A multi-dimensional approach to the relationship between insight and aggressiveness in schizophrenia: Findings from the FACE-SZ cohort

Norton, Joanna; Raffard, Stéphane; Rey, R.; Bonnet, Stéphane; Andrianarisoa, M.; Aouizerate, Bruno; Bazin, Nadine; Berna, Fabrice; Blanc, Olivier; Brunel, L.; Bulzacka, E.; Capdevielle, Delphine; Chéreau-Boudet, I.; Chesnoy-Servanin, G.; Danion, J.M.; d’Amato, Thierry; Deloge, A.; Delorme, C.; Denizot, H.; Dorey, Jean‐Michel; Dubertret, Caroline; Dubreucq, Jean-Luc; Faget, Catherine; Fluttaz, C.; Fond, Guillaume; Fonteneau, S.; Gabayet, Franck; Giraud-Baro, É.; Lacelle, D.; Lançon, Christophe; Laouamri, H.; Leboyer, Marion; Gloahec, T. Le; Strat, Yann Le; Llorca, P.M.; Mallet, J.; Metairie, E.; Misdrahi, D.; Offerlin-Meyer, I.; Passerieux, C.; Peri, P.; Pires, S.; Portalier, C.; Ramet, L.; Rey, Lorena; Román, C.; Schandrin, A.; Schürhoff, Franck; Tessier, A.; Tronche, A.M.; Urbach, M.; Vaillant, F.; Véhier, A.; Vidailhet, Pierre; Vilà, E.; Yazbek, Hanan; Zinetti-Bertschy, A.

doi:10.1016/j.schres.2018.07.029

Cited by 10 publications

(7 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The inconsistencies in the above conclusions may be related to regional and cultural differences, selection of included cases, and sample size. 11,41 This study showed that the total PANSS, positive factors, general pathological factors, and disease severity scores were all higher in the aggressive group than in the non-aggressive group, which is similar to the result of research by van Dongen JD et al 42 Meanwhile, this study found that the group with aggressive behavior had better insight, which was contrary to the results of Witt et al, 15 who found that violence is closely related to a lack of insight. However, our results were supported by Schandrin et al study, 41 which speculated that insight may trigger the expression of an underlying hostile tendency, possibly via depression and self-stigmatization.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Correlation Between Aggressive Behavior and Impulsive and Aggressive Personality Traits in Stable Patients with Schizophrenia

Dunstan¹,

Yang²,

Fan³

et al. 2023

NDT

View full text Add to dashboard Cite

To explore the correlation between aggressive behavior and impulsive and aggressive personality traits in inpatients with schizophrenia. Methods: In total, 367 inpatients with schizophrenia were divided into two groups: the aggressive group and the non-aggressive group. We assessed inpatients' psychotic symptoms as well as their aggressive and impulsive personality traits using the Positive and Negative Symptom Scale, the Barratt Impulsiveness Scale, and the Buss-Perry Aggression Questionnaire. Results: Compared with the scores of inpatients in the non-aggressive group, the total Buss-Perry Aggression Questionnaire, subscale, and Barratt Impulsiveness Scale behavioral factor scores in those in the aggressive group were higher (p < 0.05). The results of logistic regression analysis suggested that a high Positive and Negative Symptom Scale positive factor score (odds ratio = 1.07) and a high Buss-Perry Aggression Questionnaire physical aggression score (odds ratio = 1.02) were risk factors for aggressive behavior. Conclusion: Hospitalized patients with schizophrenia with more severe positive symptoms and aggressive traits may be more prone to aggressive behavior.

show abstract

Section: Discussionmentioning

confidence: 99%

“…The inconsistencies in the above conclusions may be related to regional and cultural differences, selection of included cases, and sample size. 11 , 41 …”

Section: Discussionmentioning

confidence: 99%

Correlation Between Aggressive Behavior and Impulsive and Aggressive Personality Traits in Stable Patients with Schizophrenia

Dunstan¹,

Yang²,

Fan³

et al. 2023

NDT

View full text Add to dashboard Cite

show abstract

“…Moreover, this relationship may depend on a number of clinical, contextual, and cultural factors, such as socioeconomic status, engagement with mental health services, stigmatization, and severity of the illness [1,6,12,13]. Moreover, several potential confounders can be identified, for example, negative and positive symptoms [14], hostility [15], cognitive abilities [16,17], levels of social cognition [18], and extrapyramidal side effects [19].…”

