The Relationship between Sense of Coherence, Alexithymia, and Aggression among Psychiatric Patients | ||||
| Port Said Scientific Journal of Nursing | ||||
| Volume 11, Issue 4, December 2024, Page 188-212 PDF (591.52 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/pssjn.2024.310260.1323 | ||||
 View on SCiNiTO | ||||
| Author | ||||
Samar Atiya Gabal 
| ||||
| psychiatric nursing and mental health , faculty of nursing, port said university, port said | ||||
| Abstract | ||||
| Background: The growing research focus on aggressive behavior in individuals with psychiatric disorders is gaining significant attention, and it is essential to gain a deeper understanding of the variables linked to predicting aggression to enhance treatment and prevention strategies. Aim: The present study intends to assess the relationship between sense of coherence, alexithymia, and aggression among psychiatric patients. Subjects and Method: Utilizing a correlational research design, socio-demographic & clinical questionnaire, Sense of Coherence Questionnaire (SOC-13), Toronto Alexithymia Scale (TAS-20) and brief aggression questionnaire— (BAQ) in a sample of 200 psychiatric inpatients. Results: Most patients exhibit elevated levels of aggression and alexithymia and Low Sense of Coherence. Conclusion: There were strong statistically significant negative correlations between Sense of Coherence with both aggression and alexithymia. Notably, aggression and alexithymia were found to have a highly statistically significant positive correlation. Recommendation: A training program designed for patients with alexithymia will incorporate psychological interventions and cognitive training to help them recognize and articulate their emotions and feelings more effectively. | ||||
| Keywords | ||||
| Aggression; Alexithymia; Psychiatric patients; Sense of coherence | ||||
| References | ||||
|
Abdelwahab, M., El-ashry, A. M., El-sayed, M. M., Ali, M., & Mohamed, R. (2024). The effect of physical exercises program on social functioning, alexithymia , and sense of coherence among patients with bipolar disorders : A randomized control trial. Archives of Psychiatric Nursing, 49(2), 83–92.
Allah-Gholilo, K., Abolghasemi, A., Dehghan, H., & Imani, H. (2015). The association of alexithymia and sense of coherence with life satisfaction in attention deficit hyperactivity disorder. Zahedan Journal of Research in Medical Sciences, 17(4).
Antonovsky, A. (1983). The structure and properties of the sense of coherence scale, Social Science& Medicine, 36(2), 725-733.
Badura-Brzoza, K., Magdalena Piegza, M. D., Błachut, M., Piotr Ścisło, M. D., & Piotr Gorczyca, M. D. (2019). Sense of coherence in patients with different psychiatric disorders and its relationship to quality of life. Israel Journal of Psychiatry, 56(3), 36-39.
Bagby, R. M., Parker, J. D., & Taylor, G. J. (1994). The twenty-item Toronto Alexithymia Scale—I. Item selection and cross-validation of the factor structure. Journal of psychosomatic research, 38(1), 23-32.
Banni, S. (2015). Alexithymia, sense of coherence and dysregulation of biorhythms in fibromyalgia: implications for pain management and quality of life. Unpublished Doctoral Thesis., Università degli Studi di Cagliari, Cagliari, Italy.
Caruso, R., Antenora, F., Riba, M., Belvederi Murri, M., Biancosino, B., Zerbinati, L., & Grassi, L. (2021). Aggressive behavior and psychiatric inpatients: a narrative review of the literature with a focus on the European experience. Current Psychiatry Reports, 23, 1-12.
Cho, W., Shin, W. S., An, I., Bang, M., Cho, D. Y., & Lee, S. H. (2019). Biological aspects of aggression and violence in schizophrenia. Clinical psychopharmacology and neuroscience, 17(4), 475.
Curyło, M., Czerw, A. I., Augustynowicz, A., & Piwowar-Kuczyńska, B. F. (2023). Evaluation of the level of sense of coherence in mental disorders and stress-a literature review. General Medicine & Health Sciences, 29(3).
Da-Silva-Domingues, H., del-Pino-Casado, R., Palomino-Moral, P. Á., López Martínez, C., Moreno-Cámara, S., & Frías-Osuna, A. (2022). Relationship between sense of coherence and health-related behaviours in adolescents and young adults: a systematic review. BMC Public Health, 22(1), 477.
Dawood, N., (2016). The Relationship between Alexithymia and Parental Rearing Patterns, Economic and Social Status, Family Size, and Gender (in Arabic). Jordanian Journal of Educational Science, 12(4), 415-434
Girasek, H., Nagy, V. A., Fekete, S., Ungvari, G. S., & Gazdag, G. (2022). Prevalence and correlates of aggressive behavior in psychiatric inpatient populations. World Journal of Psychiatry, 12(1), 1–23.
Hemming, L., Haddock, G., Shaw, J., & Pratt, D. (2019). Alexithymia and its associations with depression, suicidality, and aggression: an overview of the literature. Frontiers in psychiatry, 10, 203.
Hussien, R.M., Shahin, M.A., & Elkayal, M.M., (2021). Relationship Between Sense of Coherence and Social Support and Psychological Well-being Among Patients with Schizophrenia. Egyptian Journal of Health Care, 12(2), 28–57.
Izydorczyk, B., Sitnik-Warchulska, K., Kühn-Dymecka, A., & Lizińczyk, S. (2019). Resilience, sense of coherence, and coping with stress as predictors of psychological well-being in the course of schizophrenia. The study design. International Journal of Environmental Research and Public Health, 16(7), 1266.
Janik McErlean, A. B., & Lim, L. X. C. (2019). Relationship between parenting style, alexithymia and aggression in emerging adults. Journal of Family Issues, 41(6), 853-874.
