Running head: CHANGES IN MATERNAL RATINGS
Changes in Maternal Ratings of Children’s Overt and Covert Antisocial Behavior
Gerald R. Pattersona, Daniel S. Shawb,
James J. Snyderc, and Karen Yoergera
aOregon
bUniversity of
Address correspondence to:
Gerald R. Patterson, Ph.D.
541-485-2711
541-485-7087 FAX
Keywords: antisocial, growth, overt, covert, early
onset
Changes in Maternal Ratings of Children’s Overt
and Covert Antisocial Behavior
Abstract
Maternal ratings of overt and covert forms of aggression were collected for two samples of children ranging in age from 2 through 12 years. It was hypothesized that longitudinal analyses would show the slope scores for these two forms of aggression to be quite different from each other. The data were consistent with this hypothesis. An effort was made to find alternative explanations for the negative slope for overt antisocial behavior. Alternatively, it was hypothesized that the more extreme cases would not show this negative slope. It was also hypothesized that careful examination of intraindividual curves would identify a significant number of individuals growing from normal to clinical levels of overt antisocial behavior. The findings led to the rejection of both alternative hypotheses. It was hypothesized that overt and covert scores would correlate significantly for first grade boys. It was also assumed that both covert and overt scores would show moderate stability over the 5 year interval. The findings were consistent with both of these hypotheses.
Acknowledgments
An
earlier version of this paper was presented at the annual conference of the
American Society of Criminology in
Changes in Maternal Ratings of Children’s Overt
and Covert Antisocial Behavior
Most
investigators agree that early arrest is a prime predictor for status as a
chronic offender [Blumstein et al., 1986; Moffitt, 1993; Patterson et al.,
1989.]. This perspective, in turn,
emphasizes the importance of building models that identify the childhood
antecedents that significantly predict early-onset arrest. In the coercion model, the developmental
antecedent to early arrest is thought to be a sequence that begins during early
childhood with overt forms of antisocial behavior [Patterson & Yoerger,
2002]. The second stage is characterized
by the emergence of high rates of covert forms of antisocial behavior during
later childhood and early adolescence [Patterson & Yoerger, 1997]. Presumably, boys who perform high rates of
overt antisocial behaviors when entering school are at particular risk for
performing at least low levels of covert forms as well [Patterson &
Yoerger, 2002].
Several
developmental models for children’s aggression emphasize the key role played by
overt and covert forms of antisocial behaviors in predicting early arrest for
juvenile crime [Loeber & Schmaling, 1985; Loeber et al., 1999;
Patterson, 1982; Patterson & Yoerger, 1997; 1999; 2002]. According to the coercion model, it is the
sequence of high rates of overt antisocial behavior during childhood followed
by high rates of covert antisocial behavior during early adolescence that
constitutes the key predictors for early-onset arrest [Patterson & Yoerger,
1997; 1999; 2002].
It
seems reasonable, then, in building a theory of aggression to begin by
describing the early growth in these two forms of antisocial behavior. Overt antisocial behaviors were defined by
maternal ratings of behaviors (e.g., stubbornness, temper tantrums, and
fighting) as they occurred during two longitudinal studies during the interval
between ages 2 and 12 years. One of the
longitudinal studies also collected data that described changes in covert
behaviors, such as stealing, vandalism, and lying, for the interval from ages
6.5 through 12 years.
A prior examination of longitudinal ratings by
mothers for at-risk adolescent boys showed a negative slope for overt forms but
a positive slope for covert antisocial behaviors [Patterson & Yoerger,
1997]. In that study, rates for covert
behaviors were very low at age 10 and remained low until about age 13 years at
which time there was accelerated growth.
This finding suggests that in the current study, for boys between ages 6
and 12, the mean level for covert behaviors would remain close to zero and
display a neutral slope. However,
findings from the research literature suggest the slope for overt forms of
antisocial behavior would be negative for younger as well as for adolescent
samples. For example, maternal diary
reports in the classic study by Goodenough [1931] showed frequency of anger
outbursts decreased from about .13 per hour at 18 months to .07 per hour by 8
years.
Alternatively, the effect may be some function of
parent (and teacher) report data.
