Attention-Deficit/Hyperactivity Disorder,Trait Impulsivity,and Externalizing Behavior in a Longitudinal Sample

Attention-deficit/hyperactivity disorder (ADHD) is highly comorbid with and predictive of externalizing behavior, yet is most often examined categorically, not dimensionally. We tested a recently proposed trait impulsivity model by dimensionally examining measures of childhood inattention and hyperactivity/impulsivity separately as predictors of later externalizing behavior in an all-female longitudinal sample of 228 young women. We also examined influences of parenting and peer relations, given the transactional nature and importance of environmental factors. We analyzed the relative contribution of hyperactive/impulsive (HI) and inattentive (IA) symptoms of girls with and without childhood-diagnosed ADHD (M age?=?9.5; 140 ADHD and 88 Comparison) to the development of externalizing behaviors in adolescence (M age?=?14.2) and early adulthood (M age?=?19.6). Authoritarian parenting was examined as a moderator and adolescent externalizing behavior as a mediator of the relation between childhood HI and later externalizing behavior. Childhood HI symptoms significantly predicted multiple externalizing behaviors in adolescence and early adulthood, after accounting for IA and covariates (ΔR ² ranged from 2.6 to 7.5 %). Mother’s authoritarian parenting moderated this relation. Adolescent externalizing behavior mediated the relation between childhood HI symptoms and early adult externalizing behavior. In no case did childhood IA significantly predict externalizing behavior after accounting for HI symptoms. Findings support a trait impulsivity model, as HI symptoms, but not IA symptoms, significantly predicted later externalizing behavior. Results support the importance of dimensional predictors of developmental trajectories. We discuss implications for assessment, intervention, and future research.     

Prenatal Smoke Exposure Predicts Hyperactive/Impulsive but Not Inattentive ADHD Symptoms in Adolescent and Young Adult Girls

We examined the longitudinal associations between prenatal tobacco smoke exposure (PSE) and attention‐deficit hyperactivity disorder (ADHD) symptom domains in adolescence and young adulthood. A sample of girls with ADHD combined presentation (N = 93), ADHD predominantly inattentive presentation (N = 47), and matched comparisons (N = 88) was assessed prospectively. Symptoms of hyperactivity/impulsivity (HI), inattention (IA), and oppositionality (oppositional defiant disorder) were measured via multiple informants 5 (M age = 14 years; retention rate = 92%) and 10 years (M age = 20 years; retention rate = 95%) following childhood ascertainment. PSE was captured via maternal self‐report. We used linear regressions to examine the prediction from PSE to both HI and IA in adolescence and early adulthood after stringent control of relevant confounding variables. PSE significantly predicted HI during adolescence and young adulthood across multiple informants but did not predict IA at either wave. Symptoms of HI may have partial etiological independence from IA symptoms. Copyright © 2015 John Wiley & Sons, Ltd.     

Agreement of adolescent ratings with mother ratings and teacher ratings of ADHD symptom groups: A correlated trait-correlated method minus one analysis

This study examined the level of agreement of adolescent ratings with mother ratings, and adolescent ratings with teacher ratings of the inattention (IA) and hyperactivity/impulsivity (HI) symptom groups of ADHD. A total of 214 adolescents provided self-ratings of IA and HI, and their IA and HI were also rated by their mothers and teachers. The correlated trait-correlated method minus one model was applied, with adolescent ratings as the reference method, and the other two ratings as the non-reference methods. The findings indicated no additional variance in adolescent ratings for IA and HI that could not be accounted by mother ratings of IA and HI, respectively. In contrast, there was additional variance in adolescent ratings for IA and HI that could was not accounted by teacher ratings of IA and HI, respectively. The findings suggest that when diagnosing ADHD in adolescents, their reports of their own ADHD behaviors are not needed when mother reports of such behaviors are used.     

The Holtzman Inkblot Technique as a Measure of Perceptual Development in Mental Retardation

To investigate the relationships between mental age and scores from the Holtzman Inkblot Technique (HIT), 96 mentally retarded and normal Ss comprising four criterion IQ-groups ranging in IQ from 34 to 106 were tested. Each group was matched for sex and chronological age. Results revealed consistent monotonic changes with IQ level for six HIT variables, including four that previously had proved to be reliable and meaningful indices of perceptual development. These results provide strong support for these HIT variables as indices of perceptual development and confirm the nature and direction of this development.     

