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Examination of the Structure and Measurement of Inattentive, Hyperactive, and Impulsive Behaviors from Preschool to Grade 4

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Abstract

Attention Deficit/Hyperactivity Disorder (ADHD) is a complex and heterogeneous disorder consisting of inattentive and hyperactive/impulsive behaviors. Although, the multidimensionality of ADHD is widely accepted, questions remain regarding the extent to which the components of this disorder are overlapping or distinct. Further, although the same measures are generally used to assess inattentive, hyperactive, and impulsive behaviors across childhood, it has been argued that the structure and measurement of inattentive, hyperactive, and impulsive behaviors may be susceptible to developmental influences. The purpose of this study was to examine the factor structure and measurement invariance of inattentive and hyperactive/impulsive behaviors in a large group of children (N = 10,047) ranging in grade level from preschool to grade 4. A bifactor model with a general factor and two specific factors of inattention and hyperactivity/impulsivity fit the data best. This finding held across all groups and all grade levels. In general, the bifactor model demonstrated measurement invariance from kindergarten through grade 4 but not for preschool. Implications for the understanding and measurement of inattentive, hyperactive, and impulsive behaviors across early and middle childhood are discussed.

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Notes

  1. The potential impact of within-grade age on the findings was examined by calculating the amount of variance in item-level scores accounted for by age within grade. With few exceptions, age accounted for less than 1% in item-level scores across items. For most items, the amount of variance accounted for by age was less than .04%. Age ranges are as follows: Preschool: 39 months to 103 months; Kindergarten: 52 months to 107 months; Grade 1: 54 months to 107 months; Grade 2: 59 months to 124 months; 66 months to 139 months; Grade 4: 95 months to 148 months.

References

  • American Psychiatric Association. (1968). Diagnostic and statistical manual of mental disorders (2nd ed.). Washington, DC: Author.

    Google Scholar 

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

    Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.

    Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

    Book  Google Scholar 

  • Arias, V. B., Ponce, F. P., Martínez-Molina, A., Arias, B., & Núñez, D. (2016). General and specific attention-deficit/hyperactivity disorder factors of children 4 to 6 years of age: An exploratory structural equation modeling approach to assessing symptom multidimensionality. Journal of Abnormal Psychology, 123, 125–137. https://doi.org/10.1037/abn0000115.

    Article  Google Scholar 

  • Arnett, A. B., Pennington, B. F., Friend, A., Willcutt, E. G., Byrne, B., Samuelsson, S., & Olson, R. K. (2013). The SWAN captures variance at the negative and positive ends of the ADHD symptom dimension. Journal of Attention Disorders, 17, 152–162.

    Article  PubMed  Google Scholar 

  • Barbaresi, W. J., Colligan, R. C., Weaver, A. L., Voigt, R. G., Killian, J. M., & Katusic, S. K. (2013). Mortality, ADHD, and psychosocial adversity in adults with childhood ADHD: A prospective study. Pediatrics, 131, 637–644. https://doi.org/10.1542/peds.2012-2354.

    Article  PubMed  PubMed Central  Google Scholar 

  • Biederman, J., Mick, E., & Faraone, S. V. (2000). Age-dependent decline of symptoms of attention deficit hyperactivity disorder: Impact of remission definition and symptom type. American Journal of Psychiatry, 5, 816–818.

    Article  Google Scholar 

  • Burns, G. L., Boe, B., Walsh, J. A., Sommers-Flanagan, R., & Teegarden, L. A. (2001). A confirmatory factor analysis on the DSM-IV ADHD and ODD symptoms: What is the best model for the organization of these symptoms? Journal of Abnormal Child Psychology, 29, 339–349. https://doi.org/10.1023/A:1010314030025.

    Article  PubMed  Google Scholar 

  • Caci, H. M., Morin, A. J., & Tran, A. (2016). Teacher ratings of the ADHD-RS IV in a community sample: Results from the ChiP-ARD study. Journal of Attention Disorders, 20, 434–444. https://doi.org/10.1177/1087054712473834.