Section: Introductionmentioning

confidence: 99%

The association between insight and depressive symptoms in schizophrenia: Undirected and Bayesian network analyses

et al. 2020

View full text Add to dashboard Cite

Background. Greater levels of insight may be linked with depressive symptoms among patients with schizophrenia, however, it would be useful to characterize this association at symptom-level, in order to inform research on interventions. Methods. Data on depressive symptoms (Calgary Depression Scale for Schizophrenia) and insight (G12 item from the Positive and Negative Syndrome Scale) were obtained from 921 community-dwelling, clinically-stable individuals with a DSM-IV diagnosis of schizophrenia, recruited in a nationwide multicenter study. Network analysis was used to explore the most relevant connections between insight and depressive symptoms, including potential confounders in the model (neurocognitive and social-cognitive functioning, positive, negative and disorganization symptoms, extrapyramidal symptoms, hostility, internalized stigma, and perceived discrimination). Bayesian network analysis was used to estimate a directed acyclic graph (DAG) while investigating the most likely direction of the putative causal association between insight and depression. Results. After adjusting for confounders, better levels of insight were associated with greater self-depreciation, pathological guilt, morning depression and suicidal ideation. No difference in global network structure was detected for socioeconomic status, service engagement or illness severity. The DAG confirmed the presence of an association between greater insight and self-depreciation, suggesting the more probable causal direction was from insight to depressive symptoms. Conclusions. In schizophrenia, better levels of insight may cause self-depreciation and, possibly, other depressive symptoms. Person-centered and narrative psychotherapeutic approaches may be particularly fit to improve patient insight without dampening self-esteem.

show abstract

“…Weiterhin sind konflikthafte Eskalationen im Stationsalltag und disziplinarische Entlassungen keine Seltenheit. Dies führt bei Patienten mit aggressiver Symptomatik zu einem hohen Leidensdruck und beim Bewusstwerden der eigenen Verhaltensweisen zu Selbststigmatisierung (Schandrin et al 2019). Diese restriktiven Formen sind keine nachhaltigen Methoden, um die dysfunktionalen Verhaltensweisen langfristig zu bessern.…”

Section: Hintergrund Und Aktuelle Situationunclassified

Short fuse: anger—rage—aggression

Schröter

Lambert

Karow

et al. 2021

Forens Psychiatr Psychol Kriminol

View full text Add to dashboard Cite

ZusammenfassungVerschiedene psychische Erkrankungen, wie Persönlichkeitsstörungen, sind mit einem Risiko für gewalttätiges Verhalten assoziiert. Dieses Risiko wird jedoch nur selten durch gezielte psychotherapeutische Interventionen adressiert. Vielmehr werden im psychiatrischen Setting aggressive und impulsive Patienten oftmals isoliert und auf geschützten Stationen aufgenommen. Dies kann beispielsweise durch Stigmatisierung und das Schüren von Ängsten aggressives Verhalten auch begünstigen. Aufgrund von aggressivem Verhalten kommt es zudem häufig zu kurzfristigen disziplinarischen Entlassungen oder konflikthaften Eskalationen im Stationsalltag. Insgesamt besteht sowohl im stationären als auch im ambulanten Setting eine Versorgungslücke. Es mangelt an spezifischen psychotherapeutischen Angeboten, die Patienten Strategien zur Bewältigung von aggressivem Verhalten vermitteln können.Ein Patientenkollektiv, an dem diese Versorgungslücke deutlich wird, sind Männer mit Persönlichkeitsstörungen. Speziell für diese Patienten wurde ein gruppenpsychotherapeutisches Konzept entwickelt, welches hier vorgestellt werden soll: Die Ärger-Wut-Aggressions(AeWA)-Gruppe. Das Konzept nimmt männliche Patienten mit Störung der Impulskontrolle in den Blick. Dabei wird auf emotionale und entwicklungspsychologische Kernbedürfnisse eingegangen und eine Vielzahl an kognitiven, behavioralen und emotionsfokussierten Techniken vermittelt. Diese sollen eine funktionale Emotionsregulation fördern und gleichzeitig das Auftreten von aggressiven Verhaltensweisen und das damit verbundene Risiko für Straffälligkeit verringern.

show abstract

A multi-dimensional approach to the relationship between insight and aggressiveness in schizophrenia: Findings from the FACE-SZ cohort

Cited by 10 publications

References 42 publications

Correlation Between Aggressive Behavior and Impulsive and Aggressive Personality Traits in Stable Patients with Schizophrenia

Correlation Between Aggressive Behavior and Impulsive and Aggressive Personality Traits in Stable Patients with Schizophrenia

The association between insight and depressive symptoms in schizophrenia: Undirected and Bayesian network analyses

Short fuse: anger—rage—aggression

Contact Info

Product

Resources

About