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Confirmatory Factor Analyses Examining Attention Deficit Hyperactivity Disorder Symptoms and Other Childhood Disruptive Behaviors

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Abstract

Over the past 15 years, three distinct models have been used to characterize the factor structure of attention deficit hyperactivity disorder (ADHD). These models correspond to descriptions of the disorder as outlined in DSM-III, DSM-III-R, and now, DSM-IV. Specifically, in DSM-III, inattention, impulsivity, and hyperactivity were treated as three separate constructs. In DSM-III-R, ADHD was treated as a unitary construct. In DSM-IV impulsivity and hyperactivity remain combined, but inattention is considered a separate construct. The present study examined and compared each of these models using confirmatory factor analyses. A final set of comparisons was conducted examining ADHD symptoms together with oppositional defiant disorder/conduct disorder (ODD/CD) symptoms. Although support for the three-factor ADHD model (DSM-III version) was obtained when the ADHD symptoms were examined in isolation, the two-factor model of ADHD (DSM-IV version) was supported when ADHD and ODD/CD symptoms were examined together as part of a comprehensive model of disruptive behavior disorders.

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REFERENCES

  • Achenbach, T. M., & Edelbrock, C. S. (1978). The classification of child psychology: A review and analysis of empirical efforts. Psychological Bulletin, 85, 1275-1301.

    PubMed  Google Scholar 

  • American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.

    Google Scholar 

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

    Google Scholar 

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

    Google Scholar 

  • Atkins, M. S., Pelham, W. E., & Licht, M. (1985). A comparison of objective classroom measures and teacher ratings of attention deficit disorder. Journal of Abnormal Child Psychology, 13, 155-167.

    PubMed  Google Scholar 

  • Atkins, M. S., Pelham, W. E., & Licht, M. (1989). The differential validity of teacher ratings of inattention/overactivity and aggression. Journal of Abnormal Child Psychology, 17, 423-435.

    PubMed  Google Scholar 

  • Bauermeister, J. J., Bird, H. R., Canino, G., Rubio-Stipec, M., Bravo, M., & Alegria, M. (1995). Dimensions of attention deficit hyperactivity disorder: Findings from teacher and parent reports in a community sample. Journal of Clinical Child Psychology, 24, 264-271.

    Google Scholar 

  • Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238-246.

    Article  PubMed  Google Scholar 

  • Bentler, P. M., & Bonett, D. G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88, 588-606.

    Google Scholar 

  • Berk, R. A. (1983). An introduction to sample selection bias in sociological data. American Sociological Review, 48, 386-398.

    Google Scholar 

  • Biederman, J., Newcorn, J., & Sprich, S. (1991). Comorbidity of attention deficit hyperactivity disorder with conduct, depressive, anxiety, and other disorders. American Journal of Psychiatry, 148, 564-577.

    PubMed  Google Scholar 

  • Bird, H. R. (1994). Discussion of: “Structure of DSM-III-R criteria for disruptive childhood behaviors: Confirmatory factor models.” Journal of the American Academy of Child and Adolescent Psychiatry, 33, 1155-1157.

    Google Scholar 

  • Bollen, K. A. (1989). Structural equations with latent variables. New York: Wiley-Interscience.

    Google Scholar 

  • Brito, G. N. O., Pinto, R. C. A., & Lins, M. F. C. (1995). A behavioral assessment scale for attention deficit disorder in Brazilian children based on DSM-III-R criteria. Journal of Abnormal Child Psychology, 23, 509-520.

    PubMed  Google Scholar 

  • Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Longs (Eds.), Testing structural equation models. Newbury Park, CA: Sage.

    Google Scholar 

  • Conners, C. K. (1969). A teacher rating scale for use in drug studies with children. American Journal of Psychiatry, 126, 884-888.

    PubMed  Google Scholar 

  • DuPaul, G. J. (1991). Parent and teacher ratings of ADHD symptoms: Psychometric properties in a community-based sample. Journal of Clinical Child Psychology, 20, 245-253.

