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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]
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Hyperactive Boys Almost Grown Up: I. Psychiatric Status
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BackgroundInfluentialAttention Deficit Hyperactivity Disorder: manifestation in adulthood
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“…(Barkley, Fischer, Edelbrock, & Smallish, 1990; Biederman et al., 1996; Gittelman, Mannuzza, Shenker, & Bonagura, 1985; Greenberg, 1994; Hunt, 1997; Klein & Mannuzza, 1991; Mannuzza et al., 1991; Mannuzza, Klein, Bessler, Malloy, & Hynes, 1993; Spencer, Biederman, Wilens, & Faraone, 1998).”
Wilens, T., Kwon, A., Tanguay, S., Chase, R., Moore, H., Faraone, S., & Biederman, J. (2005) · American Journal on Addictions · doi:10.1080/10550490591003639 · Cited by 87
Mannuzza, S., Klein, R. G., & Moulton, J. L. (2003) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/104454603322572606 · Cited by 83
“The findings that children with ADHD are at increased risk for SUD in adolescence and adulthood render these hypotheses relevant (Gittelman et al. 1985; Mannuzza et al. 1991, 1993, 1998).”
Self-citationBUSSING, R., ZIMA, B. T., & PERWIEN, A. R. (2000) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200010000-00013 · Cited by 82
Vitiello, B. (2001) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/104454601750143384 · Cited by 76
“Because ADHD is a chronic condition, which is typically first apparent in preschool or early school years, and can persist into adolescence (Mannuzza et al. 1991) and even adulthood (Mannuzza et al. 1998), stimulants are often administered for many years starting in early childhood.”
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“…substance use as adolescents (Barkley, Fischer, Edelbrock, & Smallish, 1990; Biederman et al., 1996; Gittelman, Mannuzza, Shenker, & Bonagura, 1985; Katusic et al., 2005; Mannuzza et al., 1991; Molina et al., 2007; Molina & Pelham, 2003; Satterfield, Hoppe, & Schell, 1982; Sibley et al., in press).”
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“More recently, it has been widely accepted that the defining characteristics of childhood ADHD to some extent persist into adulthood and that approximately 30% to 50% of individuals continue to meet diagnostic criteria for ADHD in adulthood (Barkley, Fischer, Edelbrock, & Smallish, 1990; Klein & Mannuzza, 1991; Mannuz…”
BackgroundNeurobiology of Attention Deficit Hyperactivity Disorder
Kieling, C., Kieling, R. R., Tannock, R., & Castellanos, F. X. (2008) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2007.11.012 · Cited by 142
Mannuzza, S., Klein, R., & Moulton, J. L. I. (2002) · Journal of Abnormal Child Psychology · doi:10.1023/a:1014761401202 · Cited by 71
Self-citationSchulz, K. P., Tang, C. Y., Fan, J., Marks, D. J., Newcorn, J. H., Cheung, A. M., & Halperin, J. M. (2005) · Neuropsychology · doi:10.1037/0894-4105.19.3.390 · Cited by 71
Windle, M. (1993) · Journal of Studies on Alcohol · doi:10.15288/jsa.1993.54.422 · Cited by 69
Hyperactivity: prevalence and relationship with conduct disorder.
Mcardle, P., O'Brien, G., & Kolvin, I. (1995) · Journal of Child Psychology and Psychiatry and Allied Disciplines · doi:10.1111/j.1469-7610.1995.tb01825.x · Cited by 68
Parental alcohol consumption and deviant child behavior: Laboratory studies of reciprocal effects
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ADHD and Delinquency – a Developmental Perspective
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Hormonal and behavioral homeostasis in boys at risk for substance abuse
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Inhibitory Control in Adults with Attention-Deficit/Hyperactivity Disorder
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“Although 30 – 40 % of affected children show a reduction of symptoms in adolescence [6], related impairments are enduring [2, 3] and are associated with increased risk of poor academic achievement and early school dropout, increased rates of criminality, substance abuse and mental health disorders…”
BackgroundSchweiger, A., Amitai Abramovitch, A., Doniger, G. M., & Simon, E. S. (2006) · Journal of Clinical and Experimental Neuropsychology · doi:10.1080/13803390500519738 · Cited by 63
“Research suggests that one to two thirds of children diagnosed with ADHD will continue to present significant ADHD symptoms throughout adulthood (Biederman et al., 1996; Mannuzza et al., 1991; Wender et al., 2001).”
BackgroundMagee, C., Clarke, A. R., Barry, R. J., McCarthy, R., & Selikowitz, M. (2005) · Clinical Neurophysiology · doi:10.1016/j.clinph.2004.12.007 · Cited by 60
“…untreated it can significantly impair cognitive and behavioural functioning, increasing the risk of social problems and psychopathology in later life (Barkley, 1997a,b; Cantwell, 1996; Daley, 2004; Dulcan et al., 1997; Mannuzza et al., 1991; Root and Resnick, 2003; Satterfield et al., 1972, 1982).”
