Treatment engagement and violence risk in mental disorders
Treatment engagement and violence risk in mental disorders
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DOI：
10.1192/bjp.bp.105.017913
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发表时间：
2006-10-01
影响因子：
10.5
通讯作者：
Monahan, John
中科院分区：
文献类型：
--
作者：
Elbogen, Eric B.;Van Dorn, Richard A.;Monahan, John
背景研究发现了许多与精神疾病患者实施暴力有关的特征。目的探讨社区暴力与患者对精神治疗福利的信念之间的关系。方法对美国5个州1011名因精神疾病而在门诊接受治疗的成年人进行访谈。结果双因素分析显示，社区暴力与患者对治疗的依从性、感知的治疗需求和感知的治疗效果负相关。多变量分析显示，这三个变量与暴力和其他攻击行为的几率降低有关。结论研究结果表明，临床考虑患者对治疗益处的感知有助于加强精神科实践环境中的暴力风险评估。
Background Research has uncovered many characteristics related to violence committed by people with mental illness. However, relatively few studies have focused on understanding the connection between violence and dynamic, malleable variables such as a patient's level of treatment engagement.Aims To explore the link between community violence and patients' beliefs about psychiatric treatment benefit.Method A sample of 1011 adults receiving out-patient treatment for a psychiatric disorder in the public mental health systems of five US states were interviewed.Results Bivariate analyses revealed community violence was inversely related to treatment adherence, perceived treatment need and perceived treatment effectiveness. Multivariate analyses showed these three variables were associated with reduced odds of violent and other aggressive acts.Conclusions The results suggest clinical consideration of patients' perceptions of treatment benefit can help enhance violence risk assessment in psychiatric practice settings.