The role of brain-behavioral systems (BAS/BIS) and assertive behavior on impulsivity in individuals with attention deficit hyperactivity disorder (ADHD) with regard to the mediating role of frustration tolerance
Journal of Research in Psychopathology
مقاله 1 ، دوره 7، شماره 2 - شماره پیاپی 24 ، مرداد 2026، صفحه 1-10 840.68 K )
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.22098/jrp.2026.16207.1271 نویسندگان
Ali Afshari* ؛ Ahmad Esmali
چکیده This study investigates the role of brain-behavioral systems and assertive behavior on impulsive behavior in individuals with attention deficit hyperactivity disorder (ADHD) with regard to the mediating role of frustration tolerance. The population included all students with ADHD during 2021-2022. From the aforementioned population, 96 people were selected as samples using multi-stage cluster sampling. To collect information, the brain-behavioral systems questionnaire of Carver and White, Gambrill and Richey's Assertiveness Inventory, Patton, Stanford, and Barratt's Impulsiveness Scale, and Harrington's Frustration Tolerance Scale, and Conners's Parents Rating Scale for Attention Deficit Hyperactivity Disorder were used. The data was analyzed using Pearson correlation and structural equation modeling in AMOS24.The findings of this study indicated that components of the behavioral brain systems (behavioral activation and behavioral inhibition) and assertive behavior significantly predict impulsive behavior in students with ADHD. Moreover, frustration tolerance plays a key mediating role in explaining these relationships. These results suggest that educational and therapeutic interventions focused on enhancing assertiveness, increasing frustration tolerance, and modifying patterns of behavioral activation and inhibition may effectively reduce impulsivity and improve behavioral adjustment in this group of students. کلیدواژهها
Attention deficit hyperactivity disorder ؛ Assertive behavior ؛ Brain-behavioral systems ؛ Frustration tolerance ؛ Impulsive behavior
مراجع
Abdollahi, E. (2011). The relationship between brain/behavioral systems and impulsivity with antisocial traits. Master's thesis, General Psychology, Tarbiat Modarres University, Tehran . doi:10.22054/jep.2023.74079.3856
Albalawi, A. S., Khayyal, A. I., Alnasser, F. A., AlSuhaymi, N. N. M., Assiri, A. A. M., & Alahmadi, R. S. S. (2026). Effective Approaches to Managing Behavioral Problems in Children With Attention-Deficit/Hyperactivity Disorder (ADHD): A Narrative Review. Cureus , 18 (1), e102011 . doi:10.7759/cureus.102011
Alizadeh, H. (2005). A Theoretical Explanation on Attention Deficit/Hyperactivity Disorder: Behavioral Inhibition Model and Nature of Self-control [Applicable]. Journal of Exceptional Children , 5 (3), 231–252 . doi:20.1001.1.16826612.1384.5.3.5.5
Arnett, A. B., Macdonald, B., & Pennington, B. F. (2013). Cognitive and behavioral indicators of ADHD symptoms prior to school age. J Child Psychol Psychiatry , 54 (12), 1284–1294. doi:10.1111/jcpp.12104
Azizi, A. R. (2010). Reliability and validity of the persian version of distress tolerance scale. Iran J Psychiatry , 5 (4), 154–158. doi:0.32598/jpcp.13.3.1049.1
Baamer. (2025). Symptoms of attention deficit hyperactivity disorder and emotional behavioral problems: The mediating effect of executive function. Appl Neuropsychol Child , 1–7 . doi:10.1080/21622965.2025.2485418
Barkley, R. A. (1997). Attention-deficit/hyperactivity disorder, self-regulation, and time: toward a more comprehensive theory. J Dev Behav Pediatr , 18 (4), 271–279. https://pubmed.ncbi.nlm.nih.gov/9276836/
Beheshti, A., Chavanon, M. L., & Christiansen, H. (2020). Emotion dysregulation in adults with attention deficit hyperactivity disorder: a meta-analysis. BMC Psychiatry , 20 (1), 120. doi:10.1186/s12888-020-2442-7
Bijttebier, P., Beck, I., Claes, L., & Vandereycken, W. (2009). Gray's Reinforcement Sensitivity Theory as a framework for research on personality-psychopathology associations. Clin Psychol Rev , 29 (5), 421–430 . doi:10.1016/j.cpr.2009.04.002
Carver, C. S., & White, T. L. (1994). Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment: the BIS/BAS scales. Journal of personality and social psychology , 67 (2), 319 . doi:10.22054/jpe.2024.76827.2634
