The relationship between command hallucinations and violence
The relationship between command hallucinations and violence
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DOI：
10.1176/appi.ps.51.10.1288
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发表时间：
2000-10-01
影响因子：
3.8
通讯作者：
Binder, RL
中科院分区：
文献类型：
--
作者：
McNiel, DE;Eisner, JP;Binder, RL
目的：本研究的目的是描述命令幻觉和暴力行为之间的关系：方法：103例精神病住院患者完成了命令幻觉，其他精神病症状，暴力行为和社会期望反应偏差的措施。结果如下：30%的患者报告说，在过去的一年里，他们有过伤害他人的命令幻觉，22%的患者报告说他们遵守了这些命令。Logistic回归分析表明，经历过命令幻觉伤害他人的患者暴力的可能性是其他患者的两倍多，即使该分析控制了人口统计学变量，药物滥用史和社会期望反应偏差。结论：研究结果支持在评估严重精神障碍患者的暴力风险时询问命令幻觉的临床效用。
Objective: The purpose of this study was to describe the relationship between command hallucinations and violent behavior: Methods: One hundred and three psychiatric inpatients completed measures of command hallucinations, other psychotic symptoms, violent behavior, and social desirability response biases. Results: Thirty percent of the patients reported having had command hallucinations to harm others during the last year, and 22 percent of the patients reported they complied with such commands. Logistic regression analyses suggested that patients who experienced command hallucinations to harm others were more than twice as likely to be violent, even when the analysis controlled for demographic variables, history of substance abuse, and social desirability response biases. Conclusions: The results support the clinical utility of asking about command hallucinations when assessing the risk of violence in patients with major mental disorders.