Attentional and intellectual deficits in unmedicated behavior-disordered adolescent inpatients

The authors examined the hypothesis that impairments in attention and verbal intelligence are associated with seriously maladaptive social behavior in behavior-disordered, hospitalized adolescents. Twenty-five unmedicated inpatients with disruptive behavior disorder diagnoses were rated during a one-month period for frequency of severe disruptive episodes, or critical incidents (CI); these included assaults, behavior resulting in the use of restraints, etc. All subjects independently received intelligence testing and continuous performance testing (CPT). Based on CI scores, subjects were divided into a high-CI group (CI>5; N=9) and a low-CI group (CI<4; N=16). On the CPT, the high-CI group showed more impairment in perceptual sensitivity (d; this group also had lower verbal IQ scores. (Both findings were significant at the p<.05 level.) The latter result was largely due to differences in Comprehension subtest scores. These results support the hypothesis, and may have implications for the treatment of behavior-disordered adolescents.Received M.D. from the University of Wisconsin, Major research interests are adolescent psychopathology, disruptive behavior disorders, and information processing.Received Ph.D. from the University of Wisconsin. Major research interests are outcomes measurement, psychosis proneness, and psychodiagnostic assessment.Received Ph.D. from the University of Wisconsin. Major research interests is adolescent psychopathology.Received M.A. from the State University of New York at Buffalo. Major research interests are adult attachment and mental representation.Received M.D. from the University of Pennsylvania. Major research interests are schizophrenia, personality disorders, and trauma.