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

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

The hyperactive child at adolescence: Cognitive,emotional, and social functioning

In view of the paucity of detailed followup studies on hyperactive children, the performance of 15 adolescents diagnosed hyperactive 5 years previously was compared to that of a control group of equivalent age, sex, intelligence, and social class. Eleven cognitive tests measuring sustained attention, visual-motor and motor skills, abstraction, and reading ability, as well as three self-assessment tests examining selfesteem, activity level, social functioning, academic status, and career aspirations were administered. The hyperactives performed significantly worse than the controls on the sustained attention, visualmotor, and motor tasks, and on two of the four reading tests. They also gave themselves significantly lower ratings on some of the selfesteem and sociability items. It would appear that the hyperactives at adolescence still have attentional and stimulus-processing difficulties, which affect not only their academic performance but also their social functioning.This study was supported by a Federal-Provincial Mental Health Grant to Dr. G. Weiss. The authors wish to thank Katherine Levine and Margaret Radigan for their assistance with test preparation and scoring. Thanks are also extended to Ken MacRae for his computer-processing advice, particularly his help with several multivariate and principal components analyses from which the present authors have derived their current theoretical position. Klaus Minde and Nancy Cohen are now at the Toronto Hospital for Sick Children, while Elizabeth Hoy is at the Queen's University of Belfast, Northern Ireland.     

Immediate memory functions in reading disability subtypes

This study examined immediate memory processes in specific reading disability subtypes. Three subgroups (n = 15 in each subgroup) of reading disabled children were examined: (a) perceptual-motor disorder, (b) verbal disorder-general, and (c) verbal disorder-specific (memory). The three groups were matched for age and full scale IQ. All children received a memory-for-colors task (Color Span Test) designed to evaluate intra- and intermodal serial memory functioning. Comparison of memory profiles for the three reading disability subtypes revealed that patterns varied depending on mode of stimulus presentation or response. Although all three groups performed considerably below normative levels on each of the four subtests of the Color Span Test, all subjects performed significantly better on verbally presented items than on visually presented items. The findings were interpreted to suggest that these reading disabled children may not consistently utilize verbal strategies for coding or retrieval of information when stimuli are visually presented.     

Focused attention in pervasively hyperactive children

This experiment was designed to investigate the hypothesized distractibility of hyperactive children in a focused attention task. Distractibility was defined in terms of Shiffrin and Schneider's model of focused attention as the ability to ignore irrelevant in favor of relevant information. Failure to inhibit processing of irrelevant information indicates a focused attention deficit. Task efficiency in all children decreased when irrelevant information was presented. The mean reaction time, within-subject variance of reaction time, and error percentage all increased compared with a nondistraction condition. Thus, the demands of focused attention, as formulated in the model, were measured optimally. Since hyperactives and controls did not differ significantly with respect to task efficiency in the distraction condition, a focused attention deficit in hyperactives was not demonstrated. The hyperactives did nevertheless make more errors and their responding was more variable than the controls. However, the difference in error percentages between hyperactives and controls was associated with the difference in IQ. It is speculated that the variable responding in hyperactives is caused by a less optimal state of performance unrelated to distractibility.The authors wish to thank L. Leertouwer for making the drawings. This research was supported by grants from the Netherlands Foundation for the Advancement of Pure Research (ZWO) and the Professor Duijker Fund.     

