Neural correlates of reactive aggression in children with attention-deficit/hyperactivity disorder and comorbid disruptive behaviour disorders
Abstract
OBJECTIVE: Attention deficit hyperactivity disorder (ADHD) is often linked with impulsive and aggressive behaviour, indexed by high comorbidity rates between ADHD and disruptive behaviour disorders (DBD). The present study aimed to investigate underlying neural activity of reactive aggression in children with ADHD and comorbid DBD using functional neuroimaging techniques (fMRI). METHOD: Eighteen boys with ADHD (age 9-14 years, 10 subjects with comorbid DBD) and 18 healthy controls were administered a modified fMRI-based version of the 'Point Subtraction Aggression Game' to elicit reactive aggressive behaviour. Trials consisted of an 'aggression phase' (punishment for a fictitious opponent) and an 'outcome phase' (presentation of the trial outcome). RESULTS: During the aggression phase, higher aggressive responses of control children were accompanied by higher activation of the ventral anterior cingulate cortex and the temporoparietal junction. Patients displayed inverted results. During the outcome phase, comparison between groups and conditions showed differential activation in the dorsal striatum and bilateral insular when subjects gained points. Losing points was accompanied by differential activation of regions belonging to the insula and the middle temporal sulcus. CONCLUSION: Data support the hypothesis that deficient inhibitory control mechanisms are related to increased impulsive aggressive behaviour in young people with ADHD and comorbid DBD.
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During reactive aggressive responses, ADHD adolescents showed abnormally reduced activation in ACC and temporo-parietal junction as well as in striato-limbic regions.
“Also, during reactive aggressive responses, ADHD adolescents showed abnormally reduced activation in ACC and temporo-parietal junction as well as in striato-limbic regions (Bubenzer-Busch et al., 2016).”
From Cognitive Neuroscience of Attention Deficit Hyperactivity Disorder (ADHD) and Its Clinical Translation (2018) · cites this paper as Bubenzer-Busch et al., 2016
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“Also, during reactive aggressive responses, ADHD adolescents showed abnormally reduced activation in ACC and temporo-parietal junction as well as in striato-limbic regions (Bubenzer-Busch et al., 2016).”
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- Authors
- Bubenzer‐Busch, S., Herpertz‐Dahlmann, B., Kuzmanovic, B., Gaber, T. J., Helmbold, K., Ullisch, M. G., Baurmann, D., Eickhoff, S. B., Fink, G. R., & Zepf, F. D.
- Affiliations
- Forschungszentrum Jülich (DE)
- Jülich Aachen Research Alliance (DE)
- Corresponding author
- Zepf, F. D.
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 2015-08-21
- Volume
- 133
- Issue
- 4
- Pages
- 310-323
- ISSN
- 0001-690X (ISSN-L)
- 1600-0447
- OpenAlex
- W2128208003
- Cited by
- 35
- References
- 55
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 4 · 2023: 3 · 2022: 3 · 2021: 1 · 2020: 4 · 2019: 3 · 2018: 2 · 2017: 3 · 2016: 5
- FWCI
- 2.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Psychiatrica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Kölner Universitäts PublikationsServer (Universität zu Köln) (publishedVersion)
- UWA Profiles and Research Repository (University of Western Australia) (submittedVersion)
- JuSER (Forschungszentrum Jülich) (submittedVersion)
- RWTH Publications (RWTH Aachen) (submittedVersion)
- Funders
- Excellence Initiative of the German Federal and State Governments
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Keywords
- reactive aggression, attention deficit hyperactivity disorder, disruptive behavior disorders, comorbidities, children, neural correlates, ventral anterior cingulate cortex, temporoparietal junction, dorsal striatum, insula, inhibitory control, impulsivity
- MeSH terms
- Adolescent, Aggression, Attention Deficit Disorder with Hyperactivity, Child, Humans, Magnetic Resonance Imaging, Male, Attention Deficit and Disruptive Behavior Disorders, Neuroimaging
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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