However, the effect was also obtained in observation data collected in
the home. For example, the study by Fawl
[1963] showed a correlation of -.76 between age and frequency of conflict
bouts. The negative slope seems to hold
for both normal and clinical samples as shown in observation data collected in
homes [Patterson, 1982]. Decreases in
frequency are also cross cultural, as shown for observed age-related decreases
in child assault behavior in six cultures studied by Whiting and Whiting [1975]
and in the
J. Snyder has put forward the hypothesis that adults successfully apply discipline to the more obvious forms of overt antisocial behavior [Snyder et al., 2003]. As he puts it, the aversive contingencies “drive overt forms of antisocial behavior underground.” In the present context, the Snyder hypothesis may account for the consistent findings for a negative slope for overt forms.
It is well known that for older samples of children, the overt and covert forms of antisocial behavior are highly correlated. [Loeber & Schmaling, 1985]. Observation data collected on the playground for kindergarten and first grade boys showed that the overt and covert forms are also intercorrelated [Snyder et al., 2003] for younger children. It was hypothesized in the current sample of younger children that maternal ratings for overt and covert forms will also be significantly correlated. It was also assumed that both forms would show moderate stabilities in maternal ratings over the 5-year interval.
The findings suggest that the sequence of growth in
overt behavior followed by growth in covert forms of antisocial behavior may
serve as a necessary antecedent for early-onset delinquent behavior. Based on the Oregon Youth Study (OYS), the
data showed that boys who scored high on overt antisocial behavior at age 10
years and who then showed the intense growth in covert forms during adolescence
were most at risk for early arrest before the age of 14 years [Patterson &
Yoerger, 1999, 2002]. Their risk for
arrest as adults was .57 [Dishion & Patterson, in press]. There was a second group characterized by low
scores on overt antisocial behavior but a marked acceleration in covert
behaviors during midadolelscence. This
group tended to be arrested after age 14 years (late onset) but as adults were
most likely to be desistors [Patterson & Yoerger, 1997]. For this group, the likelihood of adult
arrest was .27. The third group’s path
was characterized by high scores at age 10 years on overt antisocial behavior
and by a failure to move into peer deviancy training as evidenced by low scores
on covert antisocial behavior. The
likelihood of adult arrest for this group was .30. The
A series of analyses were carried out that examine alternatives to the idea that the negative slope for overt forms is generalizable. For example, it is possible that the decrease in overt forms of antisocial behavior may characterize some age groups but not others. In the current article, maternal ratings of overt antisocial behavior from two longitudinal studies span the interval from 2 through 12 years. These data will provide a test for the contribution of age to negative slope.
There
are other alternative hypotheses that are also of theoretical interest. For example, the coercion model implied that
the longer a child was engaged in a coercion process, the greater the increase
in frequency of more severe forms of overt antisocial behaviors [Patterson,
1982]. Thus, it would be expected that
longitudinal data for problem children would show steady increases in severe
antisocial behaviors, such as hitting, temper tantrums, and physical
attacks. It could be that only the more
childish forms of overt antisocial behavior decrease as a function of age. For example, it could be that juvenile forms
of overt antisocial acts (such as teasing, screaming, and showing off) may
decline, but the more serious problem behaviors (such as hitting and fighting)
may have a neutral slope or actually increase.
In the present article, this hypothesis was tested by examining maternal
ratings from age 2 to age 12 years for a subset of overt antisocial
behaviors that included only the more severe forms, such as fighting,
physically attacks people, temper tantrums, and cruelty to animals.
Another
possibility is that only a tiny subsample of boys actually grows in
antisocial behavior. As toddlers, they
might show normal levels of overt antisocial behavior, and then during
middle childhood steadily grow until eventually they become cases that would be
clinically identifiable. Given that the N for such a group might be quite
small, it might not significantly contribute to the means for the larger
sample. To test this possibility,
intraindividual growth curves for overt forms from the Oregon (LIFT) sample
were examined to determine the extent to which some boys changed from normal to
clinical levels.
Two
longitudinal samples were used to test six hypotheses about growth in overt and
covert forms of antisocial behavior during the period from ages 2 to 12
years. The first hypothesis was that
maternal ratings for overt antisocial behavior would be described by a
significant negative slope. The second
hypothesis tested was that growth in the most extreme forms of overt antisocial
behavior would be characterized by a neutral or a positive slope. Third, it was also hypothesized that there
would be a significant number of individuals growing from a normal range in
antisocial behavior during earlier developmental periods to attain
clinical status in middle childhood.
