Комплексное психофизиологическое исследование факторов риска импульсивной агрессии при аномалиях личности
Рекомендуемое оформление библиографической ссылки:
Киренская А.В., Сторожева З.И., Телешева К.Ю., Гиленко Т.Д., Мямлин В.В., Самылкин Д.В., Ткаченко А.А., Сафуанов Ф.С. Комплексное психофизиологическое исследование факторов риска импульсивной агрессии при аномалиях личности // Российский психиатрический журнал. 2023. №2. С. 25-37.
В одномоментном ретроспективном исследовании с целью изучения психологических, поведенческих и нейрофизиологических факторов предрасположенности к импульсивной агрессии обследованы лица с расстройствами личности и акцентуированными чертами личности (28 человек), совершившие правонарушения импульсивного агрессивного характера, в сравнении с психически здоровыми добровольцами (27 человек). Оценку структуры агрессивных тенденций проводили с помощью теста Басса–Дарки, а уровня импульсивности – теста на оперативную память (IMT). Нейрофизиологические факторы предрасположенности к импульсивной агрессии исследовали по показателям акустической стартл-реакции. В группе пациентов по сравнению с группой здоровых лиц обнаружено повышение уровня импульсивности и активно-оборонительной мотивации, значений шкалы враждебности теста Басса–Дарки, а также вовлечение механизмов оборонительного поведения в когнитивные процессы по данным акустической стартл-реакции и взаимосвязь показателей импульсивности и шкал агрессивности, которая была опосредована корреляциями с параметрами акустической стартл-реакции. Выявленные особенности можно рассматривать как факторы предрасположенности к реализации импульсивных агрессивных реакций у лиц с аномалиями личности.
Ключевые слова импульсивная агрессия; аномалии личности; расстройства личности; импульсивность; агрессия; факторы агрессии
1. Snedkov EV. Impulsivnaia agressiia: raspoznavanie i vybor farmakoterapii. Nevrologicheskiy vestnik. 2018;(1):77–91. (In Russ.) 2. Robb AS, Schwabe S, Ceresoli-Borroni G, et al. A proposed anti-maladaptive aggression agent classification: improving our approach to treating impulsive aggression. Postgrad Med. 2019;131(2):129–37. DOI: https://doi.org/10.1080/00325481.2019.1574401 3. García-Forero C, Gallardo-Pujol D, Maydeu-Olivares A, Andrés-Pueyo A. Disentangling impulsiveness, aggressiveness and impulsive aggression: an empirical approach using self-report measures. Psychiatry Res. 2009;168(1):40–9. DOI: https://doi.org/10.1016/j.psychres.2008.04.002 4. Critchfield KL, Levy KN, Clarkin JF. The Relationship Between Impulsivity, Aggression, and Impulsive-Aggression in Borderline Personality Disorder: An Empirical Analysis of Self-Report Measures. J Pers Disord. 2004;18(6):555–70. DOI: https://doi.org/10.1521/pedi.18.6.555.54795 5. Coccaro EF. Impulsive aggression: a behavior in search of clinical definition. Harv Rev Psychiatry. 1998;5(6):336–9. DOI: https://doi.org/10.3109/10673229809003583 6. Bufkin JL, Luttrell VR. Neuroimaging Studies of Aggressive and Violent Behavior: current findings and implications for criminology and criminal justice. Trauma Violence Abuse. 2005;6(2):176–91. DOI: https://doi.org/10.1177/1524838005275089 7. Yang Y, Raine A. Prefrontal structural and functional brain imaging findings in antisocial, violent, and psychopathic individuals: a meta-analysis. Psychiatry Res. 2009;174(2):81–8. DOI: https://doi.org/10.1016/j.pscychresns.2009.03.012 8. Goodman M, New A. Impulsive aggression in borderline personality disorder. Curr Psychiatry Rep. 2000;2(1):56–61. DOI: https://doi.org/10.1007/s11920-000-0043-1 9. Leongard K. Akcentuirovannye lichnosti. Rostov-na-Donu: Feniks; 1997. 