Insight and aggressive Behavior in acute Schizophrenic Patients

Introductionaggressive behavior in wards is associated to poor treatment compliance and low clinical insight. Most studies focused on the clinical and cognitive dimensions of insight, while the relationship between metacognitive dimension and aggressive behaviors was not investigated. Our aim was to understand what relationship occurs between dimensions of insight (metacognitive, cognitive, clinical), and specific aggressive behaviors in acute patients.Methodswe recruited 75 acute schizophrenic patients using: aQ; MO aS; IS; P aNSS; BCIS.Resultsa positive correlation between the IS score and the hostility, angry and physical aggression sub-scores of the aQ was highlighted, while no correlation between the score of IS and MO aS total score was found. No correlation between the score of the P aNSS G12 item and the aQ scores and MO aS was found, and no correlation between BCIS scores, MO aS and aQ scores was found.Conclusionsin our patients, a higher level of metacognitive insight, but not clinical nor cognitive insight, was associated to higher levels of hostility. we suggest that a higher ability to monitor and appraise one's own altered processes of thought and related discomfort, feeling of destabilization and loss of control, could contribute to enhance resentment and suspiciousness. Findings help develop specific therapeutic strategies to enhance metacognitive and self-monitoring abilities, helping patient's understanding of the illness, improving compliance with treatment, and patient's quality of life. Our results support the multidimensional nature of insight in schizophrenia, confirming that clinical, cognitive and metacognitive dimensions are independent though related facets of the phenomenon of insight in schizophrenia.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Efektifitas Teknik De-Eskalasi Untuk Mengurangi Agresifitas Pasien Skizofrenia : Literature Review

Prosiding Seminar Nasional Kesehatan ◽

10.48144/prosiding.v1i.912 ◽

2021 ◽

Vol 1 ◽

pp. 1442-1451

Author(s):

K Keswanto ◽

Eka Budiarto

Keyword(s):

Literature Review ◽

Aggressive Behavior ◽

Violent Behavior ◽

Self Injury ◽

Literature Evidence ◽

Schizophrenic Patients ◽

And Behavior ◽

Attitudes And Behavior ◽

Commit Suicide

AbstractSchizophrenia is a disease that attacks the nervous system that can cause changes in attitudes and behavior. Schizophrenic patients are prone to have aggressive behavior that can cause a loss of control of a person's behavior that is directed at oneself, others, or the environment. Violent behavior in oneself can take the form of self-injury to commit suicide or allow oneself to be in the form of self-abandonment. One technique to reduce aggressive behavior in schizophrenic patients is the de-escalation technique. This study aims to determine the effectiveness of de-escalation techniques to reduce aggressive behavior in schizophrenic patients based on available literature evidence. The study used a literature review method. The databases used to search articles are Wiley, PubMed, Science Direct, and the Google scolar search engine. Articles are selected based on the suitability of the keywords, topics and inclusion and exclusion criteria that have been determined. The search results obtained as many as 5 articles, 4 articles in Indonesian and 1 in English. The critical review instrument used to assess the quality of the article is the instrument by Hawker. There are findings that de-escalation techniques are effective in reducing aggressiveness in schizophrenic patients. Efforts to reduce aggressive behavior with de-escalation techniques have a more significant effect than those without de-escalation techniques.Keywords: Aggressive behavior, risk of violent behavior, de-escalation technique, Schizophrenia. AbstrakSkizofrenia merupakan penyakit yang menyerang sistem saraf yang dapat menyebabkan perubahan sikap dan perilaku. Pasien skizofrenia rentan memiliki perilaku agresif yang dapat menyebabkan hilangnya kendali perilaku seseorang yang diarahkan pada diri sendiri, oranglain, atau lingkungan. Perilaku kekerasan pada diri sendiri dapat berbentuk melukai diri untuk bunuh diri atau membiarkan diri dalam bentuk penelantaran diri. Salah satu teknik untuk mengurangi perilaku agresif pada pasien skizofrenia adalah dengan teknik deeskalasi. Penelitian ini bertujuan untuk mengetahui efektifitas teknik deeskalasi untuk mengurangi perilaku agresif pada pasien skizofrenia berdasarkan literatur evidence yang tersedia. Penelitian menggunakan metode literature review. Database yang digunakan untuk pencarian artikel adalah Wiley, PubMed, Science Direct, serta mesin pencarian Google scolar. Artikel diseleksi berdasarkan kesesuaian dengan kata kunci, topik serta kriteria inklusi dan eksklusi yang telah ditentukan. Hasil penelusuran didapatkan sebanyak 5 artikel, 4 artikel berbahasa Indonesia dan 1 berbahasa inggris. Instrumen telaah kritis yang digunakan untuk menelaah kualitas artikel adalah instrumen oleh Hawker. Terdapat temuan bahwa teknik deeskalasi efektif dalam mengurangi agresifitas pada pasien skizofrenia. Upaya untuk menurunkan perilaku agresif dengan teknik de-esakalasi memberikan pengaruh lebih signifikan dibandingkan dengan yang tidak diberikan teknik de-eskalasi. Kata Kunci : Perilaku agresif, Resiko perilaku kekerasan, Teknik deeskalasi, Skizofrenia.