Fourth, it was proposed to examine maternal ratings of covert
antisocial behavior to determine whether there was significant positive growth
in that form during middle childhood.
Fifth, it was hypothesized that at school entry, high levels of overt
antisocial behavior would be a significant predictor for early forms of covert
antisocial behavior. Sixth, it was
assumed that maternal ratings for both forms would be moderately stable over
the 5-year interval.
Methods
Samples
The
younger sample was drawn from the
The
Oregon LIFT sample was drawn from families with children in the first grade of
12 schools that had been identified earlier as the highest crime neighborhoods
of a moderate-size metropolitan area [Reid, 1993; Reid & Eddy, 1997; Reid
et al., 1999]. Of the families
contacted, 12% declined to participate in the study. Of those families participating, 89% were
Caucasian and 20% received public assistance.
The majority of the families earned $15,000 to $50,000 per year. About 54% of the children lived with both
biological parents, 20% of the families were headed by a single parent, and
roughly another 20% of the families included a stepparent. In the majority of the families, the parents
ranged in age between 25 and 50 years.
The
resulting sample included 144 first grade boys who were intensively assessed at
approximately 6.5, 8.0, 9.0, 10.0, 11.0, and 12.0 years of age. After listwise deletion, data for 101 first
graders were available for analysis.
Measures
The boys’ overt and covert antisocial behaviors were assessed using items derived from the Child Behavior Checklist (CBC-L) completed by mothers at each developmental point. Each item was scored as 0 (not true), 1 (sometimes or somewhat true), or 2 (very true or often true) in reference to the child behavior described by the item. Unlike observational data, these maternal ratings do not solely reflect the frequency of the behavior, but in some general sense do reflect the prevalence of the behavior (some composite of perceived behavioral frequency, social impact or intrusiveness, and warranted concern relative to the mothers’ own “normative” base for same‑aged children).
Overt
antisocial behavior. Scores
were based on mothers’ ratings on two versions of CBC-L at ages 2 to 3.5 years
and at ages 5 to 18 years [Achenbach, 1991a; Achenbach et al., 1991b]. Based on previous factor analyses [Loeber
& Schmaling, 1985; Patterson et al., 1992], a set of 21 items was selected
that assessed overt antisocial behavior.
For each item, Patterson and Yoerger [1997] examined linear and
quadratic trends describing change over time.
A principle axis factor analysis was carried out separately for linear
and quadratic terms. Items that loaded
less than .30 on either the linear or quadratic factor scores were dropped.
Nine
items sampling overt antisocial behaviors were selected that were shared in
common by the two versions of the CBC‑L.
The 9 items were: (a) doesn’t get
along well with other children; (b) gets into many fights; (c) physically
attacks people; (d) screams a lot; (e) showing off or clowning (at 2 to 3.5
years, shows off); (f) stubborn, sullen, or irritable; (g) sudden changes in
mood or feelings; (h) sulks a lot, and (i) temper tantrums or hot temper. Cronbach’s alphas for the 9-item scales
ranged from .69 to .86 across all time points.
The mean of the 9 items formed a composite overt antisocial behavior
score.
Severe
overt antisocial behavior.
Subscales of the most severe examples of antisocial behavior were formed
at each time point by maternal ratings on three of the items: gets into many fights; physically attacks
people; and temper tantrums or hot temper.
Cronbach’s alphas were somewhat lower (.42 to .70) for this subscale of
low base‑rate items. The mean of
these three items formed the severe antisocial behavior score.
Mother and teacher scales for prediction study. In order to maximize predictive power, expanded sets of items were taken from the mother and teacher versions of the CBC-L [Achenbach & Edelbrock, 1979] of the Oregon (LIFT) sample at Grades 1 and 6. These items defined the child overt and covert antisocial behavior scales for the prediction study.
For
mothers, the overt antisocial scale added 10 items to the 9 previously
described. The 10 additional items
included: (a) argues a lot; (b) bragging, boasting; (c) cruelty, bullying, or
meanness to others; (d) demands a lot of attention; (e) doesn’t seem to feel
guilty after misbehaving; (f) easily jealous; (g) impulsive or acts without
thinking; (h) not liked by other children; (i) teases a lot; and (j) threatens
people. Cronbach’s alphas for the
19-item scales at Grades 1 and 6 were .90 and .92, respectively.
