Violence and severe mental disorder in clinical and community populations: the effects of psychotic symptoms, comorbidity, and lack of treatment.
Violence and severe mental disorder in clinical and community populations: the effects of psychotic symptoms, comorbidity, and lack of treatment.
复制标题
临床和社区人群中的暴力和严重精神障碍：精神病症状、合并症和缺乏治疗的影响。
DOI：
10.1080/00332747.1997.11024781
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发表时间：
1997
期刊：
影响因子：
2.4
通讯作者：
Wagner,R
中科院分区：
文献类型：
--
作者：
Swanson,J;Estroff,S;Swartz,M;Borum,R;Lachicotte,W;Zimmer,C;Wagner,R
本文使用了来自两项调查的匹配数据：国家精神卫生流行病学集水区项目和三角精神健康调查(北卡罗来纳州一项针对患有严重和持续性精神疾病的成年人的研究)，研究了暴力行为、精神病理学的类型和严重程度、药物滥用共病和社区精神卫生治疗之间的联系。采用多因素Logistic回归分析方法，对三个自变量领域的暴力行为风险进行建模：社会人口学特征、临床诊断和症状学、精神卫生服务利用。研究结果包括：(1)在临床选择的样本中，症状严重程度显著高于社区调查中自我报告使用精神卫生服务的具有类似诊断的受访者；(2)暴力风险与精神质/激越呈曲线形式相关；(3)在多变量模型中，暴力与药物滥用的共病显著相关，特别是精神症状(Per
This paper examines links between violent behavior, type and severity of psychopathology, substance abuse comorbidity, and community mental health treatment, using matched data from two surveys: the National Institute of Mental Health Epidemiologic Catchment Area project and the Triangle Mental Health Survey (a North Carolina study of adults with severe and persistent mental illness). Multivariate logistic regression analysis was used to model the risk of violent acts attributable to three domains of independent variables: sociodemographic characteristics, clinical diagnoses and symptomatology, and mental health services utilization. Findings include:(1) Symptom severity was significantly greater in the clinically-selected sample than in the community survey of respondents with comparable diagnoses who self-reported using mental health services;(2) Violence risk was related to psychoticism/agitation in a curvilinear form;(3) In a multivariable model, violence was significantly associated with substance abuse comorbidity, particular psychotic symptoms (per-