University of Twente Student Theses


Effect of protective factors on outward aggression within forensic inpatients

Brand, Jan (2018) Effect of protective factors on outward aggression within forensic inpatients.

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Abstract:Introduction: Research on risk assessment in the field of forensic psychiatry has focused mainly on taxation instruments that measure risk factors for violence risk and has disregarded factors that protect from violence risk. Based on the scarcity of empirical knowledge about these factors, the present study was aimed to investigate the predictive value the Structured Assessment of Protective Factors for Violence Risk (SAPROF), a taxation instrument with the purpose of measuring protective factors for violence risk in forensic patients. In more detail, the study´s aim was to examine whether the protective factors of the SAPROF predicted outward aggression during the treatment time of forensic inpatients. Methods: The sample consisted of 50 Dutch forensic inpatients from the psychiatric department “De Boog”, with different diagnoses according to DSM IV or DSM 5 criteria. Their level of outward aggression was assessed weekly by means of the Social Dysfunction and Aggression Scale-11 (SDAS-11). The SAPROF was scored three times in the course of the treatment. The resulting data was then analyzed by means of linear mixed effects analyses. Results: From the analyses arose that the dynamic factors of the SAPROF changed significantly over time, while aggression did not change over time. Besides, the results showed that factors referring to internal and motivational protection were negatively related to aggression, indicating that participants, who showed higher scores on these scales, reported less aggression over time. Conclusion: Given the results the SAPROF appears to be a promising tool for predicting inpatient aggression and providing guidance to psychiatric treatment. Further research should focus on the working of protective factors in reducing violence risk, which can help to provide a theoretical framework for the SAPROF.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
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