Pattern and Type of Aggressive Behavior in Patients with Severe Mental Illness as Perceived by the Caregivers and the Coping Strategies Used by Them in a Tertiary Care Hospital

Archives of Psychiatric Nursing
Abin VargheseRakesh Kumar Chadda

Abstract

Aggressive behavior by patients with severe mental illness is a major problem needing intervention. This descriptive cross sectional study examined the perception and coping strategies of caregivers with a sample of 100 toward aggressive behavior by patients with severe mental illness in the outpatient and inpatient unit of the department of psychiatry in a tertiary care hospital. The data were collected by a semistructured interview using Revised Overt Aggression Scale-modified, Aggressive Behavior and Intervention Checklist, Ways of Coping Checklist-Hindi Adaptation and Impact of Patient Aggression on Carers Scale-Adapted. The caregivers perceived aggression in varying extent from the patients. Majority used problem-focused coping to deal with aggressive behavior. Most of the caregivers perceived insisting to take medicines and talking about patient's illness as the triggers for aggressive behavior which was managed by talking to the patient calmly, lovingly and by leaving the patient alone. The findings strongly suggest aggressive behavior as a frequent problem faced by family members of patient with severe mental illness. Nursing interventions should focus on counseling and psycho education for empowering caregivers to util...Continue Reading

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Citations

Jan 3, 2009·The Journal of the Association of Nurses in AIDS Care : JANAC·Maureen L ChirwaWilliam L Holzemer
Sep 15, 2016·Revista latino-americana de enfermagem·Daniele Alcalá PompeoSueli Aparecida Frari Galera
Sep 21, 2018·Frontiers in Psychology·Juliana OnwumereElizabeth Kuipers

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