Aggressive Management Model in Schizophrenic Patients: A Systematic Review
Keywords:
Aggressive Behavior, Schizophrenic patients, Aggressive management, model, Systematic ReviewAbstract
The propose of this systematic review was to study Aggressive Management Model (AMM) in schizophrenic patients by analyzing and synthesizing of concepts, patterns, and outcomes that reduce aggressive behavior. Research articles were retrieved from the following database: CINAHL, PubMed, ProQuest, ThaiJO, TDC-ThaiLIS and Google Scholar from 2012-2021. The research data were analyzed using summaries of articles and synthesized by using the criteria of The Joanna Briggs Institute (2014). There were 10 selected articles (n=10) related to action research, research and development, quasi-experimental research, and experimental research. The results of analysis revealed that there were 6 concepts used as a framework for constructing AMM: 1) Anger Management 2) Self-management 3) Mindfulness Based Cognitive Therapy 4) Cognitive and Behavior Adjustment Therapy 5) Assertive Training: Role-Playing, and 6) Muscle relaxation. Moreover, there were others 5 related concepts included with 1) Peplau's Interpersonal Relations Theory 2) Psychoeducation Group 3) Motivational Enhancement 4) Stress Management, and 5) Mental Strength. The results of the study found that a pattern of AMM was the operation of group activity which were self-recognition and awareness, feelings, and emotions that lead to aggressive behavior, skills training for assertiveness, and application in daily life. The majority of program activities’ duration was 60-90 minutes each time from 1-4 weeks. The outcomes of applying AMM were the aggressive behavior of patients has decreased, the emotional confrontation and expression was coped up more appropriately, and the happiness of life was increased. These models or programs can be utilized in clinics in order to reduce aggressive behavior in schizophrenic patients.
References
Akaruan, T., Tungpunkom, P., & Skulphan, S. (2017). Effectiveness of Implementing the Anger Management Program Among Patients with Schizophrenia Addicted to Tobacco, Suan Prung Psychiatric Hospital, Chiang Mai Province. Journal of Suanprung, 33(2), 18-31.
Anderson, C. M., Hogarty, G. E., & Reiss, D. J. (1980). Family treatment of adult schizophrenic patients: A psycho-educational approach. Schizophrenia Bulletin, 6(3), 490–505.
Beck, J. S. (1995). Cognitive Therapy: Basic and Beyond. New York: Guilford Press.
Brown, W. N. (2015). Psychoeducational groups: process and practice. New York: Routledge Taylor and Francis Group.
Buss, A.H., & Perry, M. (1992). The Aggression Questionnaire. Journal of Personality and Social Psychology. 30(3), 452-459.
Chaiprem, M. (2013). Preliminary report: Aggressive behavior of psychiatric patients and nursing staff management. Journal of Mental Health of Thailand, 21(1), 57-65.
Chamnan, W., Thugiaroenkul, P., & Skulphan, S. (2017). Effectiveness of Implementing the Anger Management Program for Patients with Schizophrenia: A Case Study of Uttaradit Hospital. Nursing Journal, 33(3), 68-85.
Department of Public Health. (2020). Manual Care System of Serious Mental Illness with High Risk to Violence for Hospital in Department of Public Health. Bangkok: Prosperous Plus Company Limited. (in Thai)
Dit-ung, H. (2000). Teaching Anger management to Prevent Aggression for patients with Schizophrenia at Prasrimahabhodi Hospital (Master of Nursing Science in Psychiatric and Mental Health Nursing). Khon Kaen University, Khon Kaen. (in Thai)
Fangkaew, P., & Dangdomyouth, P. (2019). The Effect of Anger Management Emphasizing Cognitive Therapy on Aggressive Behavior of Schizophrenic Patient. The Journal of Psychiatric Nursing and Mental Health, 33(1), 53-69.
Grotberg, E. H. (1995). A guide to promoting resilience in children: strengthening the human spirit. The Hague: The Bernard van Leer Foundation.
Hemrungrojn, S. (2007). The Montreal Cognitive Assessment, MoCA Thai version 15. Retrieved December 12, 2021 from www.http://mocatest.org
Jacobson, E. (1962). You Must Relax. New York: Mc Graw-Hill Boo.
Jansiri, C. (2010). Effectiveness of implimenting the caregiver training regrading behavior modification of ADHD program Suan Prung Psychiatric Hospital, Chiang Mai Province (Master of Nursing Science in Psychiatric and Mental Health Nursing). Chiang Mai University, Chiang Mai. (in Thai)
Kanaree, P., Tungpunkom, P., & Sethabouppha, H. (2021). Effect of the Anger Management Program
on Aggressive Behavior among Elderly Patients with Schizophrenia, Suan Prung Psychiatric Hospital, Chiang Mai Province. Journal of Phrapokklao Nursing College, 32(1), 18-31.
Kanthasaibour, P., & Piboonarluk, W. (2020). The Development of Integrative Nursing Therapies on
Schizophrenic Patient with Violent Behavior. Journal of Somdet Chaopraya Institute of Psychiatry, 14(1), 55-69.
