Attention deficit/hyperactivity disorder (ADHD) dimensions mediate the relationship between adverse childhood experiences and adult aggression depending on cognitive reappraisal

Abstract Associations between adverse childhood experiences (ACEs) and aggressive behavior have often been demonstrated, but the mechanisms underneath these relations are yet unclear. As high levels of ACEs and aggression have been found among individuals with attention deficit/hyperactivity disorde...

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Main Authors: Steffen Barra, Paulina Klaudia Machalica, Petra Retz-Junginger, Johannes Merscher, Anselm Crombach, Wolfgang Retz
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-025-87861-4
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author Steffen Barra
Paulina Klaudia Machalica
Petra Retz-Junginger
Johannes Merscher
Anselm Crombach
Wolfgang Retz
author_facet Steffen Barra
Paulina Klaudia Machalica
Petra Retz-Junginger
Johannes Merscher
Anselm Crombach
Wolfgang Retz
author_sort Steffen Barra
collection DOAJ
description Abstract Associations between adverse childhood experiences (ACEs) and aggressive behavior have often been demonstrated, but the mechanisms underneath these relations are yet unclear. As high levels of ACEs and aggression have been found among individuals with attention deficit/hyperactivity disorder (ADHD), ADHD dimensions might explain this association. Moreover, maladaptive emotion regulation is common in ADHD and was associated with aggressive behavior. The present study investigated the dynamics among these constructs in a mixed sample of 287 adults. We found partially mediating effects of current ADHD on the associations of ACEs with adult aggression, especially regarding the hyperactive/impulsive dimension. Cognitive reappraisal moderated the indirect effect between hyperactivity/impulsivity and aggression, especially for females. Hence, the unfavourable dynamics found in the present study might explain the increased risk for aggressive behavior in individuals affected by both, ACEs and ADHD. Respective gender-sensitive prevention and treatment for aggressive behavior should include adequate pharmacological and psychological approaches that address ADHD core symptoms, whilst also aiming to improve emotion regulation techniques.
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spelling doaj-art-b2e83679096b40a1b6780632db86166d2025-02-02T12:21:50ZengNature PortfolioScientific Reports2045-23222025-01-0115111110.1038/s41598-025-87861-4Attention deficit/hyperactivity disorder (ADHD) dimensions mediate the relationship between adverse childhood experiences and adult aggression depending on cognitive reappraisalSteffen Barra0Paulina Klaudia Machalica1Petra Retz-Junginger2Johannes Merscher3Anselm Crombach4Wolfgang Retz5Institute for Forensic Psychology and Psychiatry, Saarland UniversityInstitute for Forensic Psychology and Psychiatry, Saarland UniversityInstitute for Forensic Psychology and Psychiatry, Saarland UniversityInstitute for Forensic Psychology and Psychiatry, Saarland UniversityDepartment of Psychology, Saarland UniversityInstitute for Forensic Psychology and Psychiatry, Saarland UniversityAbstract Associations between adverse childhood experiences (ACEs) and aggressive behavior have often been demonstrated, but the mechanisms underneath these relations are yet unclear. As high levels of ACEs and aggression have been found among individuals with attention deficit/hyperactivity disorder (ADHD), ADHD dimensions might explain this association. Moreover, maladaptive emotion regulation is common in ADHD and was associated with aggressive behavior. The present study investigated the dynamics among these constructs in a mixed sample of 287 adults. We found partially mediating effects of current ADHD on the associations of ACEs with adult aggression, especially regarding the hyperactive/impulsive dimension. Cognitive reappraisal moderated the indirect effect between hyperactivity/impulsivity and aggression, especially for females. Hence, the unfavourable dynamics found in the present study might explain the increased risk for aggressive behavior in individuals affected by both, ACEs and ADHD. Respective gender-sensitive prevention and treatment for aggressive behavior should include adequate pharmacological and psychological approaches that address ADHD core symptoms, whilst also aiming to improve emotion regulation techniques.https://doi.org/10.1038/s41598-025-87861-4
spellingShingle Steffen Barra
Paulina Klaudia Machalica
Petra Retz-Junginger
Johannes Merscher
Anselm Crombach
Wolfgang Retz
Attention deficit/hyperactivity disorder (ADHD) dimensions mediate the relationship between adverse childhood experiences and adult aggression depending on cognitive reappraisal
Scientific Reports
title Attention deficit/hyperactivity disorder (ADHD) dimensions mediate the relationship between adverse childhood experiences and adult aggression depending on cognitive reappraisal
title_full Attention deficit/hyperactivity disorder (ADHD) dimensions mediate the relationship between adverse childhood experiences and adult aggression depending on cognitive reappraisal
title_fullStr Attention deficit/hyperactivity disorder (ADHD) dimensions mediate the relationship between adverse childhood experiences and adult aggression depending on cognitive reappraisal
title_full_unstemmed Attention deficit/hyperactivity disorder (ADHD) dimensions mediate the relationship between adverse childhood experiences and adult aggression depending on cognitive reappraisal
title_short Attention deficit/hyperactivity disorder (ADHD) dimensions mediate the relationship between adverse childhood experiences and adult aggression depending on cognitive reappraisal
title_sort attention deficit hyperactivity disorder adhd dimensions mediate the relationship between adverse childhood experiences and adult aggression depending on cognitive reappraisal
url https://doi.org/10.1038/s41598-025-87861-4
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