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Daring-Impulsive (DI) Traits Versus ADHD Features in Adolescent Boys with Conduct Problems
Nicholas A Bellamy1, Randall T Salekin1, Emmely Delamillieure2
1Department of Psychology, University of Alabama.
Summary
Daring-impulsive (DI) traits and attention-deficit/hyperactivity disorder (ADHD) features are distinct in youth with conduct disorder (CD). Differentiating DI and ADHD is crucial for improving clinical care and understanding associated psychopathology in adolescents.
Area of Science:
- Psychiatry
- Developmental Psychology
- Forensic Psychology
Background:
- Daring-impulsive (DI) traits are considered in conduct disorder (CD) subtyping.
- The added value of DI traits beyond attention-deficit/hyperactivity disorder (ADHD) in CD has not been explored.
Purpose of the Study:
- To examine the utility of DI traits versus ADHD features in justice-involved adolescent boys with CD.
- To determine if DI traits provide incremental information in explaining CD and related characteristics beyond ADHD.
Main Methods:
- A sample of 322 justice-involved adolescent boys (ages 16-17) with CD was assessed.
- Measures included diagnostic interviews for CD severity, DI traits, ADHD features, and other psychopathological and impulsivity domains.
Main Results:
- DI traits and ADHD features showed differential associations with CD, externalizing and internalizing psychopathology, and impulsivity domains.
- DI traits incrementally explained CD, externalizing psychopathology, positive urgency, sensation seeking, and lack of premeditation, beyond ADHD.
- DI traits were more prevalent than ADHD features among adolescents with CD.
Conclusions:
- DI traits and ADHD features are empirically distinct in relation to CD and associated characteristics.
- Differential consideration of DI and ADHD is likely necessary for improved clinical care of adolescents with CD.
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