Links between within-person fluctuations in hyperactivity/attention problems and subsequent conduct problems

J Child Psychol Psychiatry. 2016 Apr;57(4):502-9. doi: 10.1111/jcpp.12466. Epub 2015 Sep 28.

Abstract

Background: The onset of hyperactivity/impulsivity and attention problems (HAP) is typically younger than that of conduct problems (CP), and some research supports a directional relation wherein HAP precedes CP. Studies have tested this theory using between-person and between-group comparisons, with conflicting results. In contrast, prior research has not examined the effects of within-person fluctuations in HAP on CP.

Method: This study tested the hypothesis that within-person variation in HAP would positively predict subsequent within-person variation in CP, in two population samples of youth (N = 620) who participated in identical methods of assessment over the course of 30 months. Three-level, hierarchical models were used to test for within-person, longitudinal associations between HAP and CP, as well as moderating effects of between-person and between-family demographics.

Results: We found a small but significant association in the expected direction for older youth, but the opposite effect in younger and non-Caucasian youth. These results were replicated across both samples.

Conclusions: The process by which early HAP relates to later CP may vary by age and racial identity.

Keywords: ADHD; conduct problems; disruptive behavior; longitudinal; within-person.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Age Factors
  • Attention Deficit Disorder with Hyperactivity / epidemiology*
  • Attention Deficit Disorder with Hyperactivity / ethnology
  • Child
  • Colorado / epidemiology
  • Comorbidity
  • Conduct Disorder / epidemiology*
  • Conduct Disorder / ethnology
  • Disease Progression*
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • New Jersey / epidemiology