共病性人格障碍对精神病性暴力行为的影响：来自英国700项试验的报告。
Impact of comorbid personality disorder on violence in psychosis: report from the UK700 trial.
作者信息
Moran Paul, Walsh Elizabeth, Tyrer Peter, Burns Tom, Creed Francis, Fahy Tom
机构信息
Health Services Research Department, Institute of Psychiatry, London, UK.
出版信息
Br J Psychiatry. 2003 Feb;182:129-34. doi: 10.1192/bjp.182.2.129.
BACKGROUND
The impact of comorbid personality disorder on the occurrence of violence in psychosis has not been fully explored.
AIMS
To examine the association between comorbid personality disorder and violence in community-dwelling patients with psychosis.
METHOD
A total of 670 patients with established psychotic illness were screened for comorbid personality disorder. Physical assault was measured from multiple data sources over the subsequent 2 years. Logistic regression was used to assess whether the presence of comorbid personality disorder predicted violence in the sample.
RESULTS
A total of 186 patients (28%) were rated as having a comorbid personality disorder. Patients with comorbid personality disorder were significantly more likely to behave violently over the 2-year period of the trial (adjusted odds ratio=1.71, 95% CI 1.05-2.79).
CONCLUSIONS
Comorbid personality disorder is independently associated with an increased risk of violent behaviour in psychosis.
背景
共病性人格障碍对精神病患者暴力行为发生的影响尚未得到充分探讨。
目的
研究社区中患有精神病的患者共病性人格障碍与暴力行为之间的关联。
方法
对670例确诊为精神病性疾病的患者进行共病性人格障碍筛查。在随后的2年里，通过多种数据源对身体攻击行为进行测量。采用逻辑回归分析来评估共病性人格障碍的存在是否可预测样本中的暴力行为。
结果
共有186例患者（28%）被评定为患有共病性人格障碍。在试验的2年期间，共病性人格障碍患者出现暴力行为的可能性显著更高（校正比值比=1.71，95%可信区间1.05 - 2.79）。
结论
共病性人格障碍与精神病患者暴力行为风险增加独立相关。
Zotero 插件