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Hyperactive Boys Almost Grown Up: V. Replication of Psychiatric Status
Abstract
We previously reported a prospective follow-up study of 101 young adult males whose conditions had been diagnosed as hyperactivity in childhood. Compared with controls, probands had significantly higher rates of attention-deficit, antisocial, and drug use disorders at follow-up (mean age, 18 years). The present study was an attempt to replicate these findings on an independent sample of 94 hyperactive boys who were seen at the same clinic, compared with 78 normal controls. Assessments were made by clinicians who were blind to group membership. Information was obtained for 90% of the original cohort. As in the previous study, significantly more probands than controls were given ongoing diagnoses of attention-deficit disorder (43% vs 4%), antisocial disorders (32% vs 8%), and drug use disorders (10% vs 1%). Furthermore, the absolute rates of these disorders were comparable for corresponding groups across studies, and the adjusted odds ratios did not differ significantly. As previously, there was no increased risk for affective disorders in the grown hyperactive children. The present study provides a powerful replication of the nature of the young adult outcome of childhood hyperactivity.
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“Separate categories for Alcohol and Non-Alcohol SUD were included since our late adolescent and adult follow-ups showed that, compared to controls, probands were at significantly increased risk for Non-Alcohol SUD, but not for Alcohol SUD (3–6).”
From Age of methylphenidate treatment initiation in children with ADHD and later substance abuse: prospective follow-up into adulthood. (2008) · cites this paper as [4]
In the citing paper
“Numerous studies have shown that childhood attention deficit hyperactivity disorder (ADHD) is significantly associated with adolescent and adult substance use disorders (SUD) (1–8).”
From Age of methylphenidate treatment initiation in children with ADHD and later substance abuse: prospective follow-up into adulthood. (2008) · cites this paper as [4]
In the citing paper
“It is not surprising that age at initiation was significantly associated with both SUD and antisocial personality disorder since follow-ups of this sample consistently showed substantial comorbidity between SUD and antisocial disorder (3–6).”
From Age of methylphenidate treatment initiation in children with ADHD and later substance abuse: prospective follow-up into adulthood. (2008) · cites this paper as [4]
Citations
Cites
Hyperactive Boys Almost Grown Up: I. Psychiatric Status
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Hyperactive Boys Almost Grown Up: II. Status of Subjects Without a Mental Disorder
Mannuzza, S. (1988) · Archives of General Psychiatry · doi:10.1001/archpsyc.1988.01800250017003 · Cited by 96
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Prevalence of adult attention-deficit hyperactivity disorder among cocaine abusers seeking treatment
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“, 2006) persisting from childhood into adulthood in 30% to 60% of the cases (Mannuzza et al., 1991; Weiss & Murray, 2003).”
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BackgroundThe Age at Onset of Attention Deficit Hyperactivity Disorder
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Substance Abuse in Young People
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“Indeed, it is likely that there is reciprocity between psychosocial disorders and substance use: the former acts as a potent risk-factor for the latter (Mannuzza et al., 1991), and substance use potentiates existing disorder.”
BackgroundMcMahon, R. J. (1994) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.62.5.901 · Cited by 180
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“At 10-year follow-up (mean age: 18 years old), 94% were assessed (Gittelman et al., 1985; Mannuzza et al., 1991), and at 15-year follow-up (mean age: 25 years old), 85% (n = 176) were interviewed (Mannuzza et al.”
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Self-citationIs self-esteem an important outcome in hyperactive children?
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“One important conclusion is that the disorder continues in 30% to 50% of adolescents (Barkley, Fischer, Edelbrock, & Smallish, 1990; Gittelman, Mannuzza, Shenker, & Bonagura, 1985; Mannuzza et al., 1991; Weiss & Hechtman, 1986).”
BackgroundSelf-citationBurke, J. D., Waldman, I. D., & Lahey, B. B. (2010) · Journal of Abnormal Psychology · doi:10.1037/a0019708 · Cited by 241
“Furthermore, there remains a controversy as to the role of ADHD in the prediction of CD after accounting for ODD (Lahey, McBurnett, & Loeber, 2000; Lahey et al., 2009; Mannuzza, Klein, Abikoff, & Moulton, 2004; Mannuzza et al., 1991).”
