Performance and activity of hyperactive and normal boys as a function of distraction and reward

Twenty-five hyperactive boys and 25 controls matched for age, social class, and race were compared on three performance tasks (coding, tone discrimination, and connecting dots) in two settings (nondistracting and highly distracting). Control Ss performed significantly better than did hyperactives in all conditions, except during tone discrimination and connecting dots in the nondistracting setting. Distraction decreased performance for both groups on the coding task and for hyperactives on the tone discrimination task, but significantly improved performance for controls on the connecting dots task. Distraction, where detrimental, was not significantly more so for hyperactives than for controls. The effect of reward on coding performance was studied in the distracting condition; reward produced the best performance for both groups, but significant differences between groups were not found.This research was supported in part by U.S. Public Health Service Training Grant (in Biological Sciences) No. MH07081.The participation of the following people in helping to design this research study and collect data is hereby acknowledged: David Bremer, Ted Goltz, Ruth Rosenthal, and Michael Stern.     

Relationship between academic placement and perception of abuse of the voice

Informal polling of public school speech-language pathologists indicated that special education teachers referred more children for disorders of voice than did regular classroom educators. This study evaluated the effect of academic placement (regular or special education settings) upon children's and their teachers' ratings of abuse of the voice. Analysis showed the two groups of teachers' criteria for judging abusive vocal behaviors differed while the children's ratings from each setting did not differ. The special educators appeared to perceive their students' vocal behavior as more abusive possibly due to environmental constraints, training or the social affective interactions of their students.     

BEHAVIORAL AND STIMULANT TREATMENT OF HYPERACTIVE CHILDREN: A THERAPY STUDY WITH METHYLPHENIDATE PROBES IN A WITHIN-SUBJECT DESIGN

Eight hyperactive children were treated with a behavioral intervention focusing on teacher and parent training over a period of 5 months. Three times, before therapy and after 3 weeks and 13 weeks of intervention, children received methylphenidate during 3-week probe periods. Each week in a probe they received either a placebo, .25 mg/kg, or .75 mg/kg methylphenidate. Classroom observations of on-task behavior suggested that effectiveness of the behavioral intervention was between that of the two dosages of medication before therapy. Both dosages resulted in higher levels of on-task behavior when administered after 13 weeks of behavioral intervention than when administered before therapy. Teacher rating data showed equivalent effects of therapy and the low dosage of methylphenidate alone but a stronger effect of the high dose alone; only the high dose resulted in improved behavior after 13 weeks of behavioral intervention. As a group, only when they received the high dose of methylphenidate after 13 weeks of behavioral intervention did children reach the level of appropriate behavior shown by nonhyperactive controls. However, this level was also reached by two children with the low dose and by one child without medication, and it was not reached by one child. The results suggest that the combination of psychostimulant medication and behavior therapy may be more effective in the short-term than either treatment alone for hyperactive children in school settings. In addition, parent ratings and clinic observation of parent-child interactions suggested that children had improved in the home setting, highlighting the importance of behavioral parent training in the treatment of hyperactivity.     

Peer popularity and peer communication patterns: Hyperactive versus active but normal boys

Classroom peer perceptions of 18 teacher-nominated hyperactive and 18 teacher-nominated active but normal elementary school-age boys, as revealed in two sociometric measures (Bower's Class Play, like-dislike nomination), were compared. Results indicated that hyperactives were significantly different from actives on all sociometric measures in that they were perceived more negatively. Peer communication patterns also were assessed. The communicative content, communicative quality, and attention to task instructions of hyperactive boys were compared to those of comparison boys. Limited support was found for the earlier finding that hyperactive boys were less likely than comparison boys to modulate behavior in response to changing external cues and to respond to subtle social learning opportunities. The communication task was found to be highly engaging for both groups of boys, and results suggest that hyperactive children may not lack the interpersonal skills necessary for referential communication, although they may be unable to use them consistently in all settings. The need to continue the study of peer relations of hyperactive children in naturalistic settings is stressed.     

Behavioral comparisons of hyperactive and normally active children in natural settings

Matched pairs of hyperactive and normally active children were observed in six natural classroom settings and a number of specific behaviors continuously recorded. Both groups of children showed differences in behavior as a function of settings (selected to vary in amount of external stimulation and structure), but only certain settings differentiated hyperactive from control children. Hyperactive children displayed significantly more noise-vocalization and more disruptive and off-task behavior in the most frequently observed (low stimulation) classroom settings (e.g., seat work). Type of off-task behavior (out-of-seat or visually off-task) depended upon amount of classroom structure (i.e., teacher- vs. self-directed). Results were discussed in terms of their implications for identification and treatment of hyperactive children through the modification of the antecedent conditions of stimulation and structure.     

