Psychiatric and psychological morbidity as a function of adaptive disability in preschool children with aggressive and hyperactive-impulsive-inattentive behavior.

Autor:	Shelton, Terri L., Barkley, Russell A., Shelton, T L, Barkley, R A, Crosswait, C, Moorehouse, M, Fletcher, K, Barrett, S, Jenkins, L, Metevia, L
Předmět:	ATTENTION-deficit hyperactivity disorder AGGRESSION (Psychology) in children HYPERACTIVE children PRESCHOOL children CHILD psychopathology DIAGNOSIS of learning disabilities LEARNING disabilities ADAPTABILITY (Personality) AGGRESSION (Psychology) COMPARATIVE studies RESEARCH methodology MEDICAL cooperation PARENTING PERSONALITY assessment PATHOLOGICAL psychology RESEARCH RESEARCH funding SOCIAL adjustment COMORBIDITY ACHIEVEMENT EVALUATION research SOCIAL context PSYCHOLOGICAL factors DIAGNOSIS PSYCHOLOGY
Zdroj:	Journal of Abnormal Child Psychology; Dec1998, Vol. 26 Issue 6, p475-494, 20p, 2 Charts
Abstrakt:	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. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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