Violence and psychiatric disorder in the community: evidence from the Epidemiologic Catchment Area surveys.
Violence and psychiatric disorder in the community: evidence from the Epidemiologic Catchment Area surveys.
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社区中的暴力和精神疾病：来自流行病学区域调查的证据。
DOI：
10.1176/ps.41.7.761
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发表时间：
1990
期刊：
影响因子：
--
通讯作者：
Jono,RT
中科院分区：
文献类型：
--
作者：
Swanson,JW;Holzer3rd,CE;Ganju,VK;Jono,RT
来自流行病集水区调查的数据被用来检查居住在社区的成年人中暴力和精神障碍之间的关系。对调查受访者的精神病学评估基于诊断性面谈时间表，该时间表还提供了关于暴力行为的自我报告信息。那些在前一年内报告暴力行为的人往往是年轻、男性和社会经济地位较低的人，超过一半的人符合DSM-III的一种或多种精神障碍的标准。有酒精或药物使用障碍的人报告暴力行为的可能性是精神分裂症患者的两倍多。在暴力预测因素的多变量模型中，发现重大精神疾病和药物滥用之间存在显著的交互作用。暴力行为的风险随着受访者符合DSM-III标准的精神诊断数量的增加而增加。
Data from the Epidemiologic Catchment Area survey were used to examine the relationship between violence and psychiatric disorders among adults living in the community. Psychiatric assessment of survey respondents was based on the Diagnostic Interview Schedule, which also provided self-report information about violent behavior. Those who reported violent behavior within the preceding year tended to be young, male, and of low socioeconomic status, and more than half met DSM-III criteria for one or more psychiatric disorders. Subjects with alcohol or drug use disorders were more than twice as likely as those with schizophrenia to report violent behavior. In a multivariate model of the predictors of violence, a significant interaction effect was found between major mental illness and substance abuse. The risk of violent behavior increased with the number of psychiatric diagnoses for which respondents met DSM-III criteria.