Environmental demand and demand engendering behavior: an observational analysis of the type A pattern

In a prospective, observational study, we examined Type A behavior as a predictor of source of work demands, volume of work and nonwork activity, whether work begun was finished, and attention to more than one activity at a time. Police radio dispatchers (N = 72) were observed throughout one work shift, and half of the sample was observed on two additional work shifts. Behavioral categories showed substantial stability between observation occasions. Hierarchical regression revealed that two components of the broader Type A pattern, Hard-Driving Competitiveness and Job Involvement, were better predictors of work demands and behavior than was the global A score. Results support an interactional personality perspective in that Type As, relative to Type Bs, received more externally imposed demands from particular sources such as superiors or peers. However, these same Type As also generated more demand by simultaneously initiating work tasks for themselves and attending to multiple tasks.     

Classroom behavior of reflective and impulsive children

Seventy-nine children, nine or eleven years old, classified as reflective or impulsive by the Matching Familiar Figures (MFF) test, were observed in public school classrooms. A total of 15 behavioral categories were selected to capture activities often labeled “reflective” or “impulsive” in the literature. Children were observed in each of three classroom settings—Individual Work, Large Group instruction, and Small Group instruction. Thirty minutes of observational data on each child revealed substantial differences in the behavior of older and younger children and across the three settings. By contrast, there was only a minor difference in the behavior of reflective and impulsive children. These results suggest that the concept of reflection-impulsivity, as operationalized by the MFF, should be limited to tasks that involve response uncertainty, and should not be used to imply differences in the typical classroom behavior of children classified as reflective or impulsive by the MFF.     

Expanding the search for a linear separability constraint on category learning

Formal models of categorization make different predictions about the theoretical importance of linear separability. Prior research, most of which has failed to find support for a linear separability constraint on category learning, has been conducted using tasks that involve learning two categories with a small number of members. The present experiment used four categories with three or nine patterns per category that were either linearly separable or not linearly separable. With overall category structure equivalent across category types, the linearly separable categories were found to be easier to learn than the not linearly separable categories. An analysis of individual participants' data showed that there were more participants operating under a linear separability constraint when learning large categories than when learning small ones. Formal modeling showed that an exemplar model could not account for many of these data. These results are taken to support the existence of multiple processes in categorization.     

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.     

The stability of dimensions of behavior in ADHD and normal children over an 8-year followup

The present study reports on standardized behavioral ratings received by a large sample of hyperactive children meeting research diagnostic criteria (n=108) and a community control sample of normal children (n=61) who were followed prospectively over 8 years into adolescence. On some parentreport measures both groups declined in the severity of their behavior problems across time, while on other measures only the hyperactive group declined, but the hyperactives always remained more deviant than the controls at followup. The hyperactives and controls also differed on most teacher and selfreport ratings at followup. The greatest degree of agreement between raters at adolescence was between parent and youth ratings. These results are consistent with previous research demonstrating more deviant scores for hyperactive children than controls on various rating scales at adolescent followup. They also are consistent with research showing significant longitudinal continuity of both internalizing and externalizing behavioral pathology.This research was supported by NIMH gram 42181. We are grateful to Craig S. Edelbrock, Ph.D., for his assistance with the data entry program, and to Ann Edwards and Gerry Gillespie for their assistance in locating subjects.     

Effects of experimenter and mother presence on the attentional performance and activity of hyperactive boys

The attentional performance, activity, and off-task behavior of hyperactive boys with and without conduct problems and normal boys were compared on a cancellation task under three conditions: when performing the task alone, with mother present, and with experimenter present. Results indicated that both the hyperactive groups achieved poorer attentional scores than normal subjects in the alone and mother present conditions, but improved in the experimenter present condition. The performance of the hyperactive boys with conduct problems was particularly affected by this condition. The activity and off-task behavior scores of both the hyperactive groups were higher than controls in all conditions, although the hyperactive boys with conduct problems decreased in off-task behavior when the experimenter was present. Attention and behavior scores were not significantly correlated. The implications of these findings for assessment of hyperactivity, and the role of noncompliance in the attentional behavior of hyperactive children, are discussed.This study is based in part on the first author's Ph.D. thesis in the Department of Psychology, University of Melbourne.     

The Aftercare and School Observation System (ASOS): Reliability and Component Structure

This study examines the psychometric properties and component structure of a newly developed observational system, the Aftercare and School Observation System (ASOS). Participants included 468 children drawn from a larger longitudinal intervention study. The system was utilized to assess participant children in school lunchrooms and recess and various afterschool environments. Exploratory factor analyses examined whether a core set of component constructs assessing qualities of children’s relationships, caregiver involvement and monitoring, and experiences in school and aftercare contexts that have been linked to children’s behavior problems would emerge. Construct validity was assessed by examining associations between ASOS constructs and questionnaire measures assessing children’s behavior problems and relationship qualities in school and aftercare settings. Across both settings, two factors showed very similar empirical structures and item loadings, reflecting the constructs of a negative/aggressive context and caregiver positive involvement, with one additional unique factor from the school setting reflecting the extent to which caregiver methods used resulted in less negative behavior and two additional unique factors from the aftercare setting reflecting positivity in the child’s interactions and general environment and negativity in the child’s interactions and setting. Modest correlations between ASOS factors and aftercare provider and teacher ratings of behavior problems, adult-child relationships, and a rating of school climate contributed to our interpretation that the ASOS scores capture meaningful features of children’s experiences in these settings. This study represents the first step of establishing that the ASOS reliably and validly captures risk and protective relationships and experiences in extra-familial settings.     

