کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4185122 1277343 2008 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Psychiatric diagnosis and aggression before acute hospitalisation
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی روانپزشکی و بهداشت روانی
پیش نمایش صفحه اول مقاله
Psychiatric diagnosis and aggression before acute hospitalisation
چکیده انگلیسی

ObjectiveTo examine the predictors of aggressive behaviours occurring before acute hospitalisation.MethodsWe analysed 350 acute admissions to a psychiatric ward during a 12-month period. The diagnoses were formulated according to the DSM IV axis I and II criteria. Aggressive behaviours occurring in the week before admission were retrospectively assessed using the modified overt aggression scale. The patients' clinical and sociodemographic variables, concurrent drug or alcohol abuse, and admission status were recorded at the time of admission.ResultsAggressive and violent behaviours were highly prevalent, respectively, in 45% and 33% of the cases. Violence before admission was independently associated with drug abuse, involuntary admission status, and severe psychopathology. A diagnosis of a psychotic disorder did not increase the risk of aggression or violence, compared to the other psychiatric diagnoses. Personality disorders were significantly more associated to aggressive behaviours than psychotic disorders.ConclusionThe diagnosis of psychotic disorder is a poor predictor of aggression in a sample of psychiatric patients. Other clinical and non-clinical variables are associated to aggression before hospitalisation: they include drug abuse, involuntary admission status, general severity of symptoms, and diagnosis of personality disorder.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Psychiatry - Volume 23, Issue 6, September 2008, Pages 441–448
نویسندگان
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