Abstract
This study investigated 54 children (37 boys and 17 girls) with cross-situational attention deficit hyperactivity disorder (ADHD) to determine whether there are sex differences in the expression of either the primary or secondary symptomatology of ADHD. Results indicated that the male and female ADHD groups were strikingly similar on all measures of primary (impulsivity, inattention, and overactivity) and secondary (learning problems, externalizing symptoms, internalizing symptoms, peer relationship difficulties, and self-perceptions) symptomatology included in this study. The lack of significant sex differences conflicts with prior reports in the literature, and these conflicting results are discussed in terms of differences in inclusion criteria. Implications for understanding the long-term outcome of ADHD in girls are also discussed.
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References
Barkley, R. A. (1981).Hyperactive children: A handbook for diagnosis and treatment. New York: Guilford Press.
Battle, E. S., & Lacey, B. (1972). A context for hyperactive children over time.Child Development, 43, 757–773.
Berry, C. A., Shaywitz, S. E., & Shaywitz, B. A. (1985). Girls with attention deficit disorder: A silent minority? A report on behavioral and cognitive characteristics.Pediatrics, 76, 801–809.
Befera, M. S., & Berkley, R. A. (1985). Hyperactive and normal girls and boys: Mother-child interactions, parent psychiatric status, and child psychopathology.Journal of Child Psychology and Psychiatry, 26, 439–452.
Campbell, S. B., Endman, M. W., & Bernfeld, G. (1977). A three-year follow-up of hyperactive preschoolers into elementary school.Journal of Child Psychology, Psychiatry, and Allied Disciplines, 18, 239–249.
Cohen, J. (1977).Statistical power analysis for the behavioral sciences. New York: Academic Press.
Conners, C. K. (1969). A teacher rating scale for use in drug studies with children.American Journal of Psychiatry, 126, 884–888.
Conners, C. K. (1973). Rating scales for use in drug studies with children.Psychopharmacology Bulletin (Special issue, Pharmacotherapy of Children), 24–29.
Conners, C. K. (1980).CPT Program. Laboratory of Behavioral Medicine, Department of Psychiatry, Children's Hospital National Medical Center, Washington, D.C.
de Haas, P. A., & Young, R. D. (1984). Attention styles of hyperactive and normal girls.Journal of Abnormal Child Psychology, 12, 531–546.
Dodge, K. A., Trachtenberg, S. E., & McClaskey, C. L. (1984a).The teacher's checklist of children's peer relationships. Unpublished manuscript, Indiana University, Bloomington.
Dodge, K. A., Trachtenberg, S. E., & McClaskey, C. L. (1984b).The teacher's checklist of children's social skills. Unpublished manuscript, Indiana University, Bloomington.
Dunn, L. M., & Dunn, L. M. (1981).Peabody Picture Vocabulary Test-Revised. Circle Pines, MN: American Guidance Service.
Goyette, C. H., Conners, C. K., & Ulrich, R. F. (1978). Normative data on Revised Conners Parent and Teacher Rating Scales.Journal of Abnormal Child Psychology, 6, 221–236.
Hechtman, L., Weiss, G., Perlman, T., & Amsel, R. (1984). Hyperactives as young adults: Initial predictors of adult outcome.Journal of the American Academy of Child Psychiatry, 23, 250–260.
Horn, W. F., & Ialongo, N. (1988). Multi-modal treatment of ADHD children. In H. Fitzgerald, B. Lester, & M. Yogman (Eds.),Advances in Pediatric Psychology, (pp. 175–220). New York: Plenum.
Horn, W. F., Ialongo, N., Popovich, S., & Peradotto, D. (1987). Behavioral parent training and cognitive-behavioral self-control therapy with ADD-H children: Comparative and combined effects.Journal of Clinical Child Psychology, 16, 57–68.
Humphrey, L. L. (1982). Children's and teachers' perspectives on children's self-control: The development of two rating scales.Journal of Consulting and Clinical Psychology, 50, 624–633.
Hunter, J. E., & Gerbing, D. W. (1982). Unidimensional measurement, second order factor analysis, and causal models.Research in Organizational Behavior, 4, 267–320.
Jastak, S., & Wilkinson, G. S. (1984).The Wide Range Achievement Test-Revised. Wilmington, DE: Jastak Associates.
Johnston, C., Pelham, W., & Murphy, H. (1985). Peer relationships in ADDH and normal children: A developmental analysis of peer and teacher ratings.Journal of Abnormal Child Psychology, 13, 89–100.
Kagan, J., Rosman, B. L., Day, D., Albert, J., & Phillips, W. (1964). Information processing in the child: Significance of analytic and reflective attitudes.Psychological Monographs,78(1, Serial No. 578).
Kashani, J., Chapel, J. L., Ellis, J., & Shekim, W. D. (1979). Hyperactive girls.Journal of Operational Psychiatry, 10, 145–148.