The rule learning behavior of reading disabled and normal children as a function of task characteristics and instruction

The purpose of this research was to investigate rule learning in reading disabled (RD) and normal children (chronological age and reading age (RA) match) when required to (a) abstract rules independently, and (b) use rules after instruction. Study 1 required the children to solve problems using shapes and letters. Although there was no difference between groups in the rate of problem solving when children were asked to abstract rules independently, the pattern of errors was different. The RD children made a greater proportion of errors on the negative instance for the more complex problems. In particular, this occurred on the letter task which involved psycholinguistic categorization. After instruction, the RA controls made more errors than the other groups. Study 2 was an analogous pseudoword reading task. Even with statistical adjustment for differences in prior grapheme-phoneme (g-p) rule knowledge, the RD children performed less accurately than the RA controls when they had to abstract rules, although this was restricted to the most difficult rule (rule of e). There was no difference after instruction in rule application, although the pattern of errors and post-test results indicated that the RD children continued to experience decoding difficulty. These results suggest a phonologically based productive deficit which interferes with the learning of g-p rules. This may be part of a more general language deficit which includes psycholinguistic categorization. Despite the severity of this handicap, RD children seem responsive to instruction.     

The effects of reward and punishment on reaction times and autonomic activity in hyperactive and normal children

The performance of hyperactive and control children was compared on a delayed reaction time task under three reinforcement conditions: reward, punishment, and reward plus punishment. Hyperactives had slower and more variable reaction times, suggesting an attentional deficit. Although each of the three reinforcement conditons was successful in improving reaction times for both subject groups, reward led to a significant increase in impulsive responses in the hyperactive children. Autonomic data revealed that reward also increased arousal to a greater extent than punishment or reward plus punishment. Although resting skin conductance was not different in the two groups of subjects, hyperactives produced fewer specific autonomic responses to signal stimuli.     

Learning disabilities, distinctive encoding, and hemispheric resources

The purpose of this study was to isolate possible sources of learning ability differences in distinctive encoding of item-specific and relational information. Two mechanisms postulated as underlying ability group differences were attentional capacity (as inferred from the magnitude and direction of correlations between primary and secondary recall) and resource monitoring strategies (as reflected in measures of selective attention and laterality). In Experiment 1, learning disabled and nondisabled childrens' word recall was compared on dichotic listening recall tasks that included nonorienting instructions, and orienting instructions that directed children's attention toward semantic, phonemic, or structural word features. Disabled children showed lower recall and more diffuse selective attention to word features than nondisabled children. Reciprocity (negative correlations) between targeted and background words within and between ability groups was comparable, except when targeted word features were phonemically organized. Experiment 2 indicated that disabled childrens' cued recall was inferior to that of nondisabled children, even though both ability groups produced comparable symmetrical recall patterns related to ear presentations. Taken together, the results suggest that the locus of disabled childrens' distinctive encoding deficiencies is related to resource monitoring strategies during interhemispheric processing.     

Effortful processing deficits in children with reading and/or attention disorders

Three groups of educationally troublesome boys were contrasted with adequate students on several tasks tapping effortful processing. The nonhyperactive reading disabled (RD) group differed both from controls and two attention deficit disorder (ADD) groups, one with and one without hyperactivity (H), on aspects of a memory task involving acoustic and semantic associations. All three clinical groups differed from controls in memory for low-imagery as opposed to high-imagery words and in computational efficiency. A stepwise regression analysis to predict reading grade level showed age and WISC-R IQ to account for 38% of the variance with an additional 28% explained by the effortful task variables (multiple R = .83). It is theorized here that attentional disorder impedes automatization of number facts; and, inasmuch as RD children receive adverse attention ratings, even if not considered hyperactive, they, as well as ADD and H/ADD boys, exhibit this deficiency.     

Hyperactive boys in their classroom: Assessment of teacher and peer perceptions,interactions, and classroom behaviors

Teacher ratings, peer perceptions, peer interactions, and classroom behaviors of 17 hyperactive and 17 active elementary school-age boys, nominated by their teachers, were compared using multivariate analyses and planned comparisons in order to better describe and assess hyperactivity in its most probable setting —the classroom. Hyperactive boys were found to be significantly different from actives on measures from all data sources in that they were perceived and interacted more negatively. Cluster analyses of teacher ratings of 90 hyperactives from a clinical sample and 17 hyperactives from the current sample were used to discriminate among different types of hyperactives. Four types were named anxious, conduct problem, inattentive, and low problem hyperactives. The fact that six conduct problem hyperactives were found to be more disruptive and have higher activity level ratings than six inattentive hyperactives, when observed in their classrooms, points to the need to study and treat hyperactives as heterogeneous groups.This study is based in part on a doctoral dissertation submitted to the Psychology Department, Indiana University, by the first author. Thanks are expressed to the students and teachers of the Monroe County School System who took part in the study. The authors also wish to thank Prof. Robert Sprague of the University of Illinois for providing the Conners Rating Scales on 90 hyperactive children.     