318 р. (In Russ.) 10. Barratt ES, Stanford MS, Kent TA, Felthous A. Neuropsychological and cognitive psychophysiological substrates of impulsive aggression. Biol Psychiatry. 1997;41(10):1045–61. DOI: https://doi.org/10.1016/s0006-3223(96)00175-8 11. Whiteside SP, Lynam DR. The five factor model and impulsivity: Using a structural model of personality to understand impulsivity. Pers Individ Dif. 2001;30(4):669–89. DOI: https://doi.org/10.1016/S0191-8869(00)00064-7 12. Hamilton KR, Littlefield AK, Anastasio NC, et al. Rapid-response impulsivity: definitions, measurement issues, and clinical implications. Personal Disord. 2015;6(2):168–81. DOI: https://doi.org/10.1037/per0000100 13. Volavka J, Martell D, Convit A. Psychobiology of the violent offender. J Forensic Sci. 1992;37(1):237–51. PMID: 1545205 14. Enikolopov SN. Oprosnik Basa–Darki // Praktikum po psihodiagnostike. Psihodiagnostika motivacii i samoregulacii / AI Zelichenko, et al., editors. Moscow: Izdatelstvo Moskovskogo universiteta; 1990. 160 р. (In Russ.) 15. Dougherty DM, Marsh DM, Mathias CW. Immediate and delayed memory tasks: a computerized behavioral measure of memory, attention, and impulsivity. Behav Res Methods Instrum Comput. 2002;34(3):391–8. DOI: https://doi.org/10.3758/bf03195467 16. Braff DL, Geyer MA, Swerdlow NR. Human studies of prepulse inhibition of startle: normal subjects, patient groups, and pharmacological studies. Psychopharmacology (Berl). 2001;156(2–3):234–58. DOI: https://doi.org/10.1007/s002130100810 17. Telesheva KJu, Storozheva ZI, Mjamlin VV, et al. Psychophysiological correlates of personality factors of impulsive aggression in subjects with personality disorders and in mentally healthy subjects. Eksperimentalnaia psihologiia [Experimental Psychology]. 2020;13(1):107–21. (In Russ.) 18. Heesink L, Kleber R, Häfner M, et al. Anger and aggression problems in veterans are associated with an increased acoustic startle reflex. Biol Psychol. 2017;123:119–25. DOI: https://doi.org/10.1016/j.biopsycho.2016.12.004 19. Kumari V, Das M, Hodgins S, et al. Association between violent behaviour and impaired prepulse inhibition of the startle response in antisocial personality disorder and schizophrenia. Behav Brain Res. 2005;158(1):159–66. DOI: https://doi.org/10.1016/j.bbr.2004.08.021 20. Valera EM, Spencer RM, Zeffiro TA, et al. Neural substrates of impaired sensorimotor timing in adult attention-deficit/hyperactivity disorder. Biol Psychiatry. 2010;68(4):359–67. DOI: https://doi.org/10.1016/j.biopsych.2010.05.012 21. Iljin VP. Psihomotornaja organizacija cheloveka. SPb.: Piter; 2003. 384 p. (In Russ.) 22. Stanford MS, Barratt ES. Verbal skills, finger tapping, and cognitive tempo define a second-order factor of temporal information processing. Brain Cogn. 1996;31(1):35–45. DOI: https://doi.org/10.1006/brcg.1996.0023 23. Kirenskaja AV, Mjamlin VV, Tkachenko AA. Psihofiziologicheskoe issledovanie mehanizmov narushenij ustojchivosti vnimanija pri shizofrenii. Fiziologija cheloveka. 2021;(2):5–15. (In Russ.) 24. Dougherty DM, Marsh DM, Moeller FG, et al. Effects of moderate and high doses of alcohol on attention, impulsivity, discriminability, and response bias in immediate and delayed memory task performance. Alcohol Clin Exp Res. 2000;24(11):1702–11. PMID: 11104118 25. Graham FK. Presidential Address, 1974. The more or less startling effects of weak prestimulation. Psychophysiology. 