Abstract
Childhood aggression is often associated with significant psychosocial maladjustment; however, adjustment difficulties may vary based on the function of aggression. The present study used the Behavior Rating Inventory of Executive Function (BRIEF; Gioia et al. Child Neuropsychology 6:235–238, 2000) to examine whether difficulties in particular domains of self-regulation serve as common mechanisms in the association between reactive (versus proactive) aggression and internalizing or externalizing adjustment problems in clinic-referred children. Reactive aggression was associated with poorer behavioral regulation and metacognition, whereas proactive aggression was not associated with poorer self-regulation. Further, the association between reactive aggression and adjustment problems, both internalizing and externalizing, was accounted for by poorer behavioral regulation and metacognitive skills. Gender, age, ADHD diagnosis, IQ, and psychotropic medication status did not account for the results. These findings suggest that self-regulation skills influence adjustment problems in reactively aggressive youth and may be important targets of intervention for such children.
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Notes
Psychotropic medication status and ADHD diagnostic status were dichotomized (present vs. absent) for analyses.
Although age, gender, and IQ were associated with variables of interest, including these variables as well as ADHD diagnosis and psychotropic medication status as covariates in the regression models did not change the pattern of findings; thus, models without these covariates are reported. Gender was also explored as a potential moderator. Gender did not moderate the association between Reactive Aggression and Internalizing or Externalizing Problems either before or after Behavioral Regulation or Metacognition were added to the models (i.e. the difference in coefficients was consistent for males and females). Therefore, only models without gender as a moderator reported.
Another potential concern when closely related concepts are measured regards shared content across instruments. To address this concern, we first qualitatively evaluated the items on each scale for content overlap. Notable overlap was observed between the first Reactive Aggression item on the RPA (“overreacts angrily to accidents” and several items from the Emotional Control scale of the Behavioral Regulation Index of the BRIEF (e.g., “overreacts to small problems,” “has explosive, angry outbursts”). Analyses rerun for the remaining Behavioral Regulation Index items (i.e. Inhibit and Shift scales) excluding Emotional Control produced the same pattern of results, thus findings for the Index scores are reported. Second, we considered bivariate correlations among predictors. The strongest association was observed between the BRIEF Behavioral Regulation Index and CBCL Externalizing Problems (r = .71), of which the Aggressive Behavior scale conceptually and empirically overlapped more strongly with the BRIEF Behavioral Regulation Index (r = .72) than did the Rule-Breaking scale (r = .51). Nevertheless, the same pattern of results were found for analyses using just the Aggressive Behavior scale and just the Rule-Breaking scale as were found for the for Externalizing Problems, therefore only the latter are reported.
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Special thanks are extended to Matthew Fritz for statistical consultation, and to the children and parents who participated in the study.
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White, B.A., Jarrett, M.A. & Ollendick, T.H. Self-Regulation Deficits Explain the Link between Reactive Aggression and Internalizing and Externalizing Behavior Problems in Children. J Psychopathol Behav Assess 35, 1–9 (2013). https://doi.org/10.1007/s10862-012-9310-9
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DOI: https://doi.org/10.1007/s10862-012-9310-9