Physical Fighting in Childhood as a Risk Factor for Later Mental Health Problems

Loeber, Rolf; Green, Stephanie M.; Lahey, Benjamin B.; Kalb, Larry M.

doi:10.1097/00004583-200004000-00010

Cited by 48 publications

(26 citation statements)

References 19 publications

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“…Another well-known classification distinguishes between overtly confrontational antisocial behaviors, such as arguing and fighting, and covert antisocial behaviors, such as lying, stealing, and breaking rules (Frick et al 1993). Physical aggression was found to be a significant risk factor for conduct disorder at an early age of onset, later violence, and other mental health problems such as ADHD and anxiety (Loeber et al 2000). Compared with physical aggression, nonaggressive antisocial behavior was shown to follow a different developmental trajectory (Nagin and Tremblay 1999) and predict later nonviolent criminal offenses (Kjelsberg 2002).…”

Section: Anger Irritability and Aggression As Treatment Targets Of mentioning

confidence: 99%

Behavioral Interventions for Anger, Irritability, and Aggression in Children and Adolescents

Sukhodolsky

Smith

McCauley

et al. 2016

Journal of Child and Adolescent Psychopharmacology

194

136

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Objective: Anger, irritability, and aggression are among the most common reasons for child mental health referrals. This review is focused on two forms of behavioral interventions for these behavioral problems: Parent management training (PMT) and cognitive-behavioral therapy (CBT). Methods: First, we provide an overview of anger/irritability and aggression as the treatment targets of behavioral interventions, followed by a discussion of the general principles and techniques of these treatment modalities. Then we discuss our current work concerning the transdiagnostic approach to CBT for anger, irritability, and aggression. Results: PMT is aimed at improving aversive patterns of family interactions that engender children's disruptive behavior. CBT targets deficits in emotion regulation and social problem-solving that are associated with aggressive behavior. Both forms of treatment have received extensive support in randomized controlled trials. Given that anger/irritability and aggressive behavior are common in children with a variety of psychiatric diagnoses, a transdiagnostic approach to CBT for anger and aggression is described in detail. Conclusions: PMT and CBT have been well studied in randomized controlled trials in children with disruptive behavior disorders, and studies of transdiagnostic approaches to CBT for anger and aggression are currently underway. More work is needed to develop treatments for other types of aggressive behavior (e.g., relational aggression) that have been relatively neglected in clinical research. The role of callous-unemotional traits in response to behavioral interventions and treatment of irritability in children with anxiety and mood disorders also warrants further investigation.

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Section: Anger Irritability and Aggression As Treatment Targets Of mentioning

confidence: 99%

Behavioral Interventions for Anger, Irritability, and Aggression in Children and Adolescents

Sukhodolsky

Smith

McCauley

et al. 2016

Journal of Child and Adolescent Psychopharmacology

194

136

View full text Add to dashboard Cite

show abstract

“…In other words, patients were classified into the DBDF+ group if the patient's chart history and his/her self-endorsement during the DISC-IV indicated a history of initiating physical fights. This was of interest because aggression (toward people or animals) appears to be the best predictor of impulse control problems extending into adulthood (Farrington, Loeber, & van Kammen, 1990;Loeber, Green, Lahey, & Kalb, 2000). Several studies distinguishing physical aggression from other aspects of disruptive/antisocial behaviors have indicated that the persistence of physical aggression into middle childhood is the most important predictor of treatment outcome (Loeber, Green, Lahey, Christ, & Frick, 1992;Loeber et aI., 1993).…”