    Google Scholar 

  • Fergusson, D. M., Horwood, L. J., & Lloyd M. (1991). Confirmatory factor models of attention deficit and conduct disorder. Journal of Child Psychology and Psychiatry, 32, 257-274.

    PubMed  Google Scholar 

  • Fergusson, D. M., Horwood, L. J., & Lynskey, M. A. (1994). Structure of DSM-III-R criteria for disruptive childhood behaviors: Confirmatory factor models. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 1145-1157.

    PubMed  Google Scholar 

  • Frick, P. C., Van Horn, Y., Lahey, B. A., Christ, M. A. G., Loeber, R., Hart, E. A., Tannenbaum, L., & Hanson, K. (1993). Oppositional defiant disorder and conduct disorder: A meta-analytic review of factor analyses and cross-validation in a clinic sample. Clinical Psychology Review, 13, 319-340.

    Google Scholar 

  • Gray, J. A., Owen, S., Davis, N., & Tsaltas, E. (1983). Psychological and physiological relations between anxiety and impulsivity. In M. Zuckerman (Ed.), The biological bases of sensation seeking, impulsivity, and anxiety (pp. 181-227). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Halperin, J. M., Newcorn, J. H., Matier, K., Bedi, G., Hall, S., & Sharma, V. (1995). Impulsivity and the initiation of fights in children with disruptive behavior disorders. Journal of Child Psychology and Psychiatry, 36, 1199-1211.

    PubMed  Google Scholar 

  • Healey, J. M., Newcorn, J. H., Halperin, J. M., Wolf, L. E., Pascualvaca, D. M., Schmeidler, J., & O'Brien, J. D. (1993). The factor structure of ADHD items in DSM-III-R: Internal consistency and external validation. Journal of Abnormal Child Psychology, 21, 441-453.

    PubMed  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.

    PubMed  Google Scholar 

  • James, L. R., Mulaik, S. A., & Brett, J. (1982). Causal analysis: Models, assumptions, and data. Beverly Hills, CA: Sage.

    Google Scholar 

  • Joreskog, K. G., & Sorbom, D. (1989). Lisrel 7: A guide to the program and applications. Chicago, IL: Scientific Software.

    Google Scholar 

  • Joreskog, K. G., & Sorbom, D. (1993). Lisrel 8: Structural equation modeling with the SIMPLIS command language. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Lahey, B. A., & Carlson, C. L. (1991). Validity of the diagnostic category of attention deficit disorder without hyperactivity: A review of the literature. Journal of Learning Disabilities, 24, 110-120.

    PubMed  Google Scholar 

  • Lahey, B. A., Pelham, W. E., Schaughency, E. A., Atkins, M. S., Murphy, H. A., Hynd, G. W., Russo, M., Hartdagen, S., & Lorys, A. (1988). Dimensions and types of attention deficit disorder with hyperactivity in children: A factor and cluster analytic approach. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 330-335.

    PubMed  Google Scholar 

  • Loeber, R., Keenan, K., Lahey, B. A., Green, S. M., & Thomas, C. (1993). Evidence for developmentally based diagnoses of oppositional defiant disorder and conduct disorder. Journal of Abnormal Child Psychology, 21, 377-410.

    PubMed  Google Scholar 

  • Loeber, R., Lahey, B. A., & Thomas, C. (1991). The diagnostic conundrum of oppositional defiant disorder, conduct disorder, and its subtypes. Journal of Abnormal Psychology, 100, 379-390.

    PubMed  Google Scholar 

  • Loeber, R., & Schmaling, K. B. (1985). Empirical evidence of overt and covert patterns of antisocial conduct problems: A meta-analysis. Journal of Abnormal Child Psychology, 13, 337-352.

    PubMed  Google Scholar 

  • Loney, J., & Milich, R. (1982). Hyperactivity, inattention, and aggression in clinical practice. In M. Wolraich & D. K. Routh (Eds.), Advances in developmental and behavioral pediatrics (Vol. 3, pp. 113-147). Greenwich, CT: JAI Press.

