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Young Adult Follow-Up of Hyperactive Children: Self-Reported Psychiatric Disorders, Comorbidity, and the Role of Childhood Conduct Problems and Teen CD

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Abstract

We report on the psychiatric disorders present at young adult follow-up (Mean age 20–21 years; 13 + year follow-up) and the comorbidity among them for a large sample of hyperactive (H; N = 147) and community control (CC; N = 71) children. The H group had a significantly higher risk for any nondrug psychiatric disorders than the CC group (59% vs. 36%). More of the H group met criteria for ADHD (5%); major depressive disorder (26%); and histrionic (12%), antisocial (21%), passive–aggressive (18%), and borderline personality disorders (14%) at follow-up than the CC group. Severity of childhood conduct problems contributed to the risk for passive–aggressive, borderline, and antisocial personality disorders. But it only affected risk for antisocial personality after controlling for severity of teen conduct disorder (CD), which also contributed to the risk for these same 3 disorders. Examination for comorbidity among these disorders indicated that presence of either borderline or antisocial personality disorder significantly increased the risk for major depression and the other significant personality disorders. More of the hyperactive group had received various forms of mental health treatment during and since leaving high school than the control group. Results suggest that hyperactive children are at significant risk for at least 1 nondrug disorder in young adulthood, principally major depression and several personality disorders, and that this risk is largely mediated by severity of CD at adolescence.

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REFERENCES

  • Achenbach, T. M. (1991). Manual for the Child Behavior Checklist/4–18 and 1991 Profile. Burlington, VT: Thomas Achenbach.

    Google Scholar 

  • American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed.-Rev.). Washington, DC: Author.

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

  • Angold, A., Costello, E. J., & Erkanli, A. (1999). Comorbidity. Journal of Child Psychology and Psychiatry, 40, 57-88.

    Google Scholar 

  • August, G. J., Stewart, M. A., & Holmes, C. S. (1983). A four-year follow-up of hyperactive boys with and without conduct disorder. British Journal of Psychiatry, 143, 192-198.

    Google Scholar 

  • Barkley, R. A. (1981). Hyperactive children: A handbook for diagnosis and treatment. New York: Guilford Press.

    Google Scholar 

  • Barkley, R. A. (1990). Attention deficit hyperactivity disorder: A handbook for diagnosis and treatment. New York: Guilford Press.

    Google Scholar 

  • Barkley, R. A. (1998). Attention deficit hyperactivity disorder: A handbook for diagnosis and treatment (2nd. ed.). New York: Guilford Press.

    Google Scholar 

  • Barkley, R. A., Fischer, M., Edelbrock, C. S., & Smallish, L. (1990). The adolescent outcome of hyperactive children diagnosed by research criteria: I. An 8-year prospective follow-up study. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 546-557.

    Google Scholar 

  • Barkley, R. A., Fischer, M., Fletcher, K., & Smallish, L. (2002). The persistence of attention deficit hyperactivity disorder into young adulthood as a function of reporting source and definition of disorder. Journal of Abnormal Psychology, 111, 279-289.

    Google Scholar 

  • Biederman, J., Wilens, T., Mick, E., Faraone, S. V., Weber, W., Curtis, S., et al. (1997). Is ADHD a risk factor for psychoactive substance use disorders? Findings from a four-year prospective follow-up study. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 21-29.

    Google Scholar 

  • Dunn, L. M., & Dunn, L. M. (1981). Peabody Picture Vocabulary Test-Revised. Circle Pines, MN: American Guidance Service.

    Google Scholar 

  • Edelbrock, C. S., & Costello, A. (1988). Convergence between statistically derived behavior problem syndromes and child psychiatric diagnoses. Journal of Abnormal Child Psychology, 16, 219-231.

    Google Scholar 

  • Gittelman, R., Mannuzza, S., Shenker, R., & Bonagura, N. (1985). Hyperactive boys almost grown up: I. Psychiatric status. Archives of General Psychiatry, 42, 937-947.

    Google Scholar 

  • Goyette, C. H., Conners, C. K., & Ulrich, R. F. (1978). Normative data for Revised Conners Parent and Teacher Rating Scales. Journal of Abnormal Child Psychology, 6, 221-236.

    Google Scholar 

  • Hinshaw, S. P. (1987). On the distinction between attentional deficits/hyperactivity and conduct problems/aggression in child psychopathology. Psychological Bulletin, 101, 443-463.

    Google Scholar 

  • Hinshaw, S. P., & Anderson, C. A. (1996). Conduct and oppositional defiant disorders. In E. J. Mash & R. A. Barkley (Eds.), Child psychopathology (pp. 113-152). New York: Guilford Press.

