Faculty Member of MPH at School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
J Psychiatr Ment Health Nurs. 2013 Mar;20(2):156-68. doi: 10.1111/j.1365-2850.2012.01902.x. Epub 2012 Apr 4.
Aggressive behaviour is the observable manifestation of aggression and is often associated with developmental transitions and a range of medical and psychiatric diagnoses across the lifespan. As healthcare professionals involved in the medical and psychosocial care of patients from birth through death, nurses frequently encounter - and may serve as - both victims and perpetrators of aggressive behaviour in the workplace. While the nursing literature has continually reported research on prevention and treatment approaches, less emphasis has been given to understanding the aetiology, including contextual precipitants of aggressive behaviour. This paper provides a brief review of the biological, social and environmental risk factors that purportedly give rise to aggressive behaviour. Further, many researchers have focused specifically on aggressive behaviour in adolescence and adulthood. Less attention has been given to understanding the aetiology of such behaviour in young children and older adults. This paper emphasizes the unique risk factors for aggressive behaviour across the developmental spectrum, including childhood, adolescence, adulthood and late life. Appreciation of the risk factors of aggressive behaviour, and, in particular, how they relate to age-specific manifestations, can aid nurses in better design and implementation of prevention and treatment programmes.
攻击性行为是攻击的可观察表现,通常与整个生命周期中的发育转变和一系列医学及精神科诊断有关。作为从出生到死亡全程参与患者医疗和心理社会护理的医疗保健专业人员,护士经常在工作场所遇到——并且可能成为——攻击性行为的受害者和施害者。尽管护理文献不断报告有关预防和治疗方法的研究,但对攻击性行为的病因学(包括其环境促成因素)的重视程度较低。本文简要回顾了据称导致攻击性行为的生物学、社会和环境风险因素。此外,许多研究人员专门研究了青春期和成年期的攻击性行为。对幼儿和老年人中此类行为的病因学关注较少。本文强调了整个发展阶段(包括儿童期、青春期、成年期和老年期)攻击性行为的独特风险因素。了解攻击性行为的风险因素,特别是它们与特定年龄表现的关系,可以帮助护士更好地设计和实施预防和治疗方案。