    Article  PubMed  Google Scholar 

  • Coghill, D., & Seth, S. (2011). Do the diagnostic criteria for ADHD need to change? Comments on the preliminary proposals of the DSM-5 ADHD and disruptive behavior disorders committee. European Child & Adolescent Psychiatry, 20, 75–81. https://doi.org/10.1007/s00787-010-0142-4.

    Article  Google Scholar 

  • Connor, C. M., Phillips, B. M., Kim, Y.-S. G., Lonigan, C. J., Kaschak, M. P., Crowe, E., Dombek, J., & Al Otaiba, S. (2018). Examining the efficacy of targeted component interventions on language and literacy for third and fourth graders who are at risk of comprehension difficulties. Scientific Studies of Reading, 22, 462–484. https://doi.org/10.1080/10888438.2018.1481409.

    Article  PubMed  PubMed Central  Google Scholar 

  • DuPaul, G. J., Power, T. J., Anastopoulos, A. D., Reid, R., McGoey, K. E., & Ikeda, M. J. (1997). Teacher ratings of attention deficit hyperactivity disorder symptoms: Factor structure and normative data. Psychological Assessment, 9, 436–444. https://doi.org/10.1037/1040-3590.9.4.436.

    Article  Google Scholar 

  • DuPaul, G. J., Reid, R., Anastopoulos, A. D., Lambert, M. C., Watkins, M. W., & Power, T. J. (2016). Parent and teacher ratings of attention-deficit/hyperactivity disorder symptoms: Factor structure and normative data. Psychological Assessment, 28, 214–225. https://doi.org/10.1037/pas0000166.

    Article  PubMed  Google Scholar 

  • Espy, K. A. (2004). Using developmental, cognitive, and neuroscience approaches to understand executive control in young children. Developmental Neuropsychology, 26, 379–384. https://doi.org/10.1207/s15326942dn2601_1.

    Article  PubMed  Google Scholar 

  • Evans, S. W., Allen, J., Moore, S., & Strauss, V. (2005). Measuring symptoms and functioning of youth with ADHD in middle schools. Journal of Abnormal Child Psychology, 33, 695–706. https://doi.org/10.1007/s10802-005-7648-0.

    Article  PubMed  Google Scholar 

  • Frick, P. J., & Nigg, J. T. (2012). Current issues in the diagnosis of attention deficit hyperactivity disorder, oppositional defiant disorder, and conduct disorder. Annual Review of Clinical Psychology, 8, 77–107. https://doi.org/10.1146/annurev-clinpsy-032511-143150.

    Article  PubMed  Google Scholar 

  • Gómez, R., Vance, A., & Gómez, R. M. (2017). Validity of the ADHD bifactor model in general community samples of adolescents and adults, and a clinic-referred sample of children and adolescents. Journal of Attention Disorders. https://doi.org/10.1177/1087054713480034.

  • Hartung, C. M., Lefler, E. K., Tempel, A. B., Armendariz, M. L., Sigel, B. A., & Little, C. S. (2010). Halo effects in ratings of ADHD and ODD: Identification of susceptible symptoms. Journal of Psychopathology and Behavioral Assessment, 32, 128–137. https://doi.org/10.1007/s10862-009-9135-3.

    Article  Google Scholar 

  • Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1–55. https://doi.org/10.1080/10705519909540118.

    Article  Google Scholar 

  • Lahey, B. B., Pelham, W. E., Loney, J., Lee, S. S., & Willcutt, E. (2005). Instability of the DSM-IV subtypes of ADHD from preschool through elementary school. Archives of General Psychiatry, 62, 896–902. https://doi.org/10.1001/archpsyc.62.8.896.

    Article  PubMed  Google Scholar 

  • Lakes, K. D., Swanson, J. M., & Riggs, M. (2012). The reliability and validity of the English and Spanish strengths and weaknesses of ADHD and Normal behavior rating scales in a preschool sample continuum measures of hyperactivity and inattention. Journal of Attention Disorders, 16, 510–516. https://doi.org/10.1177/1087054711413550.

