Abstract
This study identifies a high-risk subpopulation of children with a markedly antisocial behavioural profile in a national sample of Canadian children. We examine a broad array of environmental and child factors that may be associated with this high-risk group. The data are for 18,135 two to eleven year olds in the National Longitudinal Survey of Children and Youth. A cluster analysis was performed to identify children possessing extreme antisocial behaviour across five dimensions: aggression, hyperactivity, prosocial behaviour, emotional difficulties and misconduct. Clusters were compared across structural, family, school, neighbourhood, and health covariates. Membership in this severe cluster is associated with material disadvantage across the range of environmental factors as well as significant deficits in child health and education.
Résumé
Cette étude identifie une sous-population d’enfants à risque élevé, présentant un profil de comportement antisocial très net, au sein d’un échantillon national d’enfants canadiens. On y examine un large éventail de facteurs propres à l’environnement et à l’enfance qui pourraient être associés à ce groupe à risque élevé. Les données proviennent de l’Enquête nationale longitudinale sur les enfants et les adolescents et portent sur 18 135 d’entre eux, âgés de deux à onze ans. On a procédé à une analyse typologique pour identifier les enfants manifestant un comportement antisocial extrême portant sur cinq dimensions: agression, hyperactivité, comportement prosocial, difficultés émotives et inconduite. Les groupes ont été comparés en fonction de covariables relatives à la structure, à la famille, à l’école, au voisinage et à la santé. L’appartenance à cette sous-population très problématique est associée aux désavantages matériels pour toute la gamme des facteurs environnants ainsi qu’à de graves déficiences aux plans de la santé et de l’éducation des enfants.
Footnotes
Support for this research was provided, in part, by grant # 410-98-0539 from the Social Sciences and Humanities Research Council of Canada (SSHRCC).
References
- 1.Caspi A, Silva PA. Temperamental qualities at age 3 predict personality traits in young adulthood: Longitudinal evidence from a birth cohort. Child Development. 1995;66:486–98. doi: 10.2307/1131592. [DOI] [PubMed] [Google Scholar]
- 2.McGue M, Bacon S, Lykken DT. Personality stability and change in early adulthood: A behavioural genetic analysis. Developmental Psychology. 1993;29:96–109. doi: 10.1037/0012-1649.29.1.96. [DOI] [Google Scholar]
- 3.Tremblay RE, McCord J, Boileau H, et al. Can disruptive boys be helped to become competent? Psychiatry. 1991;54:148–61. doi: 10.1080/00332747.1991.11024542. [DOI] [PubMed] [Google Scholar]
- 4.LeBlanc M, McDuff P, Charlebois P, et al. Social and psychological consequences, at 10 years old, of an earlier onset of self-reported delinquency. Psychiatry. 1991;54:133–47. doi: 10.1080/00332747.1991.11024541. [DOI] [PubMed] [Google Scholar]
- 5.Tolan PH. Implications of age of onset for delinquency risk. J Abnormal Child Psychol. 1987;15:47–65. doi: 10.1007/BF00916465. [DOI] [PubMed] [Google Scholar]
- 6.Farrington DP, Loeber R, Van Kammen WB. Long-term criminal outcomes of hyperactivity-impulsivity-attention-deficit and conduct problems in childhood. In: Robins LN, Rutter MR, editors. Straight and Devious Pathways from Childhood to Adulthood. Cambridge: Cambridge University Press; 1990. [Google Scholar]
- 7.Kellam SG, Simon MB, Ensminger PE. Antecedents in first grade of teenage substance use and psychological well-being: A ten-year community-wide prospective study. In: Ricks DF, Dohrenwend BS, editors. Origins of Psychopathology. Cambridge: Cambridge University Press; 1983. [Google Scholar]