BackgroundDriving outcomes of young people with attentional difficulties in adolescence.
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“Of those with ADHD in childhood, 30–50% continue to show symptoms of the disorder in adulthood (Mannuzza et al. 1991).”
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Retz, W., Stieglitz, R., Corbisiero, S., Retz‐Junginger, P., & Rösler, M. (2012) · Expert Review of Neurotherapeutics · doi:10.1586/ern.12.109 · Cited by 188
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“Children with ADHD are also at increased risk of developing substance abuse, and interpersonal and occupational difficulties that can persist into adulthood (Manuzza et al. 1991; Taylor et al. 1996).”
BackgroundNeuropsychological Functioning of Adults with Attention Deficit Hyperactivity Disorder
Walker, A., Shores, E. A., Trollor, J. N., Lee, T., & Sachdev, P. S. (2000) · Journal of Clinical and Experimental Neuropsychology · doi:10.1076/1380-3395(200002)22:1;1-8;ft115 · Cited by 133
“Of those with ADHD in childhood, 30 to 50% continue to show symptoms of the disorder in adulthood (Mannuzza et al., 1991).”
BackgroundDoes Executive Function Matter for Preschoolers’ Problem Behaviors?
Hughes, C. H., & Ensor, R. (2007) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-007-9107-6 · Cited by 149
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“Once conceptualized as a childhood disorder that resolved in adolescence, recent research clearly indicates ADHD persistence into adulthood for 30 to 50% of childhood cases (Mannuzza et al., 1991; Shekim et al., 1990).”
BackgroundReported prevalence of attentional difficulties in a general sample of college students
Weyandt, L., Linterman, I., & Rice, J. A. (1995) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/bf02229304 · Cited by 158
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“Given others’ findings of group differences in drug use disorder for this age range (Mannuzza et al., 1991, 1993), these results may be due to the typicality of heavy drinking among young adults in the general population.”
BackgroundPsychiatric Comorbidities in Children with Attention Deficit Hyperactivity Disorder
Pliszka, S. R. (2003) · Pediatric Drugs · doi:10.2165/00148581-200305110-00003 · Cited by 129
Conduct and oppositional defiant disorders: Epidemiology, risk factors, and treatment
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“Although these relations were examined in several studies (e.g., Gittelman et al., 1985; Mannuzza, Klein, Bessler, Malloy, & LaPadula, 1993; 1998; Mannuzza et al., 1991), we report only on the two that explicitly took into account the overlap of ADHD with CD.”
ResultPharmacotherapy of adult attention deficit/hyperactivity disorder: a review.
Wilens, T., Biederman, J., Spencer, T., & Prince, J. B. (1995) · Journal of Clinical Psychopharmacology · doi:10.1097/00004714-199508000-00006 · Cited by 139
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Dual diagnosis and successful participation of adolescents in substance abuse treatment.
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“Other disorders include ADHD and anxiety disorders; however, there is some debate as to whether ADHD’s association with SUD is primarily through their co-association with CD (Disney, Elkins, McGue, & Iacono, 1999; Biederman et al., 1997; Mannuzza et al., 1991; Barkley, Fischer, Edelbrock, & Smallish, 1990; Halikas, Me…”
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Martin, C. S., Earleywine, M., Blackson, T., Vanyukov, M., Moss, H., & Tarter, R. (1994) · Journal of Abnormal Child Psychology · doi:10.1007/bf02167899 · Cited by 136
In Utero Exposure to Ischemic-Hypoxic Conditions and Attention-Deficit/Hyperactivity Disorder
Getahun, D., Rhoads, G. G., Demissie, K., Lu, S., Quinn, V. P., Fassett, M. J., Wing, D. A., & Jacobsen, S. J. (2012) · PEDIATRICS · doi:10.1542/peds.2012-1298 · Cited by 164
“(3) We repeated the analysis by using conditional logistic regression in cases and controls that were matched (1:5 ratio) by gestational age and by child race/ethnicity.”
MethodGenetics of attention-deficit hyperactivity disorder (ADHD)
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“Both of these disorders are also associated with ADHD and it is no surprise that childhood ADHD predicts adult alcoholism and substance dependence (Clure et al., 1999; Mannuzza et al., 1991; Milin et al., 1991; Ohannessian et al., 1995; Ohlmeier et al., 2008).”
