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Association of Anxiety, Anxiety Sensitivity and Depressive Symptoms with Aggression and Disruptive Behavioral Disorders in Children with ADHD

Published online by Cambridge University Press:  15 April 2020

A. Bilgic
Affiliation:
Child and Adolescent Psychiatry, Meram School of Medicine Necmettin Erbakan University, Konya, Turkey
A.E. Tufan
Affiliation:
Child and Adolescent Psychiatry, School of Medicine Izzet Baysal University, Bolu, Turkey
S. Yilmaz
Affiliation:
Child and Adolescent Psychiatry, Meram School of Medicine Necmettin Erbakan University, Konya, Turkey
O. Ozcan
Affiliation:
Child and Adolescent Psychiatry, School of Medicine Inonu University, Malatya, Turkey
S. Ozmen
Affiliation:
Child and Adolescent Psychiatry, School of Medicine Erciyes University, Kayseri, Turkey
D. Oztop
Affiliation:
Child and Adolescent Psychiatry, School of Medicine Erciyes University, Kayseri, Turkey
S. Türkoglu
Affiliation:
Child and Adolescent Psychiatry, School of Medicine Selcuk University, Konya, Turkey
O.F. Akça
Affiliation:
Child and Adolescent Psychiatry, Meram School of Medicine Necmettin Erbakan University, Konya, Turkey
A. Yar
Affiliation:
Child and Adolescent Psychiatry, Konya Education and Research Hospital, Konya, Turkey
U. Isik
Affiliation:
Child and Adolescent Psychiatry, Meram School of Medicine Necmettin Erbakan University, Konya, Turkey
R. Colak Sivri
Affiliation:
Child and Adolescent Psychiatry, Meram School of Medicine Necmettin Erbakan University, Konya, Turkey
H. Bilgiç
Affiliation:
Child and Adolescent Psychiatry, School of Medicine Erciyes University, Kayseri, Turkey
A. Irmak
Affiliation:
Child and Adolescent Psychiatry, School of Medicine Erciyes University, Kayseri, Turkey
Y.E. Dönmez
Affiliation:
Child and Adolescent Psychiatry, School of Medicine Inonu University, Malatya, Turkey
P. Con Bayhan
Affiliation:
Child and Adolescent Psychiatry, School of Medicine Inonu University, Malatya, Turkey
O. Uçur
Affiliation:
Child and Adolescent Psychiatry, School of Medicine Inonu University, Malatya, Turkey
M.A. Cansiz
Affiliation:
Child and Adolescent Psychiatry, School of Medicine Izzet Baysal University, Bolu, Turkey
U. Savci
Affiliation:
Child and Adolescent Psychiatry, School of Medicine Izzet Baysal University, Bolu, Turkey

Abstract

Introduction

Numerous factors including anxiety, anxiety sensitivity (AS), and depression were reported to be relevant to the aggression both for disruptive behavioral disorders (DBD) in children and for attention-deficit/hyperactivity disorder (ADHD), but the pathways through which they act are insufficiently understood.

Objectives

To investigate the role of anxiety, AS, and depression in the relationship between aggression and DBD symptoms in ADHD children.

Methods

The sample consisted of 342 treatment naïve children with ADHD aged 9-17 years. ADHD severity and comorbid<a name="_GoBack"></a> DBD were assessed via parent and teacher rated Turgay DSM-IV-Based Child and Adolescent Behavioral Disorders Screening and Rating Scale. Severity of anxiety, AS, depression, and reactive and proactive agression of children were evaluated by self-report inventories. The association between DBD and other psychiatric variables was evaluated with two separate structural equation models.

Results

Relationships of psychiatric variables and DBD symptoms were presented in Figures 1 and 2.

Discussion: These results may suggest the presence of a vicious circle between anxiety, reactive aggression and DBD in ADHD children. However, global AS seems to have a protective effect on the development of DBD, probably due to its role in aversive conditioning.

Structural model for the perdictores of parent-rated disruptice behavioural disorders symptoms in children with ADHD

Structural model for the perdictores of parent-rated disruptice behavioural disorders symptoms in children with ADHD

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Type
Article: 0419
Copyright
Copyright © European Psychiatric Association 2015
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