Department of Educational Psychology, University of Alberta, 11210 87 Ave NW, Edmonton, Alberta T6B 2G5, Canada.
Department of Psychiatry, College of Medicine, Royal University Hospital, 103 Hospital Drive, Saskatoon, Saskatchewan S7N 0W8, Canada.
Clin Psychol Rev. 2022 Jun;94:102155. doi: 10.1016/j.cpr.2022.102155. Epub 2022 Mar 28.
Interpretation and response to behaviour is predicated on understanding. However, our present understanding of aggressive behaviour, especially for complex and vulnerable populations is limited. The purpose of this review is to enhance our understanding of aggressive behaviour by providing a comprehensive outline of the conditions and underlying mechanisms that drive aggressive behaviour for children and adolescents with neurodevelopmental disorders (NDDs), focusing on Fetal Alcohol Spectrum Disorder (FASD). This review will: (1) Synthesize the present literature regarding aggressive behaviour, via the cognitive, environmental, and emotional factors that drive it, for children and adolescents with NDDs; (2) Identify and integrate information specific to the elevated vulnerability for aggressive behaviour that FASD poses; and (3) Utilize the information derived from the review to propose frameworks, in the form of two corresponding models, for recognizing and responding to aggressive behaviour. The advantages of such neurodevelopmentally guided, comprehensive, and integrative framework are to clarify predisposing and perpetuating mechanisms, inform appropriate caregiver and caseworker support, and inform clinicians' preliminary intervention. These ultimately should improve the ability to respond and promote healthy outcomes for these vulnerable youngsters.
对行为的解释和反应以理解为前提。然而，我们目前对攻击性行为的理解，尤其是对复杂和脆弱人群的理解是有限的。本综述的目的是通过提供一个全面的概述，来增强我们对攻击性行为的理解，该概述涵盖了导致患有神经发育障碍（NDD）的儿童和青少年产生攻击性行为的条件和潜在机制，重点是胎儿酒精谱系障碍（FASD）。本综述将：（1）通过驱动 NDD 儿童和青少年攻击性行为的认知、环境和情感因素，综合目前关于攻击性行为的文献；（2）确定并整合与 FASD 导致的攻击性升高脆弱性相关的信息；（3）利用综述中得出的信息，以两个相应模型的形式，提出识别和应对攻击性行为的框架。这种基于神经发育的、全面的和综合的框架的优势是阐明促成和持久的机制，为适当的照顾者和个案工作者提供支持，并为临床医生的初步干预提供信息。这些最终应该提高对这些脆弱青少年的反应能力，并促进他们的健康结果。
