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• W4304632832 abstract "ObjectivesChildhood aggressive behavior correlates with impulse control deficits, transient emotional overreactivity, and more sustained mood disturbances. Few studies have modeled aggressive behavior using all of these factors, leaving their relative effects murky. This study: 1) evaluated their joint contributions to aggressive behavior; and 2) examined the extent of overlap between groups scoring in the clinical range in these areas.MethodsEvaluations from 3700 children and adolescents aged 5 to 17 years (mean 9.95 years; 63% male; 74.3% Latino, 11.6% White, 9.2% African American) in collaborative care at 12 pediatric settings furnished parent-completed rating scales. Aggressive behavior was quantified by the Retrospective Modified Overt Aggression Scale (R-MOAS). The Restlessness/Inattention subscale of the Conners’ Global Index measured ADHD symptoms; its Emotional Lability subscale provided data on that dimension. The Anxiety/Depression and Withdrawal/Depression subscales of the Child Behavior Checklist were included. Children were categorized on each measure as elevated (R-MOAS Total >25, all others T score ≥70) or not.ResultsModeling raw scores for aggressive behavior, adjusting for age and sex, showed the strongest effect for emotional lability (β = .38) followed by ADHD symptoms (β = .20). Emotional lability itself was highly predictable from ADHD symptoms (β = .50). Venn diagrams of the dichotomized measure show that aggressive behavior is most often an “alloy” of impaired impulse control and emotional reactivity. Among those high on an internalizing scale, 43% also had high aggression; only 16% of that group did not also have elevated ADHD scores.ConclusionsADHD symptoms are elemental to both aggressive behavior and emotional lability in youth. The unique contributions of depressive, anxious, and other mood disturbances on aggression are smaller, and the overall association that they have with aggression is likely via their association with emotional lability.ADHD, DMDD, AGG ObjectivesChildhood aggressive behavior correlates with impulse control deficits, transient emotional overreactivity, and more sustained mood disturbances. Few studies have modeled aggressive behavior using all of these factors, leaving their relative effects murky. This study: 1) evaluated their joint contributions to aggressive behavior; and 2) examined the extent of overlap between groups scoring in the clinical range in these areas. Childhood aggressive behavior correlates with impulse control deficits, transient emotional overreactivity, and more sustained mood disturbances. Few studies have modeled aggressive behavior using all of these factors, leaving their relative effects murky. This study: 1) evaluated their joint contributions to aggressive behavior; and 2) examined the extent of overlap between groups scoring in the clinical range in these areas. MethodsEvaluations from 3700 children and adolescents aged 5 to 17 years (mean 9.95 years; 63% male; 74.3% Latino, 11.6% White, 9.2% African American) in collaborative care at 12 pediatric settings furnished parent-completed rating scales. Aggressive behavior was quantified by the Retrospective Modified Overt Aggression Scale (R-MOAS). The Restlessness/Inattention subscale of the Conners’ Global Index measured ADHD symptoms; its Emotional Lability subscale provided data on that dimension. The Anxiety/Depression and Withdrawal/Depression subscales of the Child Behavior Checklist were included. Children were categorized on each measure as elevated (R-MOAS Total >25, all others T score ≥70) or not. Evaluations from 3700 children and adolescents aged 5 to 17 years (mean 9.95 years; 63% male; 74.3% Latino, 11.6% White, 9.2% African American) in collaborative care at 12 pediatric settings furnished parent-completed rating scales. Aggressive behavior was quantified by the Retrospective Modified Overt Aggression Scale (R-MOAS). The Restlessness/Inattention subscale of the Conners’ Global Index measured ADHD symptoms; its Emotional Lability subscale provided data on that dimension. The Anxiety/Depression and Withdrawal/Depression subscales of the Child Behavior Checklist were included. Children were categorized on each measure as elevated (R-MOAS Total >25, all others T score ≥70) or not. ResultsModeling raw scores for aggressive behavior, adjusting for age and sex, showed the strongest effect for emotional lability (β = .38) followed by ADHD symptoms (β = .20). Emotional lability itself was highly predictable from ADHD symptoms (β = .50). Venn diagrams of the dichotomized measure show that aggressive behavior is most often an “alloy” of impaired impulse control and emotional reactivity. Among those high on an internalizing scale, 43% also had high aggression; only 16% of that group did not also have elevated ADHD scores. Modeling raw scores for aggressive behavior, adjusting for age and sex, showed the strongest effect for emotional lability (β = .38) followed by ADHD symptoms (β = .20). Emotional lability itself was highly predictable from ADHD symptoms (β = .50). Venn diagrams of the dichotomized measure show that aggressive behavior is most often an “alloy” of impaired impulse control and emotional reactivity. Among those high on an internalizing scale, 43% also had high aggression; only 16% of that group did not also have elevated ADHD scores. ConclusionsADHD symptoms are elemental to both aggressive behavior and emotional lability in youth. The unique contributions of depressive, anxious, and other mood disturbances on aggression are smaller, and the overall association that they have with aggression is likely via their association with emotional lability.ADHD, DMDD, AGG ADHD symptoms are elemental to both aggressive behavior and emotional lability in youth. The unique contributions of depressive, anxious, and other mood disturbances on aggression are smaller, and the overall association that they have with aggression is likely via their association with emotional lability." @default.
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• W4304632832 date "2022-10-01" @default.
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• W4304632832 title "2.6 Contributions to Aggressive Behavior of Impulsivity, Emotional Lability, and Mood Disturbances Among Youth Evaluated in Pediatric Settings" @default.
• W4304632832 doi "https://doi.org/10.1016/j.jaac.2022.09.150" @default.
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