Family Routine Moderates the Relation Between Child Impulsivity and Oppositional Defiant Disorder Symptoms

Although child impulsivity is associated with oppositional defiant disorder (ODD) symptoms, few studies have examined whether family processes moderate this association. To address this gap, we tested whether child-reported family routine moderated the relation between child hyperactivity/impulsivity (HI) and ODD symptoms among a sample of low-income, urban, ethnic-minority children (N = 87, 51% male). Child HI and ODD symptoms were assessed using parent and teacher reports. HI also was indexed by a laboratory task. Family routine was assessed using child self-report. Hierarchical regression analyses indicated that family routine moderated child HI. Among children with higher levels of teacher-reported HI symptoms, lower levels of family routine were associated with higher levels of teacher-reported ODD symptoms compared to children with lower levels of teacher-reported HI symptoms. Children who self-reported higher levels of family routine were rated as low on teacher-reported ODD symptoms, regardless of teacher-reported HI levels. Parent report and laboratory measures of child HI did not produce significant interactions. Lower levels of family routine may confer risk for ODD symptoms among low-income, urban, ethnic-minority children experiencing higher levels of HI.     

Associations of Maternal Prenatal Smoking with Early Childhood Physical Aggression,Hyperactivity-Impulsivity,and Their Co-Occurrence

This study investigated associations between maternal prenatal smoking and physical aggression (PA), hyperactivity-impulsivity (HI) and co-occurring PA and HI between ages 17 and 42 months in a population sample of children born in Québec (Canada) in 1997/1998 (N=1745). Trajectory model estimation showed three distinct developmental patterns for PA and four for HI. Multinomial regression analyses showed that prenatal smoking significantly predicted children’s likelihood to follow different PA trajectories beyond the effects of other perinatal factors, parental psychopathology, family functioning and parenting, and socio-economic factors. However, prenatal smoking was not a significant predictor of HI in a model with the same control variables. Further multinomial regression analyses showed that, together with gender, presence of siblings and maternal hostile reactive parenting, prenatal smoking independently predicted co-occurring high PA and high HI compared to low levels of both behaviors, to high PA alone, and to high HI alone. These results show that maternal prenatal smoking predicts multiple behavior regulation problems in early childhood.     

Internalization of the thin ideal among low-income ethnic minority adolescent girls

Internalization of the thin ideal has been thought to occur disproportionately among Caucasian, upper-class girls and women. The current research challenges this view by assessing thin-ideal internalization among low-income ethnic minority girls (N = 48). This research identifies differences between low-income ethnic minority adolescent girls who highly internalize the thin ideal (HI) and those who have lower internalization of thinness (LI). Results indicate that HI and LI groups do not differ based on ethnicity or weight categorization. Body satisfaction, competence, and perceived sociocultural pressure were analyzed as individual differences between HI versus LI participants. Those in the LI group have higher athletic competence and body satisfaction ratings for weight compared to the HI group. By identifying differences in thin-ideal internalization in this understudied population, factors that may protect someone from endorsing the thin ideal may be discovered.     

Online measurement of mental representations of complex spatial decision problems: Comparison of CNET and hard laddering

This paper introduces the online Causal Network Elicitation Technique (CNET), as a technique for measuring components of mental representations of choice tasks and compares it with the more common technique of online ‘hard’ laddering (HL). While CNET works in basically two phases, one in open question format and one as guided linking of attributes and benefits, HL works completely structured with revealed attributes and benefits. Mental representations of two activity travel tasks were collected with both techniques among members of a nationwide Dutch household panel. The results confirm the hypothesis that the revealed format of variables in HL has an effect on the indication of variables as the elicited mental representations are almost twice as big for HL than for CNET. Furthermore, it turned out that CNET is more sensitive in measuring shifts among attributes in the mental representations for situational changes of the activity-travel task.     

Diagnostic value of the H-reflex index in alcoholic polyneuropathy

We examined the H-reflex-index of triceps surae muscle (HI) and the motor nerve conduction velocity of the tibial nerve (mNLG) of 56 alcohol dependent patients. The results were compared with neurologic disorders, duration of the dependency and the type of alcoholism according to Jellinek. The HI showed significant more pathological changes than the mNLG.     