    Article  PubMed  Google Scholar 

  • Larsson, H., Dilshad, R., Lichtenstein, P., & Barker, E. D. (2011). Developmental trajectories of DSM-IV symptoms of attention-deficit/hyperactivity disorder: Genetic effects, family risk and associated psychopathology. Journal of Child Psychology and Psychiatry, 52, 954–963. https://doi.org/10.1111/j.1469-7610.2011.02379.x.

    Article  PubMed  Google Scholar 

  • Leopold, D. R., Christopher, M. E., Burns, G. L., Becker, S. P., Olson, R. K., & Willcutt, E. G. (2016). Attention-deficit/hyperactivity disorder and sluggish cognitive tempo throughout childhood: Temporal invariance and stability from preschool through ninth grade. Journal of Child Psychology and Psychiatry, 57, 1066–1074. https://doi.org/10.1111/jcpp.12505.

    Article  PubMed  Google Scholar 

  • Lonigan, C. J., & Burgess, S. R. (2017). Dimensionality of reading skills with elementary-school-age children. Scientific Studies of Reading, 21, 239–253. https://doi.org/10.1080/10888438.2017.1285918.

    Article  Google Scholar 

  • Lonigan, C. J., & Milburn, T. F. (2017). Identifying the dimensionality of oral language skills of typically developing preschool through fifth-grade children. Journal of Speech, Language, and Hearing Research, 60, 2185–2198. https://doi.org/10.1044/2017_JSLHR-L-15-0402.

    Article  PubMed  Google Scholar 

  • Lonigan, C. J., Burgess, S. R., & Schatschneider, C. (2018). Examining the simple view of reading with elementary school children: Still simple after all these years. Remedial and Special Education, 39, 260–273. https://doi.org/10.1177/0741932518764833.

    Article  Google Scholar 

  • MacCallum, R. C., Browne, M. W., & Sugawara, H. M. (1996). Power analysis and determination of sample size for covariance structure modeling. Psychological Methods, 1, 130–149. https://doi.org/10.1037/1082-989X.1.2.130.

    Article  Google Scholar 

  • Martel, M. M., Roberts, B., Gremillion, M., von Eye, A., & Nigg, J. T. (2011). External validation of bifactor model of ADHD: Explaining heterogeneity in psychiatric comorbidity, cognitive control, and personality trait profiles within DSM-IV ADHD. Journal of Abnormal Child Psychology, 39, 1111–1123. https://doi.org/10.1007/s10802-011-9538-y.

    Article  PubMed  PubMed Central  Google Scholar 

  • McGoey, K. E., Schreiber, J., Venesky, L., Westwood, W., McGuirk, L., & Schaffner, K. (2015). Factor structure of attention deficit hyperactivity disorder symptoms for children age 3 to 5 years. Journal of Psychoeducational Assessment, 33, 430–438. https://doi.org/10.1177/0734282914554255.

    Article  Google Scholar 

  • Molina, B. S., Smith, B. H., & Pelham, W. E. (2001). Factor structure and criterion validity of secondary school teacher ratings of ADHD and ODD. Journal of Abnormal Child Psychology, 29, 71–82. https://doi.org/10.1023/A:1005203629968.

    Article  PubMed  Google Scholar 

  • Muthén, L. K., & Muthén, B. O. (2014). Mplus: Statistical analysis with latent variables: User’s guide. Los Angeles: Muthén & Muthén.

    Google Scholar 

  • Muthén, B., & Satorra, A. (1995). Complex sample data in structural equation modeling. Sociological Methodology, 25, 216–316 Retrieved from http://www.jstor.org/stable/271070.

    Article  Google Scholar 

  • Raiker, J. S., Rapport, M. D., Kofler, M. J., & Sarver, D. E. (2012). Objectively-measured impulsivity and attention-deficit/hyperactivity disorder (ADHD): Testing competing predictions from the working memory and behavioral inhibition models of ADHD. Journal of Abnormal Child Psychology, 40, 699–713.

    Article  PubMed  Google Scholar 

  • Swanson, J. M., Schuck, S., Mann, M, Carlson, C., Hartman, K., Sergeant, J., et al. (2001). Categorical and dimensional definitions and evaluations of symptoms of ADHD: The SNAP and SWAN rating scales. Available at: http://adhd.net. Accessed 15 Nov 2015.