BackgroundIs Attention‐Deficit Hyperactivity Disorder in Adults a Valid Disorder?
Spencer, T., Biederman, J., Wilens, T., & Faraone, S. (1994) · Harvard Review of Psychiatry · doi:10.3109/10673229409017099 · Cited by 131
Attention Deficit Disorder in Adults
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Attention deficit/hyperactivity disorder: characteristics, interventions and models
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Obesity in Men With Childhood ADHD: A 33-Year Controlled, Prospective, Follow-up Study
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Does Prolonged Therapy With a Long-Acting Stimulant Suppress Growth in Children With ADHD?
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“In boys with ADHD, higher rates of later internalizing symptoms than in comparison samples have not been consistently reported (Fischer, Barkley, Smallish, & Fletcher, 2002; Hinshaw, 2002; Mannuzza et al., 1991).”
BackgroundAttention-Deficit/Hyperactivity Disorder: Diagnosis, Lifespan, Comorbidities, and Neurobiology
Spencer, T. J., Biederman, J., & Mick, E. O. (2007) · Ambulatory Pediatrics · doi:10.1016/j.ambp.2006.07.006 · Cited by 295
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“In the neuroscience literature, attention is considered to be composed of several different attention networks (Parasuraman, 2000; Posner & Petersen, 1990; Tsal, Shalev, & Mevorach, 2005). Tsal and colleagues (2005) describe four attention functions, independent to some degree, and assumed to be localized in different…”
BackgroundADHD and the Rise in Stimulant Use Among Children
Mayes, R., Bagwell, C. L., & Erkulwater, J. L. (2008) · Harvard Review of Psychiatry · doi:10.1080/10673220802167782 · Cited by 106
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“adult outcome [3,4,18,19,27,47,48].”
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“Longitudinal follow-up studies of children diagnosed with ADHD often find that these youth display elevated rates of substance use and abuse during adolescence (Barkley et al., 1990; Burke, Loeber, & Lahey, 2001; Hartsough & Lambert, 1987; Mannuzza et al., 1991; Milberger, Biederman, Faraone, Wilens, & Chu, 1997; Moli…”
BackgroundAdult ADHD and comorbid depression: A consensus-derived diagnostic algorithm for ADHD
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Pathways From ADHD to Early Drug Use
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Self-citationAdult ADHD and Substance Abuse: Diagnostic and Treatment Issues
Kalbag, A. S., & Levin, F. R. (2005) · Substance Use & Misuse · doi:10.1080/10826080500294858 · Cited by 104
“Given the negative effect that ADHD has on an individual’s social and occupational functioning (Mannuzza et al., 1991, 1993, 1997; Mannuzza and Klein, 2000; Weiss et al., 1999; Murphy et al., 2002), and the worse response that those who have substance use disorders and comorbid ADHD have in…”
BackgroundGreene, R. W., Biederman, J., Faraone, S., Wilens, T., Mick, E., & Blier, H. K. (1999) · Journal of Clinical Child Psychology · doi:10.1207/s15374424jccp280307 · Cited by 104
Substance Abuse in Patients with Attention-Deficit Hyperactivity Disorder: Therapeutic Implications
Schubiner, H. (2005) · CNS Drugs · doi:10.2165/00023210-200519080-00001 · Cited by 104
Bupropion Treatment for Cocaine Abuse and Adult Attention-Deficit/Hyperactivity Disorder
Levin, F. R., Evans, S. M., McDowell, D. M., Brooks, D. J., & Nunes, E. (2002) · Journal of Addictive Diseases · doi:10.1300/j069v21n02_01 · Cited by 102
“21(2) 2002 2002 by The Haworth Press, Inc.”
