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Children ages 7\u201313 years (\n                    <jats:italic>N<\/jats:italic>\n                    \u2009=\u2009110) 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.\n                  <\/jats:p>","DOI":"10.1007\/s10578-025-01824-4","type":"journal-article","created":{"date-parts":[[2025,4,9]],"date-time":"2025-04-09T23:06:17Z","timestamp":1744239977000},"page":"1766-1773","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Examining Narcissistic Traits in Relation To Reactive and Proactive Aggression in Children At-Risk for Attention Deficit\/Hyperactivity Disorder"],"prefix":"10.1007","volume":"57","author":[{"given":"Cathleen Odar","family":"Stough","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronica","family":"Mehl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen P.","family":"Becker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leanne","family":"Tamm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,4,10]]},"reference":[{"key":"1824_CR1","doi-asserted-by":"publisher","first-page":"443","DOI":"10.1007\/s10643-023-01446-2","volume":"52","author":"ER Baker","year":"2024","unstructured":"Baker ER, Jensen CJ (2024) Linking teacher-versus child self-report discrepancies in aggression to demographic and cognitive profiles. 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