Kendall, P. C.,&Wilcox, L. E. (1979). Self-control in children: Development of a rating scale.Journal of Consulting and Clinical Psychology, 47, 1020–1029.
Klee, S. H., & Garfinkel, B. D. (1983). The computerized continuous performance task: A new measure of inattention.Journal of Abnornal Child Psychology, 11, 487–496.
Loney, J., Whaley-Klahn, M., Kosier, T., & Conboy, J. (1983). Hyperactive boys and their brothers at 21: Predictors of aggressive and antisocial outcomes. In S. Mednick & K. Van Dusen (Eds.),Prospective studies in delinquent and criminal behavior (pp. 181–206). Boston: Kluiver-Nijhoff.
Mash, E. H., & Johnson, C. (1983). Parental percpetions of child behavior problems, parenting self-esteem, and mothers' reported stress in younger and older hyperactive and normal children.Journal of Consulting and Clinical Psychology, 51, 68–99.
McGee, R., Williams, S., & Silva, P. A. (1987). A comparison of girls and boys with teacher-identified problems of attention.Journal of the American Academy of Child and Adolescent Psychiatry, 26, 711–717.
Milich, R., Roberts, M. A., Loney, J., & Caputo, J. (1980). Differentiating practice effects and statistical regression on the Conners Hyperactivity Index.Journal of Abnormal Child Psychology, 8, 549–552.
Nunnally, J. (1978).Psychometric theory (2nd ed.). New York: McGraw-Hill.
O'Dougherty, M., Nuechterlein, K. H., & Drew, B. (1984). Hyperactive and hypoxic children: Signal detection, sustained attention and behavior.Journal of Abnormal Psychology, 93, 178–191.
O'Leary, R. D., Vivian, D., & Cornoldi, C. (1984). Assessment and treatment of “hyperactivity” in Italy and the United States.Journal of Clinical Child Psychology, 13, 56–60.
Pelham, W., Atkins, M. S., & Murphy, H. A. (1981).Attention deficit disorder with and without hyperactivity: Definitional issues and correlates. paper presented at the 89th Annual Meeting of the American Psychological Association, Los Angeles, CA.
Piers, E.V. (1969).Manual for the Piers-Harris Children's Self-Concept Scale (The Way I Feel About Myself). Los Angeles: Western Psychological Services.
Piers, E. V. (1984).Manual for the Piers-Harris Children's Self-Concept Scale (The Way I Feel About Myself). Los Angeles: Western Psychological Services.
Quay, L., & Brown, R. (1980). Hyperactive and normal children and the error, latency, and double median split scoring procedures of the Matching Familiar Figures Test.Journal of School Psychology, 18, 12–16.
Ross, D., & Ross, S. (1982).Hyperactivity: Current issues, research and theory. New York: Wiley.
Rubinstein, R. A., & Brown, R. T. (1984). An evaluation of the validity of the diagnostic category of attention deficit disorder.American Journal of Orthopsychiatry, 54, 398–414.
Sandberg, S. T., Rutter, M., & Taylor, E. (1978). Hyperkinetic disorder in psychiatric clinic attenders.Developmental Medicine and Child Neurology, 20, 279–299.
Sandoval, J. S., Lambert, N. M., & Sassone, D. (1980). The identification and labelling of hyperactivity in children: An interactive model. In C. K. Whalen & B. Henker (Eds.),Hyperactive children: The social ecology of identification and treatment (pp. 145–171). New York: Academic Press.
Schachar, R., Rutter, M., & Smith, A. (1981). The characteristics of situationally and pervasively hyperactive children: Implications for syndrome definition.Journal of Child Psychology and Psychiatry, 22, 375–392.
Schleifer, M., Weiss, G., Cohen, N., Elman, M., Cvejic, H., & Kruger, E. (1975). Hyperactivity in preschoolers and the effect of methylphenidate.American Journal of Orthopsychiatry, 45, 38–50.
Sykes, D. H., Douglas, V. I., & Morgenstern, G. L. (1973). Sustained attention in hyperactive children.Journal of Child Psychology and Psychiatry, 14, 213–220.
Wendler, C. L. W. (1984).Examining the dimensionality of self-concept using the Piers-Harris. Paper presented at the Annual Meeting of the American Psychological Association, Toronto, Ontario.
Whalen, C. K.,& Henker, B. (1980).Hyperactive children: The social ecology of identification and treatment. New York: Academic Press.
Wirt, R. D., Lachar, D., Klinedinst, J. D., & Seat, P. D. (1984).Multidimensional description of child personality: A manual for the Personality Inventory for Children-Revised 1984. Los Angeles: Western Psychological Services.
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Horn, W.F., Wagner, A.E. & Lalongo, N. Sex differences in school-aged children with pervasive attention deficit hyperactivity disorder. J Abnorm Child Psychol 17, 109–125 (1989). https://doi.org/10.1007/BF00910773
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DOI: https://doi.org/10.1007/BF00910773