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Journal of Child and Family Studies

, Volume 27, Issue 10, pp 3385–3394 | Cite as

Theory of Mind Deficits and Reactive Aggression in Child Psychiatric Inpatients: Indirect Effects Through Emotion Dysregulation

  • Kurt K. StellwagenEmail author
  • Patricia K. Kerig
Original Paper

Abstract

Nationwide, there is a pressing need to develop more efficacious treatment regimens for reactively aggressive youth receiving inpatient psychiatric services. Identifying the relevant clinical characteristics of youth with reactive aggression is an important first step in this process. Past research findings and theoretical formulations have suggested that deficits in both social skills and emotional regulation abilities are significantly associated with the development of reactive aggression in children. Utilizing a highly aggressive child inpatient sample (65 males and 36 females) receiving crisis-stabilization services, we tested the hypothesis that emotion dysregulation statistically mediated the relationship between theory of mind deficits and reactive aggression. As hypothesized, results of bootstrapped mediational analyses indicated that theory of mind deficits were associated with higher levels of reactive aggression via the indirect influence of dysregulated affect. These findings suggest that intervention programs for reactively aggressive children should promote both theory of mind skills and emotion regulation abilities. Children that develop more thoughtful styles of perspective taking coupled with an enhanced ability to modulate their emotions may develop a greater ability to employ the rational conflict resolution skills that underlie peaceful social relationships.

Keywords

Reactive aggression Emotion dysregulation Theory of mind Child behavior problems Child psychiatry 

Notes

Author Contributions

K.K.S. designed and executed the study, conducted the data analysis, and wrote the paper. P.K.K. collaborated with all aspects of the study.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures involving human participants were in accordance with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent of legal guardians and voluntary assent of children were obtained prior to children’s involvement in the study and the protocol was approved by the IRBs of the University of North Carolina at Chapel Hill and John Ulmstead State Hospital. Children’s attending psychiatrists gave informed consent, as did teachers.

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Authors and Affiliations

  1. 1.Department of PsychologyEastern Washington UniversityCheneyUSA
  2. 2.Department of PsychologyUniversity of UtahSalt Lake CityUSA

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