Centers for Disease Control and Prevention (2024). Data and statistics on ADHD. U.S. Department of Health & Human Services
Conners, C. K., Sitarenios, G., Parker, J. D., & Epstein, J. N. (1998). Revision and restandardization of the Conners Teacher Rating Scale (CTRS-R): factor structure, reliability, and criterion validity. J Abnorm Child Psychol , 26 (4), 279–291 . doi:10.1023/a:1022606501530
Corr, P. J. (2004). Reinforcement sensitivity theory and personality. Neurosci Biobehav Rev , 28 (3), 317–332 . doi:10.1016/j.neubiorev.2004.01.005
Eslami, R. H. (2020). Assertiveness and psychological well-being: A review of recent findings. Journal of Contemporary Psychology , 5 (2), 45–58 . doi:10.30473/clpsy.2024.71022.1742
Gambrill, E. D., & Richey, C. A. (1975). An assertion inventory for use in assessment and research. Behavior therapy , 6 (4), 550–561 . https://www.sciencedirect.com/science/article/pii/S000578947580013X
Gefen, D., Straub, D., & Boudreau, M.-C. (2000). Structural equation modeling and regression: Guidelines for research practice. Communications of the association for information systems , 4 (1), 7. doi:10.22054/jem.2025.82349.3576
Goyette, C. H., Conners, C. K., & Ulrich, R. F. (1978). Normative data on revised Conners Parent and Teacher Rating Scales. J Abnorm Child Psychol , 6 (2), 221–236. doi:10.1007/bf00919127
Graziano, P. A., & Garcia, A. (2016). Attention-deficit hyperactivity disorder and children's emotion dysregulation: A meta-analysis. Clin Psychol Rev , 46 , 106–123 . doi:10.1016/j.cpr.2016.04.011
Hamilton, K. R., Littlefield, A. K., Anastasio, N. C., Cunningham, K. A., Fink, L. H. L., Wing, V. C., Mathias, C. W., Lane, S. D., Schütz, C. G., Swann, A. C., Lejuez, C. W., Clark, L., Moeller, F. G., & Potenza, M. N. (2015). Rapid-response impulsivity: definitions, measurement issues, and clinical implications. Personal Disord , 6 (2), 168–181. doi:10.1037/per0000100
Harrington, N. (2005). The frustration discomfort scale: Development and psychometric properties. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice , 12 (5), 374–387. doi:10.22075/jcp.2024.34232.2897
Irandoust, Z., Sadri Damirchi, E., Ghamari Kivi, H., & Noroozi Homayoon, M. (2026). The Comparison of Cognitive Emotion Regulation, Brain-Behavioral Systems, and Self-Control between Methamphetamine-Dependent Women and Healthy Women [Research]. Research on Addiction , 19 (78), 167–188 . doi:10.22034/eti.19.78.167
Karimian, Z., & Chahartangi, F. (2024). Development and validation of a questionnaire to measure educational agility: a psychometric assessment using exploratory factor analysis. BMC Medical Education , 24 (1), 1284. doi:10.1186/s12909-024-06307-z
Kofler, M. J., Irwin, L. N., Soto, E. F., Groves, N. B., Harmon, S. L., & Sarver, D. E. (2019). Executive Functioning Heterogeneity in Pediatric ADHD. J Abnorm Child Psychol , 47 (2), 273–286 . doi:10.1007/s10802-018-0438-2
Lagios, C., Restubog, S. L. D., Schilpzand, P., Kiazad, K., & Aquino, K. (2025). Disrupting the chain of displaced aggression: A review and agenda for future research. Journal of Organizational Behavior . https://onlinelibrary.wiley.com/doi/full/10.1002/job.2893
Mahmoudi, A., Shakeri, J., & Moradi, A. (2021). Effectiveness of assertiveness training on social functioning and emotional regulation. Clinical Psychology Studies , 11 (3), 97–82. doi:10.32598/jpcp.13.3.1049.1
Mattar, E., Sawma, T., Hallit, R., Malaeb, D., Sakr, F., Dabbous, M., Hallit, S., Fekih-Romdhane, F., & Obeid, S. (2025). The mediating role of distress tolerance in the relationship between childhood maltreatment and anxiety in a sample of Lebanese adults. Scientific Reports , 15 (1), 13570 . doi:10.1038/s41598-025-98417-x
Mikaeili, N., Teymoori, R. & Salmani, A. (2023). The relationship between the emotional nature, adult attachment and aggression in depressed patients. Journal of Research in Psychopathology , 4 (11), 40-46. doi:10.22098/jrp.2023.9601.1043
Moss, J. G., Firebaugh, C. M., Morgan, S. M., Moss, J., & Firebaugh, C. (2021). Assertiveness, self-esteem, and relationship satisfaction. International Journal of Arts and Social Science , 4 (2), 235–245. doi:10.22089/spsyj.2025.18326.2596
