de Decker An, Lemmens Lisa, van der Helm Peer, Bruckers Liesbeth, Molenberghs Geert, Tremmery Sabine
1 University Psychiatric Center KU Leuven, Kortenberg, Belgium.
2 Department of Neurosciences, KU Leuven, Leuven, Belgium.
Int J Offender Ther Comp Criminol. 2018 May;62(7):1821-1837. doi: 10.1177/0306624X17712347. Epub 2017 Jun 19.
In the current study, the associations between inpatient aggression and the living group climate as perceived by the adolescents admitted to a forensic psychiatric treatment unit, are investigated based on carefully registered longitudinal data. Multilevel regression analyses revealed a significant inverse relation between the number and severity of aggressive incidents and the amount of support, as well as with the possibilities of growth perceived by the adolescents. No significant associations of aggression and the perception of repression or atmosphere are found. Our study reveals preliminary evidence for the relation between the prevalence of aggressive incidents and how the adolescents perceive social contextual factors in daily forensic treatment practices. Moreover, preliminary evidence that evidence-based treatment programs and psychiatric care have an important influence on experienced possibilities for growth and support and as such prevent institutional aggression, is found.
在本研究中，基于精心记录的纵向数据，对入住法医精神病治疗单元的青少年所感知的住院攻击行为与生活群体氛围之间的关联进行了调查。多层次回归分析显示，攻击事件的数量和严重程度与支持程度以及青少年所感知的成长可能性之间存在显著的负相关关系。未发现攻击行为与压抑感或氛围感知之间存在显著关联。我们的研究揭示了攻击事件发生率与青少年在日常法医治疗实践中如何感知社会背景因素之间关系的初步证据。此外，还发现了初步证据表明，循证治疗方案和精神科护理对所体验到的成长和支持可能性具有重要影响，从而预防机构内的攻击行为。
