Oulis P, Lykouras L, Dascalopoulou E, Psarros C
Athens University Medical School, Department of Psychiatry, Eginition Hospital, Greece.
Psychopathology. 1996;29(3):174-80. doi: 10.1159/000284988.
We studied, during 5 consecutive days, the prevalence, types and demographic, historical and clinical correlates of overt aggression in a population of 136 acute and chronic inpatients with mainly a diagnosis of psychotic disorder. Almost one fourth of them exhibited some sort of aggressive behavior. Verbal aggression was by far the most frequent type followed-in decreasing order-by physical aggression, aggression against property and self-aggression. Past threats of violence and attacks on others as well as concurrent motor excitement, agitation, low tolerance of frustration, difficulty in delaying gratification, depressive feelings, anger, hostility, affective lability and antisocial behavior differed significantly across the aggressive and the nonaggressive groups. The best short-term clinical predictors of aggression were different for each type, anger being their sole common predictor, and accounted for various proportions of the corresponding variances ranging from only 13.3% for self-aggression to 39.2% for verbal aggression.
我们在连续5天的时间里,对136名主要诊断为精神障碍的急性和慢性住院患者群体中公开攻击行为的患病率、类型以及人口统计学、病史和临床相关因素进行了研究。其中近四分之一的患者表现出某种攻击行为。言语攻击是迄今为止最常见的类型,其次(按频率递减顺序)是身体攻击、对财产的攻击和自我攻击。过去的暴力威胁和对他人的攻击以及同时存在的运动兴奋、躁动、低挫折容忍度、延迟满足困难、抑郁情绪、愤怒、敌意、情感不稳定和反社会行为在攻击组和非攻击组之间存在显著差异。每种攻击类型的最佳短期临床预测因素各不相同,愤怒是它们唯一的共同预测因素,且在相应方差中所占比例各不相同,从自我攻击的仅13.3%到言语攻击的39.2%不等。