A comparison of behavioral and attentional functioning in children diagnosed as hyperactive or learning-disabled

The attentional and behavioral functioning of children diagnosed as hyperactive (ADHD), learning-disabled (LD), and hyperactive/learning-disabled were compared, using standardized behavior rating scales across raters and settings, and results from a battery of standardized neuropsychological tests. The ADHD and LD groups were "pure" samples with respect to comorbidity. Multiple discriminant-function analyses on the behavioral and neuropsychological data showed that one variate made clear-cut discriminations among and between each of the three groups. The constructs self-regulation, task accuracy/planning/speed, and aggression differentiated the three groups, while sustained attention did not. The results lend strong support to the validity of ADHD as a diagnostic entity apart from LD, and suggest that poor self-regulation and inhibition of behavior may be the hallmark of ADHD.     

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.     

Person,setting, and interaction contributions to nursery school social behavior patterns1

Within a nursery school environment, 8,930 behavioral observations were taken on 17 preschool children in six settings over a two-month period. Two different data analysis techniques were used. The aggregate analysis showed that person, setting, and interaction all contributed significantly to behavior patterns. The setting was significantly stronger than person. The individual analysis found that subjects' median Person Pattern values were correlated significantly and negatively with IQ and age, suggesting that younger children and those with lower IQ's had more consistent behavior across different settings. This was also true of children who had been at the school more than one year. Implications for predicting behavior were discussed, noting the need to study person and setting relative to one another for particular behaviors in different categories of environments.     

Automatic and effortful processing in Attention Deficit/Hyperactivity Disorder

Twenty-five boys with Attention Deficit/Hyperactivity Disorder and 23 age-matched controls were compared on verbal memory tasks differentiating automatic versus effortful information processing. Automatic processing tasks included the recognition of new or old words in a list and the recognition of frequency of occurrence of words in a list. Effortful tasks included free recall of lists of both related and unrelated words. Hyperactive boys did not differ from controls in automatic processing capabilities but demonstrated significantly poorer effortful processing. Intercorrelations of the variables revealed high correlations between scores on effortful measures and also raise questions about the purity of automaticity in some tasks employed. Stepwise discriminant analysis demonstrated that free recall of related words (an effortful task) best discriminated between groups. Effort-related processing in hyperactive and normal children is discussed in relation to variables of motivation, affect, arousal, and other higher-order cognitive processes.     

A behavioral observation method for differentiating hyperactive and aggressive boys

This study employed a playroom observation technique to examine the behavioral differences between hyperactive and aggressive boys. Subjects were clinic-referred boys assigned to Hyperactive, Aggressive, or Hyperactive plus Aggressive goups on the basis of behavior checklists and ratings of psychiatric chart information. While significant discrimination was obtained in all three settings (free play, restricted play, and restricted academic), behavioral differences among the subject groups were most pronounced during the restricted academic period. Discriminant function analysis for the restricted academic period resulted in accurate classification of 86% of the subjects as hyperactive, aggressive, or hyperactive plus aggressive. The present findings suggest that children with externalizing disorders can be distinguished in light of their observed clinic behavior in the restricted academic setting.This was conducted as part of the author's dissertation. The author wishes to express thanks to Jan Loney, Richard Milich, and Richard Roberts for their assistance in completion of this study and preparation of this article.     

A comparison of implicit memory tests in schizophrenic patients and normal controls

The objective of the current study was to compare the performance of schizophrenic patients and normal controls on implicit memory tests. Two neuropsychological tasks were administered to 29 patients and normal participant samples. The implicit tests were: Word fragment completion and Word production from semantic categories. The priming score was the variable of interest. Priming effects are obtained in normal subjects and schizophrenia patients, regardless of the implicit test used. However, a dissociation in priming between normal and patient groups was observed, depending on the test used. For word fragment test, priming was identical between the two groups. However, for word production, priming obtained in schizophrenics was lower than priming in normal controls. Results confirm a dissociation effect in implicit memory tests. These results could be explained in the context of the Roediger and Blaxton (1987) distinction between data-driven and conceptually-driven processing. This evidence suggests that a complete neuropsychological assessment of memory in schizophrenia should include different kinds of implicit memory tests (procedural, perceptual, and conceptual tasks).