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Aggression, Alexithymia and Sense of Coherence in a Sample of Schizophrenic Outpatients

Schizophrenia elevates the risk for aggressive behavior, and there is a need to better understand the associated variables predicting aggression for treatment and prevention purposes. The aim of the present study is to determine the relationship between alexithymia, sense of coherence and aggressive...

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Autores principales: Pachi, Argyro, Tselebis, Athanasios, Ilias, Ioannis, Tsomaka, Effrosyni, Papageorgiou, Styliani Maria, Baras, Spyros, Kavouria, Evgenia, Giotakis, Konstantinos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9223291/
https://www.ncbi.nlm.nih.gov/pubmed/35742130
http://dx.doi.org/10.3390/healthcare10061078
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author Pachi, Argyro
Tselebis, Athanasios
Ilias, Ioannis
Tsomaka, Effrosyni
Papageorgiou, Styliani Maria
Baras, Spyros
Kavouria, Evgenia
Giotakis, Konstantinos
author_facet Pachi, Argyro
Tselebis, Athanasios
Ilias, Ioannis
Tsomaka, Effrosyni
Papageorgiou, Styliani Maria
Baras, Spyros
Kavouria, Evgenia
Giotakis, Konstantinos
author_sort Pachi, Argyro
collection PubMed
description Schizophrenia elevates the risk for aggressive behavior, and there is a need to better understand the associated variables predicting aggression for treatment and prevention purposes. The aim of the present study is to determine the relationship between alexithymia, sense of coherence and aggressive behavior in a sample of schizophrenic outpatients. Using a correlational research design, standardized self-report questionnaires assessed aggression (brief aggression questionnaire—BAQ), alexithymia (Toronto Alexithymia Scale—TAS) and sense of coherence (sense of coherence questionnaire—SOC) in a sample of 100 schizophrenic outpatients in clinical remission. Participants reported high levels of aggression and alexithymia along with reduced sense of coherence. Significant negative correlations were evidenced among scores on the SOC scale (p < 0.001) with both the TAS as well as with the BAQ scales. However, a positive correlation (p < 0.001) was observed between the TAS and BAQ scales. Regression indicated that 27% of the variation in the BAQ rating was explained by the TAS, while an additional 17.8% was explained by the sense of coherence. The difficulty identifying feelings of alexithymia and the comprehensibility and manageability components of sense of coherence significantly predicted anger, hostility and physical aggression. Sense of coherence mediated the relationship between alexithymia and aggression. From the path analysis, comprehensibility emerged as the key factor counterbalancing alexithymic traits and aggressive behaviors, and manageability effectuated higher anger control. The findings hold practical implications for the treatment and rehabilitation of schizophrenic patients.
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spelling pubmed-92232912022-06-24 Aggression, Alexithymia and Sense of Coherence in a Sample of Schizophrenic Outpatients Pachi, Argyro Tselebis, Athanasios Ilias, Ioannis Tsomaka, Effrosyni Papageorgiou, Styliani Maria Baras, Spyros Kavouria, Evgenia Giotakis, Konstantinos Healthcare (Basel) Article Schizophrenia elevates the risk for aggressive behavior, and there is a need to better understand the associated variables predicting aggression for treatment and prevention purposes. The aim of the present study is to determine the relationship between alexithymia, sense of coherence and aggressive behavior in a sample of schizophrenic outpatients. Using a correlational research design, standardized self-report questionnaires assessed aggression (brief aggression questionnaire—BAQ), alexithymia (Toronto Alexithymia Scale—TAS) and sense of coherence (sense of coherence questionnaire—SOC) in a sample of 100 schizophrenic outpatients in clinical remission. Participants reported high levels of aggression and alexithymia along with reduced sense of coherence. Significant negative correlations were evidenced among scores on the SOC scale (p < 0.001) with both the TAS as well as with the BAQ scales. However, a positive correlation (p < 0.001) was observed between the TAS and BAQ scales. Regression indicated that 27% of the variation in the BAQ rating was explained by the TAS, while an additional 17.8% was explained by the sense of coherence. The difficulty identifying feelings of alexithymia and the comprehensibility and manageability components of sense of coherence significantly predicted anger, hostility and physical aggression. Sense of coherence mediated the relationship between alexithymia and aggression. From the path analysis, comprehensibility emerged as the key factor counterbalancing alexithymic traits and aggressive behaviors, and manageability effectuated higher anger control. The findings hold practical implications for the treatment and rehabilitation of schizophrenic patients. MDPI 2022-06-10 /pmc/articles/PMC9223291/ /pubmed/35742130 http://dx.doi.org/10.3390/healthcare10061078 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pachi, Argyro
Tselebis, Athanasios
Ilias, Ioannis
Tsomaka, Effrosyni
Papageorgiou, Styliani Maria
Baras, Spyros
Kavouria, Evgenia
Giotakis, Konstantinos
Aggression, Alexithymia and Sense of Coherence in a Sample of Schizophrenic Outpatients
title Aggression, Alexithymia and Sense of Coherence in a Sample of Schizophrenic Outpatients
title_full Aggression, Alexithymia and Sense of Coherence in a Sample of Schizophrenic Outpatients
title_fullStr Aggression, Alexithymia and Sense of Coherence in a Sample of Schizophrenic Outpatients
title_full_unstemmed Aggression, Alexithymia and Sense of Coherence in a Sample of Schizophrenic Outpatients
title_short Aggression, Alexithymia and Sense of Coherence in a Sample of Schizophrenic Outpatients
title_sort aggression, alexithymia and sense of coherence in a sample of schizophrenic outpatients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9223291/
https://www.ncbi.nlm.nih.gov/pubmed/35742130
http://dx.doi.org/10.3390/healthcare10061078
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