Section: Post-hoc Analyses: Physical Aggression As a Predictor Of Impmentioning

confidence: 99%

Validation of the Immediate and Delayed Memory Tasks in Hospitalized Adolescents with Disruptive Behavior Disorders

et al. 2003

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This study explores concurrent and criterion validity of a Continuous Performance Test, the Immediate and Delayed Memory Tasks (IMT/DMT). Concurrent validity was examined through comparison with collateral measures of impulsivity, while criterion validity was assessed by comparison of groups with differing levels of impulsive behavior, those with and without disruptive behavior disorders (DBD). DBDs in the DSM-IV include conduct disorder and oppositional defiant disorder, which are both largely characterized by impulsive behaviors. We compared group performance on the IMT/DMT and several collateral measures of impulsivity between adolescent controls (n = 22) and psychiatric inpatients with a DBD diagnosis (n = 22). Data collected indicated that (1) DBD patients emitted more commission errors; (2) commission errors, but not correct detections, were significantly correlated with collateral measures of impulsivity, and (3) in posthoc comparisons, those DBD patients with histories of physical fighting emitted the greatest number of commission errors, followed by DBD nonfighters, and then controls. Similar group performance differences were observed for collateral impulSivity measures. This study supports the use of commission error rates on the Immediate and Delayed Memory Tasks as a behavioral measure of impulsivity. With further development, objective measures like these may prove useful in clinical assessment procedures and in monitoring treatment outcome.

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“…For example, aggressive behavior (along with Oppositional Defiant Disorder) is a significant predictor for development of CD (Patterson, 1993;Loeber et al, 1998), of treatment outcome (Loeber et al, 1992(Loeber et al, ,1993, and of impaired functioning (Loeber et al, 2000) and antisocial behaviors (Lynam, 1996;Huesmann et al, 2002) extending into adulthood. In fact, findings from a 22-year longitudinal study revealed that, while many childhood variables (e.g., low IQ, poor housing, lower parent education) were individually related to criminality in adulthood, these variables "did not add to predicting criminality once early aggression was considered" (Huesmann et al, 2002, p.204).…”

Section: Introductionmentioning

confidence: 99%

“…The predictive precision of externalizing behavioral patterns has been shown to be less accurate largely because of observer reports from adult informants (Bennett et al, 1998;Hinshaw, 2002). Relying solely on observer-ratings of adolescent behavior may be problematic because: (1) there tends to be a low level of agreement between informants regarding adolescents' aggressive behavior (Loeber et al, 2000;Little et al, 2003); (2) the validity and reliability of adolescent self-reports of health or psychopathology increases with age, while the validity of parent and/or teacher reports decreases with age (Guyatt et al, 1997;Kamphaus and Frick, 2002); and (3) answering questions regarding the motivating influence behind an aggressive act requires personal insight that may not be evident to an observer (Little et al, 2003). Taken together, there is general support for the use of selfreport measures of aggression in adolescent samples.…”

Section: Introductionmentioning

confidence: 99%

Characterizing aggressive behavior with the Impulsive/Premeditated Aggression Scale among adolescents with conduct disorder

Mathias

Stanford

Marsh

et al. 2007

Psychiatry Research

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This study extends the use of the Impulsive/Premeditated Aggression Scale for subtyping aggressive behavior among adolescents with Conduct Disorder. Of the Conduct Disorder symptoms, aggression has the strongest prognostic and treatment implications. While aggression is a complex construct, convergent evidence supports a dichotomy of impulsive and premeditated aggressive subtypes that are qualitatively different from one another in terms of phenomenology and neurobiology. Previous attempts at measuring subtypes of aggression in children and adults are not clearly generalizable to adolescents. Sixty-six adolescents completed a questionnaire for characterizing aggression (Impulsive/Premeditated Aggression Scale), along with standard measures of personality and general functioning. Principal components analysis demonstrated two stable factors of aggression with good internal consistency and construct validity. Compared to the premeditated aggression factor, the impulsive aggression factor was associated with a broader range of personality, thought, emotional, and social problems. As in the adult and child literature, characterization of aggressive behavior into two subtypes appears to be relevant to understanding individual differences among adolescents with Conduct Disorder.

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Physical Fighting in Childhood as a Risk Factor for Later Mental Health Problems

Cited by 48 publications

References 19 publications

Behavioral Interventions for Anger, Irritability, and Aggression in Children and Adolescents

Behavioral Interventions for Anger, Irritability, and Aggression in Children and Adolescents

Validation of the Immediate and Delayed Memory Tasks in Hospitalized Adolescents with Disruptive Behavior Disorders

Characterizing aggressive behavior with the Impulsive/Premeditated Aggression Scale among adolescents with conduct disorder

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