Profiles of Aggression among Psychiatric Patients

Kay, Stanley R.; Wolkenfeld, Fred; Murrill, Lisa M.

doi:10.1097/00005053-198809000-00007

Cited by 415 publications

(237 citation statements)

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“…ACE = Adverse childhood experiences questionnaire (Felitti et al, 1998) PA = Physical Abuse APQ = Abused parent questionnaire (Ghanizadeh & Jafari, 2010) PANSS = Positive and negative syndrome scale (Kay, Flszbein, & Opfer, 1987) BDHI = Buss-Durkee Hostility Inventory (Buss & Durkee, 1957) SA = Sexual Abuse CTQ = Childhood trauma questionnaire (Bernstein, 1998) SCID = Structured clinical interview for DSM-IV Axis I disorders (First, Spitzer, Gibbon, & Williams, 1995) HCR20v2 = Historical, Clinical, Risk management (Webster, 1997) SCL-90 = The Symptom Checklist -90 (Derogatis, 1994) MOAS = Modified Overt Aggression Scale (Kay, Wolkenfeld, & Murrill, 1988) * See appendix A for equation used to calculate p value (Altman & Bland, 2011). ( 1 + 2 + 2 √ 1 √ 2 )…”

Section: Abbreviationsmentioning

confidence: 99%

The Relationship Between Childhood Maltreatment and Violence to Others in Individuals With Psychosis: A Systematic Review and Meta-Analysis

Green

Browne

Chou

2017

Trauma, Violence, & Abuse

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Acknowledgements: We are grateful for Dr E Baldwin (PhD, CPsychol, AFBPsS) for her work as an independent second assessor.Declaration of interest: none of the authors has conflict of interest. 2The relationship between childhood maltreatment and violence to others in individuals with psychosis: a systematic review and metaanalysis Abstract Background: There is a growing body of literature identifying a relationship between experiences of

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Section: Abbreviationsmentioning

confidence: 99%

The Relationship Between Childhood Maltreatment and Violence to Others in Individuals With Psychosis: A Systematic Review and Meta-Analysis

Green

Browne

Chou

2017

Trauma, Violence, & Abuse

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“…As part of daily record keeping, the staff electronically registers each aggressive incident committed by a patient on the ward. The registration of aggressive incidents is based on the Modified Overt Aggression Scale (MOAS; Kay, Wolkenfeld, & Murrill, 1988). The MOAS is characterized by good interrater reliability (mean weighted kappa's = .90).…”

Section: Instrumentsmentioning

confidence: 99%

“…A second score was computed to resemble the severity of aggression during this period. For the severity score, a weighted total score was calculated for each aggressive incident, which reflects the overall seriousness of aggression, based on the severity calculations by Kay et al (1988). Following these calculations, the severity score given for each type of aggression within one aggressive incident was multiplied by 1 (verbal aggression), 2 (aggression against property), 3 (auto-aggression), or 4 (physical aggression).…”

Section: Statisticsmentioning

confidence: 99%

The Relation Between Aggression and the Living Group Climate in a Forensic Treatment Unit for Adolescents: A Pilot Study

Decker

Lemmens

Helm

et al. 2017

Int J Offender Ther Comp Criminol

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In the current study, the associations between inpatient aggression and the living group climate as perceived by the adolescents admitted to a forensic psychiatric treatment unit, are investigated based on carefully registered longitudinal data. Multilevel regression analyses revealed a significant inverse relation between the number and severity of aggressive incidents and the amount of support, as well as with the possibilities of growth perceived by the adolescents. No significant associations of aggression and the perception of repression or atmosphere are found. Our study reveals preliminary evidence for the relation between the prevalence of aggressive incidents and how the adolescents perceive social contextual factors in daily forensic treatment practices. Moreover, preliminary evidence that evidence-based treatment programs and psychiatric care have an important influence on experienced possibilities for growth and support and as such prevent institutional aggression, is found.

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“…The descriptions were assembled by Oud [2001] on the basis of several recognised sources, OAS [Silver and Yudofsky, 1991;Yudofsky, 1986] and MOAS [Kay et al, 1988] in particular, and other information on definitions of aggression [e.g., Broers and de Lange, 1996;Nijman et al, 1999;Palmstierna and Wistedt, 1987;Pasmans, 1995;van de Werf and Staverman, 1999;Wistedt et al, 1990].…”

Section: The Popasmentioning

confidence: 99%

“…Examples of staff observation aggression scales are the Overt Aggression Scale [OAS; see Silver and Yudofsky, 1991;Yudofsky et al, 1986] and the Modified version of this instrument [MOAS; Kay et al, 1988], the Staff Observation Aggression Scale [SOAS; Palmstierna and Wistedt, 1987] and its revised version [SOAS-R; Nijman et al, 1999], the Report Form for Aggressive Episodes [REFA; Bj rkly, 1996], and the recently developed Attempted and Actual Assault Scale [Attacks; Bowers et al, 2002].…”

Section: Introductionmentioning

confidence: 99%

Psychiatric nurses' experiences with inpatient aggression

Nijman

Bowers

Oud³

et al. 2005

Aggr. Behav.

143

128

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Using a survey instrument, the experiences of psychiatric nurses with inpatient aggression were investigated in East London, U.K. On this ''Perceptions of Prevalence Of Aggression Scale'' (POPAS), annual experiences with 15 types of disruptive and aggressive behavior were rated anonymously. Staff members were also asked to disclose the number of days missed from work due to inpatient violence. On the basis of these POPAS forms, internal consistency of the instrument, mean reported aggression frequencies, and days missed from work due to violence were calculated. Internal consistency of the POPAS appeared to be reasonable. Verbal abuse and threats were experienced by most of the psychiatric nurses during a one-year period (i.e., by about 80-90 percent of nurses). Sexual harassment or intimidation was also experienced relatively often on an annual basis (68 percent), particularly by female and young staff members. A minority of staff members (i.e., 16 percent) had experienced severe physical violence. Although not prevalent, this type of behavior was most strongly connected with reporting sick. In particular, staff members working with involuntarily admitted patients experienced much (severe) violence during their work. Although the validity of estimates of aggression prevalence with the POPAS instrument needs to be investigated further, such a survey may be helpful in gaining insight rather quickly into the level of day-to-day contact with aggressive behavior. Also, since information on verbal, physical, and sexual violence, and on days missed from work, can be provided anonymously, this rather delicate, but essential management information, may be accessed relatively easily with the POPAS. Aggr. Behav. 31:217-227, 2005. r

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Profiles of Aggression among Psychiatric Patients

Cited by 415 publications

References 0 publications

The Relationship Between Childhood Maltreatment and Violence to Others in Individuals With Psychosis: A Systematic Review and Meta-Analysis

The Relationship Between Childhood Maltreatment and Violence to Others in Individuals With Psychosis: A Systematic Review and Meta-Analysis

The Relation Between Aggression and the Living Group Climate in a Forensic Treatment Unit for Adolescents: A Pilot Study

Psychiatric nurses' experiences with inpatient aggression

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