ĐẶC ĐIỂM LÂM SÀNG HÀNH VI GÂY HẤN Ở VỊ THÀNH NIÊN RỐI LOẠN HỖN HỢP HÀNH VI VÀ CẢM XÚC

Abstract

Research objective: To describe the clinical characteristics of aggressive behavior in adolescents with mixed disorders of conduct and emotions. Subjects and methods: Cross-sectional description on 239 adolescent patients with mixed disorders of conduct and emotions who were inpatients and outpatients at the National Institute of Mental Health - Bach Mai Hospital from September 2022 to June 2023. Results: The proportion of patients with aggressive behavior was 74.1%, of which verbal aggression accounted for the highest rate (82.5%). The rate of physical aggression against objects, self, and other people is 79.7%, 67.8%, 50.3% respectively. Impulsive aggression accounted for 86.4% and premeditated aggression was 13.6%. In the group of depressive conduct disorder, the most common is self-aggressive behavior (53.3%). In the group of other mixed disorders of conduct and emotions, the most common is aggressive behavior towards others (88.8%). The most common situation in which aggressive behavior occurs is family conflict (50.8%). Common triggers for aggressive behavior are stress, frustration, or unmet needs. The majority of patients' emotions after performing aggressive behavior are unchanged (46.9%). Conclusion: Aggressive behavior is a common symptom in adolescents with mixed disorders of conduct and emotions, often impulsive and without emotional changes after the act. Symptoms of aggression appear diverse and have distinct characteristics between adolescents with depressive conduct disorder and other mixed disorders of conduct and emotions.