Skip to main content
Log in

Impulsivity and Attention Deficit-Hyperactivity Disorder: Subtype Classification Using the UPPS Impulsive Behavior Scale

  • Published:
Journal of Psychopathology and Behavioral Assessment Aims and scope Submit manuscript

Abstract

This study examined the classification accuracy of the UPPS Impulsive Behavior Scale (UPPS) in discriminating several attention deficit/hyperactivity disorder (ADHD) subtypes, including predominantly inattentive type (ADHD/I), combined type (ADHD/C), and combined type with behavioral problems (ADHD/ODD), between each other and a non-ADHD control group using logistic regression analyses. The sample consisted of 88 children ranging in age from 9.0 years to 12.8 years, with a mean of 10.9 years. Children were predominantly male (74%) and Caucasian (86%) and in grades 3–7. Results indicated that the UPPS performed well in classifying ADHD subtypes relative to traditional diagnostic measures. In addition, analyses indicated that differences in symptoms between subtypes can be explained by specific pathways to impulsivity. Implications for the assessment of ADHD and conceptual issues are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Achenbach, T. M. (1991). Manual for the child behavior checklist/4–18 and 1991 profile. Burlingon: University of Vermont Department of Psychiatry.

    Google Scholar 

  • Adams, Z. W., Derefinko, K. J., Milich, R., & Fillmore, M. T. (2008). Inhibitory functioning across ADHD subtypes: recent findings, clinical implications, and future directions. Developmental Disabilities Research Reviews, 14, 268–275.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders-text revision (4th ed.). Washington, DC: Author.

    Book  Google Scholar 

  • Babinski, L. M., Hartsough, C. S., & Lambert, N. M. (1999). Childhood conduct problems, hyperactivity-impulsivity, and inattention as predictors of adult criminal activity. Journal of Child Psychology and Psychiatry, 40, 347–355.

    Article  PubMed  Google Scholar 

  • Baeyens, D., Roeyers, H., & Walle, J. V. (2006). Subtypes of Attention-Deficit/Hyperactivity Disorder (ADHD): distinct or related disorders across measurement levels? Child Psychiatry and Human Development, 36, 403–417.

    Article  PubMed  Google Scholar 

  • Barkley, R. A. (1990). Attention-deficit hyperactivity disorder: a handbook for diagnosis and treatment. New York: Guilford.

    Google Scholar 

  • Barkley, R. A. (1997). Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD. Psychological Bulletin, 121, 65–94.

    Article  PubMed  Google Scholar 

  • Barkley, R. A., DuPaul, G. J., & McMurray, M. B. (1991). Attention deficit disorder with and without hyperactivity: clinical response to three dose levels of methylphenidate. Pediatrics, 87, 519–531.

    PubMed  Google Scholar 

  • Carlson, C. L., & Mann, M. (2002). Sluggish cognitive tempo predicts more severe impairment in the ADHD, predominantly inattentive type. Journal of Clinical Child and Adolescent Psychology, 31, 123–129.

    PubMed  Google Scholar 

  • Caspi, A., Langley, K., Milne, B., Moffitt, T. E., O’Donovan, M., Owen, M. J., et al. (2008). A replicated molecular genetic basis for subtyping antisocial behavior in children with attention-deficit/hyperactivity disorder. Archives of General Psychiatry, 65, 203–210.

    Article  PubMed  Google Scholar 

  • Colledge, E., & Blair, R. J. R. (2001). The relationship in children between inattention and impulsivity components of attention deficit and hyperactivity disorder and psychopathic tendencies. Personality and Individual Differences, 30, 1175–1187.

    Article  Google Scholar 

  • Conners, C. K. (1997). Conners’rating scales–revised: Technical manual. North Tonawanda: Multi-Health Systems.

    Google Scholar 

  • Derefinko, K. J., Adams, Z. W., Milich, R., Fillmore, M. T., Lorch, E. P., & Lynam, D. R. (2008). Response style differences in the inattentive and combined subtypes of attention-deficit/hyperactivity disorder. Journal of Abnormal Child Psychology, 36, 745–758.

    Article  PubMed  Google Scholar 

  • Diamond, A. (2005). Attention-deficit disorder (attention-deficit/hyperactivity disorder without hyperactivity): a neurobiologically and behaviorally distinct disorder from attention deficit/hyperactivity (with hyperactivity). Development and Psychopathology, 17, 807–825.

