Cited by 169Attention Deficit Hyperactivity DisorderChild and Adolescent Psychosocial and Emotional DevelopmentPsychopathy, Forensic Psychiatry, Sexual Offending

Significance of Childhood Conduct Problems to Later Development of Conduct Disorder Among Children With ADHD: A Prospective Follow-Up Study

Mannuzza, Salvatore, Klein, Rachel G., Abikoff, Howard, Moulton III, John L.·2004·Journal of Abnormal Child Psychology

Abstract

This study investigates whether low to moderate levels of childhood oppositional defiant disorder (ODD) and conduct disorder (CD) behaviors contribute to the development of clinically diagnosed CD in adolescence, in children with attention deficit hyperactivity disorder (ADHD). Participants were 207 White boys (ages 6-12) with ADHD free of conduct disorder diagnoses. Parent and teacher ratings were obtained. Participants were assessed at mean age 18 by clinicians blind to childhood status. A non-ADHD group (recruited in adolescence) was also studied. ODD behavior ratings did not predict CD in adolescence, whereas CD behavior ratings did. No single ODD or CD behavior predicted adolescent outcome. ADHD probands with very low ratings (Not at all, Just a little) by parents and teachers on all CD behaviors were still at significantly increased risk for CD in adolescence, compared to non-ADHD controls. The same relationships were found between childhood ODD and CD behaviors, and antisocial personality disorder in adulthood (mean age, 25). We conclude that childhood ADHD is a developmental precursor of later antisocial disorder, even in the absence of comorbid ODD or CD in childhood. However, low levels of CD-type problems are not innocuous, because they predict later CD among children with ADHD without comorbid CD.

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Crossref · 10.1023/b:jacp.0000037784.80885.1a

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Authors
Mannuzza, S., Klein, R. G., Abikoff, H., & Moulton III, J. L.
Affiliations
  • Nathan Kline Institute for Psychiatric Research (US)
  • NYU Langone Health (US)
Corresponding author
Mannuzza, Salvatore
Venue
Journal of Abnormal Child Psychology
Published
2004-10
Volume
32
Issue
5
Pages
565-573
ISSN
  • 0091-0627 (ISSN-L)
  • 1573-2835
OpenAlex
W2045744660
Cited by
169
References
6
Citations by year
2026: 1 · 2025: 1 · 2024: 3 · 2023: 6 · 2022: 1 · 2021: 4 · 2020: 8 · 2019: 4 · 2018: 7 · 2017: 5 · 2016: 8 · 2015: 8 · 2014: 8 · 2013: 12 · 2012: 11
FWCI
4.77
Type
journal article
Language
en
Open access
closed
Locations
  • Research on Child and Adolescent Psychopathology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • U.S. Public Health Service
  • National Institute of Mental Health (MH-18579, R01MH018579)
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
child conduct problems, conduct disorder, oppositional defiant disorder, attention deficit hyperactivity disorder, antisocial personality disorder, adolescence, developmental precursors, comorbidities
MeSH terms
Adolescent, Age Factors, Antisocial Personality Disorder, Attention Deficit Disorder with Hyperactivity, Child, Child Behavior Disorders, Developmental Disabilities, Follow-Up Studies, Humans, Male, Prognosis, Prospective Studies, Psychiatric Status Rating Scales, Risk Factors, Severity of Illness Index, Comorbidity, Logistic Models, Conduct Disorder, Attention Deficit and Disruptive Behavior Disorders

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