A multidimensional assessment of parent-identified behavior problem toddlers

Sixty-eight 2-and 3-year-olds (46 parent-referred, 22 controls) participating in an identification, assessment, and follow-up study of hyperactivity and related behavior problems were evaluated on parent-report, observational, and cognitive measures. Referred youngsters were described by both parents as more active, inattentive, difficult to discipline, and aggressive with peers than were controls. Mothers of referred children also reported a more difficult infancy period. Laboratory assessments confirmed parental reports of current problems. Referred children shifted activities more during free play, were more active and inattentive during structured tasks, and made more impulsive responses on a delay task than did controls. Discriminant function analysis indicated that parental ratings of activity paired with laboratory measures of sustained attention and impulsivity correctly classified 88% of the sample. These data suggest that the core symptoms of hyperactivity can be identified in very young children, although their prognostic significance remains to be determined.This research was supported by Grant No. R01 MH 32735 from the National Institute of Mental Health to the first author. Thanks are due to the parents and children who participated so enthusiastically in this study. The dedication of Patricia Cluss is gratefully acknowledged. Mady Fingeret, Frank McKee, Jenny Palermo, Susan Riley, Elizabeth Schaughency, Sheree Thomas, and Russell Walters are also thanked for their help in data collection.