Mojtabai Ramin
Department of Psychiatry, Beth Israel Medical Center, First Ave. at 16th Street, New York, NY 10003, USA.
Soc Psychiatry Psychiatr Epidemiol. 2006 Mar;41(3):183-90. doi: 10.1007/s00127-005-0020-4. Epub 2006 Feb 8.
Research on the association of psychopathology and violence has mainly focused on severe but rare mental disorders, especially psychotic disorders. However, evidence is growing that psychotic disorders are continuous with common psychotic-like experiences in the general population. This study aimed to examine the association of psychotic-like experiences with violence in a general population sample.
In 38,132 adult participants of the 2001 US National Household Survey on Drug Abuse, the association of psychotic-like experiences with violent behavior were examined.
Psychotic-like experiences were reported by 5.1% (N = 2,584) of adults in the community. These experiences were associated with increased risk of attacking someone with the intent of hurting that person (Odds Ratio [OR] = 5.72), intimate partner violence (OR = 4.97), arrests for aggravated assault (OR = 5.12), and arrests for other assault (OR = 3.65). The risk of violence increased with the number of psychotic-like experiences. Unusual perceptual experiences and paranoid ideations were more consistently associated with violence.
The link between psychopathology and interpersonal violence appears to expand beyond the limits of severe mental disorders and to include more common psychotic-like experiences in the general population.
关于精神病理学与暴力行为之间关联的研究主要集中在严重但罕见的精神障碍，尤其是精神病性障碍。然而，越来越多的证据表明，精神病性障碍与普通人群中常见的类精神病体验是连续的。本研究旨在考察普通人群样本中类精神病体验与暴力行为之间的关联。
在2001年美国全国药物滥用家庭调查的38132名成年参与者中，考察类精神病体验与暴力行为之间的关联。
社区中5.1%（N = 2584）的成年人报告有类精神病体验。这些体验与故意伤害他人的攻击风险增加（优势比[OR]=5.72）、亲密伴侣暴力（OR = 4.97）、严重攻击罪逮捕（OR = 5.12）以及其他攻击罪逮捕（OR = 3.65）相关。暴力风险随着类精神病体验的数量增加而上升。异常的感知体验和偏执观念与暴力行为的关联更为一致。
精神病理学与人际暴力之间的联系似乎超出了严重精神障碍的范畴，还包括普通人群中更常见的类精神病体验。
