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European Child & Adolescent Psychiatry

, Volume 14, Issue 3, pp 153–163 | Cite as

Prediction of adolescent outcome in children with disruptive behaviour disorders

A study of neurobiological, psychological and family factors
  • Irene van BokhovenEmail author
  • Walter Matthys
  • Stephanie H. M. van Goozen
  • Herman van Engeland
ORIGINAL CONTRIBUTION

Abstract

In this preliminary study we explored the predictive influence of various family, psychological, demographic, and neurobiological characteristics on the persistence of antisocial behaviour in adolescence. Existing data were combined with case-records in a sample of 47 disruptive behaviour disordered (DBD) children who had been treated in in-patient and/or day-treatment units when they were between seven to 12 years old. Parent-rated and self-rated externalizing problem scores and the presence of a DBD diagnosis served as the outcome measures in adolescence. We used linear regression analyses to examine the predictors of adolescent outcome. A lower basal skin conductance level (SCL) was repeatedly found to predict poor adolescent outcome, either when rated by parents or by participants themselves. In addition, comorbid attention-deficit hyperactivity disorder, one aspect of performance on the door-opening task, and a mother of low socioeconomic status also predicted that a child would have more antisocial problems in adolescence, depending on the type of outcome measure. Results of this study support the fearlessness theory, according to which low activity of the autonomous nervous system, as manifested by low SCL, is related to the effectiveness of socializing punishment and accordingly to poor socialization and adolescent outcome.

