PMID- 23164405 OWN - NLM STAT- MEDLINE DCOM- 20131118 LR - 20191210 IS - 1532-8228 (Electronic) IS - 0883-9417 (Linking) VI - 26 IP - 6 DP - 2012 Dec TI - Assessing aggressive behavior in forensic psychiatric patients: validity and clinical utility of combining two instruments. PG - 487-94 LID - S0883-9417(12)00072-6 [pii] LID - 10.1016/j.apnu.2012.04.004 [doi] AB - OBJECTIVES: Accurate observation of aggressive behavior among forensic psychiatric patients requires valid instruments. This study examines the validity and clinical utility of combining the social dysfunction and aggression scale (SDAS) and staff observation aggression scale revised (SOAS-R). METHODS: Nurses weekly obtained SDAS scores of 127 patients, resulting in 6.124 assessments. Aggressive incidents were documented by the SOAS-R. Internal consistency, subscale structure, interobserver reliability of the SDAS, and convergent validity with SOAS-R were analyzed. CONCLUSION: A three-factor solution was found. Interobserver reliability was moderate, and good convergent validity was found. The SDAS, in conjunction with the SOAS-R, monitors changes in aggressiveness and may contribute to the prevention of aggressive behavior. CI - Copyright (c) 2012 Elsevier Inc. All rights reserved. FAU - Kobes, Marjolein H B M AU - Kobes MH AD - Forensic Psychiatric Hospital Pompe Foundation, Division Diagnostics Research and Education, Nijmegen, The Netherlands. m.kobes@pompestichting.nl FAU - Nijman, Henk H L I AU - Nijman HH FAU - Bulten, Erik B H AU - Bulten EB LA - eng PT - Journal Article PT - Validation Study PL - United States TA - Arch Psychiatr Nurs JT - Archives of psychiatric nursing JID - 8708534 SB - IM MH - Adult MH - Aged MH - Aggression/*psychology MH - Forensic Psychiatry/*methods MH - Hospitals, Psychiatric MH - Humans MH - Male MH - Middle Aged MH - Netherlands MH - Observer Variation MH - Principal Component Analysis MH - Prisons MH - Psychometrics/*methods MH - Reproducibility of Results EDAT- 2012/11/21 06:00 MHDA- 2013/11/19 06:00 CRDT- 2012/11/21 06:00 PHST- 2011/09/06 00:00 [received] PHST- 2012/04/24 00:00 [revised] PHST- 2012/04/25 00:00 [accepted] PHST- 2012/11/21 06:00 [entrez] PHST- 2012/11/21 06:00 [pubmed] PHST- 2013/11/19 06:00 [medline] AID - S0883-9417(12)00072-6 [pii] AID - 10.1016/j.apnu.2012.04.004 [doi] PST - ppublish SO - Arch Psychiatr Nurs. 2012 Dec;26(6):487-94. doi: 10.1016/j.apnu.2012.04.004.