1975;12(3):238–48. DOI: https://doi.org/10.1111/j.1469-8986.1975.tb01284.x 26. Storozheva ZI, Kirenskaja AV, Lazarev IE, et al. [Issledovanija predstimul'noj modifikacii akusticheskoj startl-reakcii v rossijskoj populjacii psihicheski zdorovyh lic i bol'nyh shizofreniej]. Zh Nevrol Psikhiatr Im SS Korsakova. 2011;(2):72–5. (In Russ.) 27. Patton JH, Stanford MS, Barratt ESJ. Factor structure of the Barratt impulsiveness scale. J Clin Psychol. 1995;51(6):768–74. DOI: https://doi.org/10.1002/1097-4679(199511)51:6<768::aid-jclp2270510607>3.0.co;2-1 28. Ebner-Priemer UW, Badeck S, Beckmann C, et al. Affective dysregulation and dissociative experience in female patients with borderline personality disorder: a startle response study. J Psychiatr Res. 2005;39(1):85–92. DOI: https://doi.org/10.1016/j.jpsychires.2004.05.001 29. Giakoumaki SG, Roussos P, Tsapakis EM, et al. Cognitive and personality analysis of startle reactivity in a large cohort of healthy males. Biol Psychol. 2013;94(3):582–91. DOI: https://doi.org/10.1016/j.biopsycho.2013.09.005 30. Braff DL, Grillon C, Geyer MA. Gating and habituation of the startle reflex in schizophrenic patients. Arch Gen Psychiatry. 1992;49(3):206–15. DOI: https://doi.org/10.1001/archpsyc.1992.01820030038005 31. Ludewig K, Geyer MA, Vollenweider FX. Deficits in prepulse inhibition and habituation in never-medicated, first-episode schizophrenia. Biol Psychiatry. 2003;54(2):121–8. DOI: https://doi.org/10.1016/s0006-3223(02)01925-x 32. LaRowe SD, Patrick CJ, Curtin JJ, Kline JP. Personality correlates of startle habituation. Biol Psychol. 2006;72(3):257–64. DOI: https://doi.org/10.1016/j.biopsycho.2005.11.008 33. Blanch A, Balada F, Aluja A. Habituation in acoustic startle reflex: individual differences in personality. Int J Psychophysiol. 2014;91(3):232–9. DOI: https://doi.org/10.1016/j.ijpsycho.2014.01.001 34. Marin M, Jurado R, Ponce G, et al. Startle-response based tasks and laboratory measures of impulsivity in abstinent alcoholic patients. Alcohol Alcohol. 2015;50(3):286–95. DOI: https://doi.org/10.1093/alcalc/agv006 35. Takahashi H, Komatsu S, Nakahachi T, et al. Relationship of the Acoustic Startle Response and Its Modulation to Emotional and Behavioral Problems in Typical Development Children and Those with Autism Spectrum Disorders. J Autism Dev Disord. 2016;46(2):534–43. DOI: https://doi.org/10.1007/s10803-015-2593-4 36. Tantillo M, Kesick CM, Hynd GM, Dishman RK. The effects of exercise on children with attention-deficit hyperactivity disorder. Med Sci Sports Exerc. 2002;34(2):203–12. DOI: https://doi.org/10.1097/00005768-200202000-00004 37. Kois LE, Blakey SM, Gardner BO, et al. Neuropsychological correlates of self-reported impulsivity and informant-reported maladaptive behaviour among veterans with posttraumatic stress disorder and traumatic brain injury history. Brain Inj. 2018;32(12):1484–91. DOI: https://doi.org/10.1080/02699052.2018.1497205 38. Braff DL, Freedman R. Endophenotypes in studies of the genetics of schizophrenia // Neuropsychopharmacology: the fifth generation of progress / KL Davis, D Charney, JT Coyle, C Nemeroff, editors. Am College of Neuropsychopharmacology; 2002. p. 703–16. 39. Storozheva ZI, Kirenskaja AV. [Predstimul'naja modifikacija startl-reakcii kak perspektivnyj metod psihofiziologicheskih issledovanij v biologicheskoj psihiatrii]. Rossijskii psihiatricheskii zhurnal [Russian Journal of Psychiatry]. 2007;1:71–9. (In Russ.) 40. Davis M. The Mammalian Startle Response // Neural Mechanisms of the Startle Behavior / RC Eaten, editor. New York: Plenum Press; 1984. p. 287–361. 41. Safuanov FS. Psihologija kriminal'noj agressii. Moscow: Smysl; 2003. 300 p. (In Russ.)
Метрики статей
Metrics powered by PLOS ALM