Key words

DBD predictors adolescent outcome fearlessness 

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References

  1. 1.
    Achenbach TM (1991a) Manual for the Youth Self-Report and 1991 profile. University of Vermont, Department of Psychiatry, Burlington VTGoogle Scholar
  2. 2.
    Achenbach TM (1991b) Manual for the Child Behavior Checklist/4–18 and 1991 profile. University ofVermont, Department of Psychiatry, Burlington VTGoogle Scholar
  3. 3.
    American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, Fourth Edition. American Psychiatric Association. Washington DCGoogle Scholar
  4. 4.
    Daugherty TK, Quay HC (1991) Response perseveration and delayed responding in childhood behavior disorders. J Child Psychol Psychiatry 32:453–461PubMedGoogle Scholar
  5. 5.
    Farrington DP (1991) Childhood aggression and adult violence: Early precursors and later-life outcomes. In: Pepler DJ, Rubin KH (eds) The development and treatment of childhood aggression. Erlbaum, Hillsdale, NJ, pp 5–29Google Scholar
  6. 6.
    Fergusson DM, Horwood LJ, Lynskey MT (1996a) Childhood sexual abuse and psychiatric disorder in young adulthood, II: psychiatric outcomes of childhood sexual abuse. J Am Acad Child Adolesc Psychiatry 35:1365–1374CrossRefGoogle Scholar
  7. 7.
    Fergusson DM, Lynskey MT (1996) Adolescent resiliency to family adversity. J Child Psychol Psychiatry 37:281–292PubMedGoogle Scholar
  8. 8.
    Fergusson DM, Lynskey MT, Horwood LJ (1996b) Factors associated with continuity and changes in disruptive behavior patterns between childhood and adolescence. J Abnorm Child Psychol 24:533–553CrossRefGoogle Scholar
  9. 9.
    Fonseca AC, Yule W (1995) Personality and antisocial behavior in children and adolescents: an enquiry into Eysenck’s and Gray’s theories. J Abnorm Child Psychol 23:767–781CrossRefPubMedGoogle Scholar
  10. 10.
    Frick PJ, Loney BR (1999) Outcomes of children and adolescents with oppositional defiant disorder and conduct disorder. In: Quay HC, Hogan AE (eds) Handbook of disruptive behavior disorders. Kluwer Academic Publishers, Dordrecht, The Netherlands, pp 507–524Google Scholar
  11. 11.
    Frick PJ, O’Brien BS (1995) Conduct disorders. In:Ammerman RT, Hersen M (eds) Handbook of Child Behavior Therapy in the Psychiatric Setting. Wiley, New York, pp 199–216Google Scholar
  12. 12.
    Hinshaw SP (1992) Externalizing behavior problems and academic underachievement in childhood and adolescence: causal relationships and underlying mechanisms. Psychol Bull 111:127–155CrossRefPubMedGoogle Scholar
  13. 13.
    Klinteberg B, Andersson T, Magnusson D, Stattin H (1993) Hyperactive behavior in childhood as related to subsequent alcohol problems and violent offending: a longitudinal study of male subjects. Personality and Individual Differences 15:381–388CrossRefGoogle Scholar
  14. 14.
    Kruesi MJP, Hibbs ED, Zahn TP, Keysor CS, Hamburger SD, Bartko JJ, Rapoport JL (1992) A 2-year prospective follow-up study of children and adolescents with disruptive behavior disorders. Arch Gen Psychiatry 49:429–435PubMedGoogle Scholar
  15. 15.
    Kruesi MJ, Schmidt ME, Donnelly M, Hibbs ED, Hamburger SD (1989) Urinary-free cortisol output and disruptive behavior in children. J Am Acad Child Adolesc Psychiatry 28:441–443PubMedGoogle Scholar
  16. 16.
    Lahey BB, Applegate B, Barkley RA, Garfinkel B, McBurnett K, Kerdyk L, Greenhill L, Hyne GW, Frick PJ, Newcorn J, Biederman J, Ollendick T, Hart EL, Perez D, Waldman I, Shaffer D (1994) DSM-IV field trials for oppositional defiant disorder and conduct disorder in children and adolescents. J Am Acad Child Adolesc Psychiatry 151:1163–1171Google Scholar
  17. 17.
    Lahey BB, Loeber R, Burke J, Rathouz PJ (2002) Adolescent outcomes of childhood conduct disorder among clinic-referred boys: predictors of improvement. J Abnorm Child Psychol 30:333–348CrossRefPubMedGoogle Scholar
  18. 18.
    Lahey BB, Loeber R, Hart EL, Frick PJ, Applegate B, Zhang Q, Green S, Russo M (1995) Four-year longitudinal study of conduct disorder in boys: Patterns and predictors of persistence. J Abnorm Psychol 104:83–93CrossRefPubMedGoogle Scholar
  19. 19.
    Loeber R (1982) The stability of antisocial and delinquent child behavior: A review. Child Dev 53:1431–1446PubMedGoogle Scholar
  20. 20.
    Loeber R (1991) Antisocial behavior: More enduring than changeable? J Am Acad Child Adolesc Psychiatry 30:393–397PubMedGoogle Scholar
  21. 21.
