Department of Forensic Psychiatry, Erasmus University Medical Center, Rotterdam, The Netherlands.
Psychiatry Res. 2012 Dec 30;200(2-3):779-83. doi: 10.1016/j.psychres.2012.05.016. Epub 2012 Jul 17.
Previous research showed that there is an association between persecutory delusions and inpatient aggression. However, it is not clear why some persons act upon their delusions with aggression. Research showed that persons with persecutory delusions have higher levels of delusional distress resulting from these delusions. This may explain why some persons act upon their delusions. Persecutory ideations lead to ideational distress which in turn can lead to aggression. The main aim of the present study was to test whether persecutory ideations have an indirect effect on inpatient aggression through delusional distress. The sample of the study consisted of 44 male inpatients from different general psychiatric inpatient wards. Results showed that the effect of persecutory ideations on inpatient aggression was partly explained by the level of delusional distress. Insight in the theory of acting upon delusions can be obtained by acknowledging this role of delusional distress in the relation between persecutory ideation and inpatient aggression. Early diagnosis of persecutory ideations and experienced delusional distress can be used in risk assessment of inpatients. Early interventions to reduce delusional distress, such as cognitive behavioral therapy, may prevent inpatient aggression.
先前的研究表明，被害妄想与住院患者的攻击行为之间存在关联。然而，目前尚不清楚为什么有些人会将妄想付诸行动。研究表明，有被害妄想的人会因这些妄想而产生更高程度的妄想困扰。这也许可以解释为什么有些人会将妄想付诸行动。被害观念会导致观念困扰，进而可能导致攻击行为。本研究的主要目的是检验被害观念是否通过妄想困扰对住院患者的攻击行为产生间接影响。研究样本包括来自不同综合精神病住院病房的 44 名男性住院患者。结果表明，被害观念对住院患者攻击行为的影响部分可以通过妄想困扰的程度来解释。通过承认妄想困扰在被害观念与住院患者攻击行为之间的关系中的作用，可以深入了解付诸妄想行为的理论。早期诊断被害观念和经验性的妄想困扰可用于住院患者的风险评估。早期干预措施如认知行为疗法可以降低妄想困扰，从而预防住院患者的攻击行为。
