Schizophrene Patienten der forensischen Psychiatrie im Vergleich zu schizophrenen Patienten der Allgemeinpsychiatrie
Schizophrene Patienten der forensischen Psychiatrie im Vergleich zu schizophrenen Patienten der Allgemeinpsychiatrie
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法医精神病学中的精神分裂症患者与普通精神病学中的精神分裂症患者的比较
DOI：
10.1007/s11757-013-0211-x
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Leygraf
中科院分区：
文献类型：
--
作者：
K. (geb. Piontek);Kutscher;Leygraf
背景根据《德国刑法》第63条，在法医医院接受治疗的精神分裂症患者人数在过去几年中不断增加。一些研究人员认为，这些法医患者构成了一群精神障碍非常复杂、危险因素众多、普通精神病学治疗不足的患者。本研究旨在确定精神分裂症诊断的法医和普通精神病患者治疗史的差异。方法选取法医病房确诊精神分裂症男性患者72例和普通精神病院确诊精神分裂症男性患者72例。通过对患者、门诊精神科医生和患者的法定监护人的访谈以及对患者医疗记录的分析，重建了精神科治疗的历史。结果与普通精神科患者相比，法医患者入院前对精神科护理的融入程度较低，治疗依从率较低。他们也表现出较高的先前强制治疗率，因为对他人有攻击性行为，以及较高的治疗困难率和先前住院治疗期间的暴力行为。此外，法医病人以前有刑事定罪的人数较多，而且更经常因暴力犯罪而被定罪。至于其他相关危险因素（如共病性药物滥用障碍、年龄、教育程度、行为障碍、反社会人格障碍、暴力和虐待行为暴露史），两组患者具有可比性。结论精神分裂症患者住院期间合并药物滥用障碍、有暴力犯罪史及暴力行为者，出院前应安排重症门诊复诊。
BackgroundThe number of schizophrenic patients admitted to forensic hospitals according to section 63 of the German Criminal Code has increased continuously over the past years. Some researchers assume that these forensic patients form a group of patients with very complex mental disorders, a number of risk factors and insufficient pretreatment in general psychiatry. This study aimed to identify differences regarding the history of treatment of forensic and general psychiatric patients diagnosed with schizophrenia.MethodThe matched samples included 72 male patients from forensic wards and 72 male patients from general psychiatric institutions diagnosed with schizophrenia. The history of psychiatric treatment was reconstructed by interviewing the patients as well as outpatient psychiatrists and patients’ legal custodians and by analyzing patient medical records.ResultsIn contrast to the general psychiatric patients, prior to admission forensic patients were less integrated into psychiatric care and showed a lower rate of treatment compliance. They also showed a higher rate of previous compulsory treatment because of aggressive behavior towards other persons as well as higher rates of treatment difficulties and violent behavior during previous inpatient treatment. Furthermore, forensic patients had a higher number of previous criminal convictions and had been convicted more often for violent offences. With regard to other relevant risk factors (e.g. comorbid substance abuse disorder, age, education, conduct disorder, antisocial personality disorder, previous exposure to violent and abusive behavior) the two patient groups were, however, comparable.ConclusionsRegarding schizophrenic patients with comorbid substance abuse disorders, previous violent delinquency and violent behavior during previous inpatient treatment, an intensive outpatient aftercare should be arranged before they are discharged from general psychiatric institutions.
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影响因子：
3.8
作者：
Large, Matthew M.;Ryan, Christopher J.;Nielssen, Olav B.
通讯作者：
Nielssen, Olav B.
精神分裂症患者的精神病学现状 - 在精神病学概要中预防犯罪的行为
DOI：
10.1007/s11757-008-0071-y
发表时间：
2008
期刊：
Forensische Psychiatrie, Psychologie, Kriminologie
影响因子：
--
作者：
G. Weithmann;Hans
通讯作者：
Hans
精神分裂症患者的治疗
DOI：
10.1007/s11326-011-0170-9
发表时间：
2011
期刊：
Psychiatrie und Psychotherapie
影响因子：
--
作者：
W. Wolfgang Fleischhacker;C. Allen;A. Erfurth;A. Hofer;Michael Lehofer;J. Marksteiner;M. Musalek;G. Psota;H. Rothenhäusler;W. Schöny;Christoph Stuppäck;J. Wancata
通讯作者：
J. Wancata
精神分裂症与刑事犯罪
DOI：
--
发表时间：
2004
期刊：
影响因子：
--
作者：
A. Tengström;S. Hodgins;M. Grann;Niklas Långström;G. Kullgren
通讯作者：
G. Kullgren
DOI：
--
发表时间：
2001
期刊：
Der Nervenarzt
影响因子：
--
作者：
R. Haller;G. Kemmler;E. Kocsis;W. Maetzler;R. Prunlechner;H. Hinterhuber
通讯作者：
H. Hinterhuber