Insight, psychosis and aggressive behaviour in mania

González-Ortega, Itxaso; Mosquera, Fernando; Echeburúa, Enrique; González‐Pinto, Ana

doi:10.4321/s0213-61632010000200002

Cited by 16 publications

(10 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Similarly to our findings, around half of the patients attending the psychiatric ER were psychotic patients and presented a moderate to severe disease according to PANSS-EC. Other studies have assessed only bipolar disorder [19] with similar results. Romania and Portugal were also highly represented with 115 and 65 episodes of agitation recorded in 3 centers each and, as far as we know, our study provides the first epidemiological data for acute agitation in these two countries.…”

Section: Discussionsupporting

confidence: 58%

State of Acute Agitation at Psychiatric Emergencies in Europe: The STAGE Study

San¹,

Marksteiner²,

Zwanzger³

et al. 2016

CPEMH

View full text Add to dashboard Cite

Background:Agitation is an array of syndromes and types of behaviors that are common in patients with psychiatric disorders. In Europe, the estimation of prevalence of agitation has been difficult due to the lack of standard studies or systematic data collection done on this syndrome.Objective:An observational, cross-sectional, multicenter study aimed to assess the prevalence of agitation episodes in psychiatric emergencies in different European countries.Method:For 1 week, all episodes of acute agitation that were attended to at the psychiatric emergency room (ER) or Acute Inpatient Unit (AIU) in the 27 participating centers were registered. The clinical characteristics and management of the agitation episode were also described. A descriptive analysis was performed.Results:A total of 334 agitation episodes out of 7295 psychiatric emergencies were recorded, giving a prevalence rate of 4.6% (95% CI: 4.12-5.08). Of them, 172 [9.4% (95% CI: 8.2-10.9)] were attended at the ER and 162 [2.8% (95% CI: 2.4-3.3)] at AIU. Only data from 165 episodes of agitation (those with a signed informed consent form) was registered and described in this report. The most common psychiatric conditions associated with agitation were schizophrenia, bipolar disorder and personality disorder. The management of agitation included from non-invasive to more coercive measures (mechanical, physical restraint or seclusion) that were unavoidable in more than half of the agitation episodes (59.5%).Conclusion:The results show that agitation is a common symptom in the clinical practice, both in emergency and inpatient psychiatric departments. Further studies are warranted to better recognize (using a standardized definition) and characterize agitation episodes.

show abstract

Section: Discussionsupporting

confidence: 58%

State of Acute Agitation at Psychiatric Emergencies in Europe: The STAGE Study

San¹,

Marksteiner²,

Zwanzger³

et al. 2016

CPEMH

View full text Add to dashboard Cite

show abstract

“…Aggressive or violent behavior in bipolar patients usually appears during acute manic episodes[ 137 - 139 ] and is a common cause of hospitalization in this population[ 130 , 140 - 142 ]. Involuntary hospitalization for acute mania is significantly associated with higher rates of aggression/violence and lower rates of insight[ 109 , 143 ].…”

Section: Aggression In Different Psychiatric Disordersmentioning

confidence: 99%

“…Involuntary hospitalization for acute mania is significantly associated with higher rates of aggression/violence and lower rates of insight[ 109 , 143 ]. A clear association was found between the presence and severity of aggression during a manic episode and psychotic symptoms[ 130 , 144 ]. Patients with mood-incongruent psychotic symptoms are more prone to agitation or aggression[ 145 - 149 ].…”

Section: Aggression In Different Psychiatric Disordersmentioning

confidence: 99%

“…Agitation — a common symptom in acute bipolar mania — is characterized by motor restlessness and increased responsiveness that can lead to physical aggression[ 110 , 150 ]. No association has been found between aggressive and suicidal behaviors in bipolar illness[ 130 ] or between male sex and aggressive behavior[ 141 , 151 ].…”

Section: Aggression In Different Psychiatric Disordersmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence and correlates of aggressive behavior in psychiatric inpatient populations

Girasek¹,

Nagy²,

Fekete³

et al. 2022

WJP

View full text Add to dashboard Cite

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.

show abstract

“…28 few studies showed correlation between lower level of insight and higher severity of affective episode or presence of psychotic symptoms. 13,14 Other studies state that lower insight was associated with more hostility and lower impulse control, 39 more aggressive behavior, 40 and worse clinical course. 41 Yet other studies found correlation between lower insight and higher impairment of cognition, especially memory, emotional learning, general intelligence and psychomotor function, comprehension and perceptual-motor skills, attention, verbal fluency and executive function, and information processing speed.…”

Section: Sample Characteristics and Associations Between Demographic mentioning

confidence: 99%

The relationship between insight and affective temperament in bipolar disorder: an exploratory study

Silva

Mograbi

Camelo

et al. 2018

Trends Psychiatry Psychother.

View full text Add to dashboard Cite

Introduction In recent years, the association between temperament and clinical characteristics of mood disorders has been studied. Most bipolar patients show deficits in their awareness of signs and symptoms. The relationship between affective temperament and insight in bipolar patients has not been carried out in the literature so far. Objective To evaluate the relationship between affective temperament and insight in bipolar disorder. Method A group of 65 bipolar patients were followed during a year. Patients underwent a clinical assessment and were diagnosed using criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). Insight was evaluated through the Insight Scale for Affective Disorders (ISAD), and affective temperament, through the TEMPS-Rio de Janeiro. The relationship between affective temperament and insight was explored with Spearman rho correlations between scores on each item of the ISAD and on the TEMPS-Rio de Janeiro subscales. Results In euthymic phases, bipolars with depressive temperament were associated with a higher level of insight about the consequences of the disorder; when in mania, patients showed better insight about having an affective disorder, presenting psychomotor alterations, and suffering from guilt or grandiosity. Similarly, bipolar patients with higher scores of anxious temperament, when in mania, had better insight on alterations in attention. Bipolar patients with higher scores of hyperthymic temperament, when in mania, showed the worst insight about thought disorder. Conclusion In addition to being determined by the phase of the disease and several varying symptoms, the level of insight in bipolar patients is also influenced by affective temperament.

show abstract

Insight, psychosis and aggressive behaviour in mania

Cited by 16 publications

References 47 publications

State of Acute Agitation at Psychiatric Emergencies in Europe: The STAGE Study

State of Acute Agitation at Psychiatric Emergencies in Europe: The STAGE Study

Prevalence and correlates of aggressive behavior in psychiatric inpatient populations

The relationship between insight and affective temperament in bipolar disorder: an exploratory study

Contact Info

Product

Resources

About