Predictors of Aggression In Institutionalized Youth

机构化青少年的攻击性预测因素

• 批准号: 6998473
• 负责人: Paul Boxer
• 金额: $ 2.06万
• 依托单位: UNIVERSITY OF NEW ORLEANS
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-01-01 至 2006-09-18
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6998473
• 关键词: adolescence (12-20); aggression; behavior prediction; behavior test; behavior therapy; behavioral /social science research tag; child behavior; clinical research; data collection; high risk behavior /lifestyle; human subject; institutional care facility; longitudinal human study; mental health epidemiology; psychobiology; psychopathology

DESCRIPTION (provided by applicant): The goal of this R03 proposed investigation is to identify prospectively the individual and contextual factors that predict and can ultimately prevent extreme aggression exhibited by youth during institutional treatment. The proposed study uses existing data archives to address this broad goal by 1) Accessing and coding individual, contextual, and behavioral data from archived sources (intake/treatment records and a critical incident database) in an inpatient youth psychiatric facility; and 2) Testing a model of aggressive behavior occurring during institutionalized care by examining the prediction of self- and other-directed aggressive behaviors and related critical incidents (i.e., seclusions and restraints) from individual and contextual variables. This investigation is guided by several specific aims. First, to identify the individual biopsychological characteristics and contextual socializing influences that are associated with the occurrence of self-directed and other-directed aggression during institutional treatment. This involves identifying factors in a very high-risk sample of youth that discriminate those who engage in serious aggression during institutional treatment from those who do not. Second, to examine the extent to which individual and contextual factors predict the patterns and persistence of aggression throughout institutional treatment. This involves the study of how individual-contextual factors lead to increases, decreases, or non-linear trends in aggression during treatment. Information about individual-contextual predictors of self- and other-directed aggressive behaviors derived through the two sets of analyses will be used to develop assessment measures suitable for research and practice on the development and treatment of aggression in very high-risk youth. This instrument will be designed to serve as the basis for a larger scale longitudinal study of aggression in that population, and also will be directly applicable to treatment planning for individual youth. A critical focus of this investigation also is to specify a model of aggression in very high-risk youth that can be used to facilitate the dissemination of findings and spur additional research. Results from the proposed study will have implications for the host facility as well as to the larger audience of scientists and practitioners invested in the reduction and prevention of assaultive and self-injurious behaviors among high-risk children and adolescents.

描述(由申请人提供)：本R03建议调查的目标是前瞻性地确定预测并最终能够防止青少年在机构治疗期间表现出极端攻击性的个人和背景因素。这项拟议的研究使用现有的数据档案来解决这一广泛的目标，方法是：1)访问和编码来自住院青少年精神病院的存档来源(摄入/治疗记录和关键事件数据库)的个人、背景和行为数据；2)通过检查从个人和背景变量对自我和他人定向的攻击行为和相关关键事件(即，隔离和限制)的预测，测试在制度化护理期间发生的攻击行为模型。这项调查是由几个具体目标指导的。首先，确定在机构治疗期间与自我定向和他人定向攻击的发生相关的个体生物心理特征和情境社会化影响。这涉及在非常高风险的青年样本中找出区分在机构治疗期间从事严重攻击性行为的人与没有从事严重攻击性行为的人的因素。第二，检查个人和背景因素在多大程度上预测了在整个机构治疗过程中攻击的模式和持久性。这涉及到研究个体背景因素如何导致治疗期间攻击性的增加、减少或非线性趋势。通过这两组分析得出的关于自我和他人定向攻击行为的个人背景预测因素的信息，将被用于制定适合于研究和实践极高风险青少年攻击行为发展和治疗的评估措施。该工具的设计将作为对该人群中的攻击性进行更大规模纵向研究的基础，也将直接适用于针对个别青年的治疗规划。这项调查的一个关键重点也是明确极高风险青年的攻击性模式，该模式可用于促进研究结果的传播和促进更多的研究。拟议的研究结果将对宿主设施以及更多的科学家和从业人员产生影响，这些科学家和从业人员致力于减少和预防高危儿童和青少年中的攻击和自残行为。