Fighting in female mice in lines selected for laterality

Male and female mice from the Collins HI and LO laterality strains were isolated for 3–5 days. Thereafter on Day 1 each was given the Intruder Test followed by a Training Test; the latter was repeated 1 week later. All males of 36 days or older fought vigorously, but without line differences. Females of the HI strain showed higher numbers of fighters and greater intensity of fighting than those of the LO strain, and by the second Training Test these differences were significant at p < 0.01. The HI and LO laterality strains thus provide useful tools for investigating the functions of female agonistic behavior and the possible relationship between laterality and the expression of aggression.     

Test-Retest Measurement Invariance of Clinic Referred Children’s ADHD Symptoms

This study examined the test-retest measurement invariance of ratings of the ADHD symptoms. Mothers of a group of 217 clinic-referred children (boys?=?169, girls?=?49; age range?=?7 to 17 years) completed ratings of the ADHD symptoms presented in a modified version of the Strengths and Weaknesses of ADHD-Symptoms and Normal Behavior Scale (SWAN-M) twice, 12 months apart. Confirmatory factor analysis (CFA) of their ratings at both time points provided more support for the bifactor model of ADHD [orthogonal general and specific factors for inattention (IA) and hyperactivity/impulsivity (HI) symptoms] over the 2-factor oblique model (factors for inattention IA and HI symptoms). For the bifactor model, measurement invariance testing using multiple-group CFA indicated support for configural and full scalar test-retest invariance when the chi-square difference test was applied. For metric invariance, all but one symptom showed invariance. When the differences in approximate fit indices were applied, there was support for full measurement invariance (configural, metric and scalar). The findings indicate that observed scores (based on maternal ratings of the SWAM-M), twelve months apart, are comparable as they have the same measurement properties. Several practical, theoretical, research and clinical implications of the findings are discussed.     

Phonetically inaccurate spelling among learning-disabled, head-injured, and nondisabled young adults

We applied the Boder and Jarrico (1982, The Boder Test of Reading-Spelling Patterns, New York: Grune & Stratton) criteria to the WRAT spelling list and examined the phonetically inaccurate spelling error patterns of learning-disabled (LD), head-injured (HI), and nondisabled young adults. Phonetically inaccurate (PI) errors were reliably rated (interrater r = .94) and were correlated significantly more strongly with dysphasic errors (r = .33) than with dyscopia (r = .16). ANOVA showed that LD and HI, which did not differ, made significantly more PI errors than both nondisabled and HI. These results indicate that PI errors reflect an underlying language disorder. The results also suggest that PI errors are more frequent in brain-related disorders. Finally, when group differences in cognitive ability are statistically controlled, PI errors are more common only among LD persons.     

Attention-Deficit/Hyperactivity Disorder symptoms in an adult sample: Associations with Cloninger’s temperament and character dimensions

Relationships between C.R. Cloninger’s temperament and character dimensions and the Attention-Deficit/Hyperactivity Disorder (ADHD) symptoms of inattention (IA) and hyperactivity/impulsivity (HI) were examined in 231 adults from the general population. Regression analyses that predicated overall ADHD, IA and HI by the seven temperament/character dimensions revealed: IA was predicted positively by Harm Avoidance and negatively by Self-Directedness; HI was predicted positively by Persistence; and overall ADHD was predicted negatively by Self-Directedness. These findings are also interpreted in terms of current theories of ADHD, and the related original and revised versions of Gray’s reinforcement sensitivity theory (RST) of personality.     

Beyond de Tocqueville: The roles of vertical and horizontal individualism and conservatism in the 2004 U.S. presidential election

Individualism is a fundamental value to U.S. culture and democracy. We differentiate the horizontal from vertical dimension of individualism to predict voting in the 2004 presidential election. Horizontal individualism (HI) values equality and uniqueness, whereas vertical individualism (VI) values competition and achievement. In line with the value-expressive function of attitudes and voter–politician congruency principles, we show how and when HI and VI affect voters' attitudes and voting. A pilot study revealed that VI correlated with vote; those who scored higher on VI were more likely to vote for Bush. Study 1 replicated these findings with a broader sample and a regression approach. The influence of individualism was less predictive than VI in both studies. In Study 2, we proposed that the effect of VI and HI values on voting decisions is mediated by political conservatism, which in turn predicts voters' trait assessment of candidates and voting decision. Path analysis of the data from a national survey supported our expectation among respondents with high political involvement, the context in which value-expressive attitudes are more pronounced. Taken together, these studies advance our theoretical understanding of HI, VI, and individualism, as well as the process underlying the effect of values on decisions.     