Kongsut, P., Chaisri, S., & Teangtum, S. (2013). The Development Empowerment Program on Management with Drinking Behavior of Alcohol Dependence Patients. The Journal of Psychiatric Nursing and Mental Health, 27(1), 45-61.
Kulon, N., Suravarangkul, J., & Mahanat, T. (2021). The Effectiveness of Resilience Program on Self-Control for Violent Behaviors of Schizophrenic Patients. The Journal of Psychiatric Nursing and Mental Health, 35(3), 23-41.
Lalitanantpong, D. (2018). Psychiatric Emergencies. Bangkok: Chulalongkorn University. (in Thai)
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer–Verlag.
Lejoyeux, M., Nivoli, F., Basquin, A., Petit, A., Chalvin F., & Embouazza, H. (2013). An investigation of factors increasing the risk of aggressive behavior among schizophrenic patients. Forensic Psychiatry, 97(4), 1-6.
Lotrakul, M., & Sukanich, P. (2015). Psychiatric Ramathibodi (4th ed). Bangkok: Department of Psychiatry, Faculty of Medicine Ramathibodi Hospital, Mahidol University. (in Thai)
Mei, C. H., & Wen, C. O. (2021). Effects of Integrated Violence Intervention on Alexithymia, Cognitive, and Neurocognitive Features of Violence in Schizophrenia: A Randomized Controlled Trial. Brain Sciences, 11(7), 837-856.
Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: preparing people for change (2nd ed). New York: Guilford Press.
Morris, A. S., Robinson, L., & Eisenberg, N. (2005). Applying a Multi Method Perspective to the Study of Developmental Psychology. Washington DC: E. Diener Eds.
National Institute of Mental Health. (2019). Schizophrenia. Retrieved December 12, 2021 from https://www.nimh.nih.gov/health/statistics/schizophrenia.
Nihayati, H. E., Irfan, R. K., Rachmawati, P. D., Yusuf A., Rizki, F., Dian, T., & Fildzah, C. Y. (2020). Assertive Training in the form of Role-Playing to Control the Aggressive of people with Schizophrenia in the community. International Journal of Psychosocial Rehabilitation, 24(9), 786-794.
Nilchaikovit, T., Uneanong, S., Kessawai, D., & Thomyangkoon, P. (2000). The Thai version of the Positive and Negative Syndrome Scale (PANSS) for schizophrenia: criterion validity and interrater reliability. The Journal of the Medical Association of Thailand. 83(6), 646-651.
Novaco, R. W. (1975). Anger control: The development and evaluation of an experimental treatment. Lexington, Mass: D.C. Health.
Peplau, H. E. (1991). Interpersonal relations in nursing: Aconceptual framework of reference for psychodynamic nursing. New York: Springer Publishing Co, Inc.
Phoolcharoen, W. (2001). Health, Values and Strategies for Society. Bangkok: Health Systems Research Institute. (in Thai)
Rabeab, K., LueboonthavatchaaiI, O. & Thato, R. (2013). The Effect of Muscle Relaxation and Anger Control Training Program on Aggressive Behaviors in Schizophrenic Patients. The Journal of Psychiatric Nursing and Mental Health, 27(2), 69-84.
Ryan, P., Sawin K. J. (2009). The individual and family self-management theory: background and perspectives on context, process, and outcomes. Nursing Outlook. 57(4), 217-25.
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression. New York: The Guilford Press.
Sheilagh, H. (2017). Aggressive Behavior Among Persons With Schizophrenia and Those Who Are Developing Schizophrenia: Attempting to Understand the Limited Evidence on Causality. Schizophrenia Bulletin. 43(5), 1021-1026.
Singhakant, S. (2015). In Sitdhiraksa, N. Violence Behaviors. Psychiatry Siriraj DSM-5. Bangkok: Prayoonsanthai Printing. (in Thai)
Sirintarangkoon, W., Chaichumni, N., & Yimyuean, S. (2019). The Development of an Anger Management with Mindfullness-Based Cognitive Therapy Program for Schizophrenic Patients having Violence Behavior. The Journal of Psychiatric Nursing and Mental Health, 33(3), 68-85.
Spielberger, C. D. (1996). Manual for the state-trait anger expression inventory (STAXI). Odessa, FL: Psychological Assessment Resources.
The Joanna Briggs Institute. (2014). Reviewers’ Manual 2014 Edition. Australia: Solito Fine Colour
Printers. Retrieved November 1, 2021 from http: www.joannabriggs.org/assets /docs/ reviewer-2014.pdf
Wolpe, J. (1958). Psychotherapy by Reciprocal Inhibition. California: Stanford University Press.
Wongsuvan, T. (1999). The effect of group rational emotive behavior therapy on anger of adolescent students (Master of Arts Program in Psychology). Chulalongkorn University, Bangkok. (in Thai)
World Health Organization. (2019). Schizophrenia. Retrieved December 12, 2021 from https://www. who.int/news-room /fact- sheets/detail/schizophrenia.
Yalom, I. D. (1991). The theory and practice of group psychotherapy. New York: Basic Books.
Yudofsky, S., Silver, J. M., & Jackson, W. (1986). The overt aggressive scale for the objective rating scale of verbal and physical aggression. American Journal of Psychiatry, 143(1), 35-39.
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