Risk Factors and the Development of Disruptive and Antisocial Behaviour in Children
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Although some advances have been made in the treatment of antisocial behaviour, many professionals
acknowledge the difficulty of turning youngsters around once their behaviour has become serious.
Moreover, improved youngsters sometimes relapse after they are released from structured therapeutic
environments. (1)1 This paper summarizes knowledge of developmental and risk factors
that influence the course of antisocial and delinquent behaviour over time. Risk Factors for Later Antisocial Child Behaviour
The term "risk" as used here has two elements. First, it implies that a child has been exposed to a
risk factor, for example, delinquent acts by peers. Second, it implies that this exposure increases
the likelihood that there will be a negative outcome, such as delinquency. Risk factors refer to
earlier events, including children's early problem behaviour, that influence a later outcome, but
this does not necessarily mean that the risk factor causes the outcome.
Disruptive, antisocial and delinquent behaviours can be a variety of acts that may vary in
seriousness and may or may not violate criminal laws. What is striking is that the behaviours can
present themselves in so many different forms at different ages.(3) Figure 1 shows the
different manifestations of these behaviours in childhood and the approximate order in which they may
occur. Figure 1 ![]() Even though disruptive and antisocial behaviours are presented differently at different ages, they may continue over time. This implies that, to some extent, those with disruptive problems at an early age are the same individuals who display problem behaviour of a different kind at a later age. Rather than the different problem behaviours replacing one another as a child ages, they may be thought of as being "stacked." Figure 2 shows the hypothesized stacking of problem behaviours in a hyperactive and inattentive youngster who has been exposed to unfavourable conditions. Early risk factors associated with later hyperactivity and inattentiveness include exposure to neurotoxic substances (such as lead),(4) early malnutrition,(5) low birth weight,(6) and mother's substance use during pregnancy.(7) Figure 2 ![]() These factors likely result in some neurological damage or impairment. Such a youngster is at risk of developing negative behaviour, including aggressive acts. These are often accompanied by poor social skills and cognitive problems that lead such youngsters to perceive more threats to themselves in the social environment (and therefore to be more aggressive) than other youngsters.(8) The combination of aggression, poor social skills and cognitive problems predisposes such a child to poor peer relationships and rejection by peers. In addition, the impulsiveness and attention problems associated with hyperactivity put such a youngster at risk for underdeveloped reading abilities and academic failure.(9) Truancy may result and, coupled with other deficits, probably increases the likelihood that a child will initiate delinquent acts. In an extreme form, the developmental stacking would include all of the problem behaviours listed. However, less extensive stacking is more common. Few children progress to the most serious levels or accumulate the greatest variety of behaviours. More often, youngsters follow this sequence of deviant behaviours to a lesser degree, reach a plateau or reverse to a less serious level. Empirical Evidence for Risk Factors in Early Child Behaviour
Some of the behaviours of youngsters are clear risk factors for later delinquency.(10)
Among the strongest predictors of delinquency in boys are aggression, drug use and stealing. Less
powerful, but still important predictors are truancy, lying and low educational achievement.
The discussion so far has concerned specific behaviours as precursors to later delinquency.
Particular patterns of such behaviours are important too, both for risk exposure and risk
identification. The patterns of frequency, variety, multiple settings and early onset are related to
later deviancy.
Some children who are at risk for delinquency are much more active than others and have difficulty
sitting still, finding it hard to control their impulses and to pay attention. This hyperactivity,
impulsiveness and attention problem is referred to here as HIA.
The HIA complex may be due to biological and genetic differences in children, but much more research
is needed to clarify this. The problem is that since HIA often occurs in conjunction with conduct
problems, it is difficult to distinguish causal factors unique to each.
One study comparing the academic performance of delinquents and controls showed that, by second
grade, 45% of the delinquents were behind in reading and 36% in writing.(26) Later problem
behaviour such as drug use (often coupled with truancy) is known to be related to dropping out of
school.(27)
Some risk factors are in the child's social environment - the family and peer group. Loeber and
Stouthamer-Loeber(30) summarized studies in these areas. Research indicates that factors
in the family are among the best predictors of later delinquency in offspring. Among these were
parental child-rearing practices, such as supervision, and combinations of familial handicaps.
Parents' non-involvement with their children, parental criminality, aggressiveness and deviant peers
were moderately strong predictors. Weaker predictors were poor discipline, parental absence or broken
home, socio-economic status and poor parental health.
Various antisocial outcomes can develop from different paths of behaviour. Similarly, different paths
apply to different individuals. The evidence for this is complex and incomplete. The following
summary, therefore, provides merely a broad outline, serving as a base for further research.
