Marital disturbance and child problems: A cautionary note regarding hyperactive children

In previous work, investigators have found a relationship between marital discord and childhood conduct problems (aggression) in clinic samples. Given the wide variability of aggression found among hyperactive children,it would follow from previous work that child aggression may be associated with marital discord in a hyperactive population. This hypothesis was tested in a sample of 23 boys (ages 5 to 8) diagnosed as attention deficit with hyperactivity. Aggressive behaviors were tracked by the children's teachers for 12 school days. Parental and teacher ratings of conduct problems were also obtained. Additionally, the auditory version of the laboratory Continuous Performance Test was administered. Marital adjustment, overt hostility, and conflict tactics, as reported by the mothers, were not significantly correlated with any of the measures of aggression or conduct problems. In other words, marital discord in families with a hyperactive boy did not explain differential rates of aggressive behavior despite definite variability in both the marital and child behavioral measures. Marital discord was marginally related to severity of attentional deficit on the Continuous Performance Test. The results underscore the need for caution in attempting to extend findings from a general population (i.e., undifferentiated clinicreferred children) to a specific diagnostic subgroup (i.e., attention-deficit hyperactive children).     

Parenting practices and child disruptive behavior problems in early elementary school. Conduct Problems Prevention Research Group

Examined the hypothesis that distinct parenting practices may be associated with type and profile of a child's disruptive behavior problems (e.g., oppositional, aggressive, hyperactive). Parents of 631 behaviorally disruptive children described the extent to which they experienced warm and involved interactions with their children and the extent to which their discipline strategies were inconsistent and punitive and involved spanking and physical aggression. As expected from a developmental perspective, parenting practices that included punitive interactions were associated with elevated rates of all child disruptive behavior problems. Low levels of warm involvement were particularly characteristic of parents of children who showed elevated levels of oppositional behaviors. Physically aggressive parenting was linked more specifically with child aggression. In general, parenting practices contributed more to the prediction of oppositional and aggressive behavior problems than to hyperactive behavior problems, and parenting influences were fairly consistent across ethnic groups and sex.     

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.     

Agreement between teachers' ratings and observations of hyperactivity,inattentiveness, and defiance

The relationship of directly observed classroom behavior and teacher ratings on questionnaires with a judgemental (Conners Teacher Rating Scale) or operational format was examined for 33 boys aged 6 years 5 months to 7 years 7 months. Results showed a high degree of association between observed and rated behavior. This association did not vary with the format of the rating scales but did vary with the nature of the behavior being rated. Defiance was more reliably rated than hyperactivity or inattentiveness. Several behaviors exerted a halo effect on ratings of hyperactivity, inattentiveness, and behavior problems. In particular, defiance toward a teacher increased the likelihood that a child would be rated as hyperactive or inattentive regardless of his observed level of activity or attentiveness. These results support the validity of behavior rating scales as screening measures for hyperactivity, inattentiveness, and defiance and indicate that a child's defiance and disobedience are significant causes of misclassification.     

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.     

Age differences in the prevalence of physical aggression among 5-11-year-old Canadian boys and girls

It has been proven extremely difficult in the past to estimate the prevalence of physical aggression in children for two main reasons: (a) a heterogeneous sampling of behaviors (i.e., mix between physically aggressive and non-physically aggressive antisocial behaviors), and (b) a lack of a "gold standard" to identify children who exhibit physically aggressive behaviors on a frequent basis. The goal of this study was to test for age differences in the prevalence of physical aggression in the Canadian population of school-aged boys and girls, using cross-sectional data from the National Longitudinal Survey of Children and Youth (NLSCY). The first wave of the NLSCY included a representative sample of 12,292 Canadian children aged 5-11 years. We used latent class analysis to identify children whose propensity to exhibit physically aggressive behaviors was much higher than that of other children of the same age and sex in the population. The prevalence of physical aggression was estimated at 3.7% in 5-11-year-old boys and ranged from .5% to 2.3% in 11 and 5-year-old girls, respectively. Hence, the results show a decreasing trend in the prevalence of physical aggression with age for girls, but not for boys. These findings suggest the importance of considering the developmental pathways of physical aggression for boys and girls separately.     

日常环境中的暴力暴露对攻击行为的长期影响:一个有调节的中介模型

以850名大学生为被试,探讨日常环境中的暴力暴露与攻击行为的关系,并在此基础上提出一个有调节的中介模型,考察攻击性信念的中介作用和人际信任的调节作用。结果发现:(1)日常环境中的暴力暴露对攻击行为有显著的正向预测作用;(2)攻击性信念在日常环境中的暴力暴露与攻击行为的关系中起部分中介作用;(3)攻击性信念的中介作用会受到人际信任的调节。对于低人际信任个体,攻击性信念起部分中介作用;对于高人际信任个体,攻击性信念的中介效应不显著,日常环境中的暴力暴露对攻击行为只有直接作用。     

Temperamental surgency and emotion regulation as predictors of childhood social competence

