Abstract
The authors examined the hypothesis that impairments in attention and verbal intelligence are associated with seriously maladaptive social behavior in behavior-disordered, hospitalized adolescents. Twenty-five unmedicated inpatients with disruptive behavior disorder diagnoses were rated during a one-month period for frequency of severe disruptive episodes, or “critical incidents” (CI); these included assaults, behavior resulting in the use of restraints, etc. All subjects independently received intelligence testing and continuous performance testing (CPT). Based on CI scores, subjects were divided into a high-CI group (CI>5; N=9) and a low-CI group (CI<4; N=16). On the CPT, the high-CI group showed more impairment in perceptual sensitivity (d′; this group also had lower verbal IQ scores. (Both findings were significant at the p<.05 level.) The latter result was largely due to differences in Comprehension subtest scores. These results support the hypothesis, and may have implications for the treatment of behavior-disordered adolescents.
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References
American Psychiatric Association. (1987).Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev.). Author, Washington, DC.
Beale, I. L., Matthew, P.J., Oliver, S., and Corballis, M. C. (1987). Performance of disabled and normal readers on the continuous performance test.J Abnorm. Child Psychol. 15: 229–238.
Burke, A. E., Crenshaw, D. A., Green, J., Schlosser, M. A., and Strocchia-Rivera, L. (1989). Influence of verbal ability on the expression of aggression in physically abused children.J. Am. Acad. Child Adoles. Psychiat. 28: 215–218.
Cornblatt, B. A., and Erlenmeyer-Kimling, L. (1985). Global attentional deviance as a marker of risk for schizophrenia: Specificity and predictive validity.J. Abnorm. Psychol. 94: 470–486.
Dodge, K. A., Bates, J. E., and Pettit, G. S. (1990). Mechanisms in the cycle of violence.Science 250: 1678–1683.
Hochhaus, L. (1972). A table for the calculation of d′ and ß.Psychol. Bull. 77: 375–376.
Hodgins, S. (1992). Mental disorder, intellectual deficiency, and crime: Evidence from a birth cohort.Arch. Gen. Psychiatry 49: 476–483.
Klee, S. H., and Garfinkel, B. D. (1983). The computerized continuous performance task: A new measure of inattention.J. Abnorm. Child Psychol. 11: 487–496.
Lewis, D. O., Lovely, R., Yeager, C., and Delia Femina, D. (1989). Toward a theory of the genesis of violence: A follow-up study of delinquents.J. Am. Acad. Child Adoles. Psychiat. 28: 431–436.
Milich, R., and Dodge, K. A. (1984). Social information processing in child psychiatric populations.J. Abnorm. Child Psychol. 12: 471–490.
Moffitt, T. E. (1990). Juvenile delinquency and attention deficit disorder: Boys' developmental trajectories from age 3 to age 15.Child Develop. 61: 893–910.
Moffitt, T. E., and Silva, P. A. (1988a). IQ and delinquency: A direct test of the differential detection hypothesis.J. Abnorm. Psychol. 97: 330–333.
Moffitt, T. E., and Silva, P. A. (1988b). Neuropsychological deficit and self-reported delinquency in an unselected birth cohort.J. Am. Acad. Child Adoles. Psychiat. 27: 233–240.
Moffitt, T. E., and Silva, P. A. (1988c). Self-reported delinquency, neuropsychological deficit, and history of attention deficit disorder.J. Abnorm. Child Psychol. 16: 553–569.
Nuechterlein, K. H. (1983). Signal detection in vigilance tasks and behavioral attributes among offspring of schizophrenic mothers and among hyperactive children.J. Abnorm. Psychol. 92: 4–28.
Nuechterlein, K. H., Parasuraman, R., and Jiang, Q. (1983). Visual sustained attention: Image degradation produces rapid sensitivity decrement over time.Science 220: 327–329.
O'Dougherty, M., Nuechterlein, K. H., and Drew, B. (1984). Hyperactive and hypoxic children: Signal detection, sustained attention, and behavior.J. Abnorm. Psychol. 93: 178–191.
Rosvold, H. E., Mirsky, A. F., Sarason, I., Bransome, E. D., and Beck, L. H. (1956). A continuous performance test of brain damage.J. Consult. Psychol. 20: 343–350.
Rutschmann, J., Cornblatt, B., and Erlenmeyer-Kimling, L. (1977). Sustained attention in children at risk for schizophrenia: Report on a continuous performance test.Arch. Gen. Psychiat. 34: 571–575.
Rutschmann, J., Cornblatt, B., and Erlenmeyer-Kimling, L. (1986). Sustained attention in children at risk for schizophrenia: Findings with two visual continuous performance tests in a new sample.J. Abnorm. Child Psychol. 14: 365–385.
Servan-Schreiber, D., Printz, H., and Cohen, J. D. (1990). A network model of catecholamine effects: Gain, signal-to-noise ratio, and behavior.Science 249: 892–895.
Shapiro, S. K., and Garfinkel, B. D. (1986). The occurrence of behavior disorders in children: The interdependence of attention deficit disorder and conduct disorder.J. Am. Acad. Child Psychiat. 25: 809–819.
Swanson, L. (1981). Vigilance deficit in learning disabled children: A signal detection analysis.J. Child Psychol. Psychiat. 22: 393–399.
Sykes, D. H., Douglas, V. I., and Morgenstern, G. (1973). Sustained attention in hyperactive children.J. Child Psychol. Psychiat. 14: 213–220.
Sykes, D. H., Douglas, V. I., Weiss, G., and Minde, K. K. (1971). Attention in hyperactive children and the effect of methylphenidate (Ritalin).J. Child Psychol. Psychiat. 12: 129–139.
Szatmari, P., Offord, D. R., Siegel, L. S., Finlayson, M. A. J., and Tuff, L. (1990). The clinical significance of neurocognitive impairments among children with psychiatric disorders: Diagnosis and situational specificity.J. Child Psychol. Psychiat. 31: 287–299.
Tarter, R. E., Hegedus, A. M., Winsten, N. E., and Alterman, A. I. (1984). Neuropsychological, personality, and familial characteristics of physically abused delinquents.J. Am. Acad. Child Psychiat. 23: 668–674.
Witkin, H. A., Dyk, R. B., Faterson, H. F., Goodenough, D. R., and Karp, S. A. (1974).Psychological Differentiation. Erlbaum, Potomac, MD. (Originally published 1962.).
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Received M.D. from the University of Wisconsin, Major research interests are adolescent psychopathology, disruptive behavior disorders, and information processing.
Received Ph.D. from the University of Wisconsin. Major research interests are outcomes measurement, psychosis proneness, and psychodiagnostic assessment.
Received Ph.D. from the University of Wisconsin. Major research interests is adolescent psychopathology.
Received M.A. from the State University of New York at Buffalo. Major research interests are adult attachment and mental representation.
Received M.D. from the University of Pennsylvania. Major research interests are schizophrenia, personality disorders, and trauma.
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Becker, D.F., Edell, W.S., Ann Fujioka, T. et al. Attentional and intellectual deficits in unmedicated behavior-disordered adolescent inpatients. J Youth Adolescence 25, 127–135 (1996). https://doi.org/10.1007/BF01537384
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DOI: https://doi.org/10.1007/BF01537384