MethodResultFactor Structure and Criterion Validity of Secondary School Teacher Ratings of ADHD and ODD
Molina, B. S. G., Smith, B. H., & Pelham, W. E. (2001) · Research on Child and Adolescent Psychopathology · doi:10.1023/a:1005203629968 · Cited by 99
Stopping and changing in adults with ADHD
BEKKER, E. M., OVERTOOM, C. C., KENEMANS, J. L., KOOIJ, J. J., DE NOORD, I., BUITELAAR, J. K., & VERBATEN, M. N. (2005) · Psychological Medicine · doi:10.1017/s0033291704003459 · Cited by 101
“Although traditionally considered a childhood disorder, it has become clear that approximately 30–66% of the patients do not outgrow their problems (Weiss et al. 1985; Mannuzza et al. 1991; Barkley et al. 2002; Pary et al. 2002).”
An update on the pharmacotherapy of attention-deficit/hyperactivity disorder in adults
Wilens, T. E., Morrison, N. R., & Prince, J. B. (2011) · Expert Review of Neurotherapeutics · doi:10.1586/ern.11.137 · Cited by 117
Untreated ADHD in Adults: Are There Sex Differences in Symptoms, Comorbidity, and Impairment?
Rasmussen, K., & Levander, S. (2009) · Journal of Attention Disorders · doi:10.1177/1087054708314621 · Cited by 100
“Higher frequency of ADHD among substance abusers has been found (Carroll & Rounsaville, 1993), as well as higher risk for substance abuse in ADHD (Biederman et al., 1997; Mannuzza et al., 1991).”
BackgroundAttention deficit hyperactivity disorder and borderline personality disorder
Davids, E., & Gastpar, M. (2005) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2005.04.033 · Cited by 101
Lack of gender effects on subtype outcomes in adults with attention–deficit/hyperactivity disorder
Grevet, E., Bau, C. H. D., Salgado, C. A., Fischer, A. G., Kalil, K., Victor, M., Garcia, C. R., Sousa, N., Rohde, L., & Belmonte-de-Abreu, P. (2006) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-006-0639-5 · Cited by 99
Kollins, S. H. (2008) · Current Medical Research and Opinion · doi:10.1185/030079908x280707 · Cited by 97
Attention Deficit Hyperactivity Disorder Across the Lifespan: The Child, Adolescent, and Adult
Greydanus, D. E., Pratt, H. D., & Patel, D. R. (2007) · Disease-a-Month · doi:10.1016/j.disamonth.2007.01.001 · Cited by 98
The development of ADHD boys: A 12-year follow-up.
Claude, D., & Firestone, P. (1995) · Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement · doi:10.1037/0008-400x.27.2.226 · Cited by 97
Eiraldi, R., Power, T. J., Karustis, J. L., & Goldstein, S. (2000) · Journal of Clinical Child Psychology · doi:10.1207/s15374424jccp2901_2 · Cited by 96
“Up to 70% of children with ADHD continue to meet diagnostic criteria into adolescence (Gittelman, Mannuzza, Shenker, & Bonagura, 1985; Klein & Mannuzza, 1991), and at least 50% meet diagnostic criteria into young adulthood (Mannuzza et al., 1991).”
BackgroundAttention Deficit Disorders and Sleep/Arousal Disturbance
BROWN, T. E., & McMULLEN, W. J. (2001) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2001.tb05784.x · Cited by 95
Metadata
- Authors
- Mannuzza, S.
- Affiliations
- Long Island Jewish Medical Center (US)
- Corresponding author
- Mannuzza, Salvatore
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 1991-01-01
- Volume
- 48
- Issue
- 1
- Pages
- 77
- ISSN
- 0003-990X (ISSN-L)
- OpenAlex
- W2108483316
- Cited by
- 549
- References
- 0
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 6 · 2019: 3 · 2018: 5 · 2017: 3 · 2016: 4 · 2015: 12 · 2014: 16 · 2013: 18 · 2012: 21
- FWCI
- 14.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of General Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH-18579, R01MH018579, MH30906)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Keywords
- hyperactive children, adult outcomes, attention deficit disorder, antisocial personality disorder, drug use disorders, mood disorders, replication study, young men, long-term follow-up
- MeSH terms
- Adolescent, Age Factors, Alcoholism, Antisocial Personality Disorder, Attention Deficit Disorder with Hyperactivity, Mental Disorders, Child, Child Behavior Disorders, Child, Preschool, Female, Follow-Up Studies, Humans, Infant, Male, Psychiatric Status Rating Scales, Psychometrics, Regression Analysis, Comorbidity, Prevalence, Substance-Related Disorders
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