I.A.Y.

Youth Update Masthead

A publication of the Institute for the study of
Antisocial behaviour in Youth (IAY).
Affiliated with the
Centre for Addiction and Mental Health and The Hospital for Sick Children

Edited by Dr. Jalal Shamsie,
MB, FRCP(C)
Director, Institute for the study of Antisocial behaviour in Youth
Professor of Psychiatry, University of Toronto

Volume 16, Number 2 Autumn 1998

In this Issue:

Special Feature:
Violence Prevention in Schools
by Ester Cole, Ph.D.
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  • What Happens to "Bad" Girls?
  • Response Inhibition with Disruptive Disorders
  • Treatment of ADHD in Children with Substance Abuse and Conduct Disorders
  • Recent Research on Youth Suicide
  • How Much Do Teachers Know about ADHD?
  • Proactive Aggression and Later Conduct Problems
  • Parenting and Hyperactivity
  • Another Medication for ADHD
  • Fathers and Preschool Behaviour Problems

What Happens to "Bad" Girls?

Until recently, research on adult outcomes of antisocial behaviour in youth has been primarily focused on males. This may stem in part from widespread beliefs that antisocial behaviour in females is rare and only a temporary stage that they will soon "grow out of". More recent research is providing evidence that antisocial behaviour in girls is neither rare nor temporary. The following are findings from two recent studies on adult outcomes of antisocial adolescent girls.

Study 1

Reviewing previous studies, it is pointed out that:

  1. Conduct disorder is the second most common diagnosis in adolescent girls.
  2. For girls, 7.5- 9.5% meet the criteria for conduct disorder compared to 8.6-12.2% for boys.
  3. Self reports of delinquency indicate that girls report the same patterns of antisocial behaviour as boys, with the exception of sexual assault.
  4. Unlike boys, whose delinquent behaviour in adolescence is likely to result in criminal behaviour in adulthood, delinquent girls may manifest continued disturbed behaviour in different ways in adulthood.

It is suggested that some antisocial adolescent girls begin their antisocial behaviour during early adolescence and continue to commit offences with increasing severity and frequency into adulthood. Others start with norm violation (such as coming home late and missing school) and continue into adulthood

It should be noted that although the results of this review are provocative, there were limitations to the studies done in the past. Some concerns about past research were that:

  • Data was mostly on white females and therefore results may not generalize to other racial groups.
  • Many of the studies did not use a control group for comparison purposes.
  • Outcomes measures and definitions of deviance were not uniform.

Despite the shortcomings of past research, it is clear that female adolescent antisocial behaviour has important long-term individual and societal consequences. Therefore, this area warrants further research using improved research methods.

Source:
Pajer, K.A. (1998). What happens to "bad" girls?: A review of the adult outcomes of antisocial adolescents. American Journal of Psychiatry, 155, 862-870.

How Much Do Teachers Know about ADHD?to top

Barbaresi, W.J., & Olsen, R.D. (1998). An ADHD educational intervention for elementary schoolteachers: A pilot study. Developmental and Behavioral Pediatrics, 19, 94-100.

Attention-deficit hyperactivity disorder (ADHD) is the most common disorder among school aged children, affecting approximately 3-5%. It is thus important that teachers working with these children are educated about the cause and treatment of ADHD. Teachers will then be better able to manage these children in the classroom and be better able to collaborate with physicians in the assessment and treatment of children with ADHD. The purpose of this study was to assess the level of teacher training, knowledge, and attitudes concerning ADHD.

To assess teacher knowledge of ADHD, 44 teachers completed a 27-item knowledge test, both before and after receiving an educational intervention. The intervention was an ADHD curriculum developed by the national organization, Children and Adults with Attention-Deficit Disorder (CHADD). The "CHADD Educators' Inservice" provides teachers with information on ADHD diagnosis, treatment, and classroom management strategies. It also offers an opportunity for teachers to become more directly involved with physicians in their efforts to educate students with ADHD. to top

Results:

Although teachers scored fairly well on the pretest of ADHD knowledge, there were several misconceptions that were of concern. For instance, research has established that ADHD is not caused by sugar or food additives. Poor parenting is also not the cause of ADHD (although parental behaviour may play a significant role in the treatment, course, and prognosis of hyperactivity). In addition, methylphenidate (Ritalin) plays an integral role in the treatment of ADHD and is not used only as a last resort. Results of the ADHD knowledge test at pre-intervention indicated that the teachers had the following misconceptions:

  • 41% of the teachers thought that ADHD could be caused by poor parenting
  • 41% of the teachers thought that ADHD could be caused by sugar or food additives
  • 64% thought that methylphenidate should be used only as a last resort
  • Post-intervention percentages of teachers holding these beliefs were 7%, 5%, and 34%, respectively.

The teachers in this study had gaps in knowledge concerning ADHD that were quite similar to those reported in other studies. If teachers become more knowledgeable concerning ADHD and are more directly involved with physicians who treat this disorder, they may find it easier and less stressful to educate students with ADHD.to top

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