- 8.Loeber R, Dishion T. Early predictors of male delinquency: A review. Psychological Bulletin. 1983;94:68–99. doi: 10.1037/0033-2909.94.1.68. [DOI] [PubMed] [Google Scholar]
- 9.Nagin DS, Farrington DP, Moffit TE. Life-course trajectories of different types of offenders. Criminology. 1995;33:111–39. doi: 10.1111/j.1745-9125.1995.tb01173.x. [DOI] [Google Scholar]
- 10.Robins LN. Sturdy childhood predictors of adult antisocial behaviour: Replications from longitudinal studies. Psychological Medicine. 1978;8:611–22. doi: 10.1017/S0033291700018821. [DOI] [PubMed] [Google Scholar]
- 11.Robins LN, Price RK. Adult disorders predicted by childhood conduct problems: Results from the NIMH Epidemiologic Catchment Area Project. Psychiatry. 1991;54:116–32. doi: 10.1080/00332747.1991.11024540. [DOI] [PubMed] [Google Scholar]
- 12.Robins LN, Ratcliffe KS. Risk factors in the continuation of childhood antisocial behavior into adulthood. Int J Mental Health. 1979;8:96–116. [Google Scholar]
- 13.Weiss G, Hechtman L. Hyperactive Children Grown Up. New York: Guilford Press; 1986. [Google Scholar]
- 14.White JL, Moffit TE, Earls F, et al. How early can we tell? Predictors of childhood conduct disorder and adolescent delinquency. Criminology. 1990;28:507–33. doi: 10.1111/j.1745-9125.1990.tb01337.x. [DOI] [Google Scholar]
- 15.Widom CS. Avoidance of criminality in abused and neglected children. Psychiatry. 1991;54:162–74. doi: 10.1080/00332747.1991.11024543. [DOI] [PubMed] [Google Scholar]
- 16.Arboleda-Florez JE, Love EJ, Fick GH, et al. An epidemiological study of mental illness in a remanded population. Int Med J. 1995;2:113–26. [Google Scholar]
- 17.Caspi A, Begg D, Dickson N, et al. Identification of personality types at risk for poor health and injury in late adolescence. Criminal Behaviour and Mental Health. 1995;5:330–50. doi: 10.1002/cbm.1995.5.4.330. [DOI] [Google Scholar]
- 18.Offord DR, Boyle MH, Fleming JE, et al. Ontario Child Health Study: Summary of selected results. Can J Psychiatry. 1989;34:483–91. doi: 10.1177/070674378903400602. [DOI] [PubMed] [Google Scholar]
- 19.Offord DR, Boyle MH, Szatmari P, et al. Ontario Child Health Study: II Six-month prevalence of disorder and rates of service utilization. Archives of General Psychiatry. 1987;44:832–36. doi: 10.1001/archpsyc.1987.01800210084013. [DOI] [PubMed] [Google Scholar]
- 20.Offord DR, Boyle MH, Jones BR. Psychiatric disorder and poor school performance among welfare children in Ontario. Can J Psychiatry. 1987;32:518–25. doi: 10.1177/070674378703200704. [DOI] [PubMed] [Google Scholar]
- 21.Henry B, Moffit TE, Robins L, et al. Early family predictors of child and adolescent antisocial behaviour: Who are the mothers of delinquents? Criminal Behaviour and Mental Health. 1993;3:97–118. doi: 10.1002/cbm.1993.3.2.97. [DOI] [Google Scholar]
- 22.West DJ, Farrington DP. Who Becomes Delinquent? London: Heinemann; 1973. [Google Scholar]
- 23.West DJ. Delinquency: Its Roots, Careers, and Prospects. London: Heinemann; 1982. [Google Scholar]
- 24.Ruchkin VV, Eisemann M, Sidorov P. Parental rearing: A comparison between juvenile delinquents and controls in Russia. Int J Circumpolar Health. 1997;56:86–89. [PubMed] [Google Scholar]
- 25.Ruchkin VV, Eisemann M, Hägglöf B. Parental rearing and problem behaviours in male delinquent adolescents versus controls in Northern Russia. Social Psychiatry and Psychiatric Epidemiology. 1998;33:477–82. doi: 10.1007/s001270050082. [DOI] [PubMed] [Google Scholar]
- 26.Anderson JG, Williams S, McGee R, et al. DSM-III disorders in preadolescent children: Prevalence in a large sample from the general population. Archives of General Psychiatry. 1987;44:69–76. doi: 10.1001/archpsyc.1987.01800130081010. [DOI] [PubMed] [Google Scholar]
