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The relationship between impulsive verbal aggression and intermittent explosive disorder.

Michael S McCloskey1, Royce Lee, Mitchell E Berman

  • 1Department of Psychiatry, Pritzker School of Medicine, The University of Chicago, Chicago, Illinois 60637, USA. mmcclosk@yoda.bsd.uchicago.edu

Aggressive Behavior
|July 27, 2007
PubMed
Summary

Intermittent explosive disorder (IED) research suggests frequent verbal aggression (VA) may be as clinically significant as physical aggression. This finding supports including VA in future IED diagnostic criteria.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Behavioral Science

Background:

  • Intermittent explosive disorder (IED) is characterized by aggression.
  • Current IED criteria primarily focus on physical aggression.
  • The role of verbal aggression (VA) in IED is debated.

Purpose of the Study:

  • To investigate the clinical significance of frequent verbal aggression (VA).
  • To compare individuals with IED, frequent VA, and non-aggressive controls.
  • To inform potential revisions to IED diagnostic criteria.

Main Methods:

  • Comparison of IED participants, frequent VA reporters, and non-aggressive controls.
  • Utilized behavioral and self-report measures of aggression.
  • Assessed related constructs (anger, affective lability) and psychosocial impairment.

Main Results:

  • Both IED and frequent VA groups exhibited higher aggression, anger, and impairment than controls.
  • No significant differences in aggression, anger, or impairment were found between IED and VA groups.
  • Frequent VA was associated with similar levels of clinical significance as physical aggression in IED.

Conclusions:

  • Frequent verbal aggression (VA) demonstrates clinical relevance comparable to physical aggression.
  • Findings support the inclusion of frequent VA in future Intermittent Explosive Disorder (IED) criteria.
  • This research highlights the importance of considering verbal aggression in diagnosing and treating explosive disorders.