The
teacher overt antisocial scale consisted of 23 items, including: (a) argues a
lot; (b) defiant, talks back to staff; (c) bragging, boasting; (d) cruelty,
bullying, or meanness to others; (e) demands a lot of attention; (f)
disobedient at school; (g) doesn’t get along with other pupils; (h) doesn’t
seem to feel guilty after misbehaving; (i) easily jealous; (j) gets in many
fights; (k) impulsive or acts without thinking; (l) not liked by other pupils;
(m) physically attacks people; (n) disrupts class discipline; (o) screams a
lot; (p) showing off or clowning; (q) stubborn, sullen, or irritable; (r)
sudden changes in mood or feelings; (s) sulks a lot; (t) talks too much; (u)
teases a lot; (v) temper tantrums or hot temper; and (w) threatens people.
Cronbach’s alpha was .95 for Grade 1 and .93 for Grade 6.
The
covert scale for mothers was the same as previously described. The covert scale for teachers consisted of 10
items: (a) destroys his own things; (b) destroys property belonging to others;
(c) hangs around with others who get in trouble; (d) lying or cheating; (e)
behaves irresponsibly; (f) steals; (g) swearing or obscene language; (h) tardy
to school or class; (i) truancy or unexplained absence; and (j) uses alcohol or
drugs. Cronbach’s alphas for Grades 1
and 6 were .81 and .80, respectively.
Composite scores for overt and covert antisocial behavior were computed
as the means of the standardized mother and teacher scales.
Analyses
Three
types of analyses were performed. First,
at the item level, similar patterns of change over time among 9 items for overt
and 11 items for covert scales were confirmed within each sample by reliability
analyses of linear trend scores. The
writers were concerned about the possibility that some items in the scales
might be less sensitive as measures of change than others. To examine this possibility, linear trend
scores were calculated for each of the items in the overt and covert scales
using orthogonal coefficients appropriate to the spacing of the time points in
each sample. Reliability analyses of
those scores demonstrated similarities among the items in patterns of change
over time. The majority of the linear
trend score means for the 9 items in the overt scales were negative. Cronbach’s alphas for these scales of overt linear
trends were .74 (PMCP) and .57 (LIFT). In contrast, the majority of linear trend
scores for the covert items were positive; and Cronbach’s alpha for the LIFT
scale of covert linear trends was .47.
Second,
scores for maternal ratings of overt antisocial behavior were plotted
separately for each boy from the LIFT sample.
The mean for the sample at Grade l was .34 with a standard deviation of
.34. Growth curves were examined
separately to identify boys who experienced significant growth during the interval
between Grades 1 and Grade 6. Clinical
growth was defined by those boys scored at or below the mean value when first
tested at Grade l and then scored at or above l SD above the mean for
two or more subsequent points in time.
Third,
for each sample, repeated measures MANOVA was used to test the significance of
linear effects for overt, severe overt, and covert composite scores. To test the difference in linear effect
between the extreme group and the remainder of the sample, a second set of
repeated measures MANOVAS was conducted on the severe overt composite scores.
It might be noted that an effort was made to fit a growth model to these data in order to obtain a more precise estimate of the early contribution of overt to growth in covert forms. We found that there was simply not enough between-subject variation in growth in covert forms to provide a basis for such an analysis. In fact the within-subject variation across time in covert forms exceeded the between-subject variance. The findings are not detailed here.
Results
Figure
1 describes changes in maternal ratings of overt antisocial behavior as a
function of the child’s age. In keeping
with findings from earlier studies, data for each longitudinal sample describe
a clearly defined negative slope. In
both developmental ranges, the data showed that mothers’ ratings of overt
antisocial behaviors decreased as a function of age. On the average, mothers of 2‑year‑old
children reported a score of .55 for overt antisocial items, and mothers of 12
year olds reported a mean of .26. The
findings suggest a steady decrease in the maternal composite reports of overt
antisocial behavior, approximately .029 item level decrease per
year. Notice that at age 6 years, the
_____________________________
Insert
Figure l and Table I about here
_____________________________
A repeated-measures MANOVA was
applied separately to data from each sample to examine the significance of the
linear effects. Findings summarized in
Table I show that changes in mean scores for overt antisocial behavior were
significant for both samples. The data
also showed that negative linear coefficients were significant for each of the
samples. Estimates of quadratic and
cubic effects were also made; none were significant and are not included here.