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.     

Memory for verbal and nonverbal stimuli in learning disability subgroups: analysis by selective reminding

Memory for verbal and nonverbal stimuli was evaluated using selective reminding procedures in normal achieving children and four groups of disabled learners: (1) reading-spelling disabled (R-S); (2) reading-spelling-arithmetic disabled (R-S-A); (3) spelling-arithmetic disabled (S-A); and (4) arithmetic disabled (A). Each child received two analogous free-list memory tasks, one for verbal material (animal names) and the other for nonverbal material (random dot patterns). These tasks were administered using selective reminding procedures that permit separation of storage and retrieval aspects of memory by reminding children only of those words not recalled on previous trials. Results revealed that relative to controls, the A and S-A children had significantly lower storage and retrieval scores on the nonverbal task, but did not differ on the verbal task; the R-S children differed only on retrieval scores from the verbal task; and the R-S-A children on retrieval scores on the verbal task and storage and retrieval scores on the nonverbal task. Thus, results indicate that the memory performance of disabled learners varies according to (1) the type of learning problem (arithmetic vs reading), (2) the nature of the stimuli (verbal vs nonverbal), and (3) the aspect of memory being assessed (storage vs retrieval). This study provides external validation for the classification of disabled learners according to patterns of academic achievement, demonstrating a useful procedure for dealing with the intrasubject variability characteristic of disabled learners.     

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.     

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.     

The Relationship Between Spirituality and Eysenck's Personality Dimensions: A Replication Among English Adults

A serial recall task was used to compare performance of 15 normal and 15 learning disabled elementary school children matched on CA, IQ, and sex with two and three dimensional representations of nonverbal eight-point shapes. Two a priori assumptions were not supported: (a) no differences in recall were found between groups and (b) no differences in recall were found for either group using two or three dimensional stimuli. Three imensional stimuli did facilitate visual rehearsal at the primacy position for both groups. Learning disabled children's performance was consistent with the mediation deficiency hypothesis found with normal children.     

Attentional deficits of learning-disabled children: Effects of rewards and practice

This study investigated the effects of rewards and practice on the attentional task performance of learning-disabled (LD) and normally achieving children. Contingent feedback and rewards resulted in faster but less accurate performance by the LD children. Despite the speed-accuracy trade-off, the LD children still responded more slowly than the controls. However, limited practice on the tasks resulted in significantly improved performance, such that the groups performed similarly. Poorer performance of LD children on their first encounter with laboratory measures of attention may be due to inefficient strategies rather than to actual deficits in ability to attend.This paper is based on the author's dissertation. I gratefully acknowledge the assistance of Nancy Ponzetti-Dyer, Susan Shapiro, and Duane Kemp in the data collection, and of Raymond Romanczyk and two anonymous reviewers for comments on a draft of this article.     

Syntactic competence and reading ability in children

The effect of syntactic context on auditory word identification and on the ability to detect and correct syntactic errors in speech was examined in severely reading disabled children and in good and poor readers selected from the normal distribution of fourth graders. The poor readers were handicapped when correct reading required analysis of the sentence context. However, their phonological decoding ability was intact. Identification of words was less affected by syntactic context in the severely disabled readers than in either the good or poor readers. Moreover, the disabled readers were inferior to good readers in judging the syntactical integrity of spoken sentences and in their ability to correct the syntactically aberrant sentences. Poor readers were similar to good readers in the identification and judgment tasks, but inferior in the correction task. The results suggest that the severely disabled readers were inferior to both good and poor readers in syntactic awareness, and in ability to use syntactic rules, while poor readers were equal to good readers in syntactic awareness but were relatively impaired in using syntactic knowledge productively.     

