Erkiran Murat, Ozünalan Havva, Evren Cüneyt, Aytaçlar Sema, Kirisci Levent, Tarter Ralph
Bakirkoy State Hospital for Psychiatric and Neurological Diseases, Istanbul, Turkey.
Addict Behav. 2006 Oct;31(10):1797-805. doi: 10.1016/j.addbeh.2005.12.024. Epub 2006 Feb 2.
The factors responsible for the association between schizophrenia and violence with or without co-occurring substance abuse have not been fully elucidated. The present study had two aims: (1) ascertain whether substance abuse augments the risk for violence in patients with schizophrenia; and, (2) determine whether violence is differentially related to positive and negative symptoms of schizophrenia. A sample of 133 adults were participated in this study. Patients with bizarre behavior and avolition-apathy symptoms were more likely to manifest violent behavior. In addition, patients with a history of criminal offenses and substance use disorder were more likely to exhibit violent behavior. Based on the results of this study, it is feasible to identify individual with schizophrenic spectrum disorder who are at high risk for violence.
精神分裂症与暴力行为之间的关联因素，无论是否同时存在物质滥用，均尚未完全阐明。本研究有两个目的：（1）确定物质滥用是否会增加精神分裂症患者的暴力风险；以及，（2）确定暴力行为与精神分裂症的阳性和阴性症状是否存在差异关联。133名成年人参与了本研究。有怪异行为以及意志缺失-淡漠症状的患者更有可能表现出暴力行为。此外，有刑事犯罪史和物质使用障碍的患者更有可能表现出暴力行为。基于本研究结果，识别精神分裂症谱系障碍中暴力风险高的个体是可行的。
