The experience of aggressive outbursts in Intermittent Explosive Disorder.
The experience of aggressive outbursts in Intermittent Explosive Disorder.
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DOI：
10.1016/j.psychres.2014.11.008
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发表时间：
2015-02-28
影响因子：
11.3
通讯作者：
Coccaro EF
中科院分区：
文献类型：
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作者：
Kulper DA;Kleiman EM;McCloskey MS;Berman ME;Coccaro EF
间歇性爆炸性障碍（IED）的概念化受到了缺乏研究调查的主观经验和现象学的攻击性爆发与IED相对于那些谁参与更规范的形式的侵略。此外，尽管一些研究表明，IED患者的受损程度更高，生活质量更差，但很少有研究关注IED攻击行为个体的负面结果。本研究的目的是探讨主观经验和社会，职业，和法律的后果的攻击性爆发在IED。我们评估了IED（n = 410），精神病对照组（n = 133）和健康对照组（n = 154）的个人在攻击性爆发之前，期间和之后的经验相关性以及攻击性爆发的后果。结果表明，在攻击性爆发之前和期间，IED患者经历了更强烈的愤怒，生理反应，失控的感觉，以及更多的悔恨后的攻击性爆发。此外，患有简易爆炸装置的人报告说，他们的攻击性爆发造成了更多的负面后果。这些结果提供了一个帐户的主观经验和后果的侵略性爆发的简易爆炸装置不同于那些更规范的形式的侵略。
Conceptualizations of Intermittent Explosive Disorder (IED) have suffered from a scarcity of research investigating the subjective experience and phenomenology of the aggressive outbursts among those with IED relative to those who partake in more normative forms of aggression. Furthermore, though some studies have shown that individuals with IED are more impaired and have a poorer quality of life, few studies looked at negative outcomes specific to an individual with IED’s aggressive behavior. The purpose of this study was to examine the subjective experience and social, occupational, and legal consequences of aggressive outbursts in IED. We assessed individuals with IED (n = 410), psychiatric controls (n = 133), and healthy controls (n = 154) in the experiential correlates present before, during, and after an aggressive outburst as well as the consequences of aggressive outbursts. Results indicated that before and during aggressive outbursts, individuals with IED experienced more intense anger, physiological reactivity, and feelings of dyscontrol as well as more remorse after an aggressive outburst. Furthermore, individuals with IED report more negative consequences of their aggressive outbursts. These results provide an account of how the subjective experience and consequences of aggressive outbursts in IED differ from those with more normative forms of aggression.