Journal of Abnormal Child Psychology

, Volume 26, Issue 6, pp 475–494

Psychiatric and Psychological Morbidity as a Function of Adaptive Disability in Preschool Children with Aggressive and Hyperactive-Impulsive-Inattentive Behavior

  • Terri L. Shelton
  • Russell A. Barkley
  • Cheryl Crosswait
  • Maureen Moorehouse
  • Kenneth Fletcher
  • Susan Barrett
  • Lucy Jenkins
  • Lori Metevia
Article

DOI: 10.1023/A:1022603902905

Cite this article as:
Shelton, T.L., Barkley, R.A., Crosswait, C. et al. J Abnorm Child Psychol (1998) 26: 475. doi:10.1023/A:1022603902905

Abstract

Children with high levels of aggressive-hyperactive-impulsive-inattentive behavior (AHII; n = 154) were subdivided into those with (n = 38) and without (n = 116) adaptive disability (+AD/−AD) defined as a discrepancy between expected versus actual adaptive functioning. They were compared to each other and a control group of 47 normal children. Both AHII groups were more likely to have attention deficit hyperactivity disorder (ADHD), oppositional defiant disorder, and conduct disorder than control children; more symptoms of general psychopathology; greater social skills deficits; more parental problems; and lower levels of academic achievement skills. Compared to AHII − AD children, AHII + AD children had (1) more conduct disorder; (2) greater inattention and aggression symptoms; (3) more social problems, less academic competence, and poorer self-control at school; (4) more severe and pervasive behavior problems across multiple home and school settings; and (5) parents with poorer child management practices. Thus, adaptive disability has utility as a marker for more severe and pervasive impairments in AHII children.

Inattention aggression hyperactivity ADHD preschool children 

Copyright information

© Plenum Publishing Corporation 1998

Authors and Affiliations

  • Terri L. Shelton
    • 1
  • Russell A. Barkley
    • 2
  • Cheryl Crosswait
    • 3
  • Maureen Moorehouse
    • 3
  • Kenneth Fletcher
    • 4
  • Susan Barrett
    • 4
  • Lucy Jenkins
    • 4
  • Lori Metevia
    • 4
  1. 1.University of North Carolina at GreensboroGreensboro
  2. 2.Department of PsychiatryUniversity of Massachusetts Medical CenterWorcester
  3. 3.Worcester Public SchoolsWorcester
  4. 4.University of Massachusetts Medical CenterWorcester

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