Language Difficulty at School Entry and the Trajectories of Hyperactivity-Inattention Problems from Ages 4 to 11: Evidence from a Population-Representative Cohort Study

Latent growth curve modelling was used to contrast the developmental trajectories of hyperactivity-inattention (H-I) problems across childhood for children with a language difficulty at the start of school and those with typical language and to examine if the presence of a language difficulty moderates the associations of child, parent and peer predictors with these trajectories. Unconditional and language-status conditional latent growth curves of H-I problems were estimated for a large nationally representative cohort of children, comprising 1627 boys (280 - language difficulty) and 1609 girls (159 - language difficulty) measured at age 4 to 5, 6 to 7, 8 to 9 and 10 to 11. Multiple regression tested interaction between language status and predictors of the level and slope of the trajectory of H-I problems. On average, boy’s H-I behaviours showed temporal stability while for girls H-I decreased over time with a slower rate of decrease with age. For both boys and girls, the levels of H-I problems were persistently elevated for those with a language difficulty compared to their peers. Neither the shape nor rate of change of H-I problems were associated with language status. Child sociability predicted the rate of growth in H-I for boys with a language difficulty but not for other boys. Child prosocial behaviours and parental psychological distress predicted the rate of growth in H-I for girls with a language difficulty but not for other girls. Parental hostility was associated with the rate of growth only for boys with typical language. The findings indicate that having a language difficulty at school entry is associated with persistently higher levels of H-I problems across childhood and moderates the rate of their growth in some circumstances.     

Childhood Conduct Problems Trajectories are Associated with Distinct Antisocial Process Screening Device Dimensions

Journal of Psychopathology and Behavioral Assessment - There is ongoing debate regarding whether psychopathy dimensions (i.e., narcissism, callous-unemotional [CU] traits, and impulsivity) can be...     

Variants of Psychopathic Traits Follow Distinct Trajectories of Clinical Features Among Children with Conduct Problems

Research on Child and Adolescent Psychopathology - Original definitions of psychopathy suggest the existence of two variants that present with distinct clinical features among antisocial adults,...     

Individual Piagetian Epistemological Development of Children from Ages 6 to 11

This long-term study of children from ages 6 to 11 was undertaken to support the patterns of cognitive development inferred from Piaget's work and its short-term statistical replications. Several Piagetian tasks were used individually with 48 first graders, some of the same and new tasks with 43 of the same children as third graders, and two new tasks with 38 of the same children as fifth graders. Pearson product-moment coefficients indicated that uses of the clinical tasks in the study agreed significantly with those in the literature. In 33 individual line graphs, the average age (as indicated in the literature) for the most difficult task performed by a child at each level was compared with the actual age for the child's performance. Although individual aberrations in rates and patterns of cognitive development were observed, the graphic data supported the main hypothesis of the study.     

Childhood Temperament and Family Environment as Predictors of Internalizing and Externalizing Trajectories From Ages 5 to 17

Childhood temperament and family environment have been shown to predict internalizing and externalizing behavior; however, less is known about how temperament and family environment interact to predict changes in problem behavior. We conducted latent growth curve modeling on a sample assessed at ages 5, 7, 10, 14, and 17 (N = 337). Externalizing behavior decreased over time for both sexes, and internalizing behavior increased over time for girls only. Two childhood variables (fear/shyness and maternal depression) predicted boys' and girls' age-17 internalizing behavior, harsh discipline uniquely predicted boys' age-17 internalizing behavior, and maternal depression and lower family income uniquely predicted increases in girls' internalizing behavior. For externalizing behavior, an array of temperament, family environment, and Temperament × Family Environment variables predicted age-17 behavior for both sexes. Sex differences were present in the prediction of externalizing slopes, with maternal depression predicting increases in boys' externalizing behavior only when impulsivity was low, and harsh discipline predicting increases in girls' externalizing behavior only when impulsivity was high or when fear/shyness was low.     