Muris, P., Meesters, C., & van der Heiden, S. (2021). Behavioral inhibition and activation systems and their relations to internalizing and externalizing symptoms in youth. Child Psychiatry & Human Development , 52 (3), 403–414 . doi:10.22098/ael.2023.10873.1095
Patton, J. H., Stanford, M. S., & Barratt, E. S. (1995). Factor structure of the Barratt impulsiveness scale. J Clin Psychol , 51 (6), 768–774 . doi:10.1002/1097-4679
Popit, S., Serod, K., Locatelli, I., & Stuhec, M. (2024). Prevalence of attention-deficit hyperactivity disorder (ADHD): systematic review and meta-analysis. Eur Psychiatry , 67 (1), e68. doi:10.1192/j.eurpsy.2024.1786
Poznyak, E., & Debbané, M. (2025). Emotion regulation beyond executive and attention difficulties: impact on daily life impairments in community adolescents. Child Adolesc Psychiatry Ment Health , 19 (1), 47 . doi:10.1186/s13034-025-00898-1
Puiu, A. A., Wudarczyk, O., Goerlich, K. S., Votinov, M., Herpertz-Dahlmann, B., Turetsky, B., & Konrad, K. (2018). Impulsive aggression and response inhibition in attention-deficit/hyperactivity disorder and disruptive behavioral disorders: Findings from a systematic review. Neurosci Biobehav Rev , 90 , 231–246 . doi:10.1016/j.neubiorev.2018.04.016
Rajabi Jourshari, R., Mohammadi Arya, A., Alavizadeh, S. M., Entezari, S., Hosseinkhanzadeh, A. A., & Amirizadeh, S. M. (2022). Structural Relationships Between Assertiveness and Parenting Styles With Mediating Self-esteem and Anxiety of Singleton Children [Original Research Articles]. Iranian Rehabilitation Journal , 20 (4), 539–548 . doi:10.32598/irj.20.4.1584.1
Ros, R., & Graziano, P. A. (2018). Social Functioning in Children With or At Risk for Attention Deficit/Hyperactivity Disorder: A Meta-Analytic Review. J Clin Child Adolesc Psychol , 47 (2), 213–235 . doi:10.1080/15374416.2016.1266644
Rosenthal, E. A., Broos, H. C., Timpano, K. R., & Johnson, S. L. (2024). Does Emotion-Related Impulsivity Relate to Specific ADHD Symptom Dimensions, and Do the Effects Generalize Across Comorbid Internalizing and Externalizing Syndromes? J Atten Disord , 28 (2), 178–188 . doi:10.1177/10870547231210283
Rubia, K. (2018). Cognitive Neuroscience of Attention Deficit Hyperactivity Disorder (ADHD) and Its Clinical Translation [Review]. Frontiers in Human Neuroscience , Volume 12 - 2018 . doi:10.3389/fnhum.2018.00100
Salari, N., Ghasemi, H., Abdoli, N., Rahmani, A., Shiri, M. H., Hashemian, A. H., Akbari, H., & Mohammadi, M. (2023). The global prevalence of ADHD in children and adolescents: a systematic review and meta-analysis. Ital J Pediatr , 49 (1), 48 . doi:10.1186/s13052-023-01456-1
Salmani, A., Basharpoor, S. & Salehinejad, M. A. (2024). The effectiveness of transcranial direct electrical stimulation (tDCS) on craving and decision-making styles in substance users. Research on Addiction , 18 (71), 31-54. doi:10.61186/etiadpajohi.18.71.31
Seymour, K. E., & Miller, L. (2017). ADHD and Depression: the Role of Poor Frustration Tolerance. Curr Dev Disord Rep , 4 (1), 14–18 . doi:10.1007/s40474-017-0105-2
Shaw, P., Stringaris, A., Nigg, J., & Leibenluft, E. (2014). Emotion dysregulation in attention deficit hyperactivity disorder. Am J Psychiatry , 171 (3), 276–293 . doi:10.1176/appi.ajp.2013.13070966
Tenenbaum, R. B., Musser, E. D., Raiker, J. S., Coles, E. K., Gnagy, E. M., & Pelham, W. E., Jr. (2018). Specificity of Reward Sensitivity and Parasympathetic-Based Regulation among Children with Attention-Deficit/Hyperactivity and Disruptive Behavior Disorders. J Abnorm Child Psychol , 46 (5), 965–977. doi:10.1007/s10802-017-0343-0
Thapar, A., & Cooper, M. (2016). Attention deficit hyperactivity disorder. Lancet , 387 (10024), 1240–1250 . doi:10.1016/s0140-6736(15)00238-x
Van stralen, j. (2016). Emotional dysregulation in children with attention-deficit/hyperactivity disorder. Atten Defic Hyperact Disord , 8 (4), 175–187 . doi:10.1007/s12402-016-0199-0
Zarzycka, B., Tomaka, K., & Król-Fijewska, M. (2024). Assertive Skills Questionnaire: The Internal Structure and Psychometric Properties. Polish Psychological Bulletin , vol. 55 , 181–194 . https://journals.pan.pl/dlibra/publication/150367/edition/134883
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