title: Association of Reactive-Proactive Aggression and Anxiety Sensitivity with Internalizing and Externalizing Symptoms in Children with Attention-Deficit/Hyperactivity Disorder.
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.
authors.affiliation: Department of Child and Adolescent Psychiatry, Meram School of Medicine, Necmettin Erbakan University, 42090, Meram, Konya, Turkey. bilgicayhan@gmail.com.
authors.forename: Ayhan
authors.initials: A
authors.lastname: Bilgiç
authors.affiliation: Department of Child and Adolescent Psychiatry, School of Medicine, Izzet Baysal University, Bolu, Turkey.
authors.forename: Ali Evren
authors.initials: AE
authors.lastname: Tufan
authors.affiliation: Department of Child and Adolescent Psychiatry, Meram School of Medicine, Necmettin Erbakan University, 42090, Meram, Konya, Turkey.
authors.forename: Savaş
authors.initials: S
authors.lastname: Yılmaz
authors.affiliation: Department of Child and Adolescent Psychiatry, School of Medicine, Inonu University, Malatya, Turkey.
authors.forename: Özlem
authors.initials: Ö
authors.lastname: Özcan
authors.affiliation: Department of Child and Adolescent Psychiatry, School of Medicine, Erciyes University, Kayseri, Turkey.
authors.forename: Sevgi
authors.initials: S
authors.lastname: Özmen
authors.affiliation: Department of Child and Adolescent Psychiatry, Surp Pirgic Ermenian Hospital, Istanbul, Turkey.
authors.forename: Didem
authors.initials: D
authors.lastname: Öztop
authors.affiliation: Department of Child and Adolescent Psychiatry, School of Medicine, Selcuk University, Konya, Turkey.
authors.forename: Serhat
authors.initials: S
authors.lastname: Türkoğlu
authors.affiliation: Department of Child and Adolescent Psychiatry, Meram School of Medicine, Necmettin Erbakan University, 42090, Meram, Konya, Turkey.
authors.forename: Ömer Faruk
authors.initials: ÖF
authors.lastname: Akça
authors.affiliation: Department of Child and Adolescent Psychiatry, Konya Education and Research Hospital, Konya, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Yar
authors.affiliation: Department of Child and Adolescent Psychiatry, Meram School of Medicine, Necmettin Erbakan University, 42090, Meram, Konya, Turkey.
authors.forename: Ümit
authors.initials: Ü
authors.lastname: Işık
authors.affiliation: Department of Child and Adolescent Psychiatry, Meram School of Medicine, Necmettin Erbakan University, 42090, Meram, Konya, Turkey.
authors.forename: Rukiye
authors.initials: R
authors.lastname: Çolak Sivri
authors.affiliation: Department of Child and Adolescent Psychiatry, School of Medicine, Erciyes University, Kayseri, Turkey.
authors.forename: Hatice
authors.initials: H
authors.lastname: Polat
authors.affiliation: Department of Child and Adolescent Psychiatry, School of Medicine, Erciyes University, Kayseri, Turkey.
authors.forename: Ayşe
authors.initials: A
authors.lastname: Irmak
authors.affiliation: Department of Child and Adolescent Psychiatry, School of Medicine, Inonu University, Malatya, Turkey.
authors.forename: Yunus Emre
authors.initials: YE
authors.lastname: Dönmez
authors.affiliation: Department of Child and Adolescent Psychiatry, School of Medicine, Inonu University, Malatya, Turkey.
authors.forename: Pelin
authors.initials: P
authors.lastname: Çon Bayhan
authors.affiliation: Department of Child and Adolescent Psychiatry, School of Medicine, Inonu University, Malatya, Turkey.
authors.forename: Ömer
authors.initials: Ö
authors.lastname: Uçur
authors.affiliation: Department of Child and Adolescent Psychiatry, School of Medicine, Izzet Baysal University, Bolu, Turkey.
authors.forename: Mehmet Akif
authors.initials: MA
authors.lastname: Cansız
authors.affiliation: Department of Child and Adolescent Psychiatry, School of Medicine, Izzet Baysal University, Bolu, Turkey.
authors.forename: Uğur
authors.initials: U
authors.lastname: Savcı
mesh_terms: D000374:Aggression / Q000523:psychology*; D001007:Anxiety / Q000175:diagnosis*; D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis / Q000523:psychology; D002648:Child; D003674:Defense Mechanisms; D003863:Depression / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D010290:Parents; D000066553:Problem Behavior / Q000523:psychology*; D011569:Psychiatric Status Rating Scales; D011599:Psychopathology; D012107:Research Design; D000070777:School Teachers; D057566:Self Report
keywords: ADHD; Anxiety sensitivity; Disruptive behavioral disorder; Proactive aggression; Reactive aggression