Loeber,(32) using available evidence, concluded that each of these three antisocial outcomes develops from a different path. The Aggressive/Versatile Path
Individuals on this path have the highest likelihood of becoming versatile offenders. Typically,
behavioural problems begin early, particularly in the preschool years. Youngsters develop aggressive
and non-aggressive covert behaviours (such as truancy, substance use, stealing), and many show
attention problems, impulsiveness and hyperactivity. They are more likely to have impaired social
skills and poor relationships with both adults and peers. Their problem behaviour is often not
confined to just one setting, the home environment, but also occurs in school. The combination of
disruptive behaviour in school and attention problems puts them at risk for academic frustrations and
failure in school, which in turn increase their risk of dropping out of school.
Individuals on this path usually do not begin their antisocial behaviour until late childhood or
early adolescence, and therefore much later than those on the aggressive/versatile path. Typically,
the antisocial behaviour of these children is not aggressive and is usually limited to covert
behaviours, such as theft, lying, truancy and substance use.
A large proportion of alcoholics and other drug abusers did not display serious antisocial behaviour
when they were young.(33) Substance use probably begins later than that of versatiles,
usually sometime in early to middle adolescence. Further explanations about the characteristics of
this path are needed. Despite the impression so far that children's antisocial development is equally likely to occur at any of the different phases of the growing-up years, this is not the case. Some major conclusions based on available research are outlined below.
For several reasons, it is helpful to know about the developmental changes in antisocial behaviour. First, it helps to distinguish better between deviant and normal behaviour. Second, it shows at what periods most change takes place in a youngster's behaviour (in order to focus on critical periods during which new problem behaviours can be influenced). And third, knowledge of developmental trends and of periods when change is more or less likely to occur are important for assessing when intervention would be most effective. Critical Period for Bonding
There is increasing evidence of a critical period early in children's lives when youngsters form
attachments to their adult caretakers. This helps them to learn prosocial skills and to unlearn
aggressive or acting out behaviours. Without this attachment, or bonding, socialization is much more
difficult.
This article stressed that, as a rule, young offenders do not "spring out of the cabbage" when they
commit their first delinquent act. Instead, chronic problem behaviour often precedes the delinquent
acts by many years. * This article is a shortened version of a paper that appeared in Clinical Psychology Review (Vol.9, 1990). The author is grateful to the publisher of Pergamon Press for permission to reprint this article. Rolf Loeber, Ph.D., was trained as a clinical psychologist and finished his studies at Queen's University, Kingston, Ontario. He is an Associate Professor of Psychiatry, Psychology and Epidemiology at the University of Pittsburgh, Pennsylvania. He and his wife, Dr. Magda Stouthamer-Loeber, are co-directors of the Life History Studies Program at the Western Psychiatric Institute and Clinic in Pittsburgh. This program studies the development of antisocial behaviour in boys. One study, now in its fifth year, consists of the follow-up of a community sample of 1,517 boys. Another study is a yearly follow-up of a clinically referred sample (n=177) which has been assessed four times. These data sets make it possible to trace deviant development, identify risk and causal factors and design optimal screening procedures to identify youngsters at risk. (1)M.M. Wolf C.J. Braukmann and K.A. Ramp, "Serious Delinquent Behavior May Be Part of a Significantly Handicapping Condition: Cures and Supportive Environments," Journal of Applied Behavior Analysis, 20 (1987): 347-359. (2)D.P. Farrington, "Randomized Experiments on Crime and Justice," in N. Morris and M.Tonry (Eds.), Crime and