Co-Occurrence Patterns of ADHD Symptoms and Reactive and Proactive Aggression in Chinese Adolescents: Associations with Parenting Practices
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| Title: | Co-Occurrence Patterns of ADHD Symptoms and Reactive and Proactive Aggression in Chinese Adolescents: Associations with Parenting Practices |
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| Language: | English |
| Authors: | Zhengqian Yang (ORCID |
| Source: | Journal of Attention Disorders. 2026 30(4):542-551. |
| Availability: | SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com |
| Peer Reviewed: | Y |
| Page Count: | 10 |
| Publication Date: | 2026 |
| Document Type: | Journal Articles Reports - Research |
| Descriptors: | Attention Deficit Hyperactivity Disorder, Symptoms (Individual Disorders), Aggression, Adolescents, Parenting Styles, Mothers, Discipline, Punishment, Foreign Countries, Behavior Problems |
| Geographic Terms: | China |
| Assessment and Survey Identifiers: | Strengths and Difficulties Questionnaire |
| DOI: | 10.1177/10870547251405074 |
| ISSN: | 1087-0547 1557-1246 |
| Abstract: | Objective: Previous studies have found that ADHD symptoms often co-occur with aggressive behavior in adolescents, and that reactive aggression is more closely related to ADHD symptoms than proactive aggression. However, the specific co-occurrence patterns of ADHD symptoms and different functions of aggression remain unclear, as does their relationship with parenting practices. This study used a person-centered approach to examine the co-occurrence patterns of ADHD symptoms, reactive aggression, and proactive aggression and their associations with parenting practices. Method: A total of 1,152 mother-adolescent dyads participated in this study (adolescents: M[subscript age]=14.29; 48.0% girls). Latent profile analysis was conducted to identify adolescent profiles of ADHD, reactive, and proactive aggression, followed by multinomial logistic regression to examine relationships between these profiles and auxiliary variables. Results: Latent profile analysis identified three patterns of adolescent- and mother-reported ADHD symptoms, reactive aggression, and proactive aggression: "low symptom" (84.4%), "reactive co-occurrence" (10.0%), and "complete co-occurrence" (5.6%). Multinomial logistic regression revealed that adolescents in the complete co-occurrence group had higher rates of corporal punishment, while adolescents in the reactive co-occurrence group exhibited higher rates of verbal hostility. Conclusion: These findings highlight the importance of distinguishing between reactive and proactive aggression in the context of ADHD and suggest that different co-occurrence patterns may be shaped by distinct parenting practices. Addressing specific parenting behaviors could help mitigate aggression in adolescents with ADHD symptoms. |
| Abstractor: | As Provided |
| Entry Date: | 2026 |
| Accession Number: | EJ1499935 |
| Database: | ERIC |
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| Abstract: | Objective: Previous studies have found that ADHD symptoms often co-occur with aggressive behavior in adolescents, and that reactive aggression is more closely related to ADHD symptoms than proactive aggression. However, the specific co-occurrence patterns of ADHD symptoms and different functions of aggression remain unclear, as does their relationship with parenting practices. This study used a person-centered approach to examine the co-occurrence patterns of ADHD symptoms, reactive aggression, and proactive aggression and their associations with parenting practices. Method: A total of 1,152 mother-adolescent dyads participated in this study (adolescents: M[subscript age]=14.29; 48.0% girls). Latent profile analysis was conducted to identify adolescent profiles of ADHD, reactive, and proactive aggression, followed by multinomial logistic regression to examine relationships between these profiles and auxiliary variables. Results: Latent profile analysis identified three patterns of adolescent- and mother-reported ADHD symptoms, reactive aggression, and proactive aggression: "low symptom" (84.4%), "reactive co-occurrence" (10.0%), and "complete co-occurrence" (5.6%). Multinomial logistic regression revealed that adolescents in the complete co-occurrence group had higher rates of corporal punishment, while adolescents in the reactive co-occurrence group exhibited higher rates of verbal hostility. Conclusion: These findings highlight the importance of distinguishing between reactive and proactive aggression in the context of ADHD and suggest that different co-occurrence patterns may be shaped by distinct parenting practices. Addressing specific parenting behaviors could help mitigate aggression in adolescents with ADHD symptoms. |
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| ISSN: | 1087-0547 1557-1246 |
| DOI: | 10.1177/10870547251405074 |
