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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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“Still others have emphasized the role of the persistence of ADHD, CD, and antisocial symptoms into adolescence (Gittelman et al., 1985; Mannuzza & Klein, 2000; Mannuzza et al., 1991).”
BackgroundDrug Therapy for Adults with Attention-Deficit Hyperactivity Disorder
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“[24] disorder in a sizeable number of young adults diag- ADHD can be diagnosed in adults by carefully nosed as having ADHD in childhood.[4-7] querying for developmentally appropriate criteria Compared with adults who do not have ADHD, from the Diagnostic and Statistical Manual of adults with ADHD have been reported to…”
BackgroundNon-stimulant treatments for ADHD
Biederman, J., & Spencer, T. (2009) · European Child and Adolescent Psychiatry · doi:10.1007/s007870070019 · Cited by 38
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“In this regard, follow-up studies have shown a higher risk for SUD in adults with ADHD or in adults that had ADHD as children than in individuals without ADHD (Biederman et al., 2012; Kessler et al., 2006; Klein et al., 2012; Mannuzza et al., 1991).”
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Self-citationEstimating the Efficacy of Receiving Treatment in Randomized Clinical Trials with Noncompliance
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“…below average academic achievement (Barkley, 1996; Hinshaw, 1992; Lahey et al., 1993; Schachar and Tannock, 1993), co-morbid childhood disorders (Biederman, Newcorn, and Sprich, 1991), and risk of substance abuse and antisocial behavior (Mannuzza et al., 1991; Satterfield et al., 1981).”
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“Although ADHD symptoms, especially restlessness, tend to diminish with age [1,2], it has been consistently reported that ADHD tend to persist into adolescence in 30–80% of affected subjects [3–5], and into adulthood in up to nearly 50% of childhood cases [6–8].”
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“Substance abuse and other maladaptive behaviors also co-occur in this group at a higher rate (Mannuzza et al., 1991), with more than a third of clinical patients reporting abusing either alcohol or illicit drugs (Downey, Stelson, Pomerleau, & Giordani, 1997).”
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“[4-6] Compared with adults who do not have ADHD, adults with the disorder have been reported to have higher rates of anxiety, depression and substance use disorders, more conflicts in social and marital relations, and underachievement in their careers and academic studies despite adequate intellectual abilities.”
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“While the incidence of ADHD varies by age, it is seen in 3%–5% of schoolchildren (30).”
BackgroundNeuropsychological function in adults with attention-deficit hyperactivity disorder
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“[3], which is broadly consistent with projections from childhood prevalence estimates based on the findings in longitudinal studies that 30%–60% of children with ADHD persist in having ADHD in adulthood [4–6].”
ResultCorpus Callosum Anatomy in Chronically Treated and Stimulant Naïve ADHD
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“…behavior, substance abuse, and delinquency during adolescence are more frequent in follow-up studies among children diagnosed with ADHD, with prevalence estimates of substance abuse or antisocial behavior ranging from 10 to 45% (Feldman et al. 1979, Mannuzza et al. 1991, Weiss et al. 1985).”
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“Some investigations have failed to nd any greater risk for mood and anxiety disorders in adolescence and adulthood, directly contradicting the ndings of Biederman and colleagues that they share common risks (Gittelman et al., 1985; Biederman et al., 1991; Mannuzza et al. 1991; Taylor et al., 1996).”
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“A striking feature of ADHD is its tendency to improve with age, with symptomatic improvement occurring in about 40% of children as they move into adolescence.(23) Recently, it was demonstrated that only children with persistent ADHD symptoms in adolescence show ‘fixed’ thinning of the left medial prefrontal cortex, he…”
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“among adults with ADHD that had persisted since childhood [2,3,11,13–16,21,24].”
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“Further, the majority of subjects in these studies were homogeneous in terms of ethnicity (mostly Caucasian) and socioeconomic profiles (mostly middle class) (Mannuzza et al. 1991; Satterfield et al. 1982; Barkley et al. 1990; Biederman et al. 2006), which limits generalizability.”
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“The prevalence of ADHD in childhood is 3%–7% (American Psychiatric Association, 2000); symptoms of ADHD persist from childhood into adulthood in 30% to 60% of cases (Mannuzza et al., 1991; Weiss and Murray, 2003).”
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Does criminal offender treatment work
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Childhood Attention-Deficit/Hyperactivity Disorder and Homelessness: A 33-Year Follow-Up Study
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“…achievement, more driving accidents, and a greater incidence of divorce (Able et al., 2007; Barkley and Cox, 2007; Escobar et al., 2005; Hakkaart-van Roijen et al., 2007; Klassen et al., 2004; Mannuzza et al., 1991; Mannuzza et al., 1997; Mannuzza et al., 1993, 1998; Mannuzza et al., 1991).”
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“Untreated ADHD, especially with hyperactivity and CD in male individuals, is a risk factor for SUD (Mannuzza et al., 1998; Mannuzza et al., 1991).”
BackgroundInfluentialA 55-Year-Old Man With Attention-Deficit/Hyperactivity Disorder
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“Follow-up studies have documented a higher than expected risk for PSUD in adults with ADHD (Hechtman & Weiss, 1986; Mannuzza et al., 1991).”
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A natural history of hyperactivity and conduct problems: self-reported outcome
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“In addition, other studies have found that children with ADHD without CD symptoms were much more likely to be diagnosed with an ASP disorder than children without ADHD (Gittelman et al., 1985; Mannuzza et al, 1991).”
