Document Detail

Staff members' emotional reactions to aggressive and suicidal behavior of inpatients.
MedLine Citation:
PMID:  14557526     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: This study examined the relationship between the characteristics of inpatients and staff members' emotional reactions to the patients, particularly the extent to which the reactions were related to patients' aggressive or suicidal behavior. METHODS: The Feeling Word Checklist-58 was used to measure staff members' feelings. Two positive and five negative feeling dimensions were examined: important, confident, rejected, on guard, bored, overwhelmed, and inadequate. A total of 253 staff members from a wide variety of psychiatric wards at a university-affiliated hospital in Oslo, Norway, completed a total of 2473 checklists about their emotional reactions to 207 patients. For each patient, a member of the research team used information from ward staff who knew the patient to complete a Social Dysfunction and Aggression Scale measuring whether the patient had been aggressive (outward aggression) or suicidal (inward aggression). RESULTS: Staff reported positive feelings about patients much more frequently than negative feelings. Multiple regression analysis revealed that patient characteristics explained much more of the variance in negative feelings than in positive feelings. Outward aggression explained an average of 22 percent of the variance in scores on the five negative dimensions. Inward aggression explained an average of 12 percent more of the variance in scores on the five negative dimensions. Gender, age, amount of medication, and diagnosis (psychotic or not psychotic) explained only a small proportion of the variance in feeling scores. CONCLUSIONS: Even though the level of negative feelings toward patients was low, patients' aggressive and suicidal behavior explained a large proportion of the variance in negative feelings.
Jan I Rossberg; Svein Friis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Psychiatric services (Washington, D.C.)     Volume:  54     ISSN:  1075-2730     ISO Abbreviation:  Psychiatr Serv     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-10-14     Completed Date:  2004-04-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9502838     Medline TA:  Psychiatr Serv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1388-94     Citation Subset:  IM    
Department of Research and Education, University Hospital, Oslo, Norway.
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MeSH Terms
Aggression / psychology*
Alzheimer Disease / diagnosis,  psychology,  therapy
Analysis of Variance
Attitude of Health Personnel*
Hospitals, University
Inpatients / psychology*
Internal-External Control
Middle Aged
Personality Inventory / statistics & numerical data
Professional-Patient Relations
Psychiatric Department, Hospital
Psychometrics / statistics & numerical data
Psychotic Disorders / diagnosis,  psychology,  therapy
Schizophrenia / diagnosis,  therapy
Schizophrenic Psychology
Suicide / psychology*
Suicide, Attempted / psychology*

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