Correlation Between Aggressive Behavior and Impulsive and Aggressive Personality Traits in Stable Patients with Schizophrenia

Dunstan, David W.; Yang, Rui; Fan, Hongzhen; Wang, Leilei; Zhao, Yanli; Tan, Shuping; Xiao, Chunling; Zhou, Shuang

doi:10.2147/ndt.s404176

Cited by 2 publications

(2 citation statements)

References 49 publications

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“…The results of this study showed that aggressive behavior were positively correlated with positive symptoms and childhood traumas in patients with schizophrenia, corroborated by prior investigations [ 31 , 32 ]. Per the assessment, positive manifestations in patients with schizophrenia included delusions, muddled thinking, bizarre behavior, and cognitive inconsistencies, all of which greatly affect how they interpret reality, resulting in extreme frustration, varying mood swings, increased arousal levels, and challenges in controlling actions, ultimately leading to aggressive behavior [ 33 ].…”

Section: Discussionsupporting

confidence: 91%

Construction and verification of aggressive behavior risk prediction model in stable patients with schizophrenia

Sun,

Jiang,

et al. 2023

BMC Psychiatry

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Background Among all types of mental disorders, individuals with schizophrenia exhibit the highest frequency of aggressive behavior. This disrupts the healthcare environment and poses threats to family life and social harmony. Present approaches fail to identify individuals with schizophrenia who are predisposed to aggressive behavior. In this study, we aimed to construct a risk prediction model for aggressive behavior in stable patients with schizophrenia, which may facilitate early identification of patients who are predisposed to aggression by assessing relevant factors, enabling the management of high-risk groups to mitigate and prevent aggressive behavior. Methods A convenience sample of stable inpatients with schizophrenia were selected from Daqing Municipal Third Hospital and Chifeng Municipal Anding Hospital from March 2021 to July 2023. A total of 429 patients with stable schizophrenia who met the inclusion criteria were included. A survey was conducted with them using a questionnaire consisting of general information questionnaire, Positive and Negative Symptom Scale, Childhood Trauma Questionnaire-Short Form, Connor-Davidson Resilience Scale and Self-esteem Scale. Patients enrolled in this study were divided into aggressive and non-aggressive groups based on whether there was at least one obvious and recorded personal attack episode (including obvious wounding and self-injurious behavior) following diagnosis. Binary Logistic regression was used to determine the influencing factors, and R software was used to establish a nomogram model for predicting the risk of aggressive behavior. Bootstrap method was used for internal validation of the model, and the validation group was used for external validation. C statistic and calibration curve were used to evaluate the prediction performance of the model. Results The model variables included Age, Duration of disease, Positive symptom, Childhood Trauma, Self-esteem and Resilience. The AUROC of the model was 0.790 (95% CI:0.729–0.851), the best cutoff value was 0.308; the sensitivity was 70.0%; the specificity was 81.4%; The C statistics of internal and external validation were 0.759 (95%CI:0.725–0.814) and 0.819 (95%CI:0.733–0.904), respectively; calibration curve and Brier score showed good fit. Conclusions The prediction model has a good degree of discrimination and calibration, which can intuitively and easily screen the high risk of aggressive behavior in stable patients with schizophrenia, and provide references for early screening and intervention.

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Section: Discussionsupporting

confidence: 91%

Construction and verification of aggressive behavior risk prediction model in stable patients with schizophrenia

Sun,

Jiang,

et al. 2023

BMC Psychiatry

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“…Aggressive conduct observed in individuals diagnosed with SCZ entails the display of destructive behaviors, encompassing verbal and physical assaults toward others, vandalism, as well as self-inflicted harm. These manifestations are frequently prompted by psychotic symptoms and environmental influences ( 10 , 11 ). Among all types of mental disorders, the occurrence of aggressive behavior is most prevalent in patients with SCZ.…”

Section: Introductionmentioning

confidence: 99%

Effects of cognitive training and behavior modification on aggressive behavior and sleep quality in schizophrenia

Wang,

Cheng,

et al. 2024

Front. Psychiatry

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BackgroundSchizophrenia (SCZ) is linked to a heightened risk of impulsive aggression and disturbances in sleep patterns. Cognitive and social cognitive impairments have been connected to aggression, with social cognitive deficits appearing to play a more immediate role. In this investigation, we conducted a retrospective analysis of the impact of cognitive training and sleep interventions on aggressive behavior and the quality of sleep among individuals with SCZ who were hospitalized.MethodsThis study divided 80 hospitalized patients into two groups according to medical advice, namely the normal group and the study group. The control group received routine drug treatment and education; The research group implemented cognitive training and sleep intervention based on the normal group. Collect basic clinical data, aggressive behavior indicators, and sleep quality indicators.ResultsThere is no difference in the basic information statistics between the two groups. Both groups can reduce aggressive behavior and improve sleep quality. In the study group, there was a notable decrease in aggressive behavior compared to the control group. Furthermore, the sleep quality in the study group exhibited significant improvement when compared to the control group.ConclusionCognitive training and sleep intervention have been proven to be effective nonpharmacological treatments, effectively reducing aggressive behavior and improving sleep quality.

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Correlation Between Aggressive Behavior and Impulsive and Aggressive Personality Traits in Stable Patients with Schizophrenia

Cited by 2 publications

References 49 publications

Construction and verification of aggressive behavior risk prediction model in stable patients with schizophrenia

Construction and verification of aggressive behavior risk prediction model in stable patients with schizophrenia

Effects of cognitive training and behavior modification on aggressive behavior and sleep quality in schizophrenia

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