    Google Scholar 

  • MacCallum, R. C., Wegener, D. T., Uchino, B. N., & Fabrigar, L. R. (1993). The problem of equivalent models in applications of covariance structure analysis. Psychological Bulletin, 114, 185-199.

    Article  Google Scholar 

  • Marsh, H. W., Balla, J. R., & McDonald, R. P. (1988). Goodness-of-fit indexes in confirmatory factor analysis: The effect of sample size. Psychological Bulletin, 1988, 391-410.

    Google Scholar 

  • Milich, R., & Kramer, J. (1984). Reflections on impulsivity: An empirical investigation of impulsivity as a construct. Advances in Learning and Behavioral Disabilities, 3, 57-94.

    Google Scholar 

  • Millon, T. (1991). Classification in psychopathology: Rationale, alternatives, and standards. Journal of Abnormal Psychology, 100, 245-261.

    PubMed  Google Scholar 

  • Pelham, W. E., Evans, S., Gnagy, E., & Greenslade, K. E. (1992a). Teacher ratings of DSM-III-R symptoms for the disruptive disorders: Prevalence, factor analyses, and conditional probabilities in a special education sample. School Psychology Review, 21, 285-299.

    Google Scholar 

  • Pelham, W. E., Gnagy, E., Greenslade, K. E., & Milich, R. (1992b). Teacher ratings of DSM-III-R symptoms for the disruptive behavior disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 210-218.

    PubMed  Google Scholar 

  • Spitzer, R. L. (1991). An outsider-insider's views about revising the DSMs. Journal of Abnormal Psychology, 100, 294-296.

    PubMed  Google Scholar 

  • Swanson, J. M. (1981, August). Teacher norms for the SNAP rating scale. In W. Pelham (Chair), DSM-III category of attention deficit disorders: Rationale, operationalization and correlates. Symposium presented at the annual meeting of the American Psychological Association, Los Angeles.

  • Tucker, L. R., & Lewis, C. (1973). A reliability coefficient for maximum likelihood factor analysis. Psychometrika, 38, 1-10.

    Google Scholar 

  • West, S. G., & Finch, J. F. (1991). Measurement and analysis issues in the investigation of personality structure. In S. Briggs, R. Hogan, & W. Jones (Eds.), Handbook of personality psychology. New York: Academic Press.

    Google Scholar 

  • Werry, J. S., Methven, R. J., Fitzpatrick, J., & Dixon, H. (1983). The interrater reliability of DSM-III in children. Journal of Abnormal Child Psychology, 11, 341-354.

    PubMed  Google Scholar 

  • Werry, J. S., Reeves, J. C., & Elkind, G. S. (1987). Attention deficit, conduct, oppositional, and anxiety disorders in children: I. A review of research on differentiating characteristics. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 133-143.

    PubMed  Google Scholar 

  • White, J. L., Moffitt, T. E., Campi, A., Bartusch, D. J., Needles, D. J., & Stouthamer-Loeber, M. (1994). Measuring impulsivity and examining its relationship to delinquency. Journal of Abnormal Psychology, 103, 192-205.

    PubMed  Google Scholar 

  • Widiger, T. A., Frances, A. J., Pincus, H. A., Davis, W. W., & First, M. B. (1991). Toward an empirical classification for the DSM-IV. Journal of Abnormal Psychology, 100, 280-288.

    PubMed  Google Scholar 

  • Windle, M. (1993). A retrospective measure of childhood behavior problems and its use in predicting adolescent problem behaviors. Journal of Studies on Alcohol, 54, 422-431.

    PubMed  Google Scholar 

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Pillow, D.R., Pelham, W.E., Hoza, B. et al. Confirmatory Factor Analyses Examining Attention Deficit Hyperactivity Disorder Symptoms and Other Childhood Disruptive Behaviors. J Abnorm Child Psychol 26, 293–309 (1998). https://doi.org/10.1023/A:1022658618368

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