Characterizing aggressive and noncompliant behaviors in a children's psychiatric inpatient setting.
Characterizing aggressive and noncompliant behaviors in a children's psychiatric inpatient setting.
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描述儿童精神病住院环境中的攻击性和不服从行为。
DOI：
10.1007/s10578-005-3494-0
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发表时间：
2005
影响因子：
2.9
通讯作者：
Martin,Andrés
中科院分区：
文献类型：
--
作者：
Sukhodolsky,DenisG;Cardona,Laurie;Martin,Andrés
本研究旨在评估儿童精神科住院患者的攻击性和不依从性与人口统计学、临床和住院特征（包括约束和隔离的使用）相关。 2002 年 11 月 1 日至 2003 年 6 月 30 日期间，每周使用改良公开攻击量表 (MOAS) 和破坏性行为评级量表 (DBRS) 对连续入住精神病科住院部的 86 名儿童（10.8±2.4 岁，67% 男性）进行评级。观察到四种攻击类型（针对自我的言语和身体攻击、攻击行为）之间存在中度至高度相关性。其他人或物体）和不合规行为。在层次回归分析中，只有精神发育迟滞成为攻击性和不服从的重要预测因素。攻击性和不依从性与住院治疗的不同特征相关。攻击性行为与约束和隔离的使用显着相关，不依从行为与住院时间和出院时精神科药物的数量显着相关。修改对智力低下青少年的环境干预措施，并根据经验证明针对不遵守规定的行为进行调整，可能是减少儿童精神病住院病房中攻击行为的有效途径。
This study was conducted to evaluate aggression and noncompliance among child psychiatric inpatients in relation to demographic, clinical, and hospitalization characteristics, including the use of restraints and seclusion. Eighty six children (10.8±2.4 years old, 67% male) consecutively admitted to an inpatient psychiatric unit were rated weekly using the Modified Overt Aggression Scale (MOAS) and the Disruptive Behavior Rating Scale (DBRS) between November 1, 2002 and June 30, 2003. Moderate to high correlations were observed between the four types of aggression (verbal, and physical against self, others, or objects) and noncompliant behavior. In hierarchical regression analyses, only mental retardation emerged as a significant predictor of aggression and noncompliance. Aggression and noncompliance were associated with different characteristics of inpatient treatment. Aggressive behavior was significantly associated with the use of restraints and seclusion, and noncompliant behavior with length of hospitalization and number of psychiatric medications at time of discharge. Modifying milieu interventions for youths with mental retardation, and adapting behavioral interventions empirically proven to target noncompliance may be effective loci for reducing aggression in child psychiatric inpatient units.