Aggressive behavior in patients with psychiatric disorders is attracting increasing research interest. One reason for this is that psychiatric patients are generally considered more likely to be aggressive, which raises a related question of whether diagnoses of psychiatric disorders predict the prevalence of aggressive behavior. Predicting aggression in psychiatric wards is crucial, because aggressive behavior not only endangers the safety of both patients and staff, but it also extends the hospitalization times. Predictions of aggressive behavior also need careful attention to ensure effective treatment planning. This literature review explores the relationship between aggressive behavior and psychiatric disorders and syndromes (dementia, psychoactive substance use, acute psychotic disorder, schizophrenia, bipolar affective disorder, major depressive disorder, obsessive-compulsive disorder, personality disorders and intellectual disability). The prevalence of aggressive behavior and its underlying risk factors, such as sex, age, comorbid psychiatric disorders, socioeconomic status, and history of aggressive behavior are discussed as these are the components that mostly contribute to the increased risk of aggressive behavior. Measurement tools commonly used to predict and detect aggressive behavior and to differentiate between different forms of aggressive behavior in both research and clinical practice are also reviewed. Successful aggression prevention programs can be developed based on the current findings of the correlates of aggressive behavior in psychiatric patients.

BevezetésA Minnesota Multiphasic Inventory (MMPI) Magyarországon az 1970-es évek óta használatos pszichodiagnosztikai mérőeszköz, melynek második kiadása (MMPI-2) 1989-ben jelent meg a nemzetközi használatban, Magyarországon pedig 2009-ben készült el az adaptációja.CélkitűzésJelen tanulmány célja, hogy bemutassa az MMPI-2-ben megjelent változásokat, újításokat és a teszt előnyeit a korábbi változatához képest.KövetkeztetésekA téma-összefoglaló tanulmány rávilágít, hogy az MMPI-2 kifejlesztése nemcsak új normatív mintát, de nyelvi-stilisztikai megújulást is hozott. Ezenfelül a korábbi Validitási és Klinikai skálák mellett olyan új skálák is megjelentek, mint az Újrastrukturált klinikai skálák, a Tartalmi skálák és a személyiségpszichopatológia mérésére alkalmas PSY-5 skálák. Megtörtént továbbá a Kiegészítő skálák revíziója, illetve új Kiegészítő skálák bevezetése és új Validitási skálák kifejlesztése is.KonklúzióA változtatások részletes számbavétele rámutat arra, hogy az MMPI újrasztenderdizálása során kialakított MMPI-2 jóval átfogóbb, egyben differenciáltabb értelmezést kínál a különböző mentális zavarok és pszichopatológiai jelenségek megértése szempontjából, mint az eredeti változat. Kitekintésként pedig ismertetésre kerül a nemzetközi gyakorlatba már bevezetett két új MMPI-fejlesztés, az MMPI-2-Resturctured Form (MMPI-2-RF) és az MMPI-3 is.

Introduction Aggressive behavior is frequently associated with acute psychiatric admission. Several studies highlight the increased risk of aggression in certain psychiatric disorders. Objectives The aim of the study was to explore the extent of aggressive behavior, its various manifestations, and its association with gender, age, and diagnosis among patients admitted to an acute psychiatric ward. Methods Patients admitted to our acute psychiatric ward in a three months period were included and the Dynamic Appraisal of Situational Aggression - Inpatient Version (DASA-IV) questionnaire was administered in the first seven days after admission for all patients. Results A total of 290 patients, 153 men and 137 women, with a mean age of 46.9 years (SD=17.5) participated in the study. Men were overrepresented among patients who showed aggressive behavior (p=.008). There was no correlation between age and DASA-IV score (p=.259). 40% of patients (N=116) did not show aggression, while 60% (N=174) experienced some form of aggression. Of those who exhibited some form of aggressive behavior, 94% had only low, 4% had high, and 2% had extremely high levels of aggression. Aggression was most common in patients with intellectual disabilities, dementia, and bipolar disorder. Conclusions According to our findings the majority of the acutely admitted psychiatric patients shows no or only low level of aggression. There were also differences in the forms and extent of aggressive behavior between the diagnostic groups. Risk assessment is important because it provides an opportunity for early detection and prevention, and the development of personalized treatment plans. Disclosure No significant relationships.