van den Akker Natalie, Kroezen Marieke, Wieland Jannelien, Pasma Annelieke, Wolkorte Ria
Intellectual Disability Medicine, Department of General Practice, Erasmus MC University Medical Centre, Rotterdam, The Netherlands.
Cordaan, Center for Excellence on Mental Health and Mild Intellectual Disability, Amsterdam, The Netherlands.
J Appl Res Intellect Disabil. 2021 Mar;34(2):327-389. doi: 10.1111/jar.12809. Epub 2020 Oct 18.
Aggressive behaviour is prevalent in people with intellectual disabilities. To understand the aetiology, it is important to recognize factors associated with the behaviour.
A systematic review was conducted and included studies published between January 2002 and April 2017 on the association of behavioural, psychiatric and psychosocial factors with aggressive behaviour in adults with intellectual disabilities.
Thirty-eight studies were included that presented associations with 11 behavioural, psychiatric and psychosocial factors. Conflicting evidence was found on the association of these factors with aggressive behaviour.
The aetiology of aggressive behaviour is specific for a certain person in a certain context and may be multifactorial. Additional research is required to identify contributing factors, to understand causal relationships and to increase knowledge on possible interaction effects of different factors.
攻击性行为在智力残疾人群中很普遍。为了解其病因,识别与该行为相关的因素很重要。
进行了一项系统综述,纳入了2002年1月至2017年4月发表的关于行为、精神和心理社会因素与成年智力残疾者攻击性行为之间关联的研究。
纳入了38项研究,这些研究呈现了与11种行为、精神和心理社会因素的关联。在这些因素与攻击性行为的关联方面发现了相互矛盾的证据。
攻击性行为的病因在特定情境中因人而异,可能是多因素的。需要进一步研究以确定促成因素,理解因果关系,并增加对不同因素可能的相互作用效应的认识。