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Noncompliance in children having ADHD with varying degrees of oppositional/conduct disordered behaviour Murray, Candice


The traditional behavioural model of noncompliance is unidimensional and measures noncompliance according to its frequency. In the past decade, developmental theorists have presented a multidimensional model of noncompliance that underlines the importance of evaluating the quality rather than the quantity of noncompliance. This study examined the type and frequency of noncompliant behaviour in 140 boys having Attention-Deficit/Hyperactivity Disorder (ADHD) with oppositional/conduct disordered behaviour. The data on boys' noncompliant behaviours were coded from videotaped mother-son interactions during a clean up task. A factor analysis indicated that there were three types of noncompliance: Least skilled noncompliance, semi-skilled noncompliance, and most skilled noncompliance. Pearson correlation coefficients examining the relationship between the proportion of the types of noncompliance and maternal ratings of oppositional/conduct disordered behaviour indicated that only semi-skilled noncompliance was related to maternal ratings of oppositional/conduct disordered behaviour. Correlations between maternal ratings of oppositional/conduct disordered behaviour and two measures of the frequency of noncompliance indicated a trend for a positive correlation with one of the measures. It is suggested that a unified measure of noncompliance consisting of both the quantity and quality of child noncompliant behaviour may provide a more meaningful account of ADHD children with oppositional/conduct disordered behaviour.

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