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Secondary sexual dysfunction with antidepressant treatment: Study on 50 patients

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.2202 ◽

2016 ◽

Vol 33 (S1) ◽

pp. S591-S591

Author(s):

O.W. Muquebil Ali Al Shaban Rodriguez ◽

S. Ocio León ◽

M. Gómez Simón ◽

M.J. Hernández González ◽

E. Álvarez de Morales Gómez-Moreno ◽

...

Keyword(s):

Side Effects ◽

Sexual Dysfunction ◽

Treatment Adherence ◽

Antidepressant Treatment ◽

Antidepressant Drugs ◽

Sexual Side Effects ◽

Competing Interest ◽

The Relationship ◽

Transversal Study

IntroductionThe side effects of the various antidepressant drugs on the sexual field (with very few exceptions) are well known, and they affect the quality of life in important manners. The incidence rate, communicated spontaneously by the patient, has been estimated around 10–15%, and can reach amounts of 50–60% with SSRIs when studied specifically. It has been suggested that these effects compromise treatment adherence.ObjectivesTo estimate the incidence and intensity of the side effects on the sexual field with different antidepressants, as well as its relationship with treatment adherence.MethodologyTransversal study on 50 patients assisted in medical consultation. Collection of data in office (October 2014–October 2015).Administration of survey PRSexDQ-SALSEX. In order to research the relationship with treatment adherence, one question surveyed the patient whether he/she had thought about finishing treatment for this reason.ResultsTwenty-nine patients (58% of the sample) presented some degree of sexual dysfunction. Five individuals (17.2%) communicated it spontaneously. Nine individuals (31%) responded that they did not accept positively the changes in their sexual field, and they had thought about withdrawing treatment for this reason. They were given the test of self-compliance statement (Haynes-Sackett), with a result of four non-compliant (44.4%). The most frequently involved drugs were fluoxetine (n = 5, 10% of the sample total) and paroxetine (n = 4, 8%).ConclusionsThe high impact of sexual side effects with a low rate of spontaneous communication coincides with previous existent studies.Limitation when estimating adhesion due to methodological difficulties in the design of the study. However, high impression by using the selected method of determination.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Quality of life in hemodialysis patients and the relationship with mortality, hospitalizations and poor treatment adherence

Brazilian Journal of Nephrology ◽

10.5935/0101-2800.20160066 ◽

2016 ◽

Vol 38 (4) ◽

Cited By ~ 6

Author(s):

Araiê Prado Berger Oliveira ◽

Debora Berger Schmidt ◽

Thaís Malucelli Amatneeks ◽

Jéssica Caroline dos Santos ◽

Luiza Helena Raittz Cavallet ◽

...

