Schanz Christian G, Equit Monika, Schäfer Sarah K, Käfer Michael, Mattheus Hannah K, Michael Tanja
Clinical Psychology and Psychotherapy, Department of Psychology, Saarland University, Saarbruecken, Germany.
MediClin Bliestal-Clinics, Blieskastel, Germany.
Front Psychol. 2021 Apr 26;12:579183. doi: 10.3389/fpsyg.2021.579183. eCollection 2021.
To date, most research on aggression in mental disorders focused on active-aggressive behavior and found self-directed and other-directed active aggression to be a symptom and risk-factor of psychopathology. On the other hand, passive-aggressive behavior has been investigated less frequently and only in research on psychodynamic defense mechanisms, personality disorders, and dysfunctional self-control processes. This small number of studies primarily reflects a lack of a reliable and valid clinical assessment of passive-aggressive behavior. To address this gap, we developed the Test of Passive Aggression (TPA), a 24-item self-rating scale for the assessment of self-directed and other-directed passive-aggressive behavior. Study 1 examined the internal consistency and factorial validity of the TPA in an inpatient sample ( = 307). Study 2 investigated the retest-reliability, internal consistency, and construct validity (active aggression, personality traits, impulsivity) of the TPA in a student sample ( = 180). In line with our hypothesis, Exploratory Structural Equation Modeling revealed an acceptable to good fit of a bi-factorial structure of the TPA ( = 1.98; = 0.05, fit.off = 0.96). Both TPA scales showed good to excellent internal consistency ( = 0.83-0.90) and 4-week retest-reliability ( = 0.86). Correlations with well-established aggression scales, measures of personality, and impulsivity support discriminant and convergent validity of the TPA. The TPA is a reliable and valid instrument for the assessment of self-directed and other-directed passive-aggressive behavior.
迄今为止,大多数关于精神障碍中攻击行为的研究都集中在主动攻击行为上,并发现自我导向和他人导向的主动攻击是精神病理学的一种症状和风险因素。另一方面,被动攻击行为的研究较少,仅在心理动力学防御机制、人格障碍和功能失调的自我控制过程的研究中涉及。这少量的研究主要反映出缺乏对被动攻击行为可靠且有效的临床评估。为了填补这一空白,我们开发了被动攻击测试(TPA),这是一个包含24个条目的自评量表,用于评估自我导向和他人导向的被动攻击行为。研究1在一个住院患者样本(n = 307)中检验了TPA的内部一致性和因子效度。研究2在一个学生样本(n = 180)中调查了TPA的重测信度、内部一致性和结构效度(主动攻击、人格特质、冲动性)。与我们的假设一致,探索性结构方程模型显示TPA的双因子结构具有可接受至良好的拟合度(χ² = 1.98;df = 0.05,拟合优度 = 0.96)。两个TPA量表都显示出良好至优秀的内部一致性(α = 0.83 - 0.90)和4周的重测信度(r = 0.86)。与成熟的攻击量表、人格测量和冲动性的相关性支持了TPA的区分效度和聚合效度。TPA是评估自我导向和他人导向被动攻击行为的可靠且有效的工具。