_____________________
Insert
Figure 2 about here
_____________________
Figure
2 shows the item means for maternal ratings of the severe overt
antisocial behavior. The data were used
to test the hypothesis that slope for an overt scale based just on the
more severe items would be neutral or positive rather than negative. It can be seen that the findings do not
support the hypothesis. Findings for
repeated-measures analyses are summarized in Table II. Again, each sample of maternal ratings for
items describing more severe overt antisocial behavior showed a
significant negative linear effect. The
findings are consistent with the hypothesis that a negative slope for overt
forms is a general case rather than being limited to items that only describe
more trivial forms of overt antisocial behavior.
____________________
Insert Table II about here
____________________
We also
examined the findings for a subset of extreme children identified as 1 SD
above the mean on the overt scale at Grade 1.
Examining their changes in scores for the subset of extreme items showed
the now familiar general negative slope.
The findings are not detailed here.
Taken together, the findings are consistent with the expectation that
maternal ratings of overt antisocial behavior may, as a general case, be
expected to conform to a negative slope.
It had been hypothesized that during the middle
childhood interval, growth in overt antisocial behaviors might characterize
only a small group of children identified as performing within normal
levels at Grade 1 but moving toward, and maintaining, significant levels of
growth in overt antisocial behavior over the ensuing 5 years. Examination of data from the LIFT sample
[Patterson & DeGarmo, 1997] showed that only two boys identified as being
at the normal level in Grade l moved into the clinical range on maternal
ratings of overt antisocial behavior during the ensuing years. According to these findings, only a very
small number (.015) of boys can be expected to show clinically significant
growth in overt antisocial behavior during the quiescent interval. This is in keeping with findings from the
Maternal ratings for the covert antisocial behavior scale were available only for the Oregon LIFT sample. We wished to determine whether maternal ratings for covert forms would show a neutral or a positive slope for the interval from Grades 1 through 6. The findings are summarized in Figure 3. The data showed a nonsignificant positive slope. Although positive (.011), the linear coefficient was minimal and nonsignificant. (t =1.245, p = .216).
______________________
______________________
It was hypothesized that in disrupted families, growth in overt antisocial behavior begins in the preschool years and is accompanied by very low rates of covert antisocial behavior [Patterson, 1982]. It was hypothesized that composites based on maternal and teacher ratings at Grade 1 for both the overt and the covert forms would be significantly correlated. Consistent with the hypothesis, the correlation between the two composite scores was .72 (p = .000). The data also showed modest levels of stability from Grades 1 through 6 for both the overt (.60, p = .000) and covert (.48; p = .000) scales.
Discussion
Analyses of maternal ratings showed strong support for the hypothesis that the age-related decline in overt antisocial behavior may represent a general case. The findings were consistent across two samples that covered ages 2 through 12 years. The literature review showed similar findings across teacher and parent-report data and across observation-based studies as well. The fact that findings for the more severe forms of overt antisocial behavior also followed a negative slope provides further support for the general case hypothesis. The failure to find evidence for new cases being added during middle childhood further underscores the importance of the preschool interval in the development of conduct disorders. The narrow focus in the present study on maternal ratings emphasizes the need to systematically sample data across agents and methods to determine the precise shape for growth in both overt and covert as it varies by age and by gender. The current article is but a small step in this direction.
The
fact that there is a negative slope across measures of overt antisocial
behavior demands an explanation. As
noted earlier, a social interactional perspective would suggest that the slope
could reflect age-related changes in reactions from adults and peers to overt
forms [Snyder et al., 2003]. As the
child matures physically, unpredictable explosions of coercive behaviors become
increasingly unacceptable, particularly to adults. For example, observation data showed that the
10-year-old aggressive problem children performed about .70 coercive responses
per minute [Patterson, 1982]. This rate
of coercion is roughly equivalent to the rates for a normal preschool
child. As the child ages, he learns that
there are fewer and fewer settings were overt forms will be reinforced. The child becomes increasingly
selective and generally decreases performance in the presence of adults. According to Snyder’s underground hypothesis,
the child may shift from overt to more covert manifestations. This is consistent with the present finding
that early levels of overt antisocial behavior were reliably correlated with
higher levels of covert antisocial behavior.