Keyword(s):

Quality Of Life ◽

Treatment Adherence ◽

Hemodialysis Patients ◽

Poor Treatment ◽

The Relationship

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HUBUNGAN COPING STRES TERHADAP KUALITAS HIDUP PENDERITA SKIZOFRENIA PADA MASA REMISI SIMPTOM

Psibernetika ◽

10.30813/psibernetika.v10i2.1045 ◽

2017 ◽

Vol 10 (2) ◽

Author(s):

Stefani Ivana ◽

Devi Jatmika

Keyword(s):

Quality Of Life ◽

Pearson Correlation ◽

Self Report ◽

Stress Coping ◽

Cross Sectional ◽

Report Quality ◽

Correlational Approach ◽

Schizophrenic Patients ◽

The Relationship

Schizophrenia is a mental disorder characterized by the appearance of symptoms such as hallucinations and delusions. The decrease in the frequency and intensity of symptoms is also called the period of symptom remision. Excessive unresolved stress conditions associated with recurrence / reappearance of schizophrenia symptoms. Relapse can affect the quality of life in people with schizophrenia during remission of symptoms.The purpose of this study was to determine the relationship between stress coping with quality of life in people with schizophrenia period remission symptom. This research is a quantitative study with correlational approach. The design of this study used is cross sectional. This study enrolled 52 people with schizophrenia disorder during the remission of symptoms. The data were collected using an adapted questionnaire, the SQLS (Self-Report Quality of Life measure for people with Schizophrenia) and the COPE Brief. Data analysis was done by using Pearson correlation statistic technique. The results showed that there was no correlation between stress coping and quality of life in schizophrenic patients on remission of symptom (p = 0,765, p> 0,05). There is no relationship between coping stress and quality of life caused by many other factors that affect the quality of life, namely negative stigma, self-mastery, family support, socioeconomic, treatment factors. Keywords: coping stress, quality of life, schizophrenia

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Relevance of components of Investment Model and some variables in close relationships with high and low self-monitoringYakın ilişkilerde Yatırım Modeli unsurlarının ve bazı değişkenlerin yüksek ve düşük izlenim ayarlamacılığı ile ilgisi

Journal of Human Sciences ◽

10.14687/ijhs.v12i2.3375 ◽

2015 ◽

Vol 12 (2) ◽

pp. 932

Author(s):

Hanzade Aslan Yılmaz ◽

Selim Hovardaoğlu

Keyword(s):

Relationship Satisfaction ◽

Romantic Relationship ◽

Close Relationships ◽

Personal Information ◽

Investment Model ◽

Self Monitoring ◽

Theoretical Approaches ◽

Relationship Investment ◽

The Relationship

The aim of this study is to investigate the relationship between some variables related to close relationships (expectation of the relationship duration, loyalty to the relation, finding the partner attractive, evaluating the quality of the relationship positively, having issues in the relationship, reliance on the relationship, the wish that she/he had never started the relationship, finding the relationship important, happiness with the partner) and the components of Investment Model (relationship satisfaction, quality of alternatives, relationship investment) with self-monitoring which is a variable related to the self concept. For this aim, married or not, 472 participants which have a romantic relationship, completed a personal information form, Snyder’s Self-monitoring Scale (Bacanlı, 1990; Snyder, 1974) and Relationship Stability Scale (Büyükşahin, Hasta,& Hovardaoğlu, 2005; Rusbult, Martz, &Agnew,1998). A logistic regression is conducted to investigate whether the components of Investment Model are relevant to any self-monitoring groups (high self-monitoring or low self-monitoring). Results indicated that quality of alternatives (positively) and having issues in the relationship (negatively) are related to high self-monitoring. Results are discussed in terms of theoretical approaches. ÖzetBu araştırmada yakın ilişkilerle ilgili bazı değişkenlerin (ilişki süresine ilişkin beklenti, ilişkiye bağlılık, partneri çekici bulmak, ilişkinin niteliğini olumlu değerlendirmek, ilişkide sorun yaşamak, ilişkide güvende hissetmek, ilişkiye hiç başlamamış olmayı istemek, ilişkiyi önemli bulmak, partnerle mutluluk) ve Yatırım Modeli’nin (Investment Model) unsurları (ilişki doyumu, seçeneklerin niteliğinin değerlendirme, ilişki yatırımı) ile benlik kavramıyla ilişkili izlenim ayarlamacılığı (self-monitoring) değişkeninin ilgili olup olmadığının test edilmesi amaçlanmıştır. Bu amaçla, (evli ya da evli olmayan) bir romantik ilişkisi bulunan 472 kişiye kişisel bilgi formu, Kendini Ayarlama Ölçeği (Bacanlı, 1990; Snyder, 1974) ve İlişki İstikrarı Ölçeği (Büyükşahin, Hasta ve Hovardaoğlu, 2005; Rusbult, Martz ve Agnew,1998) uygulanmıştır. Yapılan lojistik regresyon analizi ile araştırma kapsamında ele alınan ve yakın ilişkilerle ilgili değişkenlerin ve Yatırım Modeli unsurlarının yüksek ya da düşük izlenim ayarlamacılığı gruplarından herhangi biriyle ilgili olup olmadığı test edilmiştir. Analiz sonucunda seçeneklerin niteliğini değerlendirme (pozitif olarak) ve ilişkide sorun yaşama (negatif olarak) değişkenlerinin yüksek izlenim ayarlamacılığı ile ilgili olduğu bulunmuştur. Sonuçlar kuramsal yaklaşımlar çerçevesinde tartışılmıştır.