BackgroundTrauma and adult attention deficit hyperactivity disorder
Kaya, A., Taner, Y., Guclu, B., Taner, E., Kaya, Y., Bahcivan, H., & Benli, I. (2008) · Journal of International Medical Research · doi:10.1177/147323000803600102 · Cited by 63
The Link Between ADHD and the Risk of Sexual Victimization Among College Women
Snyder, J. A. (2015) · Violence Against Women · doi:10.1177/1077801215593647 · Cited by 62
“…anxiety, depression (Young & Gudjonsson, 2006; Young, Toone, & Tyson, 2003), antisocial activities (Barkley, Fischer, Smallish, & Fletcher, 2004; Mannuzza et al., 1991), family difficulties (Ingram et al., 1999; Murphy & Barkley, 1996; Wilens et al., 2003), and substance abuse (Barkley et al.,…”
BackgroundMannuzza, S., Castellanos, F. X., Roizen, E. R., Hutchison, J. A., Lashua-Shriftman, E., & Klein, R. G. (2010) · Journal of Attention Disorders · doi:10.1177/1087054709359907 · Cited by 64
“A comparison group consisting of non-ADHD White males (n = 178) matched for age, social class, and geographic residence was recruited at adolescent followup (Gittelman, Mannuzza, Shenker, & Bonagura, 1985; Mannuzza et al., 1991).”
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“ADHD is a serious risk factor of comorbid psychiatric disorders (antisocial personality disorder, substance abuse, affective disorders) [9, 52], and also shows significant correlation with poor socioeconomic outcome and functional impairment (lower level of education, higher level of unemployment, higher rate of unsuc…”
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Long-Term Follow-Up of Children with Mental Retardation/Borderline Intellectual Functioning and ADHD
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“…researchers have noted the rate of conduct disorders among children with ADHD to range between 25% and 50% at follow-up during adolescence (e.g., Barkley, Fisher, Edelbrock, & Smallish, 1990; Gittelman, Mannuzza, Shenker, & Bonagura, 1985; Hoy, Weiss, Minde, & Cohen, 1978; Mannuzza et al, 1991).”
BackgroundKasen, S., Cohen, P., Brook, J., & Hartmark, C. (1996) · Journal of Abnormal Child Psychology · doi:10.1007/bf01441481 · Cited by 62
Neuropsychological assessment of adults with ADHD: A Delphi consensus study
Fuermaier, A. B. M., Fricke, J. A., de Vries, S. M., Tucha, L., & Tucha, O. M. (2018) · Applied Neuropsychology Adult · doi:10.1080/23279095.2018.1429441 · Cited by 77
“…that about 30–60% of children diagnosed with attention deficit hyperactivity disorder (ADHD) still suffer from symptoms of ADHD in adulthood (American Psychiatric Association, 2013; Barbaresi et al., 2013; Biederman, Mick, & Faraone, 2000; Mannuzza et al., 1991; Seidman, Valera, & Makris, 2005).”
BackgroundA Systematic Review of Global Publication Trends Regarding Long-Term Outcomes of ADHD
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Effectiveness Research in the Context of School-Based Mental Health
Owens, J., & Murphy, C. E. (2004) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-004-6085-x · Cited by 61
Chou, I., Lin, C., Sung, F., & Kao, C. (2014) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.12501 · Cited by 64
Relationship between ADHD and Anxiety in Boys: Results from a Family Study
Perrin, S. G., & Last, C. G. (1996) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199608000-00009 · Cited by 53
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Independence and interplay between maternal and child risk factors for preschool problem behaviors?
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“…effective interventions, these disorders are associated with serious long-term outcomes such as school failure, delinquency, substance abuse and criminality (Fergusson & Horwood, 1998; Fergusson & Lynskey, 1998; Mannuzza, Klein, Bessler, Malloy, & LaPadula, 1993, 1998; Mannuzza et al., 1991).”
BackgroundGrizenko, N. (1997) · Journal of the American Academy of Child and Adolescent Psychiatry · doi:10.1097/00004583-199707000-00022 · Cited by 59
Childhood Psychopathology in Families with Multigenerational Alcoholism
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WILENS, T. E., BOELLNER, S. W., LÓPEZ, F. A., TURNBOW, J. M., WIGAL, S. B., CHILDRESS, A. C., ABIKOFF, H. B., & MANOS, M. J. (2008) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e31816bffdf · Cited by 58
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“Tests of the independent contribution of ADHD to ASB have yielded inconsistent results (Barkley, Fischer, Edelbrock, & Smallish, 1990; Farrington, Loeber, & Van Kammen, 1990; Mannuzza et al., 1991; Mannuzza & Klein, 1999).”