The
available evidence suggests that there may be an important developmental
sequence that begins during the preschool years with the reinforcement by
family members for overt forms of antisocial behavior. Our studies showed that high rates of overt
behavior are often accompanied by covert behavior such as stealing and fire
setting. Typically the latter occur at
much lower rates than do the overt forms.
As shown in the present report, the rate differential is maintained throughout
the childhood interval. Prior to age 14,
the antisocial child becomes increasingly at risk for extensive involvement
with members of the deviant peer group.
This is accompanied by dramatic growth in new forms of covert antisocial
behavior [Patterson et al., 2000]. In
effect, the contingencies for the first stage in the sequence are provided by
the family during preschool years, and the contingencies supporting the second
stage are provided during early adolescence by deviant peers. Notice, too, that during adolescence, the
slopes for overt and covert forms became negative and positive, respectively.
The
survey study by Bongers et al. [2003; p. 190] has a very different view about
the relation between early forms of overt antisocial behavior and adolescent
and adult adjustment. They see
aggressive behaviors of children and adolescents as being relatively
“transitory in nature and resolved by the beginning of adulthood.” The perspective is evidently based on the
fact that the aggressivity scores at age 4 were twice as high as they were at
age 18 years.
However, some contemporary developmental models of delinquency take a very different position. For example, Loeber et al. [1997] take the position that the covert and overt forms of antisocial behavior in early childhood represent distinctly different paths to delinquency. In effect, childhood forms of aggression may be changing over time; but they are predictive of adolescent and adult crime. The models described in the present report represent a similar position. These correlational models suggest that reducing childhood levels of antisocial behavior should lead to less risk for adolescent delinquency. Recent randomized trial prevention designs have shown that procedures that reduce antisocial behavior during childhood demonstrate reductions in delinquency when followed up years later [Vitaro, 200l; DeGarmo & Forgatch, 2000]
From
the mother’s perspective, there is simply little growth in covert forms during
the middle childhood interval. The
linear coefficient for these ratings was only slightly positive and nonsignificant. Although teacher ratings of covert behaviors
show higher rates of activity than do mothers’ ratings [Patterson &
Yoerger, 2002], their data concur in offering little evidence for growth during
this interval. It is a matter of some
interest, therefore, to find data showing that what little covert activity
there is can be predicted from knowing the general level of overt activity at
Grade 1. The hypotheses that need to be
tested are relatively straightforward.
It would be hypothesized that the relative rate of reinforcement for
deviancy is relatively stable across the middle childhood interval. Second, it would be hypothesized that the
time allotted to deviant peer involvement is limited but relatively stable during
this same interval. Based on the
literature reviewed earlier, the amount of time spent with deviant peers would
be expected to increase dramatically during early adolescence. It is instructive to note that during
adolescence, the availability of deviant peers in the social experience of most
adolescents shows massive increases in contacts during the same intervals for
peak delinquency [Elliott & Menard, 1996].
Progress in
understanding development from early childhood through adolescence requires
that we begin by accurately describing the growth in the various forms of
antisocial behavior. The next stage will
be to explain how these changes come about.
Studies of this kind will eventually move the field away from a
simplistic trait to a more developmental perspective.
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Table I
Overt Antisocial Behavior: Repeated
measures MANOVA estimates of linear effects
Sample Na
Age Effect F Signif. F Coeff. t Signif. t
______________________________________________________________________________
PMCP 208 2.0 – 6.0 3.28 .021 -.047 -2.205 .029
LIFT: Grade 1 101 6.5 – 12.0 3.81 .005 -.063 -3.569 .001
______________________________________________________________________________
a After
listwise deletion
Table II
Severe Overt Antisocial Behavior: Repeated
measures MANOVA estimates of linear effects
______________________________________________________________________________
Sample Na
Age Effect F Signif. F Coeff. t Signif. t
______________________________________________________________________________
PMCP 208 2.0 – 6.0 8.87 .000 -.108 -4.308 .000
LIFT: Grade 1 101 6.5 – 12.0 3.91 .004 -.067 -3.252 .002
______________________________________________________________________________
a After
listwise deletion
Figure Captions
Figure 1. Mean maternal ratings of overt antisocial
behavior.
Figure 2. Mean maternal ratings of severe overt
antisocial behavior.
Figure 3. Mean maternal ratings of covert antisocial
behavior.


