Gross overactivity: A study by direct observation

A group of children who were rated as grossly overactive by a clinician was compared with a matched control group on various measurements of their behavior in a clinical interview situation and in a psychological test situation. An observational schedule was developed to discern those behaviors related to the concept of overactivity. These behaviors were operationally defined to enable reliable replication. The experimental group showed an excess in quantity of mechanically recorded movement as well as an increase in a cluster of behaviors including distractibility and disinhibition. Situational effects on those symptoms were noted. The symptoms were best observed in a semistructured clinical interview situation.This project was carried out while S. L. Luk was a research worker at the Institute of Psychiatry, London, supported by the University of Hong Kong. The authors express sincere thanks to Dr. S. Sandberg for her help in the reliability study, to Dr. J. Bacon-Soong for his statistical advice, and to Miss Ivy Wong for secretarial help.The coding scheme is available from the author.