective attentional deficit. It is suggested that such reported deftcits may be situation or taskspecific.     

Perception of parents'' behavior, familial satisfaction, and sense of coherence in hyperactive children

The aim of the study was to compare the perceptions of hyperactive children with those of a nonhyperactive matched control group on the following dependent variables: (a) sense of coherence, (b) life satisfaction, and (c) perceptions of parental roles. Eighty-four children divided into two equal groups (27 boys and 15 girls in each group) were studied, by means of a short form of the Cornell Parent Behavior Inventory (PBI), the Sense of Coherence Scale, and a global measure of the Life Satisfaction Scale. The teachers rated each child on the Conners Abbreviated Symptom Questionnaire (ASQ), the Aggressive Behavior Scale, and a global evaluation of academic status. The data were analyzesd by multivariate analysis of variance, step-wise multiple regression, and Pearson correlation. The hyperactive children demontrated lower levels of sense of coherence: their environment seemed to them to be less ordered, to less manageable, and to bear less meaning. Study of the pereption of familial interactions highlighted the significance of the father's role for life satisfaction of the hyperactive children, and supportive behavior was perceived as contributing more than disciplinary acts to life satisfaction.