Abstract:
:Study of inpatient aggression in psychiatric inpatient units (PIUs), where vulnerable patients interact intensely in small groups, is hampered by a lack of systematic monitoring of aggressive events in the context of group dynamics. Our current study examines the relationship between aggression and group structure in the PIU of a general tertiary-care hospital over a 9-month period. The severity of aggression was monitored daily using the Overt Aggression Scale (OAS). Clinical data including the daily number and mean age of subpopulations with different diagnoses were acquired. Cross-correlation function and autoregressive integrated moving average modeling were used to assess the effects of various group structure parameters on the incidence of aggressive events in the PIU. The daily total OAS score correlated positively with the daily mean age of patients with schizophrenia and bipolar disorder. By contrast, the OAS total score demonstrated a negative correlation with the daily mean age of patients with major depression. The age of the patients at diagnosis is an important group structure that affects the incidence of aggression in a PIU.
journal_name
Psychiatry Resjournal_title
Psychiatry researchauthors
Cho UJ,Lee J,Kim HW,Lee JS,Joo YH,Kim SY,Kim CY,Shin YWdoi
10.1016/j.psychres.2014.09.022subject
Has Abstractpub_date
2014-12-30 00:00:00pages
1059-63issue
3eissn
0165-1781issn
1872-7123pii
S0165-1781(14)00820-8journal_volume
220pub_type
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