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Association of Reactive–Proactive Aggression and Anxiety Sensitivity with Internalizing and Externalizing Symptoms in Children with Attention-Deficit/Hyperactivity Disorder

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Abstract

This study evaluates the associations among the symptoms of anxiety, depression, and disruptive behavioral disorders (DBD) in the context of their relationships with reactive–proactive aggression and anxiety sensitivity in children with attention-deficit/hyperactivity disorder (ADHD). The sample consisted of 342 treatment-naive children with ADHD. The severity of ADHD and DBD symptoms were assessed via parent- and teacher-rated inventories. Anxiety sensitivity, reactive–proactive aggression and severity of anxiety and depression symptoms of children were evaluated by self-report inventories. According to structural equation modeling, depression and anxiety scores had a relation with the DBD scores through reactive–proactive aggression. Results also showed a negative relation of the total scores of anxiety sensitivity on DBD scores, while conduct disorder scores had a positive relation with anxiety scores. This study suggests that examining the relations of reactive–proactive aggression and anxiety sensitivity with internalizing and externalizing disorders could be useful for understanding the link among these disorders in ADHD.

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Authors and Affiliations

  1. Department of Child and Adolescent Psychiatry, Meram School of Medicine, Necmettin Erbakan University, 42090, Meram, Konya, Turkey

    Ayhan Bilgiç, Savaş Yılmaz, Ömer Faruk Akça, Ümit Işık & Rukiye Çolak Sivri

  2. Department of Child and Adolescent Psychiatry, School of Medicine, Izzet Baysal University, Bolu, Turkey

    Ali Evren Tufan, Mehmet Akif Cansız & Uğur Savcı

  3. Department of Child and Adolescent Psychiatry, School of Medicine, Inonu University, Malatya, Turkey

    Özlem Özcan, Yunus Emre Dönmez, Pelin Çon Bayhan & Ömer Uçur

  4. Department of Child and Adolescent Psychiatry, School of Medicine, Erciyes University, Kayseri, Turkey

    Sevgi Özmen, Hatice Polat & Ayşe Irmak

  5. Department of Child and Adolescent Psychiatry, Surp Pirgic Ermenian Hospital, Istanbul, Turkey

    Didem Öztop

  6. Department of Child and Adolescent Psychiatry, School of Medicine, Selcuk University, Konya, Turkey

    Serhat Türkoğlu

  7. Department of Child and Adolescent Psychiatry, Konya Education and Research Hospital, Konya, Turkey

    Ahmet Yar

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  1. Ayhan Bilgiç
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Correspondence to Ayhan Bilgiç.

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The association between reactive and proactive aggression, AS, anxiety, depression, and parent-rated ADHD and DBD scores were examined using SEM analytic strategy. The models were significant with the total score from the childhood anxiety sensitivity index (CASI). Subsequent testing with the individual CASI subscales in the models were all not significant and led to poor fit indices.

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Bilgiç, A., Tufan, A.E., Yılmaz, S. et al. Association of Reactive–Proactive Aggression and Anxiety Sensitivity with Internalizing and Externalizing Symptoms in Children with Attention-Deficit/Hyperactivity Disorder. Child Psychiatry Hum Dev 48, 283–297 (2017). https://doi.org/10.1007/s10578-016-0640-9

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