Swanson J W, Holzer C E, Ganju V K, Jono R T
Department of Psychiatry and Behavioral Sciences, University of Texas Medical Branch, Galveston 77550.
Hosp Community Psychiatry. 1990 Jul;41(7):761-70. doi: 10.1176/ps.41.7.761.
Data from the Epidemiologic Catchment Area survey were used to examine the relationship between violence and psychiatric disorders among adults living in the community. Psychiatric assessment of survey respondents was based on the Diagnostic Interview Schedule, which also provided self-report information about violent behavior. Those who reported violent behavior within the preceding year tended to be young, male, and of low socioeconomic status, and more than half met DSM-III criteria for one or more psychiatric disorders. Subjects with alcohol or drug use disorders were more than twice as likely as those with schizophrenia to report violent behavior. In a multivariate model of the predictors of violence, a significant interaction effect was found between major mental illness and substance abuse. The risk of violent behavior increased with the number of psychiatric diagnoses for which respondents met DSM-III criteria.
来自流行病学集水区调查的数据被用于研究社区成年居民中暴力行为与精神障碍之间的关系。对调查对象的精神评估基于诊断访谈表，该表也提供了关于暴力行为的自我报告信息。那些报告在前一年有暴力行为的人往往较年轻、为男性且社会经济地位较低，超过半数符合一种或多种精神障碍的《精神疾病诊断与统计手册》第三版（DSM-III）标准。患有酒精或药物使用障碍的受试者报告暴力行为的可能性是患有精神分裂症的受试者的两倍多。在暴力行为预测因素的多变量模型中，发现重度精神疾病与药物滥用之间存在显著的交互作用。暴力行为的风险随着调查对象符合DSM-III标准的精神疾病诊断数量的增加而上升。