Justice, Vol 4. (Chicago: University of Chicago Press, 1982). See also R. Loeber, "Experimental Studies to Reduce Antisocial and Delinquent Child Behavior: Implications for Future Program and Optimal Times for Intervention," in Proceedings of the ADAMHA/OJJDP Research Conference on Juvenile Offenders with Serious Drug, Alcohol and Mental Health Problems. (Washington, D.C.: U.S. Government Printing Office, 1985), and see R. Loeber and M. Stouthamer-Loeber, "Family Factors as Correlates and Predictors of Juvenile Conduct Problems and Delinquency," in N. Morris and M. Tonry (Eds.), Crime and Justice: An Annual Review of Research, Vol.7. (Chicago: University of Chicago Press, 1986). (3)R.O. Bell, "Age-Specific Manifestations in Changing Psychosocial Risk," in D.C. Farran and J.D. McKinney (Eds.), Risk in Intellectual and Psychosocial Development. (Orlando, Fla.: Academic Press, 1986). (4)H.L. Needleman and D.C. Bellinger, "The Epidemiology of Low-Level Lead Exposure in Childhood," Journal of Child Psychiatry, 20 (1981): 496-512. (5)J.R. Galler, F. Ramsey, G. Solimano and W.E. Lowell, "The Influence of Early Malnutrition on Subsequent Behavioral Development. II Classroom Behavior," Journal of the American Academy of Child Psychiatry, 24 (1983): 16-22. (6)J. Astbury, A.A. Orgill, B. Bajuk and V Y.H. Yu, "Neonatal and Neurodevelopmental Significance of Behaviour in Very Low Birthweight Children," Early Human Development, 11 (1985): 113-121. See also N. Breslau, N. Klein and L. Allen, "Very Low Birthweight: Behavioral Sequelae at Nine Years of Age," Journal of the American Academy of Child and Adolescent Psychiatry, 67 (1988): 605-612. (7)D.D. Davis and D.L. Templer, "Neurobehavioral Functioning in children Exposed to Narcotics in Utero," Addictive Behaviors, 13 (1988): 275-283. (8)K.A. Dodge, "Social cognition and children's Aggressive Behavior," Child Development, 51 (1980): 162-170. (9)A.F. Jorm, D.L. Share, R. Matthews and R. Maclean, "Behaviour Problems in Specific Reading Retarded and General Reading Backward children: A Longitudinal Study," Journal of Child Psychiatry, 27 (1986): 33-43. (10)R. Loeber and M. Stouthamer-Loeber, "Prediction," in H.C. Quay (Ed.), Handbook of Juvenile Delinquency. (New York: Wiley, 1987). (11)D. Olweus, "Stability of Aggressive Reaction Patterns in Males: A Review," Psychological Bulletin, 86(1979): 852-857. (12)R. Loeber and C. Baicker-McKee, "The Changing Manifestations of Disruptive/Antisocial Behavior from Childhood to Early Adulthood: Evolution or Tautology?" Unpublished manuscript: University of Pittsburgh, School of Medicine, Pittsburgh, 1990. (13)Loeber and Stouthamer-Loeber, "Prediction," op. cit., 1987. (14)D.P. Farrington, "The Family Background of Aggressive Youths," in L.A. Hersov, M. Berger and D. Shaffer (Eds.), Aggression and Antisocial Behavior in Childhood and Adolescence. (Oxford: Pergamon Press, 1978). See also D. Magnusson, H. Stattin and A. Duner, "Aggression and Criminality in a Longitudinal Perspective," in K.T. Van Dusen and S.A. Mednick (Eds.), Antecedents of Aggression and Antisocial Behavior. (Boston: Kluwer-Nijhoff 1983). (15)R. Loeber, "The Natural History of Juvenile Conduct Problems, Delinquency and Associated Substance Use: Evidence for Developmental Progressions," in B.B. Lahey and A.E. Kazdin (Eds.), Advances in Clinical Child Psychology, Vol. 11. (New York: Plenum, 1988). (16)M. Fréchette and M. LeBlanc, Délinquances et Délinquants. (Quebec: G. Morin, 1987). See also P.H. Tolan, "Implications of Age of Onset for Delinquency Risk," Journal of Abnormal Child Psychology, 15 (1987): 47-65. (17)W. McCord and J. McCord, "A Longitudinal Study of the Personality of Alcoholics," in D.J. Pittman and C.R. Snyder (Eds.), Society, Culture and Drinking Patterns. (New York: Wiley, 1962). (18)R. Loeber, "Behavioral Precursors and Accelerators of Delinquency," in W. Buikhuisen and S.A. Mednick (Eds.), Explaining Crime. (London: Brill, 1988). See also D.P. Farrington, R. Loeber and W.B. Van Kammen, "Long-Term Criminal Outcomes of Hyperactivity-Impulsivity-Attention Deficit and Conduct Problems in Childhood," in L.N. Robins and M.R. Rutter (Eds.), Straight and Devious Pathways to Adulthood. (New York: Cambridge University Press, 1990) and see D. Magnusson, Individual Development