Developmental recall lag in learning-disabled children: Perceptual deficit or verbal mediation deficiency?

To investigate the development of mediational deficiencies in verbal and non-verbal visual short-term memory of learning disabled children, the recall task of Atkinson, Hansen, and Bernback was administered to learning disabled children in two experimental conditions. In Experiment 1 no significant diferences on nonverbal short-term memory recall between normal and learning-disabled children were found. Similar recall responses (e.g., middle response bias, primacy effects, and recency effects) were found for both groups. Non-verbal recall was comparable for disabled and normal children as suggested by stimulus content and association scores/. Experiment 2 found that while the effects of overt rehearsal on pretrained labels on learning disabled children's recall was negligible, labels provided superior recall for normal children. Results suggested that learning disabled children suffer from a verbal mediational deficiency consistent with Flavell's (1970) mediation deficiency hypothesis.The research herein was supported by a faculty research grant at the University of Northern Colorado. Appreciation is due to the Albuquerque (New Mexico) Public School System and the Richland 1 School District, Columbia, South Carolina.     

Classification of spelling errors and their relationship to reading ability, sex, grade placement, and intelligence

A simple scheme for the classification of spelling errors was applied to the errors of four groups of children, totaling 483 subjects, in grades 3 to 12. The subjects in two of the groups, Group I and Group IV, consisted of individuals who attended special schools for children with dyslexia or specific reading disability (SRD). Group II included school age siblings of subjects in Group I, and Group III included subjects drawn from regular school programs. It was shown that (a) type of spelling error is independent of sex, (b) there are no consistent effects of IQ or grade level on type of spelling error, and (c) disabled readers as a group are more likely to produce dysphonetic errors than are normal readers. Although the type of spelling error produced by children who had a spelling disability only was shown to be similar to that of normal readers and to differ from that of disabled readers as a group, disabled readers were shown to differ among themselves, lending strong support to the use of spelling error type as a characteristic for identifying subgroups.     

Speech perception and the discrimination of brief auditory cues in reading disabled children

The processing of speech and nonspeech sounds by 23 reading disabled children and their age- and sex-matched controls was examined in a task requiring them to identify and report the order of pairs of stimuli. Reading disabled children were impaired in making judgments with very brief tones and with stop consonant syllables at short interstimulus intervals (ISI's). They had no unusual difficulty with vowel stimuli, vowel stimuli in a white noise background, or very brief visual figures. Poor performance on the tones and stop consonants appears to be due to specific difficulty in processing very brief auditory cues. The reading disabled children also showed deficits in the perception of naturally produced words, less sharply defined category boundaries, and a greater reliance on context in making phoneme identifications. The results suggest a perceptual deficit in some reading disabled children, which interferes with the processing of phonological information.     

A psychosocial study of hyperactive and learning-disabled boys

Adequately reading hyperactive boys, normally behaved learning-disabled (LD) boys, and normal controls were contrasted on tests measuring personality traits, cognitive role taking, and moral reasoning. Additionally, parents and teachers rated all children on a number of behaviors, and parents were interviewed in a process-oriented fashion to assess home stimulation potential. Hyperactive boys were rated more aggressive and anxious than LD boys and controls and had not been encouraged as much by parents to achieve. Hyperactives had been born to younger parents, on the average, and 25% lived with their mothers and stepfathers. None of the LD or control boys had stepfathers. The groups did not differ significantly in moral reasoning ability, cognitive role taking, or locus of control; on the Junior Personality Inventory hyperactives tended to have elevated scores on the neuroticism scale while LD boys had higher scores on the lie scale.This research was supported by Grant HDNS-09119 from the National Institute of Child Health and Human Development.