BackgroundResultThe Predictive Utility of Conduct Disorder Symptoms in Preschool Children: A 3-Year Follow-Up Study
Rolon‐Arroyo, B., Arnold, D. H., & Harvey, E. A. (2013) · Child Psychiatry & Human Development · doi:10.1007/s10578-013-0404-8 · Cited by 17
“Prospectively, about a third of school-age boys diagnosed with ADHD progress to CD [30, 31].”
BackgroundADHD matures: time for practitioners to do the same?
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“These factors include the presence of comorbid disruptive behavior disorders (DBDs) (e.g., oppositional defiant disorder and CD; August et al. 2006; Barkley et al. 1990; Biederman et al. 1997; Katusic et al. 2005; Mannuzza et al. 1991; McGough et al. 2005) and comorbid bipolar disorder (Biederman et al.”
BackgroundPersonality Comorbidity in Adolescent Females with ADHD
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Follow‐ups of children with attention delicit hyperactivity disorder (ADHD)
Lie, N. (1992) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1992.tb10575.x · Cited by 16
Hennessey, K. A., Stein, M. D., Rosengard, C., Rose, J. S., & Clarke, J. G. (2009) · Journal of Attention Disorders · doi:10.1177/1087054709347185 · Cited by 15
“It is commonly cited that 30% to 50% of children with ADHD will be impaired by symptoms of ADHD as adults (Cantwell, 1985; Hill & Schoener, 1996; Mannuzza et al., 1991; Weiss et al., 1985).”
BackgroundRatzon, N. Z., Ornoy, A., Pardo, A., Rachel, M., & HATCH, M. C. (2004) · Birth Defects Research Part A Clinical and Molecular Teratology · doi:10.1002/bdra.20044 · Cited by 17
Adolescent school failure: failure to thrive in adolescence.
Reiff, M. (1998) · Pediatrics in review · doi:10.1542/pir.19-6-199 · Cited by 16
Rodgers, S., Müller, M., Wulf Rössler, A., Castelao, E., Preisig, M., & Ajdacic‐Gross, V. (2014) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-014-0898-9 · Cited by 19
“Although the lacking association of ADHD and illicit drug use found in the current study differs from some studies [39, 40], it is explainable by other research showing that the relation between ADHD and substance use disappeared when the high overlap between ADHD and CD was taken into account [3].”
ResultGender differences in children's problem behaviours in competitive play with friends.
Ensor, R., Hart, M., Jacobs, L., & Hughes, C. (2011) · British Journal of Developmental Psychology · doi:10.1111/j.2044-835x.2010.02016.x · Cited by 14
Substance Use Among Young Offenders: Thrills, Bad Feelings, or Bad Behavior?
Putnin̦š, A. (2006) · Substance Use & Misuse · doi:10.1080/10826080500409068 · Cited by 14
“Longitudinal studies (Boyle et al., 1993; Lynskey and Fergusson, 1995; Mannuzza et al., 1991) generally indicate that although ADHD behaviors are a risk factor for conduct problems, which in turn are a risk factor for PSU, in the absence of conduct problems ADHD behaviors do not increase the risk of PSU.”
BackgroundLevin, F., & Evans, S. (2001) · Psychiatric Annals · doi:10.3928/0048-5713-20010501-08 · Cited by 14
van der Linden, G. J., Young, S., Ryan, P., & Toone, B. (2000) · Journal of Mental Health · doi:10.1080/09638230020005255 · Cited by 14
Kutcher, S., Kachur, E., Marton, P., Szalai, J. P., & Jaunkalns, R. (1992) · Canadian journal of psychiatry. Revue canadienne de psychiatrie · doi:10.1177/070674379203700614 · Cited by 14
Co-ocorrência entre transtorno de déficit de atenção/hiperatividade e uso de substâncias psicoativas
Szobot, C. M., & Romano, M. (2007) · Jornal Brasileiro de Psiquiatria · doi:10.1590/s0047-20852007000500009 · Cited by 11
Genetic factors in drug abuse and dependence.
De, C. (1996) · PsycEXTRA Dataset · doi:10.1037/e495692006-003 · Cited by 14
The Dopamine D2 Receptor Gene (DRD2) and Neuropsychiatric Disorders
Comings, D. (1994) · CNS Drugs · doi:10.2165/00023210-199401010-00001 · Cited by 14
The Adult ADHD Quality of Life Questionnaire (AAQoL)
Gjervan, B., & Nordahl, H. (2010) · Nordic Psychology · doi:10.1027/1901-2276/a000003 · Cited by 13
Methylphenidate and Attentional Training
Rapport, M. D., Loo, S., Isaacs, P., Goya, S., Denney, C. B., & Scanlan, S. W. (1996) · Behavior Modification · doi:10.1177/01454455960204004 · Cited by 13
Brain Imaging in Behavioral Neuroscience
Carter, C., & Dalley, J. (2012) · Current topics in behavioral neurosciences · doi:10.1007/978-3-642-28711-4 · Cited by 13
“The manifestation of ADHD throughout the lifespan evolves such that there is symptomatic improvement in 30–40% of children from late adolescence onwards (Mannuzza et al. 1991).”
BackgroundCauses of violence in children
Withecomb, J. (1997) · Journal of Mental Health · doi:10.1080/09638239718536 · Cited by 13
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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