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The Antecedents of Innovative Work Behavior: The Roles of Self-Monitoring

Problems and Perspectives in Management ◽

10.21511/ppm.15(4-1).2017.10 ◽

2017 ◽

Vol 15 (4) ◽

pp. 263-270 ◽

Cited By ~ 1

Author(s):

Jovi Sulistiawan ◽

Nuri Herachwati ◽

Silvia Dwi Permatasari ◽

Zainiyah Alfirdaus

Keyword(s):

Individual Differences ◽

Work Behavior ◽

Innovative Behavior ◽

Self Monitoring ◽

Innovative Work Behavior ◽

Positive Image ◽

Innovative Work ◽

The Relationship

In this study, the authors examined why employees engage in innovative behavior even though innovation is a risky behavior. Employees tend to engage in innovative behavior since they expect positive image gains. Besides, employees tend to avoid innovative behavior because it forfeits their image inside organization (expected image risks). Furthermore, the willingness to engage in innovative behavior depends on individual differences. Therefore, the authors tried to examine the role of individual differences, drawing from self-monitoring theory. The surprising findings were the quality of relationship between employees and their peers did not affect employee image risk and self-monitoring did not moderate the relationship between expected image gain and innovative work behavior.

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National questionnaire of treatment compliance:testing and application in outpatient practice

Systemic Hypertension ◽

10.26442/sg29010 ◽

2014 ◽

Vol 11 (2) ◽

pp. 13-16

Author(s):

T V Fofanova ◽

F T Ageev ◽

M D Smirnova ◽

O N Svirida ◽

A E Kuzmina ◽

...

Keyword(s):

Arterial Hypertension ◽

Depression Scale ◽

Treatment Compliance ◽

Outpatient Setting ◽

Anxiety And Depression ◽

Self Monitoring ◽

Results Of Treatment ◽

National Enquirer ◽

Outpatient Practice

Objective. The aim is to test national questionnaire of treatment compliance of patients with arterial hypertension in the outpatient setting. Materials and methods. The study enrolled 60 patients with stages 1 and 2 arterial hypertension at the age of 45-75 years. We made general clinical examination, measurement of office blood pressure (BP) and biochemical blood assay, run questionnaire survey (hospital anxiety and depression scale (HADS), Morisky-Green test (4-item Medication Adherence Report Scale - MARS), national questionnaire of treatment compliance, assessment of quality of life using Visual Analogue Scale (VAS), calculated the number of pills taken by the patient, issuance and the analysis of returned diaries for self-monitoring. Total sampling was accounted for 43 patients.Results. National enquirer demonstrates statistically significant correlation of results compared to the results of treatment compliance, using Morisky-Green test, and compared to the index commitment based on the total number of pills taken by the patient from the blisters which had been prescribed by the doctor.