    Article  PubMed  Google Scholar 

  • Eisenberg, N., Fabes, R. A., Guthrie, I. K., Murphy, B. C., Maszk, P., Holmgren, R., et al. (1996). The relations of regulation and emotionality to problem behavior in elementary school children. Development and Psychopathology, 8, 141–162.

    Article  Google Scholar 

  • Faraone, S. V., Biederman, J., Weber, W., & Russell, R. W. (1998). Psychiatric, neuropsychological, and psychosocial features of DSM-IV subtypes of attention-deficit/hyperactivity disorder: results from a clinically referred sample. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 185–193.

    Article  PubMed  Google Scholar 

  • Fillmore, M. T., Milich, R., & Lorch, E. P. (2009). Inhibitory deficits in children with Attention-Deficit/Hyperactivity Disorder: Intentional versus automatic mechanisms of attention. Development and Psychopathology.

  • Flory, K., & Lynam, D. R. (2003). The relation between attention deficit hyperactivity disorder and substance abuse: what role does conduct disorder play? Clinical Child and Family Psychology Review, 6, 1–16.

    Article  PubMed  Google Scholar 

  • Flory, K., Milich, R., Lynam, D. R., Leukefeld, C., & Clayton, R. (2003). Relation between childhood disruptive behavior disorders and substance use and dependence symptoms in young adulthood: individuals with symptoms of attention-deficit/hyperactivity disorder are uniquely at risk. Psychology of Addictive Behaviors, 17, 151–158.

    Article  PubMed  Google Scholar 

  • Flory, K., Molina, B. S., Pelham, W. E., Jr., Gnagy, E., & Smith, B. (2006). Childhood ADHD predicts risky sexual behavior in young adulthood. Journal of Clinical Child and Adolescent Psychology, 35, 571–577.

    Article  PubMed  Google Scholar 

  • Gaub, M., & Carlson, C. L. (1997). Behavioral characteristics of DSM-IV ADHD subtypes in a school-based population. Journal of Abnormal Child Psychology, 25, 103–111.

    Article  PubMed  Google Scholar 

  • Guang-Wen, H., Lin-Yan, S., & Ying, R. (2005). Behavior characters of ODD children with ADHD symptoms. Chinese Mental Health Journal, 19, 259–261.

    Google Scholar 

  • Lahey, B. B., Pelham, W. E., Loney, J., Lee, S. S., & Willcutt, E. (2005). Instability of the DSM-IV Subtypes of ADHD from preschool through elementary school. Archives of General Psychiatry, 62, 896–902.

    Article  PubMed  Google Scholar 

  • Loeber, R., & Stouthamer-Loeber, M. (1998). Development of juvenile aggression and violence: some common misconceptions and controversies. American Psychologist, 53, 242–259.

    Article  PubMed  Google Scholar 

  • Lorch, E. P., Sanchez, R. P., van den Broek, P., Milich, R., Murphy, E. L., Lorch, R. F., Jr., et al. (1999). The relation of story structure properties to recall of television stories in young children with attention-deficit hyperactivity disorder and nonreferred peers. Journal of Abnormal Child Psychology, 27, 293–309.

    Article  PubMed  Google Scholar 

  • Lynam, D. R. (1996). Early identification of chronic offenders: who is the fledgling psychopath? Psychological Bulletin, 120, 209–234.

    Article  PubMed  Google Scholar 

  • Lynam, D. R. (1997). Pursuing the psychopath: capturing the fledgling psychopath in a nomological net. Journal of Abnormal Psychology, 106, 425–438.

    Article  PubMed  Google Scholar 

  • Martel, M., & Nigg, J. T. (2006). Control, resiliency, negative emotionality, and ADHD in children. Journal of Child Psychology and Psychiatry, 47, 1175–1183.

    Article  PubMed  Google Scholar 

  • Mathias, C. W., Furr, R. M., Daniel, S. S., Marsh, D. M., Shannon, E. E., & Dougherty, D. M. (2007). The relationship of inattentiveness, hyperactivity, and psychopathy among adolescents. Personality and Individual Differences, 43, 1333–1343.

    Article  Google Scholar 

  • Milich, R., Balentine, A. C., & Lynam, D. R. (2001). ADHD combined type and ADHD predominantly inattentive type are distinct and unrelated disorders. Clinical Psychology: Research and Practice, 8, 463–488.

    Article  Google Scholar 

  • Miller, T. W., Nigg, J. T., & Faraone, S. V. (2007). Axis I and II comorbidity in adults with ADHD. Journal of Abnormal Psychology, 116, 519–528.