The primary aims of the current study were to longitudinally examine the direct relationship between children's temperamental surgency and social behaviors as well as the moderating role of children's emotion regulation. A total of 90 4.5-year-old children participated in a laboratory visit where children's temperamental surgency was rated by experimenters and children's emotion regulation abilities were assessed. The summer before entry into first grade, children's social behaviors with unfamiliar peers were observed in the laboratory and mothers completed a questionnaire about children's social behaviors. Supporting our hypotheses, results revealed that children high in temperamental surgency developed more negative peer behaviors, whereas children low in temperamental surgency were more likely to develop behavioral wariness with peers. Emotion regulatory behaviors were found to moderate the relation between temperamental surgency and aggression, where high-surgent children who showed high levels of social support seeking were less likely to be rated by their mothers as high in aggression. Furthermore, results revealed that low-surgent children who showed high levels of distraction/self-soothing were more likely to show behavioral wariness around unfamiliar peers, whereas high-surgent children who used more distraction/self-soothing behaviors were rated by their mothers as lower in social competence.     

PERCEPTIONS OF RELATIONAL AND PHYSICAL AGGRESSION AMONG COLLEGE STUDENTS: EFFECTS OF GENDER OF PERPETRATOR, TARGET, AND PERCEIVER

This study examined gendered perceptions of relational and physical aggressive behaviors and personal experiences with both types of aggression. Prior research suggested that physical aggression by males and relational aggression by females would be perceived most negatively. College students (186 female, 128 male) rated the acceptability and harmfulness of aggression in scenarios in which type of aggression and perpetrator and target gender were varied. As predicted, relational aggression by female characters and physical aggression by male characters were rated as less acceptable and more aggressive/harmful than the same behavior by the other gender. Thus, expectations regarding the gender-appropriateness of aggression appear to affect perceptions of such acts. Despite popular conceptions that females use and are harmed by relational aggression more than males, there was no gender difference in experience with relational aggression, nor were female targets viewed as more harmed by such aggression than their male counterparts.     

Maternal Depressive Symptoms and Behavior Problems in Preschool Children from Low-Income Families: Comparison of Reports from Mothers and Teachers

This study compared behavior problems of children of mothers with elevated depressive symptoms and children of mothers with non-elevated depressive symptoms, using the same measure for mothers and teachers. Participants included 914 mother–teacher dyads of low-income children (M age of child = 62.9 months, SD = 4.0) who participated in the Early Head Start Research and Evaluation Project. Mothers completed a shortened version of CES-D to evaluate their own depressive symptoms. Teachers and mothers completed the Family and Child Experiences Survey Interviews (FACES) to assess children’s behavior problems. The results showed that children of mothers with elevated depressive symptoms-higher than the cut-off score for possible depression- showed higher aggressive and hyperactive behaviors than did children of mothers with non-elevated depressive symptoms according to the mothers’ rating; however, teachers rated the children no differently. Both mothers and teachers reported higher internalizing behaviors in children of mothers with elevated depressive symptoms than did those of mothers with non-elevated depressive symptoms. Maternal depressive symptoms moderated the relations between informants (mothers and teachers) and externalizing behaviours (aggressive and hyperactive) of children. These findings underscore the need for research in different settings such as at home and at school, to measure children’s behavior problems in order to gain a more comprehensive perspective on child functioning. Results suggest an emphasis on intervention or prevention programs targeting internalizing behavior problems, specifically for children of depressed mothers in low-income families.     

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.     

A change of mind: The Conners Abbreviated Rating Scales Reconsidered

A cutoff score of 15 on the Conners 10-item Abbreviated Teacher Rating Scale (ATRS), based on a study from this laboratory, has been widely used by investigators for diagnosis of the syndrome known now as Attention Deficit Disorder with or without Hyperactivity. A replication of the original research employing a larger norm sample indicates that the suggested score of 15 is too low. Comparing the norm sample with hyperactive subjects selected by cutoff of 15 on the ATRS showed that the groups differed greatly on hyperactivity but not on inattention. The abbreviated form of the Conners scale does not effectively select children with attention deficits. Numerous problems with both the 39-item teacher scale and the abbreviated form suggest strongly that they be abandoned as research tools.This research was supported in part by research grant No. MH18909 from the National Institute of Mental Health.     

Physiological correlates of conduct problems and anxiety in hyperactive and learning-disabled children

Thirtysix learning disabled children (21 of whom were also classified as hyperactive) were subgrouped according to teacher ratings of tension-anxiety and conduct problems and then compared on measures of tonic and phasic autonomic arousal. The results indicated that children rated high on the conduct problem dimension evidenced smaller amplitude specific skin conductance responses, and that anxiety appeared to exert a moderating effect on physiological responses. When the hyperactive sample was considered separately, lower skin conductance levels were observed in children rated high on conduct problems than in hyperactive children rated low in conduct problems. These findings support the notion that hyperactive and learning-disabled children are heterogeneous at a physiological level and suggest that physiological differences previously attributed to hyperactivity may actually be correlates of the conduct problem dimension.     

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.     

