Aggression is a known contributor to burnout and caregiver instability among direct support professionals (DSPs) caring for adults with developmental disabilities. However, few studies have explored the differential effects of aggression subtypes on caregivers and what implications these may have for intervention planning. This longitudinal study examined whether different types of aggression were associated with greater burnout and instability in DSPs. Ninety DSPs reported on their experiences working with aggressive clients with developmental disabilities at baseline and at a 3-month follow-up. Participants were roughly representative of the population of DSPs in the United States. Verbal aggression and reduced length of time knowing the aggressive adult significantly predicted caregiver instability, with participants who had stopped working with the aggressive adult experiencing significantly worse verbal aggression than participants who were still working with the adult at follow-up. Hostile affect significantly predicted burnout. Verbal aggression and hostility, which are less frequently targeted for intervention as more dangerous forms of aggression, pose risks for caregivers and therefore warrant active attention through intervention. DSPs would benefit from training on how to diffuse and redirect verbal aggression and hostility, as well as use coping strategies to mitigate against the negative emotional effects of aggression.

侵略是导致照料成年残疾的成年人的直接支持专业人员（DSP）中倦怠和看护者不稳定的已知原因。但是，很少有研究探讨侵略性亚型对看护者的不同影响，以及这些对干预计划的影响。这项纵向研究检查了不同类型的攻击是否与DSP中更大的倦怠和不稳定性有关。九十名DSP在基线和三个月的随访中报告了他们与具有发展障碍的激进客户合作的经验。与会者大致代表了美国DSP的人口。言语侵略和减少的时间长度，因为知道有侵略性的成年人可以显着预测照料者的不稳定性，与那些在随访中仍在与成年人一起工作的参与者相比，已停止与该有侵略性的成年人一起工作的参与者的言语攻击明显更糟。敌意影响会明显预测倦怠。言语侵略和敌对行为由于更危险的侵略形式而很少作为干预的目标，因此给护理人员带来风险，因此需要通过干预积极关注。DSP将受益于有关如何传播和重定向言语侵略和敌对行为的培训，并使用应对策略来减轻侵略的负面情绪影响。言语侵略和敌对行为由于更危险的侵略形式而很少作为干预的目标，因此给护理人员带来风险，因此需要通过干预积极关注。DSP将受益于有关如何传播和重定向言语侵略和敌对行为的培训，并使用应对策略来减轻侵略的负面情绪影响。言语侵略和敌对行为由于更危险的侵略形式而很少作为干预的目标，因此给护理人员带来风险，因此需要通过干预积极关注。DSP将受益于有关如何传播和重定向言语侵略和敌对行为的培训，并使用应对策略来减轻侵略的负面情绪影响。