    Article  PubMed  Google Scholar 

  • Moeller, F. G., Barratt, E. S., Dougherty, D. M., Schmitz, J. M., & Swann, A. C. (2001). Psychiatric aspects of impulsivity. American Journal of Psychiatry, 158, 1783–1793.

    Article  PubMed  Google Scholar 

  • Moffitt, T. E. (1993). Adolescence-limited and life-course-persistent antisocial behavior: a developmental taxonomy. Psychology Review, 100, 674–701.

    Article  Google Scholar 

  • Molina, B. S. G., Smith, B. H., & Pelham, W. E. (1999). Interactive effects of attention deficit hyperactivity disorder and conduct disorder on early adolescent substance use. Psychology of Addictive Behaviors, 13, 348–358.

    Article  Google Scholar 

  • Nigg, J. T. (2005). Neuropsychologic theory and findings in Attention-Deficit/Hyperactivity Disorder: the state of the field and salient challenges for the coming decade. Biological Psychiatry, 57, 1424–1435.

    Article  PubMed  Google Scholar 

  • Nigg, J. T., John, O. P., Blaskey, L. G., Huang-Pollock, C. L., Willicut, E. G., Hinshaw, S. P., et al. (2002). Big Five dimensions and ADHD symptoms: links between personality traits and clinical symptoms. Journal of Personality and Social Psychology, 83, 451–469.

    Article  PubMed  Google Scholar 

  • Nigg, J. T., Carr, L., Martel, M., & Henderson, J. M. (2007). Concepts of inhibition and developmental psychopathology. In D. Gorfein & C. MacCleod (Eds.), Inhibition in cognition (pp. 259–277). Washington DC: American Psychological Association Press.

    Chapter  Google Scholar 

  • Nolan, E. E., Volpe, R. J., Gadow, K. D., & Sprafkin, J. (1999). Developmental, gender, and comorbidity differences in clinically referred children with ADHD. Journal of Emotional and Behavioral Disorders, 7, 11–21.

    Article  Google Scholar 

  • Pasini, A., Paloscia, C., Alessandrelli, R., Porfirio, M. C., & Curatolo, P. (2007). Attention and executive functions profile in drug naive ADHD subtypes. Brain and Development, 29, 400–408.

    Article  PubMed  Google Scholar 

  • Pennington, B. F., & Ozonoff, S. (1996). Executive functions and developmental psychopathology. Journal of Child Psychology and Psychiatry, 37, 51–87.

    Article  PubMed  Google Scholar 

  • Quay, H. C. (1997). Inhibition and attention deficit hyperactivity disorder. Journal of Abnormal Child Psychology, 25, 7–13.

    Article  PubMed  Google Scholar 

  • Vaughn, M. L., Riccio, C. A., Hynd, G. W., & Hall, J. (1997). Diagnosing ADHD (predominantly inattentive and combined type subtypes): discriminant validity of the behavior assessment system for children and the achenbach parent and teacher rating scales. Journal of Clinical Child Psychology, 26, 249–357.

    Google Scholar 

  • Waschbusch, D. A. (2002). A meta-analytic examination of comorbid hyperactive-impulsive-attention problems and conduct problems. Psychological Bulletin, 128, 118–150.

    Article  PubMed  Google Scholar 

  • Weller, E. B., Weller, R. A., Fristad, M. A., Rooney, M. T., & Checter, J. (2000). Children’s interview for psychiatric disorders (ChIPS). Journal of the American Academy of Child and Adolescent Psychiatry, 31, 76–84.

    Article  Google Scholar 

  • Whiteside, S. P., & Lynam, D. R. (2001). The five factor model and impulsivity: using a structural model of personality to understand impulsivity. Personality and Individual Differences, 30, 669–689.

    Article  Google Scholar 

  • Whiteside, S. P., Lynam, D. R., Miller, J. D., & Reynolds, S. K. (2005). Validation of the UPPS impulsive behavior scale: a four-factor model of impulsivity. European Journal of Personality, 19, 559–574.

    Article  Google Scholar 

Download references

Acknowledgements

This research was supported by grants DA021027 and DA005312 from the National Institute on Drug Abuse.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Drew J. Miller.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Miller, D.J., Derefinko, K.J., Lynam, D.R. et al. Impulsivity and Attention Deficit-Hyperactivity Disorder: Subtype Classification Using the UPPS Impulsive Behavior Scale. J Psychopathol Behav Assess 32, 323–332 (2010). https://doi.org/10.1007/s10862-009-9155-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10862-009-9155-z

Keywords

Navigation