Childhood maltreatment and conduct disorder: Independent predictors of criminal outcomes in ADHD youth |
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| Authors: | Virginia A De Sanctis Yoko Nomura Jeffrey H Newcorn Jeffrey M Halperin |
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| Institution: | 1. Phyllis Green and Randolph Cowen Institute for Pediatric Neuroscience, Child Study Center of the NYU Langone Medical Center, USA;2. Queens College and the Graduate Center of the City University of New York, USA;3. The Mount Sinai School of Mediciner, USA;1. Phyllis Green and Randolph Cowen Institute for Pediatric Neuroscience, Child Study Center of the NYU Langone Medical Center, USA;2. Queens College and the Graduate Center of the City University of New York, USA;3. The Mount Sinai School of Mediciner, USA;1. University of Alabama at Birmingham, Birmingham, AL, USA;2. Juvenile Protective Association, Chicago, IL, USA;3. University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;4. Judge Baker Children''s Center, Harvard Medical School, Cambridge, MA, USA;5. San Diego State University, San Diego, CA, USA;6. University of Washington, Seattle, WA, USA;7. The Kempe Children''s Center, Department of Pediatrics, University of Colorado School of Medicine, Denver, CO, USA;8. University of Maryland School of Medicine, College Park, MD, USA;1. University of Minnesota Medical School, Duluth campus;2. Oklahoma State University, Stillwater;3. University of Minnesota, Twin Cities;4. University of Nebraska–Lincoln;1. Department of Forensic Child and Youth Care Sciences, University of Amsterdam, The Netherlands;2. Department of Psychoeducation, University of Sherbrooke, Canada;3. Department of Forensic Psychology Section, Faculty of Psychology and Neuroscience, Maastricht University, The Netherlands |
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| Abstract: | ObjectiveChildren with attention-deficit/hyperactivity disorder (ADHD) are at heightened risk for maltreatment in childhood and criminality as they enter into adolescence and early adulthood. Here, we investigated the effect of moderate to severe childhood maltreatment on later criminality among adolescents/young adults diagnosed with ADHD in childhood while accounting for the contributions of other known risk factors such as early conduct disorder (CD).MethodsEighty-eight participants from a longitudinal study of children diagnosed with ADHD and screened for comorbid disorders at age 7–11 years were assessed for maltreatment histories at the time of the 10-year adolescent follow-up. Detailed juvenile and adult criminal records were obtained from the New York State Division of Criminal Justice Services approximately 3-years after commencement of the follow-up study. We used regression analyses to determine predictors of adolescent/young adult criminal behavior.ResultsModerate to severe childhood maltreatment increased the risk of adolescent/young adult arrest over and above the risk associated with childhood CD, while both childhood maltreatment and childhood CD significantly increased the risk of recidivism. ADHD youth classified as maltreated were three and a half times more likely to be arrested when compared to ADHD youth without a maltreatment classification.ConclusionWe established maltreatment as a risk factor for criminality in ADHD youth and demonstrated that this relationship was independent of the contributions of CD, and established risk factor for antisocial behavior in this population. The findings highlight the need for maltreatment screening in children with ADHD in order to identify those at heightened risk for criminal activity, and target treatment to improve outcome in this high-risk group of children. |
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