Significance of Childhood Conduct Problems to Later Development of Conduct Disorder Among Children With ADHD: A Prospective Follow-Up Study

This study investigates whether low to moderate levels of childhood oppositional defiant disorder (ODD) and conduct disorder (CD) behaviors contribute to the development of clinically diagnosed CD in adolescence, in children with attention deficit hyperactivity disorder (ADHD). Participants were 207 White boys (ages 6-12) with ADHD free of conduct disorder diagnoses. Parent and teacher ratings were obtained. Participants were assessed at mean age 18 by clinicians blind to childhood status. A non-ADHD group (recruited in adolescence) was also studied. ODD behavior ratings did not predict CD in adolescence, whereas CD behavior ratings did. No single ODD or CD behavior predicted adolescent outcome. ADHD probands with very low ratings (Not at all, Just a little) by parents and teachers on all CD behaviors were still at significantly increased risk for CD in adolescence, compared to non-ADHD controls. The same relationships were found between childhood ODD and CD behaviors, and antisocial personality disorder in adulthood (mean age, 25). We conclude that childhood ADHD is a developmental precursor of later antisocial disorder, even in the absence of comorbid ODD or CD in childhood. However, low levels of CD-type problems are not innocuous, because they predict later CD among children with ADHD without comorbid CD.     

Effects of Parenting and Deviant Peers on Early to Mid-Adolescent Conduct Problems

We investigated the influence of effective parenting behaviors (father and mother reports) and deviant peer association (adolescent reports) on subsequent young adolescent conduct problems (teacher reports) during grades 7–9, using structural equation modeling. Data were from a sample of 226 rural adolescents (n?=?112 boys; n?=?107 girls; n?=?7 gender unknown), their parents, and teachers. Both effective parenting and association with deviant peers influenced later conduct problems; however, the pattern of influence varied across time and between fathers and mothers, with complex patterns of interactions between effective parenting and peer deviance. From seventh to eighth grade, effective parenting by both mothers and fathers buffered the effect of higher levels of peer deviance on conduct problems across adolescent gender. From eighth to ninth grade (i.e., transition into high school), fathers’ effective parenting buffered the effects of deviant peer association on their daughters’ conduct problems, whereas both fathers’ and mothers’ influence was stronger for sons when deviant peer associations were lower. Analyses also evaluated bi-directional longitudinal effects among adolescents, parents, and peers. Although varying by parent and adolescent gender or adolescent age, results generally supported the protective effects of parenting on their children’s conduct problems during early to mid adolescence.     

Trajectories of Religious Participation from Adolescence to Young Adulthood

Using a life course approach, this study examines trajectories of religious participation from early adolescence through young adulthood. Distinct patterns of religious participation are identified, providing insight into how trajectories are shaped by family and religious characteristics and demonstrating the influence of life events on changes in religious participation. The study employs a group-based method of trajectory analysis, identifying three trajectories of stable religious participation (nonattendance, occasional attendance, and frequent attendance) and three trajectories of change (early, late, and gradual declining attendance). Residing with two biological parents and in a religious family increases the likelihood that youth attend religious services throughout adolescence. Religious disaffiliation is associated with lower religious participation for youth in all trajectories; marriage, cohabitation, and religious switching/conversion are associated with changes in participation among youth in the frequent and occasional attendance trajectories only.     

Developmental and Sex Differences in Types of Conduct Problems

Maternal report of types of conduct problems in a high-risk sample of 228 boys and 80 girls (ages 4–18) were examined, using a version of the Child Behavior Checklist, expanded to include a range of covert and overt antisocial items (stealing, lying, physical aggression, relational aggression, substance use, and impulsivity). Age and sex effects were investigated. Boys were significantly more physically aggressive than girls. There were no sex differences for stealing, lying, relational aggression, and substance use. Lying and substance use increased with age, whereas relational aggression and impulsivity peaked during early adolescence. A small group of girls had pervasive conduct problems across multiple domains. For some domains such as stealing, lying, and relational aggression, girls showed at least as many problems as boys. Girls, in general, tended to have fewer conduct problems. On the other hand, when assessed across multiple domains, conduct problems in high-risk girls were possibly more pervasive than in high-risk boys, suggesting the possibility of a gender paradox.     