Jeyagurunathan, A., Lau, J. H., Abdin, E., Shafie, S., Chang, S., Samari, E., Cetty, L., Wei, K. C., Mok, Y. M., Tang, C., Verma, S., Chong, S. A., & Subramaniam, M. (2022). Aggression amongst Outpatients with Schizophrenia and Related Psychoses in a Tertiary Mental Health Institution. Frontiers in Psychiatry, 12(1).
Lopez-Garcia P, Ashby S, Patel P, Pierce KM, Meyer M, Rosenthal A, Titone M, Carter C, Niendam T. (2019). Clinical and neurodevelopmental correlates of aggression in early psychosis. Schizophrenia Research, 212, 171-176.
Mannarini, S., Taccini, F., & Rossi, A. A. (2023). The role of alexithymia and impulsivity in male victims and perpetrators of intimate partner violence. Behavioral Sciences, 13(5), 402.
Markiewicz, I., Pilszyk, A., & Kudlak, G. (2020). Psychological factors of aggressive behavior in patients of forensic psychiatry wards with the diagnosis of schizophrenia. International Journal of Law And Psychiatry, 72, 101612.
Mohamed, Z. S., Zaki, S. M., Saber, E. H., & Mohammed, T. S. (2024). Relation between Resilience and Mental Health Recovery among Psychiatric Patients. Minia Scientific Nursing Journal, 15(1), 11-20.
Moksnes, U. K., & Espnes, G. A. (2020). Sense of coherence in association with stress experience and health in adolescents. International Journal of Environmental Research and Public Health, 17(9), 3003.
Ospina, L., Shanahan, M., Perez-Rodriguez, M., Chan, C., Clari, R., & Burdick, K. (2019). Alexithymia predicts poorer social and everyday functioning in schizophrenia and bipolar disorder. Psychiatry Research, 273, 218–226.
Pachi, A., Tselebis, A., Ilias, I., Tsomaka, E., Papageorgiou, S. M., Baras, S., Kavouria, E., & Giotakis, K. (2022). Aggression, Alexithymia and Sense of Coherence in a Sample of Schizophrenic Outpatients. In Healthcare, 10(6), 1–23.
Pompili E., Carlone C., Silvestrini C., Nicolò G. (2017). Focus on aggressive behavior in mental illness. Riv Psichiatr, 52(5),175–9.
Preece, D. A., Mehta, A., Becerra, R., Chen, W., Allan, A., Robinson, K., Gross, J. J. (2022). Why is alexithymia a risk factor for affective disorder symptoms? The role of emotion regulation. Journal of Affective Disorders, 296, 337–341.
Ramezani T, Gholamzadeh S, Torabizadeh C, Sharif F, Ahmadzadeh L. (2017). Challenges of Nurses' Empowerment in the Management of Patient Aggression: A Qualitative Study. Iranian journal of nursing and midwifery research, 22(6):442-448 Rehm, J., & Shield, K. D. (2019). Global burden of disease and the impact of mental and addictive disorders. Current psychiatry reports, 21, 1-7.
Sancassiani, F., Preti, A., Cacace, E., Ruggiero, V., Testa, G., Romano, F., & Carta, M. G. (2019). Alexithymia and sense of coherence: Does their impact on fibromyalgia suggest new targets for therapy?. General Hospital Psychiatry, 59, 78-79.
Sariaslan, A., Arseneault, L., Larsson, H., Lichtenstein, P., & Fazel, S. (2020). Risk of subjection to violence and perpetration of violence in persons with psychiatric disorders in Sweden, JAMA Psychiatry, 77,359–367.
Sifneos, P. E. (1972). Short-term psychotherapy and emotional crisis. Harvard University Press.
Tacon, A. (2001). Alexithymia: a challenge for mental health nursing practice. The Australian and New Zealand Journal of Mental Health Nursing, 10(4), 229–235.
Thompson, S. (2012): Sampling, Wiley Series in Probability and Statistics, 3rd Ed, Chapter 4, Sample size, p. (54-56). Wiley-Blackwell
Trifu, S. C., Tudor, A., & Radulescu, I. (2020). Aggressive behavior in psychiatric patients in relation to hormonal imbalance. Experimental and therapeutic medicine, 20(4), 3483-3487.
van Wijngaarden, I., Berendse, M. B., & Verhagen, M. (2021). Aggression on the psychiatric ward: Prevalence and risk factors. PLOS ONE, 16(7), e0254347.
Varshney, M., Mahapatra, A., Krishnan, V., Gupta, R., & Deb, K. S. (2016). Violence and mental illness: what is the true story?. J Epidemiol Community Health, 70(3), 223-225.
Webster, G. D., DeWall, C. N., Pond Jr, R. S., Deckman, T., Jonason, P. K., Le, B. M., ... & Bator, R. J. (2014). The brief aggression questionnaire: Psychometric and behavioral evidence for an efficient measure of trait aggression. Aggressive behavior, 40(2), 120-139.
Yi, Y., Huang, Y., Jiang, R., Chen, Q., Yang, M., Li, H., & Feng, Y. (2023). The percentage and clinical correlates of alexithymia in stable patients with schizophrenia. European Archives of Psychiatry and Clinical Neuroscience, 273(3), 679–686.
Yıldırım, A., Hacıhasanoğlu Aşılar R., Camcıoğlu, T., Ergün Sevinç, E. (2016). Alexithymia in depressive, anxiety, somatoform and psychotic disorders: A comparative study. J Psy Nurs. 7(2): 75-81
Yıldız, B. (2020). Investigation the mediator role of sense of coherence in the relationship between self-differentiation and alexithymia in university students. Turkish Psychological Counseling and Guidance Journal, 10(59), 603-616.
| ||||
|
Statistics Article View: 157 PDF Download: 133 |
||||