from an Interactional Perspective: A Longitudinal Study. (Hillsdale, N.J.: Lawrence, 1988). (19)Loeber, "Behavioral Precursors and Accelerators of Delinquency," op. cit., 1988 See also N. Richman, J. Stevenson and P. Graham, "Sex Differences in Outcome of Pre-School Behaviour Problems," in A.R. Nicol (Ed.), Longitudinal Studies in Child Psychology and Psychiatry. (New York: Wiley, 1985), and see R. Schachar, M. Rutter and A. Smith, "The Characteristics of Situationally and Pervasively Hyperactive Children: Implications for Syndrome Definition," Journal of Child Psychology and Psychiatry, 22 (1981): 375-392. (20)T.E. Moffitt and P.A. Silva, "Self-Reported Delinquency, Neuropsychological Deficit, and History of Attention Deficit Disorder," Journal of Abnormal Child Psychology, 16 (1988): 553-569. See also J.Q. Wilson and R.J. Herrnstein, Crime and Human Nature. (New York: Simon & Schuster, 1985). (21)Farrington, Loeber and Van Kammen, "Long-Term Criminal Outcomes," op. cit., 1990, p.24. (22)J. Loney and R. Milich, "Hyperactivity, Inattention and Aggression in Clinical Practice," in M. Wolraich and D.K. Routh (Eds.), Advances in Behavioral Pediatrics, Vol.3. (Greenwich, Conn: JAI Press, 1982). (23)R. McGee, S. Williams and P.A. Silva, "Factor Structure and Correlates of Ratings of Inattention, Hyperactivity and Antisocial Behavior in a Large Sample of 9-Year-Old Children from the General Population," Journal of Consulting and Clinical Psychology, 53 (1985): 480-489. (24)Magnusson, Individual Development, op. cit., 1988 See also D. Magnusson, H. Stattin and V. Allen, "Differential Maturation among Girls and its Relations to Social Adjustment: A Longitudinal Perspective," in P.B. Baltes, D.L. Featherman and R.M. Lerner (Eds.), Life-Span Development and Behavior, Vol.7. (Hillsdale, N.J.: Erlbaum, 1986). (25)Needleman and Bellinger, "Epidemiology of Low-Level Lead," op. cit., 1981. (26)L.J. Meltzer, M.D. Levine, W. Karniski, J.S. Palfrey and S. Clarke, "An Analysis of the Learning Style of Adolescent Delinquents," Journal of Learning Disabilities, 17 (1984): 600-608. (27)D. Kandel, "Reaching the Hard to Research: Illicit Drug Use Among High School Absentees," Addictive Diseases, 1 (1975): 465-480. (28)A.S. Friedman, N. Glickman and A.T. Utada, "Predicting from Earlier Substance Abuse and Earlier Grade Point Average to Failure to Graduate from High School," Journal of Alcohol and Drug Education, 31 (1985): 25-31. (29)D.P. Farrington, B. Gallagher, L. Morley, R.J. St. Ledger and D.J. West, "Unemployment, School Leaving and Crime," British Journal of Criminology, 26(1986): 335-356. (30)Loeber and Stouthamer-Loeber, "Family Factors as Correlates," op. cit., 1986. (31)But see D.S. Elliott, D. Huizinga and S.S. Ageton, Explaining Delinquency and Drug Use, (Beverly Hills: Sage Publications, 1985), and see R. Loeber, "Explaining Delinquency and Drug Use (book review)," Aggressive Behavior, 13 (1987): 97-98. (32)Loeber, "The Natural History of Juvenile Conduct Problems," op. cit., 1988. (33)Ibid. (34)R. Loeber, "The Stability of Antisocial and Delinquent Child Behavior: A Review," Child Development, 53 (1982): 1431-1446. (35)Ibid. (36)Summarized by K. MacDonald, "Early Experience, Relative Plasticity and Social Development," Developmental Review, 5 (1985): 99-121. (37)Ibid. (38)R.J. Cadoret and C. Cain, "Sex Differences in Predictors of Antisocial Behavior in Adoptees," Archives of General Psychiatry, 37(1980): 1171-1175. (39)MacDonald, "Early Experience," op. cit., 1985. (40)D. Behar and M.A. Stewart, "Aggressive Conduct Disorder of Children: The Clinical History and Direct Observations, "Acta Psychiatrica Scandinavia, 65 (1982): 210-220. See also M. Wadsworth, Roots of Delinquency, Infancy, Adolescence and Crime. (Oxford: Robertson, 1979). (41)E.M. Cummings, "Coping with Background Anger in Early Childhood," Child Development, 58(1987): 976-984. (42)I. Kolvin, F.J.W. Miller, M. Fletting and P.A. Kolvin, "Social and Parenting Factors Affecting Criminal-Offence Rates: Findings from the Newcastle Thousand Family Study," British Journal of Psychiatry, 152 (1988): 80-90. See also Wadsworth, "Roots of Delinquency," op. cit., 1979, and see E.E. Werner and R.S. Smith, Kauai's Children Come of Age. (Honolulu: University of Hawaii Press, 1977). |