Conduct Problems and Adherence to COVID-19 Guidelines: A Developmental Psychopathology-Informed Approach

COVID-19 underscores the importance of understanding variation in adherence to rules concerning health behaviors. Children with conduct problems have difficulty with rule adherence, and linking early conduct problems with later adherence to COVID-19 guidelines can provide new insight into public health. The current study employed a sample (N = 744) designed to examine the longitudinal consequences of childhood conduct problems (Mean age at study entry = 8.39). The first objective was to link early conduct problems with later adherence to both general and specific COVID-19 guidelines during emerging adulthood (M age = 19.07). The second objective was to prospectively examine how interactional (i.e., callous unemotional traits, impulsivity) and cumulative (i.e., educational attainment, work status, substance use) continuity factors mediated this association. The third objective was to examine differences in sex assigned at birth in these models. Direct associations were observed between childhood conduct problems and lower general, but not specific COVID-19 guideline adherence. Conduct problems were indirectly associated with both general and specific adherence via higher levels of callous unemotional traits, and with specific adherence via higher problematic substance use. No differences in the models were observed across sex assigned at birth. Findings provide insight into both how developmental psychopathology constructs are useful for understanding COVID-19 guideline adherence, and the ways in which conduct problems may shape health outcomes.

     

Trajectories of Social Withdrawal from Middle Childhood to Early Adolescence

Heterogeneity and individual differences in the developmental course of social withdrawal were examined longitudinally in a community sample (N = 392). General Growth Mixture Modeling (GGMM) was used to identify distinct pathways of social withdrawal, differentiate valid subgroup trajectories, and examine factors that predicted change in trajectories within subgroups. Assessments of individual (social withdrawal), interactive (prosocial behavior), relationship (friendship involvement, stability and quality, best friend’s withdrawal and exclusion/victimization) and group- (exclusion/victimization) level characteristics were used to define growth trajectories from the final year of elementary school, across the transition to middle school, and then to the final year of middle school (fifth-to-eighth grades). Three distinct trajectory classes were identified: low stable, increasing, and decreasing. Peer exclusion, prosocial behavior, and mutual friendship involvement differentiated class membership. Friendlessness, friendship instability, and exclusion were significant predictors of social withdrawal for the increasing class, whereas lower levels of peer exclusion predicted a decrease in social withdrawal for the decreasing class.     

Stability of Family Interaction from Ages 6 to 18

Research has demonstrated the stability of juvenile offending during childhood and adolescence but generally has not focused on the continuity of family interactions associated with juvenile offending. The present report focused on the stability of several family interaction events and attributes (i.e., physical punishment, communication, supervision, positive parenting, and parent–child relationship) for a large sample of male adolescents and their primary caretakers, drawn from a multiyear longitudinal study that represented middle childhood through late adolescence (ages 6–18). We also assessed the impact of ethnicity, family composition, teenage motherhood, and youth delinquency on these interactions. Test–retest correlations and growth-curve analyses were used to assess relative and absolute stability of the interactions, respectively. As predicted, relative stability of family interaction was high. There was an absolute change in scores of physical punishment (decreased) compared to poor supervision and low positive parenting (both increased), whereas poor communication and bad relationship with the caretaker did not measurably change with age. Single-parent families and families with teenage mothers experienced significantly worse interactions over time than did families consisting of two biological parents present in the household. These findings are discussed in relation to the development of juvenile offending.     

Adult Outcomes of Child Conduct Problems: A Cohort Study

The present study assessed the mental health and criminal records of 6,449 males and 6,268 females who presented conduct problems as children by examining an unselected birth cohort followed up to age 30. Conduct problems were defined by teacher ratings of behavior problems and/or antisocial behavior in the community. There was little overlap in the children identified by teachers and by the community. These two groups of children were at differential risk for adult mental disorder. Seventy-six percent of the males and 30% of females with childhood conduct problems had either a criminal record, a mental disorder, or both by age 30. Risk ratios for adult criminality and/or mental disorders, however, were greater for females than for males with a history of childhood conduct problems. Almost all of the mental disorders were severe substance abuse. Mental disorders and crime were strongly associated among males with a history of childhood conduct problems.     