    Google Scholar 

  • Klein, R., & Mannuzza, S. (1991). Long-term outcome of hyperactive children: A review. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 383-387.

    Google Scholar 

  • Kratzer, L., & Hodgins, S. (1997). Adult outcomes of child conduct problems: A cohort study. Journal of Abnormal Child Psychology, 25, 65-81.

    Google Scholar 

  • Loeber, R. (1990). Development and risk factors of juvenile antisocial behavior and delinquency. Clinical Psychology Review, 10, 1-41.

    Google Scholar 

  • Lynam, D. R. (1996). Early identification of chronic offenders: Who is the fledgling psychopath? Psychological Bulletin, 120, 209-234.

    Google Scholar 

  • Mannuzza, S., Klein, R., Bessler, A., Malloy, P., & LaPadula, M. (1993). Adult outcome of hyperactive boys: Educational achievement, occupational rank, and psychiatric status. Archives of General Psychiatry, 50, 565-576.

    Google Scholar 

  • Mannuzza, S., Klein, R., Bessler, A., Malloy, P., & LaPadula, M. (1998). Adult psychiatric status of hyperactive boys grown up. American Journal of Psychiatry, 155, 493-498.

    Google Scholar 

  • Molina, B. S. G., Smith, B. H., & Pelham, W. E. (1999). Interactive effects of attention deficit hyperactivity disorder and conduct disorder on early adolescent substance use. Psychology of Addictive Behaviors, 13, 348-358.

    Google Scholar 

  • Newcorn, J. H., & Halperin, J. M. (2000). Attention deficit disorders with oppositionality and aggression. In T. E. Brown (Ed.), Attention deficit disorders and comorbidities in children, adolescents, and adults (pp. 171-208). Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Rasmussen, P., & Gillberg, C. (2001). Natural outcome of ADHD with developmental coordination disorder at age 22 years: A controlled, longitudinal, community-based study. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 1424-1431.

    Google Scholar 

  • Routh, D. K., Schroeder, C. S., & O'Tuama, L. (1974). The development of activity level in children. Developmental Psychology, 10, 163-168.

    Google Scholar 

  • Satterfield, J. H., Swanson, J. M., Schell, A., & Lee, F. (1994). Prediction of antisocial behavior in attention-deficit hyperactivity disorder boys from aggression/defiance scores. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 185-190.

    Google Scholar 

  • Spencer, T., Wilens, T., Biederman, J., Wozniak, J., & Harding-Crawford, M. (2000). Attention-deficit/hyperactivity disorder with mood disorders. In T. E. Brown (Ed.), Attention deficit disorders and comorbidities in children, adolescents, and adults (pp. 79-124). Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Spitzer, R. L., Williams, J., Gibbon, M., & First, M. B. (1989). The Structured Clinical Interview for DSM-III-R (SCID). New York: Biometric Research Department, New York State Psychiatric Institute.

    Google Scholar 

  • Tannock, R. (2000). Attention-deficit/hyperactivity disorder with anxiety disorders. In T. E. Brown (Ed.), Attention deficit disorders and comorbidities in children, adolescents, and adults (pp. 125-170). Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Weiss, G., & Hechtman, L. T. (1993). Hyperactive children grown up. New York: Guilford Press.

    Google Scholar 

  • Weiss, G., Hechtman, L., Milroy, T., & Perlman, T. (1985). Psychiatric status of hyperactives as adults: A controlled prospective 15-year follow-up of 63 hyperactive children. Journal of the American Academy of Child Psychiatry, 23, 211-220.

    Google Scholar 

  • Werry, J., & Sprague, R. (1970). Hyperactivity. In C. G. Costello (Ed.), Symptoms of psychopathology (pp. 397-417). New York: Wiley.

    Google Scholar 

  • White, H. R., Xie, M., Thompson, W., Loeber, R., & Stouthamer-Loeber, M. (2001). Psychopathology as a predictor of adolescent drug use trajectories. Psychology of Addictive Behaviors, 15, 210-218.

    Google Scholar 

  • Wright, R. E. (1995). Logistic regression. In L. G. Grimm & P.R. Yarnold (Eds.), Reading and understanding multivariate statistics (pp. 217-244). Washington, DC: American Psychological Association.

    Google Scholar 

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Correspondence to Russell A. Barkley.

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Fischer, M., Barkley, R.A., Smallish, L. et al. Young Adult Follow-Up of Hyperactive Children: Self-Reported Psychiatric Disorders, Comorbidity, and the Role of Childhood Conduct Problems and Teen CD. J Abnorm Child Psychol 30, 463–475 (2002). https://doi.org/10.1023/A:1019864813776

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