    Luntz BK, Widom CS (1994) Antisocial personality disorder in abused and neglected children grown up. Am J Psychiatry 151:670–674PubMedGoogle Scholar
  22. 22.
    Mathijssen JJJP, Koot HM, Verhulst FC (1999) Predicting change in problem behavior from child and family characteristics and stress in referred children and adolescents. Dev Psychopathol 11:305–320CrossRefGoogle Scholar
  23. 23.
    Matthys W (1997) Residential behavior therapy for children with conduct disorders. Behav Modif 21:512–532PubMedGoogle Scholar
  24. 24.
    Matthys W, Van Goozen SHM, De Vries H, Cohen-Kettenis PT, Van Engeland H (1998) The dominance of behavioural activation over behavioural inhibition in conduct disordered boys with or without attention deficit hyperactivity disorder. J Child Psychol Psychiatry 39:643–651CrossRefPubMedGoogle Scholar
  25. 25.
    Matthys W, Van Goozen SHM, Snoek H, Van Engeland H (2004) Response perseveration and sensitivity to reward and punishment in boys with oppositional defiant disorder. Eur Child Adolesc Psychiatry 13:362–364CrossRefPubMedGoogle Scholar
  26. 26.
    Maughan B, Rutter M (2001) Antisocial children grown up. In: Hill J, Maughan B (eds) Conduct disorders in childhood and adolescence. Cambridge University Press, Cambridge, pp 507–552Google Scholar
  27. 27.
    Maxfield MG, Widom CS (1996) The cycle of violence: revisited 6 years later. Arch Pediatr Adolesc Med 150:390–395PubMedGoogle Scholar
  28. 28.
    McBurnett K, Lahey BB, Rathouz PJ, Loeber R (2000) Low salivary cortisol and persistent aggression in boys referred for disruptive behavior. Arch Gen Psychiatry 57:38–43CrossRefPubMedGoogle Scholar
  29. 29.
    McCleary R (1966) Response-modulating function of the limbic system: Initiation and suppression. In: Stellar E, Sprague J (eds) Progress in physiological psychology, Vol. 1. Academic Press, New York, pp 209–271Google Scholar
  30. 30.
    Moffitt TE (1990) Juvenile delinquency and attention deficit disorder: Boys’ developmental trajectories from age 3 to age 15. Child Dev 61:893–910PubMedGoogle Scholar
  31. 31.
    Moffitt TE (1993) Adolescence-limited and life-course-persistent antisocial behavior: a developmental taxonomy. Psychol Rev 100:674–701CrossRefPubMedGoogle Scholar
  32. 32.
    Nagin D, Tremblay RE (2001) Parental and early childhood predictors of persistent physical aggression in boys from kindergarten to high school. Arch Gen Psychiatry 58:389–394CrossRefPubMedGoogle Scholar
  33. 33.
    Offord DR, Boyle MH, Racine YA, Fleming JE, Cadman DT, Blum HM, Byrne C, Links PS, Lipman EL, MacMillan HL (1992) Outcome, prognosis, and risk in a longitudinal follow-up study. J Am Acad Child Adolesc Psychiatry 31:916–923PubMedGoogle Scholar
  34. 34.
    Pajer K, Gardner W, Rubin RT, Perel J, Neal S (2001) Decreased cortisol levels in adolescent girls with conduct disorder. Arch Gen Psychiatry 58:297–302CrossRefPubMedGoogle Scholar
  35. 35.
    Pevalin DJ, Wade TJ, Brannigan A (2003) Precursors, consequences and implications for stability and change in pre-adolescent antisocial behaviors. Prev Sci 4:123–136CrossRefPubMedGoogle Scholar
  36. 36.
    Raine A (1993) The psychopathology of crime: Criminal behavior as a clinical disorder.Academic Press, San DiegoGoogle Scholar
  37. 37.
    Raine A, Venables PH, Williams M (1990) Relationships between central and autonomic measures of arousal at age 15 years and criminality at age 24 years. Arch Gen Psychiatry 47:1003–1007PubMedGoogle Scholar
  38. 38.
    Rutter M (1992) Psychosocial resilience and protective mechanisms. In: Rolf J, Masten AS, Cichetti D, Neuchterlein KH, Weintraub S (eds) Risk and protective factors in the development of psychopathology. Cambridge University Press, Cambridge, pp 181–214Google Scholar
  39. 39.
    Scarpa A, Raine A (1997) Psychophysiology of anger and violent behavior. Psychiatr Clin N Am 20:375–394Google Scholar
  40. 40.
    Shaffer D, Fisher P, Lucas CP, Dulcan MK, Schwab-Stone ME (2000) NIMH diagnostic interview schedule for children version IV (NIMH DISC-IV): Description, differences from previous versions, and reliability of some common diagnoses. J Am Acad Child Adolesc Psychiatry 39:28–38CrossRefPubMedGoogle Scholar
  41. 41.
    Shapiro SK, Quay HC, Hogan AE, Schwartz KP (1988) Response perseveration and delayed responding in undersocialized aggressive conduct disorder. J Abnorm Psychol 97:371–373CrossRefPubMedGoogle Scholar
  42. 42.
    Snoek H, Van Goozen SHM, Matthys W, Buitelaar JK, Van Engeland H (2004). Stress responsivity in children with externalizing behavior disorders. Dev Psychopathol 16:389–406PubMedGoogle Scholar
