Clinical Neuroscience Research Unit, Department of Psychiatry and Behavioral Neuroscience, University of Chicago, 5841 South Maryland Ave, Chicago, IL 60637.
Clinical Neuroscience Research Unit, Department of Psychiatry and Behavioral Neuroscience, Pritzker School of Medicine, The University of Chicago, Chicago, Illinois, USA.
J Clin Psychiatry. 2020 Mar 17;81(2):19m12937. doi: 10.4088/JCP.19m12937.
To determine the prevalence and correlates of DSM-5 intermittent explosive disorder and related aggressive disorders in the United States.
Community survey data (collected between 2001-2004) from the National Comorbidity Survey-Replication (NCS-R) and Adolescent Supplement (NCS-AS) involving 10,148 adolescents and 9,282 adults, respectively, were reanalyzed with recurrent aggressive behavior defined as 3 serious aggressive outbursts in any given year. In addition to prevalence, assessments of aggression severity, property damage, injury to others, intimate partner assault, utilization of guns and weapons to threaten, and treatment utilization for recurrent aggressive behavior were also assessed.
About 17% of adolescents and 8% of adults report a pattern of recurrent aggressive outbursts within at least 1 year. Such individuals are much more aggressive and impulsive than nonaggressive controls and are more likely to engage in intimate partner assault, carry and use guns and other weapons to threaten others, and be arrested by law enforcement. Few aggressive individuals speak with health care providers about this behavior, and fewer receive treatment for aggression.
Recurrent aggressive behavior is common in both adolescents and adults, with clinically significant consequences to those with this pattern and to others in their environment (ie, using guns and other weapons to threaten others). While this type of behavior can be reduced though pharmacologic/psychosocial treatment intervention, the vast majority of aggressive individuals do not engage in treatment for their aggressive behavior. Screening individuals for such behavior in one's practice may do much toward identifying this problem and bringing such individuals into treatment.
在美国确定 DSM-5 间歇性爆发性障碍和相关攻击性行为障碍的患病率及其相关因素。
对分别于 2001 年至 2004 年期间收集的全国共病调查-复制（NCS-R）和青少年补充调查（NCS-AS）的社区调查数据（涉及 10148 名青少年和 9282 名成年人）进行重新分析，将反复发作的攻击性行为定义为在任何给定年份发生 3 次严重的攻击性爆发。除了患病率之外，还评估了攻击性严重程度、财产损失、他人受伤、亲密伴侣攻击、使用枪支和武器进行威胁以及反复发作的攻击性行为的治疗利用情况。
约 17%的青少年和 8%的成年人在至少 1 年内报告了反复发作的攻击性爆发模式。与非攻击性对照者相比，这些个体的攻击性和冲动性更强，更有可能发生亲密伴侣攻击，携带和使用枪支和其他武器威胁他人，并且被执法部门逮捕。很少有攻击性个体就这种行为与医疗保健提供者交谈，并且更少的人接受攻击性治疗。
反复发作的攻击行为在青少年和成年人中都很常见，对具有这种模式的个体以及其环境中的其他人（即，使用枪支和其他武器威胁他人）具有明显的临床后果。虽然这种行为可以通过药物/心理社会治疗干预来减少，但绝大多数攻击性个体并没有接受针对其攻击性行为的治疗。在实践中对这种行为进行筛查可能有助于识别这种问题，并使此类个体接受治疗。
