Abstract
Background: Attention Deficit/Hyperactivity Disorder (ADHD) is associated with a series of problems, including aggressive behavior and problematic media use (PMU). However, the literature concerning the relationship between PMU and aggressive behavior patterns in children diagnosed with ADHD is limited. This study examines the relationships between PMU and aggression in children with ADHD.

Methods: One hundred sixty-two children aged 6-12 years diagnosed with ADHD were included in the study. All participants were assessed with DSM-5-based psychiatric evaluations. Aggressive behaviors in children were evaluated using the Children’s Aggression Scale Parent Version (CAS-P). The children’s screen use was scored using the Problematic Media Use Measure Short Form (PMUM-SF). The data obtained were compared using statistical methods.

Results: A significant correlation at the p<.05 level was determined between PMU and the severity of ADHD (mild-moderate and severe). PMU was positively and statistically significantly correlated with verbal aggression (r = 0.422, p < 0.001), aggression against objects and animals (r = 0.367, p < 0.001), provoked physical aggression (r = 0.365, p < 0.001) and unprovoked physical aggression (r = 0.283, p < 0.001). In addition, PMU significantly (p <0.001) predicted verbal aggression, aggression against objects and animals, and provoked and unprovoked physical aggression.

Conclusions: A positive correlation was observed between PMU in children and the risk of aggression in this group, and PMU predicted aggression. These findings may contribute to the formation of guidelines for intervention when problematic behaviors emerge in children diagnosed with ADHD.

Key words: Children; Problematic Media Use; Attention-Deficit/Hyperactivity Disorder; Aggression; Digital Media