Behavioral Characteristics of DSM-IV ADHD Subtypes in a School-Based Population

From an ethnically diverse sample of 2,744 school children, 221 attention deficit hyperactivity disorder (ADHD) [123 (4.5%) predominantly inattentive (IA), 47 (1.7%) predominantly hyperactive/impulsive (HI), and 51 (1.9%) combined type (C)] were identified using teacher ratings on a Diagnostic and Statistical Manual of Mental Disorders (4th ed.) (DSM-IV) symptom checklist. Subjects were compared to 221 controls on teacher ratings of behavioral, academic, and social functioning. The results revealed relatively independent areas of impairment for each diagnostic group. The IA children were impaired in all areas, but were rated as displaying more appropriate behavior and fewer externalizing problems than HI or C children. The HI group displayed externalizing and social problems, but was rated as no different than controls in learning or internalizing problems. The C group demonstrated severe and pervasive difficulties across domains. These findings support the validity of the DSM-IV ADHD subtypes; all ADHD groups demonstrated impairment relative to controls, but show different patterns of behavioral characteristics.     

A two-stage logistic regression model for analyzing inter-rater agreement

Studies of agreement commonly occur in psychiatric research. For example, researchers are often interested in the agreement among radiologists in their review of brain scans of elderly patients with dementia or in the agreement among multiple informant reports of psychopathology in children. In this paper, we consider the agreement between two raters when rating a dichotomous outcome (e.g., presence or absence of psychopathology). In particular, we consider logistic regression models that allow agreement to depend on both rater- and subject-level covariates. Logistic regression has been proposed as a simple method for identifying covariates that are predictive of agreement (Coughlin et al., 1992). However, this approach is problematic since it does not take account of agreement due to chance alone. As a result, a spurious association between the probability (or odds) of agreement and a covariate could arise due entirely to chance agreement. That is, if the prevalence of the dichotomous outcome varies among subgroups of the population, then covariates that identify the subgroups may appear to be predictive of agreement. In this paper we propose a modification to the standard logistic regression model in order to take proper account of chance agreement. An attractive feature of the proposed method is that it can be easily implemented using existing statistical software for logistic regression. The proposed method is motivated by data from the Connecticut Child Study (Zahner et al., 1992) on the agreement among parent and teacher reports of psychopathology in children. In this study, parents and teachers provide dichotomous assessments of a child's psychopathology and it is of interest to examine whether agreement among the parent and teacher reports is related to the age and gender of the child and to the time elapsed between parent and teacher assessments of the child.The authors thank the Associate Editor and the referees for their helpful comments and suggestions. We also thank Gwen Zahner for use of data from the Connecticut Child Study, which was conducted under contract to the Connecticut Department of Children and Youth Services. This research was supported by grants HL 69800, AHRQ 10871, HL52329, HL61769, GM 29745, MH 54693 and MH 17119 from the National Institutes of Health.     

The effects of pre- and postweaning rearing conditions on latent inhibition and partial reinforcement extinction effect in male rats

Male rats were either handled daily or left undisturbed (nonhandled) during the first 21 days of life. At weaning (Day 22) animals in each early treatment condition were assigned to two housing conditions, isolated or grouped, creating four early/late treatment conditions: Handled-Grouped (HG), Handled-Isolated (HI), Nonhandled-Grouped (NHG), and Nonhandled-Isolated (NHI). At maturity, all animals were tested in the latent inhibition (LI, Experiment 1) and the partial reinforcement extinction effect (PREE, Experiment 2) paradigms. In LI, animals receiving prior nonreinforced preexposure to a stimulus (PE) show subsequently retarded conditioning to that stimulus as compared to nonpreexposed (NPE) controls. In the PREE, partially reinforced (PRF) animals exhibit higher resistance to extinction as compared to continuously reinforced (CRF) controls. LI and PREE were obtained in the HG condition, but were impaired in NHG and HI animals. The pattern of impairment was different in the two conditions. The absence of LI in NHG males was due to increased suppression in the PE group, whereas in HI males, was due to decreased suppression in the NPE group. Likewise, the attenuation of the PREE in NHG males stemmed primarily from decreased resistance to extinction in the PRF group, whereas in HI males, it resulted from increased resistance to extinction in the CRF group. The combination of nonhandling and isolation led to the reinstatement of both LI and PREE: normal LI and PREE were obtained in the NHI animals. These results demonstrate that early rearing experience interacts with later experience differentially depending upon the later experience.     

