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Agresszív és proszociális viselkedés értelmezése externalizációs zavarokban
Vida Péter
Mental Health Sciences
Dr. Bagdy György
SE Pszichiátriai és Pszichoterápiás Klinika tanterme
2023-06-14 14:00:00
Psychiatry
Dr. Réthelyi János
Dr. Halász József
Dr. Varró-Horváth Diána
Dr. Pulay Attila
Dr. Purebl György
Dr. Pászthy Bea
Dr. Vörös Viktor
In this thesis, the neurodevelopmental background of aggressive and prosocial behavior and their connections were discussed in the context of externalizing disorders (CD, ODD, ADHD). Analysis of type of aggression (reactive/proactive), related behavioral dimensions, gender, comorbidity and type of informant were provided, based on self and parental report. Available literature data and theory suggests a four component model of aggression, where emotional reactivity, irritability, decision making deficits and lack of empathy all play a role in the pathological aggression development detectable in externalizing disorders. The model above was corroborated by our behavioral data. Based on a structured diagnostic interview, connections of RA with symptoms of aggression in CD, symptoms of ODD and the hyperactive/impulsive dimension of ADHD, also connections of PA with all symptoms of CD and the hyperactive/impulsive dimension of ADHD were found. The connection between ADHD diagnosis and elevated levels of RA and PA (compared to both normotipic (Study I and II) and clinical control group (Study III)) was also replicated and broadened. Our results highlight the risk and additional negative impact of aggressive behavior in the presence of ADHD. In contrast, self reported prosociality did not differ in the presence of ADHD, underlying the non-linear relation of aggression and prosociality and stressing the importance of positive self-concept and non-aggressive problem solving in the treatment of externalizing disorders. Relations of gender and aggressive behavior in the context of externalizing disorders is of increasing importance on the field of psychiatric studies. Connected to this interesting line of research and broadening its scope, elevated levels of RA was found in adolescent girls with ADHD in our third study. Our published data and its interpretation could contribute to the understanding of the developmental background of aggression, including its connections to prosocial behavior.