  • Toplak, M. E., Pitch, A., Flora, D. B., Iwenofu, L., Ghelani, K., Jain, U., & Tannock, R. (2009). The unity and diversity of inattention and hyperactivity/impulsivity in ADHD: Evidence for a general factor with separable dimensions. Journal of Abnormal Child Psychology, 37, 1137–1150. https://doi.org/10.1007/s10802-009-9336-y.

    Article  PubMed  Google Scholar 

  • Toplak, M. E., Sorge, G. B., Flora, D. B., Chen, W., Banaschewski, T., Buitelaar, J., et al. (2012). The hierarchical factor model of ADHD: Invariant across age and national groupings? Journal of Child Psychology and Psychiatry, 53, 292–303. https://doi.org/10.1111/j.1469-7610.2011.02500.x.

    Article  PubMed  Google Scholar 

  • Trizano-Hermosilla, I., & Alvarado, J. M. (2016). Best alternatives to Cronbach’s alpha reliability in realistic conditions: Congeneric and asymmetrical measurements. Frontiers in Psychology, 7(769). https://doi.org/10.3389/fpsyg.2016.00769.

  • Ullebø, A. K., Breivik, K., Gillberg, C., Lundervold, A. J., & Posserud, M. B. (2012). The factor structure of ADHD in a general population of primary school children. Journal of Child Psychology and Psychiatry, 53, 927–936. https://doi.org/10.1111/j.1469-7610.2012.02549.x.

    Article  PubMed  Google Scholar 

  • Wagner, F., Martel, M. M., Cogo-Moreira, H., Maia, C. R. M., Pan, P. M., Rohde, L. A., & Salum, G. A. (2015). Attention-deficit/hyperactivity disorder dimensionality: The reliable ‘g’ and the elusive ‘s’ dimensions. European Child & Adolescent Psychiatry, 25, 1–8. https://doi.org/10.1007/s00787-015-0709-1.

    Article  Google Scholar 

  • Willcutt, E. G., Nigg, J. T., Pennington, B. F., Solanto, M. V., Rohde, L. A., Tannock, R., et al. (2012). Validity of DSM-IV attention deficit/hyperactivity disorder symptom dimensions and subtypes. Journal of Abnormal Psychology, 121, 991–1010.

    Article  PubMed  PubMed Central  Google Scholar 

  • Willoughby, M. T., Blanton, Z. E., & Investigators, F. L. P. (2015). Replication and external validation of a bi-factor parameterization of attention deficit/hyperactivity symptomatology. Journal of Clinical Child & Adolescent Psychology, 44(1), 68–79.

    Article  Google Scholar 

  • Wolraich, M. L., Lambert, E. W., Baumgaertel, A., Garcia-Tornel, S., Feurer, I. D., Bickman, L., & Doffing, M. A. (2003). Teachers' screening for attention deficit/hyperactivity disorder: Comparing multinational samples on teacher ratings of ADHD. Journal of Abnormal Child Psychology, 31, 445–455. https://doi.org/10.1023/A:1023847719796.

    Article  PubMed  Google Scholar 

  • Yuan, K. H., & Bentler, P. M. (2000). Three likelihood-based methods for mean and covariance structure analysis with nonnormal missing data. Sociological Methodology, 30, 165–200. https://doi.org/10.1111/0081-1780.00078.

    Article  Google Scholar 

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Acknowledgements

This research and report was supported by grants from the Institute of Education Sciences, US Department of Education (R305F100027) and the Eunice Kennedy Schriver National Institute of Child Health and Human Development (HD052120). The views expressed herein are those of the authors and have not been reviewed or approved by the granting agency.

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Correspondence to Darcey M. Allan or Christopher J. Lonigan.

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Allan, D.M., Lonigan, C.J. Examination of the Structure and Measurement of Inattentive, Hyperactive, and Impulsive Behaviors from Preschool to Grade 4. J Abnorm Child Psychol 47, 975–987 (2019). https://doi.org/10.1007/s10802-018-0491-x

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