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将暴力意念置于心理健康的背景下:暴力意念与心理健康各维度之间的关联。

Situating violent ideations within the landscape of mental health: Associations between violent ideations and dimensions of mental health.

机构信息

Violence Research Centre, Institute of Criminology, University of Cambridge, Cambridge, UK.

Violence Research Centre, Institute of Criminology, University of Cambridge, Cambridge, UK.

出版信息

Psychiatry Res. 2017 Mar;249:70-77. doi: 10.1016/j.psychres.2017.01.005. Epub 2017 Jan 3.

DOI:10.1016/j.psychres.2017.01.005
PMID:28073033
Abstract

Violent ideations occur more frequently in individuals with mental health problems. They may be of interest in clinical contexts as possible indicators of dangerousness, as corollaries of mental health problems, as candidate treatment targets and as potentially playing a role in perpetuation or onset of symptoms. In spite of their relevance to mental health, some fundamental questions about their place within the broader landscape of mental health problems remain unanswered. To provide a basic characterisation of the relations between violent ideations and dimensions of mental health and provide a foundation for future research in this area we factor analysed a measure of violent ideations and an omnibus measure of mental health dimensions in a normative sample of 1306 youth (at age 17). Results supported a separate dimension of violent ideations with a small to moderate correlation with five other dimensions of mental health: internalising, prosociality, ADHD, indirect/proactive aggression, and physical/reactive aggression. Controlling for comorbidity among mental health dimensions, all but ADHD had unique relations with violent ideations. This suggests that violent ideations are potentially of broad relevance to mental health and related behaviours and there should be a greater research effort aimed at understanding their possible role in mental health.

摘要

暴力观念在有心理健康问题的个体中更为常见。它们可能在临床环境中引起关注,作为危险的可能指标,作为心理健康问题的必然结果,作为候选治疗靶点,以及在症状的持续或发作中可能发挥作用。尽管它们与心理健康有关,但关于它们在更广泛的心理健康问题领域中的位置的一些基本问题仍未得到解答。为了对暴力观念与心理健康维度之间的关系进行基本描述,并为该领域的未来研究提供基础,我们对 1306 名青年(17 岁)的正常样本进行了暴力观念测量和心理健康维度综合测量的因子分析。结果支持暴力观念的一个单独维度,与心理健康的其他五个维度存在小到中度的相关性:内化、亲社会行为、ADHD、间接/主动攻击和身体/反应性攻击。在控制心理健康维度的共病后,除 ADHD 外,其他所有维度都与暴力观念存在独特的关系。这表明暴力观念可能与心理健康和相关行为广泛相关,应该加大研究力度,了解其在心理健康中的可能作用。

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