Vm. Macdonald et Tm. Achenbach, ATTENTION PROBLEMS VERSUS CONDUCT PROBLEMS AS 6-YEAR PREDICTORS OF PROBLEM SCORES IN A NATIONAL SAMPLE, Journal of the American Academy of Child and Adolescent Psychiatry, 35(9), 1996, pp. 1237-1246
Objective: To test the extent to which attention problems, the continu
ation of early comorbid conduct problems, and overall initial problems
account for poor outcome scores on the Child Behavior Checklist and r
elated measures 3 and 6 years after initial assessment. Method: The co
urse of attention and conduct problems was investigated in a nationall
y representative US sample assessed three times over 6 years, using st
andardized ratings of attention, conduct, and other problems and gende
r-specific scores for defining deviance. Results: Subjects deviant on
both attention and conduct problems scored significantly higher on beh
avior problems at outcome than did those deviant on only attention pro
blems or conduct problems. After controlling for initial conduct probl
ems, initial attention problems made little unique contribution to lat
er conduct problems. Predictive patterns were similar across gender an
d age groups. Conclusions: Both boys and girls who show a combination
of attention and conduct problems are at particular risk for the persi
stence of conduct problems.