Dietary factors and hyperactivity: a failure to replicate

Recent research suggests that sucrose consumption may be a factor in children's hyperactivity. Yet, the manner in which hyperactive behavior was assessed confounded hyperactivity and aggression, thereby reducing the conceptual validity of the findings. In addition, accepting a probability level of 0.06 as significant with 36 correlations, and using grams rather than portions as an index of food consumption might have contributed to a Type I error. When these three issues were addressed in the present study, no significant relationships emerged between sucrose consumption and hyperactivity or aggression assessed as separate dimensions. The age of the hyperactive children in this sample (M = 9.15 years) contrasted with that of the original research (M = 6 years 2 months) and this may contribute to the differential results. Suggestions for further research are outlined, and the need to separate hyperactive children according to whether they receive stimulant medication or not, and assess attention deficit disorders in addition to behavioral components of hyperactivity are stressed.     

Relations between hyperactive and aggressive behavior and peer relations at three elementary grade levels

Sociometrics and teacher ratings of hyperactivity and aggression were obtained on 390 boys in grades 1– 6 to explore the relative contributions of hyperactivity and aggression to children's social adjustment. Both hyperactivity and aggression were correlated with negative sociometric nominations at all grade levels; however, only hyperactivity showed consistent inverse correlations with positive sociometric nominations. In multiple regression analyses, hyperactivity contributed incremental variance to the prediction of problematic sociometric status at all grade levels, while aggression did so only at grades 3– 4. An examination of the core symptoms of hyperactivity revealed that motor hyperactivity, in the absence of impulsivity and inattention, did not predict negative sociometric status at any grade level. Subgroups of boys categorized as hyperactive only, aggressive only, hyperactive/aggressive, and nonhyperactive/nonaggressive controls were compared on teacher ratings and sociometrics. Hyperactive/aggressive boys had higher hyperactivity and aggression ratings than boys in either of the single- problem groups; all three behavior problem groups had more negative social status than controls. Developmental changes in children's normative expectations for social behavior were discussed as possible mechanisms mediating the age- related differences in relations among aggression, hyperactivity, and peer relations.This research is based on a dissertation submitted by the first author in partial fulfillment of the requirements for the Ph.D. degree in clinical psychology at The Pennsylvania State University. The investigation was supported in part by an NIMH postdoctoral training grant No. MH-15151 made to the first author during a fellowship in the Division of Behavioral Pediatrics of Albert Einstein College of Medicine, and a Faculty Scholars in Mental Health of Children award made by The William T. Grant Foundation to the second author.Appreciation is expressed to the fellowing individuals for their assistance in data collecting and scoring: Rosanna D'Alession, John D'Orazio, Chris Doran, Linda Goldstein, Joel Kasper, Lisa Kovacs, Heidi Linz, Kathryn McPherson, Grant Miller, Sue Skalaban, Helene Streitfield. The additional organizational and administrative assistance of Linda Goldstein and Kathryn McPherson is gratefully acknowledged. Finally, we are especially thankful for the cooperation and support of the faculty and students at Linntown Elementary School in the Lewisburg Area School District, the Bellwood-Antis Elementary Schools in the Bellwood-Antis School District, and Lincoln Elementary School in the Tyrone Area School District.     

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.     

Hyperactivity in Italy

Prevalence rates of hyperactivity in Italy using commonly accepted cutoff scores in the United States were 20% for boys and 3% for girls;the combined prevalence rate was 12%. Italian children exhibited rates of hyperactive behaviors similar to those of children in New Zealand, Spain, and portions of the United States. Nevertheless, rates of hyperactivity are influenced by ethnic and cultural factors, and differences in prevalence rates may be expected in many situations. Factor structures of the Conners' Teacher Rating Scale for boys and girls were different. The need for separate factor analyses for males and females is stressed;hyperactivity and conduct problems, in fact, were separate factors for girls whereas such behaviors were subsumed under one factor for boys. There were also important similarities and differences with the factor structures for boys and girls in Italy and Spain. Methodological issues such as complete specification of the sample and assuring representativeness of samples are discussed.The authors give special thanks to John Richters III and Julian Barling, who aided in the computer analysis of these data; Susan O'Leary, who gave substantive and editorial feedback; and Julian Barling and Ileana Arias, who provided helpful editorial comments.     

PILLS OR SKILLS FOR HYPERACTIVE CHILDREN

The controversial nature of drug treatment of hyperactivity, the incidence and sequelae of hyperactivity, and problems of differential diagnosis of hyperactivity versus aggression were discussed. The effects of psychostimulant medication and behavior therapy on hyperactive children were reviewed with regard to effects on their social and academic behavior. Both treatments have resulted in clear short-term changes in social behavior but neither long-term academic nor long-term social effects have been shown with either treatment. Short-term effects on academic behavior have resulted from behavioral interventions but not from psychostimulants. However, the interventions have been too brief to allow one to draw unequivocal conclusions about the clinical efficacy of behavioral treatments. Although there have been long-term evaluations of psychostimulant therapy, there have not been any evaluations of long-term behavioral treatment programs for hyperactive children. Given the salutary short-term effects of behavior therapy with hyperactive children, extended clinical trials of behavior therapy need to be conducted. Finally, specific directions are suggested for future research.