  43. 43.
    Stattin H, Trost K (2000) When do preschool conduct problems link to future social adjustment problems and when do they not? In: Bergman LR, Cairns RR, Nilsson L-G, Nystedt (eds) Developmental science and the holistic approach. Erlbaum, Mahwah, NJ, pp 349–375Google Scholar
  44. 44.
    Taylor E, Chadwick O, Heptinstall E, Danckaerts M (1996) Hyperactivity and conduct problems as risk factors for adolescent development. J Am Acad Child Adolesc Psychiatry 35:1213–1226CrossRefPubMedGoogle Scholar
  45. 45.
    Tremblay RE, Masse B, Perron D, Leblanc M, Schwartzman AE, Ledingham JE (1992) Early disruptive behavior, poor school achievement, delinquent behavior, and delinquent personality: longitudinal analyses. J Consult Clin Psychol 60:64–72CrossRefPubMedGoogle Scholar
  46. 46.
    Tremblay RE, Pihl RO, Vitaro F, Dobkin PL (1994) Predicting early onset of male antisocial behavior from preschool behavior. Arch Gen Psychiatry 51:732–739PubMedGoogle Scholar
  47. 47.
    Van Bokhoven I, Matthys W, Van Goozen SHM, Van Engeland H (2004) Prediction of treatment outcome in children with disruptive behaviour disorders: a study of neurobiological, neuropsychological and psychosocial factors (submitted)Google Scholar
  48. 48.
    Vandersteene G, Van Haasen PP, De Bruyn EEJ, Coetsier P, Pijl YL, Poortinga YH, Lutje Spelberg HC, Spoelders-Claes R, Stinissen J (1986) WISC-R, Wechsler intelligence scale for children—revised. Nederlandstalige uitgave (Dutch version). Swets and Zeitlinger BV, LisseGoogle Scholar
  49. 49.
    Van de Wiel NMH, Matthys W, Cohen-Kettenis PC (2002) Effective treatments of school-aged conduct disordered children: recommendations for changing clinical and research practices. Eur Child Adolesc Psychiatry 11:79–84CrossRefPubMedGoogle Scholar
  50. 50.
    Van de Wiel NHM, Van Goozen SHM, Matthys W, Snoek H, Van Engeland H (2004) Cortisol and treatment effect in children with disruptive behavior disorders: A preliminary study. J Am Acad Child Adolesc Psychiatry 43:1011–1018CrossRefPubMedGoogle Scholar
  51. 51.
    Van Goozen SHM, Cohen-Kettenis PT, Snoek H, Matthys W, Swaab-Barneveld H, Van Engeland H (2004) Executive functioning in children: A comparison of hospitalized ODD and ODD/ADHD children and normal controls. J Child Psychol Psychiatry 45:284–292CrossRefPubMedGoogle Scholar
  52. 52.
    Van Goozen SHM, Matthys W, Cohen-Kettenis PT, Buitelaar JK, Van Engeland H (2000) Hypothalamic-pituitaryadrenal axis and autonomic nervous system activity in disruptive children and matched controls. J Am Acad Child Adolesc Psychiatry 39:1438–1445CrossRefPubMedGoogle Scholar
  53. 53.
    Van Goozen SHM, Matthys W, Cohen-Kettenis PT, Gispen-de Wied C, Wiegant V, Van Engeland H (1998) Salivary cortisol and cardiovascular activity during stress in oppositional defiant disorder boys and normal controls. Biol Psychiatry 43:531–539CrossRefPubMedGoogle Scholar
  54. 54.
    Venables PH (1989) The Emanuel Miller memorial lecture 1987: childhood markers for adult disorders. J Child Psychol Psychiatry 30:347–364PubMedGoogle Scholar
  55. 55.
    Verhulst FC, Van der Ende J, Koot HM (1996) Handleiding voor de CBCL/4-18 (Manual for the CBCL/4-18). Afdeling Kinder- en Jeugdpsychiatrie, Sophia Kinderziekenhuis/Academisch Ziekenhuis Rotterdam, Erasmus Universiteit Rotterdam, RotterdamGoogle Scholar
  56. 56.
    Verhulst FC, Van der Ende J, Koot HM (1997) Handleiding voor de Youth Self-Report (YSR) [Manual for the Youth Self-Report (YSR)]. Afdeling Kinder- en Jeugdpsychiatrie,Sophia Kinderziekenhuis/Academisch Ziekenhuis Rotterdam, Erasmus Universiteit Rotterdam, RotterdamGoogle Scholar
  57. 57.
    Wakschlag LS, Pickett KE, Cook E, Benowitz NL, Leventhal BL (2002) Maternal smoking during pregnancy and severe antisocial behavior in offspring: a review. Am J Public Health 92:966–974PubMedGoogle Scholar
  58. 58.
    Wechsler D (1974) Manual for the Wechsler intelligence scale for children—revised (WISC-R). Psychological Corporation, New YorkGoogle Scholar

Copyright information

© Steinkopff Verlag 2005

Authors and Affiliations

  • Irene van Bokhoven
    • 1
    Email author
  • Walter Matthys
    • 1
  • Stephanie H. M. van Goozen
    • 2
  • Herman van Engeland
    • 1
  1. 1.Department of Child and Adolescent Psychiatry, B01–324University Medical Centre UtrechtUtrechtThe Netherlands
  2. 2.School of PsychologyCardiff UniversityCardiff CF103YG, WalesUK

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