Examining Narcissistic Traits in Relation To Reactive and Proactive Aggression in Children At-Risk for Attention Deficit/Hyperactivity Disorder.

The current study examined narcissistic traits in relation to proactive and reactive functions of aggression in a sample of children at-risk for attention-deficit/hyperactivity disorder (ADHD). Children ages 7-13 years (N = 110) were recruited from a pediatric ADHD assessment clinic. Caregivers completed the Antisocial Process Screening Device. Caregivers and teachers completed a measure of proactive and reactive aggression. In regression analyses controlling for ADHD and oppositional defiant disorder symptom severity and sex, narcissism was uniquely associated with higher caregiver-reported proactive aggression but not reactive aggression. Findings suggest that narcissism is uniquely related to proactive aggression in children at-risk for ADHD. Consideration of narcissistic traits may aid the prediction of behavioral issues and aggression in children and may be a potential intervention target. Future research should investigate if clinical interventions addressing narcissistic behaviors are effective for reducing proactive aggression in children.