Developmental Pathways to Conduct Problems: A Further Test of the Childhood and Adolescent-Onset Distinction

This study tested several theoretically important differences between youth with a childhood-onset and youth with an adolescent-onset to their severe conduct problems. Seventy-eight pre-adjudicated adolescent boys (ranging in age from 11 to 18) housed in two short-term detention facilities and one outpatient program for youth at risk for involvement in the juvenile justice system participated in the current study. The sample was divided into those with a childhood-onset to their serious conduct problem behavior (n = 47) and those with an adolescent-onset (n = 31). The childhood-onset group showed greater levels of dysfunctional parenting, callous–unemotional traits, and affiliation with delinquent peers. The only variable more strongly associated with the adolescent-onset group was lower scores on a measure of traditionalism.     

Description and Immediate Impacts of a Preventive Intervention for Conduct Problems

A population-based randomized intervention trial for the prevention of conduct problems (i.e., oppositional defiant disorder and conduct disorder) is described. The LIFT (Linking the Interests of Families and Teachers) intervention was designed for all first- and fifth-grade elementary school boys and girls and their families living in at-risk neighborhoods characterized by high rates of juvenile delinquency. The 10-week intervention strategy was carefully targeted at proximal and malleable antecedents in three social domains that were identified by a developmental model of conduct problems. From 12 elementary schools, 671 first and fifth graders and their families participated either in the theory-based universal preventive intervention or in a control condition. The intervention consisted of parent training, a classroom-based social skills program, a playground behavioral program, and systematic communication between teachers and parents. A multiple measure assessment strategy was used to evaluate participant satisfaction and participation, fidelity of implementation, and the immediate impacts of the program on targeted antecedents.     

Relation of Age of Onset to the Type and Severity of Child and Adolescent Conduct Problems

In a cross-sectional household sample of 9-through 17-year-old youths from 4 U.S. communities, youths with earlier ages of onset of conduct problems engaged in more conduct problems than youths with later ages of onset when current age and gender were controlled. Specifically, youths with earlier ages of onset were more likely to engage in several types of physical aggression, frequent lying, theft, and vandalism and were less likely to engage in only truancy. There also was an inverse relation between age of onset and level of functional impairment, mental health service use, and meeting diagnostic criteria for conduct disorder, attention-deficit hyperactivity disorder, and oppositional defiant disorder. Within the limits of cross-sectional data, these results support the hypothesis that key aspects of the heterogeneity of conduct problems among youths are related to the age of onset of conduct problems.     

The Comorbidity of Conduct Problems and Depression in Childhood and Adolescence

An extensive body of research documents the high prevalence of comorbidity among child and adolescent disorders in general and between conduct problems and depression in particular. These problems co-occur at significantly higher rates than would be expected by chance and their comorbidity may have significant implications for nosology, treatment, and prognosis. Four main hypotheses have been put forth to account for these high rates of comorbidity. First, comorbidity may be a result of shortcomings associated with referral or informant biases. Second, comorbidity may be an artifact of overlapping definitional criteria. Third, one disorder may cause the other disorder by influencing the developmental trajectory and placing an individual at increased risk for further difficulties. Finally, comorbidity between two disorders may be explained by shared underlying causal or risk factors. The purpose of this review is to explore these possibilities, concentrating primarily on the common risk factors of parent psychopathology, emotion regulation, and cognitive biases that may underlie the co-occurrence of these two disorders. Based on our review, we propose a model for the development of comorbidity between these two disorders.     

Contribution of Peer Deviancy Training to the Early Development of Conduct Problems: Mediators and Moderators

Three variables were tested as moderators of the relationship between peer deviancy training and child antisocial behavior in a longitudinal study of 267 boys and girls from ages 5.3 to 9.3 years. Deviancy training was directly measured by observation of the discourse and play of children with same-gender classmates. Peer deviancy training was significantly related to multi-setting child antisocial behavior from ages 5.3 to 9.3 years. Child impulsivity, poor parental discipline, and peer rejection were all significant moderators of that relationship, even in the context of their direct association with trajectories of antisocial behavior and after controlling for deviant peer affiliation. These moderator effects appeared to be associated with children's increased sensitivity to peer modeling and reinforcement of deviant discourse and play. Not all children are equally affected by peer deviancy training, and an array of intervention strategies are described that may serve to protect children from deviant peer influence.