Comorbidity of hyperactivity-impulsivity-inattention and conduct problems : Risk factors in social, affective, and academic domains

Children showing a comorbid behavior pattern of hyperactivity-impulsivity-inattention and conduct problems (HIA + CP) were contrasted to children having only an internalizing and externalizing behavior pattern (I + E) and matched controls. Children displaying the HIA + CP behavior pattern were at gr...

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Bibliographic Details
Published in:Journal of abnormal child psychology 1998-10, Vol.26 (5), p.393-406
Main Authors: GRESHAM, F. M, MACMILLAN, D. L, BOCIAN, K. M, WARD, S. L, FORNESS, S. R
Format: Article
Language:English
Subjects:
Academic achievement
Analysis of Variance
Attention Deficit and Disruptive Behavior Disorders - epidemiology
Attention Deficit Disorder with Hyperactivity - epidemiology
Attention deficit disorders. Hyperactivity
Attention deficit hyperactivity disorder
Attention deficits
Behavior
Behavior Patterns
Biological and medical sciences
California
Case-Control Studies
Child
Child clinical studies
Child psychology
Children
Comorbidity
Comparison
Conduct Disorder - epidemiology
Conduct disorders
Externalizing problems
Female
Grade 4
Humans
Hyperactivity
Impulsivity
Internalizing problems
Interpersonal Relations
Longitudinal Studies
Male
Medical sciences
Peer Group
Psychological Patterns
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Reading Achievement
Self Concept
Social problems
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Summary:Children showing a comorbid behavior pattern of hyperactivity-impulsivity-inattention and conduct problems (HIA + CP) were contrasted to children having only an internalizing and externalizing behavior pattern (I + E) and matched controls. Children displaying the HIA + CP behavior pattern were at greater risk on a number of outcome measures in social and academic domains beginning in Grade 3 and continuing into Grade 4. The most marked differences among the three groups were found on peer measures of rejection and friendship and teacher ratings of social skills. On average, almost two-thirds of the HIA + CP group were rejected by their peers compared to one-third of the I + E group and only 12.5% controls. Over 70% of the HIA + CP group had no reciprocated friendships from Grade 3 to Grade 4 compared to less than half of the I + E group and approximately one-fourth of controls. Contrary to much theorizing in the literature, the HIA + CP and I + E groups showed average levels of academic self-concept and did not differ from controls in on measures of social self-concept and academic self-concept and general self-esteem. These findings were interpreted in light of positive illusory biases and the established link between aggressive behavior and egotism. The current article offers partial support for Lynam's (1996) notion of the "fledgling psychopath."
ISSN:0091-0627
2730-7166
1573-2835
2730-7174
DOI:10.1023/A:1021908024028