Persistence of aggression into adulthood in detained adolescent females

Objective: Although detained adolescent females show high rates of severe aggression, we know little about the long-term impact of this risk-behavior. Furthermore, qualitative differences in aggression between males and females argue for gender specific research. In contrast to males, females displa...

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Main Authors: Anne A. Krabbendam, Lucres M.C. Jansen, Peter M. van de Ven, Elsa van der Molen, Theo A.H. Doreleijers, Robert R.J.M. Vermeiren
Format: Article
Language:English
Published: Elsevier 2014-10-01
Series:Comprehensive Psychiatry
Online Access:http://www.sciencedirect.com/science/article/pii/S0010440X1400114X
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author Anne A. Krabbendam
Lucres M.C. Jansen
Peter M. van de Ven
Elsa van der Molen
Theo A.H. Doreleijers
Robert R.J.M. Vermeiren
author_facet Anne A. Krabbendam
Lucres M.C. Jansen
Peter M. van de Ven
Elsa van der Molen
Theo A.H. Doreleijers
Robert R.J.M. Vermeiren
author_sort Anne A. Krabbendam
collection DOAJ
description Objective: Although detained adolescent females show high rates of severe aggression, we know little about the long-term impact of this risk-behavior. Furthermore, qualitative differences in aggression between males and females argue for gender specific research. In contrast to males, females display aggressive acts more often towards themselves (inward aggression; self harm behavior) than towards others (outward aggression). Therefore, this prospective study investigated the prevalence and predictive validity of different types of aggression in detained adolescent females. Method: Participants were 139 adolescent females (mean age 20.1) assessed at start of detention and 5 years later. Both inward and outward aggression subtypes were assessed twice using standardized instruments. Mutual relations over time were analyzed by means of structural equation modeling. Results: High levels of all types of aggression were found repeatedly, suggesting substantial persistence over time. While inward aggression predicted both inward and outward aggression at follow-up, outward aggression was related to outward aggression only. Furthermore, the covert form of outward aggression only, and not the overt subtype, predicted outward aggression 5 years later. Conclusions: This study suggests that aggression in detained adolescent females does not fade away, and should thus be given substantial clinical attention. In assessment, focus should also be on inward and covert subtypes. Further research should explore the necessity of developing gender-specific diagnostic instruments, treatment modules and risk assessment tools. When replicated, our findings may also bear implications for the classification of behavior disorders in adolescent females.
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spelling doaj.art-e26f739b78b04be99e1ac68cab0403fe2022-12-21T19:09:24ZengElsevierComprehensive Psychiatry0010-440X2014-10-0155715721579Persistence of aggression into adulthood in detained adolescent femalesAnne A. Krabbendam0Lucres M.C. Jansen1Peter M. van de Ven2Elsa van der Molen3Theo A.H. Doreleijers4Robert R.J.M. Vermeiren5Curium-LUMC, Leiden University Medical Center, Department of Child and Adolescent Psychiatry, Oegstgeest, The Netherlands; VU university medical center Amsterdam, De Bascule, Department of Child and Adolescent Psychiatry, Duivendrecht, The Netherlands; EMGO + Institute for Health and Care Research, VU Medical Center, Amsterdam, The Netherlands; Corresponding author at: Curium-LUMC, Endegeesterstraatweg 27, 2342 AK Oegstgeest, The Netherlands. Tel.: +31 654626556; fax: +31 715171414.VU university medical center Amsterdam, De Bascule, Department of Child and Adolescent Psychiatry, Duivendrecht, The Netherlands; EMGO + Institute for Health and Care Research, VU Medical Center, Amsterdam, The NetherlandsVU university medical center Amsterdam, Department of Department of Epidemiology and Biostatistics, Amsterdam, The NetherlandsCurium-LUMC, Leiden University Medical Center, Department of Child and Adolescent Psychiatry, Oegstgeest, The Netherlands; VU university medical center Amsterdam, De Bascule, Department of Child and Adolescent Psychiatry, Duivendrecht, The Netherlands; EMGO + Institute for Health and Care Research, VU Medical Center, Amsterdam, The NetherlandsVU university medical center Amsterdam, De Bascule, Department of Child and Adolescent Psychiatry, Duivendrecht, The Netherlands; EMGO + Institute for Health and Care Research, VU Medical Center, Amsterdam, The NetherlandsCurium-LUMC, Leiden University Medical Center, Department of Child and Adolescent Psychiatry, Oegstgeest, The NetherlandsObjective: Although detained adolescent females show high rates of severe aggression, we know little about the long-term impact of this risk-behavior. Furthermore, qualitative differences in aggression between males and females argue for gender specific research. In contrast to males, females display aggressive acts more often towards themselves (inward aggression; self harm behavior) than towards others (outward aggression). Therefore, this prospective study investigated the prevalence and predictive validity of different types of aggression in detained adolescent females. Method: Participants were 139 adolescent females (mean age 20.1) assessed at start of detention and 5 years later. Both inward and outward aggression subtypes were assessed twice using standardized instruments. Mutual relations over time were analyzed by means of structural equation modeling. Results: High levels of all types of aggression were found repeatedly, suggesting substantial persistence over time. While inward aggression predicted both inward and outward aggression at follow-up, outward aggression was related to outward aggression only. Furthermore, the covert form of outward aggression only, and not the overt subtype, predicted outward aggression 5 years later. Conclusions: This study suggests that aggression in detained adolescent females does not fade away, and should thus be given substantial clinical attention. In assessment, focus should also be on inward and covert subtypes. Further research should explore the necessity of developing gender-specific diagnostic instruments, treatment modules and risk assessment tools. When replicated, our findings may also bear implications for the classification of behavior disorders in adolescent females.http://www.sciencedirect.com/science/article/pii/S0010440X1400114X
spellingShingle Anne A. Krabbendam
Lucres M.C. Jansen
Peter M. van de Ven
Elsa van der Molen
Theo A.H. Doreleijers
Robert R.J.M. Vermeiren
Persistence of aggression into adulthood in detained adolescent females
Comprehensive Psychiatry
title Persistence of aggression into adulthood in detained adolescent females
title_full Persistence of aggression into adulthood in detained adolescent females
title_fullStr Persistence of aggression into adulthood in detained adolescent females
title_full_unstemmed Persistence of aggression into adulthood in detained adolescent females
title_short Persistence of aggression into adulthood in detained adolescent females
title_sort persistence of aggression into adulthood in detained adolescent females
url http://www.sciencedirect.com/science/article/pii/S0010440X1400114X
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