ResultOne-year outcome of adolescent females referred for conduct disorder and substance abuse/dependence.
Whitmore, E. A., Mikulich, S. K., Ehlers, K. M., & Crowley, T. J. (2000) · Drug and Alcohol Dependence · doi:10.1016/s0376-8716(99)00112-x · Cited by 58
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Is Adult-Onset ADHD a Distinct Entity?
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“A positive diagnosis was assigned if the adolescent met the full diagnostic criteria through either the adolescent report or the parent report (e.g., Gittelman et al., 1985; Mannuzza et al., 1991).”
MethodGau, S. S., Lin, Y., Cheng, A. T. A., Chiu, Y., Tsai, W., & Soong, W. (2010) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048670903487233 · Cited by 54
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“The percentage of children who retain the diagnosis into adulthood varies across studies from 30% to 60% according to the criteria used to assess ADHD symptoms in the adult population [Barkley et al., 1990; Mannuzza et al., 1991; Weiss et al., 2000].”
BackgroundLatimer, W., August, G., Newcomb, M. D., Realmuto, G., Hektner, J. M., & Mathy, R. (2003) · Journal of Attention Disorders · doi:10.1177/108705470300700204 · Cited by 56
“…Smallish, 1990; Biederman, Faraone, Milberger, & Guite; 1996; Gittelman, Mannuzza, Shenker, & Bonagura; 1985; Kazdin, 1995; Loeber & Dishion, 1983; Mannuzza et al., 1991; Weiss & Hechtman, 1993), and psychiatric disorders (e.g., major depression and several personality disorders; Fischer,…”
BackgroundTorralva, T., Gleichgerrcht, E. L., Lischinsky, A. G., Roca, M., & Manes, F. F. (2012) · Journal of Attention Disorders · doi:10.1177/1087054710389988 · Cited by 56
“However, ADHD is now recognized as a disorder that persists into adolescence and further into adulthood in 40% to 70% of all cases (August, Braswell, & Thuras, 1998; Mannuzza et al., 1991; Weiss, Hechtman, Milroy, & Perlman, 1985; Weiss, Hechtman, Perlman, Hopkins, & Wener, 1979), affecting personal, social, academic,…”
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Family Environment Factors and Substance Abuse Severity in an HMO Adolescent Treatment Population
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“, 1996; Slomkowski, Klein, & Mannuzza, 1995), and investigators have indicated that problems due to ADHD are not just transient phenomena, but can adversely affect the developmental path of affected youngsters, resulting in impaired adult productivity and well-being (Mannuzza, Klein, Bessler, Malloy, & LaPadula, 1993;…”
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Attention Deficit Hyperactivity Disorder and Substance Use Disorders
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Disruptive Behavior Disorders and Substance Use Disorders in Adolescents
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The Diagnosis and Management of Attention-Deficit/Hyperactivity Disorder in Pediatric Patients
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“Once considered a childhood disease, it is now known that approximately 40% to 70% of children with ADHD will have symptoms persist into adolescence and adulthood.(3,4) ADHD is characterized by various symptoms of inattention and/or hyperactivity and impulsivity.”
BackgroundChildren's Persistence with Methylphenidate Therapy: A Population-Based Study
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Risk factors for adult antisocial personality
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PTSD and ADHD: underlying factors in many cases of burnout
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Fones, C. S. L., Pollack, M. H., Susswein, L., & Otto, M. (2000) · Journal of Affective Disorders · doi:10.1016/s0165-0327(99)00065-8 · Cited by 47
“(Gittelman et al., 1985; Mannuzza et al. 1991, 1993; Hechtman, 1992).”
Self-Report of Attention Deficit and Hyperactivity Disorder in Adolescents
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Variations in ADHD treatment among special education students.
Bussing, R., Zima, B., & Belin, T. R. (1998) · Journal of the American Academy of Child and Adolescent Psychiatry · doi:10.1097/00004583-199809000-00017 · Cited by 46
Monique Ernst, D., Zametkin, A. J., Phillips, R. L., & Cohen, R. M. (1998) · Journal of Neuropsychiatry · doi:10.1176/jnp.10.2.168 · Cited by 46
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Comings, D. (1994) · Drug and Alcohol Dependence · doi:10.1016/0376-8716(94)90104-x · Cited by 45
Comorbidity in Adults with Attention‐Deficit/Hyperactivity Disorder
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Normalized functioning in youths with persistent attention-deficit/hyperactivity disorder
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“The evidence for this association comes from crosssectional (Molina, Smith, & Pelham, 1999) and prospective studies (Mannuzza et al., 1991) demonstrating higher rates of illicit substance use (ISU) and/or substance use disorders (SUDs) in individuals with ADHD.”
BackgroundDetection of malingered attention deficit hyperactivity disorder
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The Neuroscience of Adolescence
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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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