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THE RELATIONSHIP OF CLINICAL AND SOCIO-PSYCHOLOGICAL CHARACTERISTICSOF HOSTILITY AND AGGRESSION IN PATIENTS WITH PSORIASIS

HERALD of North-Western State Medical University named after I I Mechnikov ◽

10.17816/mechnikov201573113-117 ◽

2015 ◽

Vol 7 (3) ◽

pp. 113-117

Author(s):

S L Solovjeva ◽

A G Ruzhinskikh

Keyword(s):

Quality Of Care ◽

Aggressive Behavior ◽

Negative Emotions ◽

Current Idea ◽

Negative Feelings ◽

Relationship Of ◽

The Relationship

The article presents the current idea of the relationship between negative emotions and severity of psoriasis. It concludes investigations of the relationship between such negative feelings as hostility, ag- gressiveness and severity of chronic dermatosis; consideration of various variants of aggressive behavior and their relation to hostility. The article gives recommendations for enhancing the quality of care in hospitals for patients with psoriasis with a hostile, aggressive behavior.

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The relationship between quality of self-monitoring and glycemic control in romanian children with type 1 diabetes mellitus

Romanian Journal of Diabetes Nutrition and Metabolic Diseases ◽

10.2478/v10255-012-0029-x ◽

2012 ◽

Vol 19 (3) ◽

pp. 237-244

Author(s):

Bogdan Timar ◽

Viorel Șerban ◽

Alina Lăcătușu ◽

Laura Barna ◽

Florentina Fiera ◽

...

Keyword(s):

Diabetes Mellitus ◽

Blood Glucose ◽

Glycemic Control ◽

Good Glycemic Control ◽

Self Monitoring ◽

Diabetic Children ◽

Prevention Of Diabetes ◽

The Relationship

Abstract Objectives: Optimal glycemic control is mandatory in diabetic children andadolescents for the prevention of diabetes complications, but it is difficult to beobtained due to a series of factors, including the limited availability of blood glucoseself-monitoring tests. The aim of our study was to investigate the relationshipbetween the number of daily self-monitoring tests and quality of glycemic control.Material and method: We enrolled 783 individuals previously diagnosed with Type 1Diabetes Mellitus and investigated the significance of differences in HbA1c valuesbetween groups with distinct number of blood glucose measurements at home foreach age group. Results: We found significant improvements of glycemic controlwith the increase in the number of daily tests, with some particularities among thegroups. Conclusions: Among other intrinsic and external factors, blood glucose selfmonitoringhas an important role in obtaining a good glycemic control.

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Interaction of Symptoms and Cognitive Dysfunction in Remitted Schizophrenic Patients With and Without Residua – Important Sign of Heterogeneity for Design of Cognitive Enhancer Studies

European Psychiatry ◽

10.1016/j.eurpsy.2017.02.121 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S278-S279

Author(s):

G. Rupchev ◽

M. Morozova ◽

D. Burminskiy

Keyword(s):

Correlation Analysis ◽

Cognitive Functioning ◽

Cognitive Dysfunction ◽

Clinical Symptoms ◽

Psychotic Symptoms ◽

Cognitive Enhancer ◽

Schizophrenic Patients ◽

Important Sign ◽

Competing Interest

IntroductionIt is well-known fact that cognitive dysfunction (CD) determines the quality of remission in patients with schizophrenia. However many attempts to demonstrate the link between symptoms and CD failed. The reason for this fact is unclear.ObjectivesHeterogeneity on basis of the important sign jeopardizes the signal detection.AimsAssessment of interaction between clinical symptoms and CD in schizophrenic patients in remission with and without residual psychotic symptoms (RPS).MethodsAdult schizophrenic patients in remission with and without RPS (DSM 295.30) on stable treatment not less than 6 months were assessed with PANSS, CGI, BACS. The indices of the testing were compared between groups. The correlation analysis was performed. The correlation was considered significant if R > 0.60.ResultsTen females and 34 males were divided into two groups according to presence (27 patients) or absence (17 patients) of RPS (PANSS items P1 and P3 > 2 but < 5). The severity of symptoms and CD were equal in both groups, excluding P6 (P = 0.0005), P20 (P = 0.007), P23 (P = 0.0004), and positive subscale PANSS (P = 0.00001). In the group without RPS, we found that CGI score, scores of 10 items of PANSS, scores of PANSS subscales, excluding negative subscale, and total PANSS score highly negatively correlated with total BACS score (average R = –0.70 ± 10). In the group of patients with RPS, no correlations were found.ConclusionsPatients with RPS has clinical significant dissociation of psychic and cognitive functioning that should be considered in planning, and assessing of results of cognitive enhancers studies.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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