Service de psychiatrie, Hôpital Corentin Celton, Issy-les-Moulineaux, France.
Psychiatry Res. 2011 Dec 30;190(2-3):352-8. doi: 10.1016/j.psychres.2011.05.045.
This study presents gender differences in sociodemographics and in psychiatric correlates of firesetting in the United States. Data were derived from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), a representative sample of U.S. adults. Face-to-face interviews of more than 43,000 adults were conducted in the 2001-2002 period. This study focused on the 407 subjects with a lifetime history of firesetting. The prevalence of lifetime firesetting in the U.S. was 1.7% in men and 0.4% in women. Firesetting was significantly associated with a wide range of antisocial behaviors that differed by gender. Multivariate logistic regression analyses indicated associations in both genders with psychiatric and addictive disorders. Men with a lifetime history of firesetting were significantly more likely than men without such history to have lifetime generalized anxiety disorder as well as a diagnosis of conduct disorder, antisocial personality disorder, alcohol or cannabis use disorder, and obsessive-compulsive personality disorder. Women with a lifetime history of firesetting were significantly more likely than women without such history to have lifetime alcohol or cannabis use disorder, conduct disorder, and antisocial or obsessive compulsive personality disorder, as well as psychotic disorder, bipolar disorder or schizoid personality disorder. Women with a lifetime history of firesetting were significantly more likely than men with such history to have a lifetime diagnosis of alcohol abuse and antisocial personality disorder as well as a diagnosis of schizoid personality disorder. Our findings indicate that firesetting in women could represent a behavioral manifestation of a broader spectrum than firesetting in men.
这项研究在美国呈现了纵火行为的社会人口学和精神病理学相关因素的性别差异。数据来源于国家酒精和相关条件流行病学调查（NESARC），这是美国成年人的代表性样本。在 2001-2002 年期间，对 43000 多名成年人进行了面对面访谈。本研究集中于 407 名有终生纵火史的受试者。美国终生纵火的患病率为男性 1.7%，女性 0.4%。纵火与广泛的性别不同的反社会行为显著相关。多元逻辑回归分析表明，两性都与精神和成瘾障碍有关。有终生纵火史的男性比没有这种病史的男性更有可能患有终生广泛性焦虑症以及品行障碍、反社会人格障碍、酒精或大麻使用障碍和强迫性人格障碍的诊断。有终生纵火史的女性比没有这种病史的女性更有可能患有终生酒精或大麻使用障碍、品行障碍、反社会或强迫性人格障碍，以及精神病性障碍、双相情感障碍或分裂样人格障碍。有终生纵火史的女性比有这种病史的男性更有可能被诊断为酒精滥用和反社会人格障碍，以及分裂样人格障碍。我们的研究结果表明，女性的纵火行为可能代表了比男性更广泛的行为表现。