- 27.Tremblay RE, Masse JC, Pagani L, et al. From childhood physical aggression to adolescent maladjustment: The Montreal prevention experiment. In: Peters R, McMahon RJ, et al., editors. Preventing Childhood Disorders, Substance Abuse, and Delinquency. Thousand Oaks: Sage; 1996. [Google Scholar]
- 28.Boyle MH, Offord DR, Hofmann HG, et al. Ontario Child Health Study: I. Methodology. Archives of General Psychiatry. 1987;44:826–31. doi: 10.1001/archpsyc.1987.01800210078012. [DOI] [PubMed] [Google Scholar]
- 29.Rutter M, Tizard J, Whitmore K. Education, Health, and Behaviour. New York: Longman; 1970. [Google Scholar]
- 30.Langner TS, Gersten JC, Greene EL, et al. Treatment of psychological disorders among urban children. J Consulting and Clinical Psychology. 1974;2:170–79. doi: 10.1037/h0036249. [DOI] [PubMed] [Google Scholar]
- 31.Langner TS, McCarthy ED, Gersten JC, et al. Factors in children’s behavior and mental health over time: The family research project. In: Simmons RG, et al., editors. Research in Community and Mental Health. Greenwich: JAI Press; 1979. [Google Scholar]
- 32.Offord DR, Boyle MD, Racine Y. Ontario Child Health Study: Correlates of disorder. J Am Acad Child Adolesc Psychiatry. 1989;28:856–60. doi: 10.1097/00004583-198911000-00008. [DOI] [PubMed] [Google Scholar]
- 33.Statistics Canada, Special Surveys Division. National Longitudinal Survey of Children and Youth: Users Handbook and Microdata Guide, Cycle 1, Release 2. Ottawa. 1997. [Google Scholar]
- 34.Aldenderfer MS, Blashfield RK. Cluster Analysis. Sage University Series on Quantitative Applications in the Social Sciences. Newbury Park: Sage; 1984. [Google Scholar]
- 35.Norusis MJ. SPSS Base System Users Guide. Chicago: SPSS Inc.; 1990. [Google Scholar]
- 36.Cassel J. The contribution of the social environment to host resistance. Am J Epidemiol. 1976;104:107–23. doi: 10.1093/oxfordjournals.aje.a112281. [DOI] [PubMed] [Google Scholar]
- 37.McCord J. A forty-year perspective on effects of child abuse and neglect. Child Abuse and Neglect. 1983;7:265–70. doi: 10.1016/0145-2134(83)90003-0. [DOI] [PubMed] [Google Scholar]
- 38.Wade TJ. Delinquency and health among adolescents: Multiple outcomes of a similar social and structural process. Int J Law and Psychiatry in press. [DOI] [PubMed]
- 39.Link B, Phelan J. J Health Soc Behav. 1995. Social conditions as fundamental causes of disease; pp. 95–114. [PubMed] [Google Scholar]
- 40.Mancini JA, Blieszner R. Social provision in adulthood: Concept and measurement in close relationships. J Gerontol. 1992;47:14–20. doi: 10.1093/geronj/47.1.P14. [DOI] [PubMed] [Google Scholar]
- 41.Statistics Canada. Income distributions by Size in Canada. Ottawa: Ministry of Supply and Services; 1980. [Google Scholar]
- 42.Statistics Canada. Rebasing low cut-offs to 1978. Technical reference paper (Cat No. 8-3302-519) Ottawa: Minister of Supply and Services; 1983. [Google Scholar]
- 43.Miller IW, Bishop DS, Epstein NB, et al. The McMaster family assessment device: Reliability and validity. J Marriage and Family Therapy. 1985;11:345–56. doi: 10.1111/j.1752-0606.1985.tb00028.x. [DOI] [Google Scholar]
- 44.Geismar LL. The Family Functioning Scale: A Guide to Research and Practice. New York: Springer; 1993. [Google Scholar]
- 45.Strayhorn JM, Weidman CS. A parent practices scale and its relation to parent and child mental health. J Am Acad Child Adolesc Psychiatry. 1988;27:613–18. doi: 10.1097/00004583-198809000-00016. [DOI] [PubMed] [Google Scholar]
- 46.Radloff LS. The CES-D scale: A self-reported depression scale for research in the general population. Applied Psychological Measurement. 1977;1:385–401. doi: 10.1177/014662167700100306. [DOI] [Google Scholar]
- 47.Berthelot J, Roberge R, Wolfson MC. The calculation of health-adjusted life expectancy for a Canadian province using a multi-attribute utility function: A first attempt. Montpellier, France: Colloque Inserm/John Libby Eurotext Ltd; 1993. pp. 161–72. [Google Scholar]