An electrophysiological study of school-aged children with a history of failure to thrive during infancy.

Sixty-five subjects, ages 8 to 12, participated in a visual electrophysiological study. Twenty-two of the subjects had received a diagnosis of nonorganic failure-to-thrive (FTT) before the age of three. The remaining 43 subjects had no history of FTT and served as Controls. IQs were obtained with the abbreviated WISC-III, and the Controls were split into two groups, LO IQ and HI IQ, to provide a LO IQ Control group with an average IQ equivalent to the FTT group. Event-related brain potentials (ERPs) were recorded from five scalp locations during a cued continuous performance task (CPT). Subjects had to press a button every time they saw the letter "X" following the letter "A" (50 targets out of 400 stimuli). During the CPT, the FTT subjects made marginally more errors of omission to targets than the LO IQ Control group and significantly more errors of omission than the HI IQ Control subjects. The groups did not differ significantly on errors of commission (false alarms) or reaction times to targets. ERP averages revealed a group difference in amplitude in a late slow wave for the 50 non-X stimuli (false targets) that followed the letter A. This difference was greatest over frontal sites, where the FTT group had a more negative going slow wave than each control group. Late frontal negativity to No Go stimuli has been linked with post-decisional processing, notably in young children. Thus, the FTT subjects may have less efficient inhibitory processes, reflected by additional late frontal activation.     

An electrophysiological study of school-aged children with a history of failure to thrive during infancy

Sixty-five subjects, ages 8 to 12, participated in a visual electrophysiological study. Twenty-two of the subjects had received a diagnosis of nonorganic failure-to-thrive (FTT) before the age of three. The remaining 43 subjects had no history of FTT and served as Controls. IQs were obtained with the abbreviated WISC-III, and the Controls were split into two groups, LO IQ and HI IQ, to provide a LO IQ Control group with an average IQ equivalent to the FTT group. Event-related brain potentials (ERPs) were recorded from five scalp locations during a cued continuous performance task (CPT). Subjects had to press a button every time they saw the letter “X” following the letter “A” (50 targets out of 400 stimuli). During the CPT, the FTT subjects made marginally more errors of omission to targets than the LO IQ Control group and significantly more errors of omission than the HI IQ Control subjects. The groups did not differ significantly on errors of commission (false alarms) or reaction times to targets. ERP averages revealed a group difference in amplitude in a late slow wave for the 50 non-X stimuli (false targets) that followed the letter A. This difference was greatest over frontal sites, where the FTT group had a more negative going slow wave than each control group. Late frontal negativity to No Go stimuli has been linked with post-decisional processing, notably in young children. Thus, the FTT subjects may have less efficient inhibitory processes, reflected by additional late frontal activation. *** DIRECT SUPPORT *** A31BB040 00006     

Prevalence and associated factors with body image dissatisfaction among adults in southern Brazil: A population-based study

We investigated the prevalence of body image dissatisfaction (BID) and associated factors in Florianopolis, Brazil. BID was analyzed in a sample (N = 1720) of adults through the Figure Rating Scale. The independent variables were sociodemographic factors, health behaviors, and morbidities. A multinomial logistic regression analysis was used. More men (14.2%) than women (6.1%) presented BID by being lighter than ideal (LI). Conversely, more women (66.6%) than men (46.3%) showed BID by being heavier than ideal (HI). BID by being HI was higher among older women, those with high BMI and those with a partner. In men, lower BMI and the presence of common mental disorders were associated with BID due to being LI. Advanced ages, alcohol abuse, physical inactivity, and obesity were associated with BID due to being HI. We must consider different public health interventions for men and women to reduce BID in Brazilian adults.