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与家庭暴力相关的冲动性和言语缺陷。

Impulsivity and verbal deficits associated with domestic violence.

作者信息

Cohen Ronald A, Brumm Virdette, Zawacki Tricia M, Paul Robert, Sweet Lawrence, Rosenbaum Alan

机构信息

Department of Psychiatry and Human Behavior, Brown University School of Medicine, Providence, Rhode Island 02960, USA.

出版信息

J Int Neuropsychol Soc. 2003 Jul;9(5):760-70. doi: 10.1017/S1355617703950090.

Abstract

While neurobiological factors are known to play a role in human aggression, relatively few studies have examined neuropsychological contributions to propensity for violence. We previously demonstrated cognitive deficits among men who committed domestic violence (batterers) compared to non-violent controls. Batterers had deficits in verbal ability, learning and executive problem-solving ability. These findings led us to examine whether executive control problems involving impulsivity contribute to problems with behavioral control among batterers, and to further examine their deficits in verbal functioning. Batterers (n = 41) enrolled in a domestic violence program were compared to 20 non-violent men of similar age, education, and socioeconomic background on neuropsychological tests of executive functioning, including impulsivity. Questionnaires and structured clinical interviews were used to assess emotional distress, aggression and self-reported impulsivity. Batterers showed greater impulsivity compared to non-batterers on several neuropsychological measures. Yet, the severity of these deficits was relatively mild and not evident in all batterers. Consistent with our previous findings, significant verbal deficits were again observed among the batterers. These findings suggest that while impulsivity may be a factor associated with domestic violence, it probably is not the sole determinant of the strong relationship between cognitive functioning and batterer status that we previously observed. Both verbal expressive deficits and behavioral impulsivity appear to be relevant variables in predisposing men to domestic violence.

摘要

虽然已知神经生物学因素在人类攻击行为中起作用,但相对较少的研究探讨了神经心理学对暴力倾向的影响。我们之前发现,与非暴力对照组相比,实施家庭暴力的男性(施暴者)存在认知缺陷。施暴者在语言能力、学习和执行问题解决能力方面存在缺陷。这些发现促使我们研究涉及冲动性的执行控制问题是否导致施暴者行为控制方面的问题,并进一步研究他们在语言功能方面的缺陷。将参加家庭暴力项目的41名施暴者与20名年龄、教育程度和社会经济背景相似的非暴力男性进行执行功能神经心理学测试(包括冲动性测试)的比较。使用问卷和结构化临床访谈来评估情绪困扰、攻击性和自我报告的冲动性。在多项神经心理学测试中,施暴者比非施暴者表现出更大的冲动性。然而,这些缺陷的严重程度相对较轻,并非在所有施暴者中都明显。与我们之前的发现一致,在施暴者中再次观察到明显的语言缺陷。这些发现表明,虽然冲动性可能是与家庭暴力相关的一个因素,但它可能不是我们之前观察到的认知功能与施暴者身份之间紧密关系的唯一决定因素。语言表达缺陷和行为冲动性似乎都是男性易患家庭暴力的相关变量。

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