Changes in heart rate and skin conductance in the 30 min preceding aggressive behavior

Peter de Looff, Matthijs L. Noordzij, Mirjam Moerbeek, Henk Nijman, Robert Didden, Petri Embregts

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Scopus)

Abstract

Aggressive behavior of inpatients threatens the safety and well-being of both mental health staff members and fellow patients. It was investigated whether heart rate and electrodermal activity can be used to signal imminent aggression. A naturalistic study was conducted in which 100 inpatients wore sensor wristbands during 5 days to monitor their heart rate and electrodermal activity while staff members recorded patients’ aggressive incidents on the ward. Of the 100 patients, 36 displayed at least one aggressive incident. Longitudinal multilevel models indicated that heart rate, skin conductance level, and the number of nonspecific skin conductance responses per minute rose significantly in the 20 min preceding aggressive incidents. Although psychopathy was modestly correlated with displaying aggression, it was not a significant predictor of heart rate and skin conductance preceding aggression. The current findings may provide opportunities for the development of individual prediction models to aid acute risk assessment and to predict aggressive incidents in an earlier stage. The current results on the physiological indicators of aggression are promising for reducing aggression and improving both staff as well as patient safety in psychiatric mental health institutions.

Original languageEnglish
Article numbere13420
JournalPsychophysiology
Volume56
Issue number10
DOIs
Publication statusPublished - 11 Jun 2019

Fingerprint

Aggression
Heart Rate
Skin
Inpatients
Mental Health
Psychiatric Hospitals
Patient Safety
Psychiatry
Safety

Keywords

  • UT-Hybrid-D
  • ambulatory
  • antisocial personality disorder
  • galvanic skin response
  • heart rate
  • monitoring
  • aggression

Cite this

de Looff, Peter ; Noordzij, Matthijs L. ; Moerbeek, Mirjam ; Nijman, Henk ; Didden, Robert ; Embregts, Petri. / Changes in heart rate and skin conductance in the 30 min preceding aggressive behavior. In: Psychophysiology. 2019 ; Vol. 56, No. 10.
@article{26f9353258874ca389ed2c5069b910f6,
title = "Changes in heart rate and skin conductance in the 30 min preceding aggressive behavior",
abstract = "Aggressive behavior of inpatients threatens the safety and well-being of both mental health staff members and fellow patients. It was investigated whether heart rate and electrodermal activity can be used to signal imminent aggression. A naturalistic study was conducted in which 100 inpatients wore sensor wristbands during 5 days to monitor their heart rate and electrodermal activity while staff members recorded patients’ aggressive incidents on the ward. Of the 100 patients, 36 displayed at least one aggressive incident. Longitudinal multilevel models indicated that heart rate, skin conductance level, and the number of nonspecific skin conductance responses per minute rose significantly in the 20 min preceding aggressive incidents. Although psychopathy was modestly correlated with displaying aggression, it was not a significant predictor of heart rate and skin conductance preceding aggression. The current findings may provide opportunities for the development of individual prediction models to aid acute risk assessment and to predict aggressive incidents in an earlier stage. The current results on the physiological indicators of aggression are promising for reducing aggression and improving both staff as well as patient safety in psychiatric mental health institutions.",
keywords = "UT-Hybrid-D, ambulatory, antisocial personality disorder, galvanic skin response, heart rate, monitoring, aggression",
author = "{de Looff}, Peter and Noordzij, {Matthijs L.} and Mirjam Moerbeek and Henk Nijman and Robert Didden and Petri Embregts",
note = "Wiley deal",
year = "2019",
month = "6",
day = "11",
doi = "10.1111/psyp.13420",
language = "English",
volume = "56",
journal = "Psychophysiology",
issn = "0048-5772",
publisher = "Wiley-Blackwell",
number = "10",

}

Changes in heart rate and skin conductance in the 30 min preceding aggressive behavior. / de Looff, Peter; Noordzij, Matthijs L.; Moerbeek, Mirjam; Nijman, Henk; Didden, Robert; Embregts, Petri.

In: Psychophysiology, Vol. 56, No. 10, e13420, 11.06.2019.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Changes in heart rate and skin conductance in the 30 min preceding aggressive behavior

AU - de Looff, Peter

AU - Noordzij, Matthijs L.

AU - Moerbeek, Mirjam

AU - Nijman, Henk

AU - Didden, Robert

AU - Embregts, Petri

N1 - Wiley deal

PY - 2019/6/11

Y1 - 2019/6/11

N2 - Aggressive behavior of inpatients threatens the safety and well-being of both mental health staff members and fellow patients. It was investigated whether heart rate and electrodermal activity can be used to signal imminent aggression. A naturalistic study was conducted in which 100 inpatients wore sensor wristbands during 5 days to monitor their heart rate and electrodermal activity while staff members recorded patients’ aggressive incidents on the ward. Of the 100 patients, 36 displayed at least one aggressive incident. Longitudinal multilevel models indicated that heart rate, skin conductance level, and the number of nonspecific skin conductance responses per minute rose significantly in the 20 min preceding aggressive incidents. Although psychopathy was modestly correlated with displaying aggression, it was not a significant predictor of heart rate and skin conductance preceding aggression. The current findings may provide opportunities for the development of individual prediction models to aid acute risk assessment and to predict aggressive incidents in an earlier stage. The current results on the physiological indicators of aggression are promising for reducing aggression and improving both staff as well as patient safety in psychiatric mental health institutions.

AB - Aggressive behavior of inpatients threatens the safety and well-being of both mental health staff members and fellow patients. It was investigated whether heart rate and electrodermal activity can be used to signal imminent aggression. A naturalistic study was conducted in which 100 inpatients wore sensor wristbands during 5 days to monitor their heart rate and electrodermal activity while staff members recorded patients’ aggressive incidents on the ward. Of the 100 patients, 36 displayed at least one aggressive incident. Longitudinal multilevel models indicated that heart rate, skin conductance level, and the number of nonspecific skin conductance responses per minute rose significantly in the 20 min preceding aggressive incidents. Although psychopathy was modestly correlated with displaying aggression, it was not a significant predictor of heart rate and skin conductance preceding aggression. The current findings may provide opportunities for the development of individual prediction models to aid acute risk assessment and to predict aggressive incidents in an earlier stage. The current results on the physiological indicators of aggression are promising for reducing aggression and improving both staff as well as patient safety in psychiatric mental health institutions.

KW - UT-Hybrid-D

KW - ambulatory

KW - antisocial personality disorder

KW - galvanic skin response

KW - heart rate

KW - monitoring

KW - aggression

U2 - 10.1111/psyp.13420

DO - 10.1111/psyp.13420

M3 - Article

VL - 56

JO - Psychophysiology

JF - Psychophysiology

SN - 0048-5772

IS - 10

M1 - e13420

ER -