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Conduct Disorder and Attention Deficit Disorder with Hyperactivity in Child Inpatients

Comparisons on Home and Hospital Measures

David J. Kolko is an associate professor, Child Psychiatry, and director, Child and Parent Behavior Clinic, at the University of Pittsburgh School of Medicine. He received his PhD in clinical psychology from Georgia State University. His current interests are the assessment and treatment of child antisocial behavior/conduct disorder, child physical abuse and family violence, and adolescent suicidality. Address: David J. Kolko, Child and Parent Behavior Clinic, Western Psychiatric Institute and Clinic, 3811 O'Hara St., Pittsburgh, PA 15213.

This study examines the relationship of conduct disorder (CD) and attention deficit disorder with hyperactivity (ADDH) in 93 psychiatrically hospitalized children. Multiple measures of symptoms/behaviors exhibited at home and in the hospital were evaluated using 2 (CD/No-CD) x 2 (ADDH/No-ADDH) analyses. CD was related to heightened aggression/violent behavior and conduct problems at home, and greater fines for deviant behavior in the hospital. ADDH was related to parent reports of heightened inattention and hyperactivity, and in-hospital measures of inattention/hyperactivity, antisocial behaviors, poor self-control, locked seclusions, and fines. No group differences were evident in history of child abuse or suicidality. There were few CD x ADDH interactions. Home and hospital measures of aggression, depression, and suicidality were significantly correlated. Diagnostic differences, comorbidity, and the study of inpatient populations are discussed.

Journal of Emotional and Behavioral Disorders, Vol. 1, No. 2, 75-86 (1993)
DOI: 10.1177/106342669300100201


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