This study describes temperament, personality, and problem behaviors in children with Attention-Deficit Hyperactivity Disorder (ADHD) aged 6 to 14 years. It targets differences between an ADHD sample (N = 54; 43 boys) and a large community sample (N = 465; 393 boys) in means and variances, psychometric properties, and covariation between traits and internalizing and externalizing problems. Parents rated their children on Buss and Plomin's and Rothbart's temperament models, a child-oriented five-factor personality model and also on problem behavior. Relative to the comparison group, children with ADHD presented with a distinct trait profile exhibiting lower means on Effortful Control, Conscientiousness, Benevolence and Emotional Stability, higher means on Emotionality, Activity, and Negative Affect, but similar levels of Surgency, Shyness, and Extraversion. Striking similarities in variances, reliabilities and, in particular, of the covariation between trait and maladjustment variables corroborate the spectrum hypothesis and suggest that comparable processes regulate problem behavior in children with and without ADHD.Keywords: temperament, personality, ADHD, spectrum hypothesis, children, problem behavior Traits and Problem Behaviors in ADHD 2
IntroductionThe behavioral disorder Attention-Deficit/Hyperactivity Disorder (ADHD) is defined by the presence of symptoms of inattention and hyperactivity-impulsivity, to a degree that is maladaptive and inconsistent with the developmental level (American Psychiatric Association [APA], 2000). ADHD symptoms surface early in life, have lifelong continuity and are increasingly acknowledged as domains that should be assessed dimensionally (Castellanos, 2009; Haslam et al., 2006). In line with the recognition of the trait-like nature of ADHD, scholars emphasize wide behavioral variability among individuals with ADHD, not only in symptom expression, but also in levels of adaptive functioning, psychiatric comorbidity, and the incidence of behavioral and emotional problems (Wilens, Biederman, & Spencer, 2002).Theorists increasingly suggest that the study of temperament and personality traits could substantially improve our understanding of this broad heterogeneity within ADHD.Two particularly promising avenues have been pinpointed. First, traits are suggested to have diagnostic relevance because they broaden our understanding of current behavioral criteria and capture the heterogeneous ADHD symptom expression (Martel, 2009;Nigg, Goldsmith, & Sachek, 2004;White, 1999). Second, trait variation is hypothesized to affect the development of maladaptive behaviors and hence could partially explain the varying levels of problem behaviors in individuals with ADHD (Nigg et al., 2004).To date, empirical research has primarily addressed the first avenue by compiling distinct temperament or personality trait profiles associated with ADHD. Both in children (e.g., Bussing et al., 2003; Cukrowicz, Taylor, Schatschneider, & Iacono, 2006;Rettew, Copeland, Stanger, & Hudziak, 2004) and in ...