Department of Research, Arkin Mental Health Care, Klaprozenweg 111, Amsterdam 1033 NN, The Netherlands; Department of Psychiatry, VU University Medical Center/GGZ inGeest, The Netherlands; Amsterdam Public Health research institute, VUmc, Amsterdam, The Netherlands.
Department of Research, Arkin Mental Health Care, Klaprozenweg 111, Amsterdam 1033 NN, The Netherlands.
J Affect Disord. 2018 Oct 1;238:405-411. doi: 10.1016/j.jad.2018.06.019. Epub 2018 Jun 6.
Depressed patients are at increased risk to fall victim to a violent crime compared to the general population. It remains unknown whether their increased risk persists after remission. This study compared victimization rates of remitted patients with both a random general population sample and a group of currently depressed patients. Furthermore, this study aimed to identify predictors of future violent victimization.
In this longitudinal study conducted in the Netherlands, 12-month prevalence rates of sexual assaults, physical assaults, and threats were assessed with the Safety Monitor in 140 currently remitted patients with recurrent depression, and compared to those of a weighted general population sample (N = 9.175) and a weighted sample of currently depressed outpatients (N = 102) using Chi-square tests. Logistic regression analyses were performed to identify baseline predictors of future victimization.
The prevalence of violent victimization did not differ between remitted patients and the general population (12.1 vs. 11.7%). Remitted patients were significantly less likely to have been victimized over the past 12 months than currently depressed patients (12.1 vs. 35.5%). In remitted patients, living alone and low sense of mastery at baseline predicted future violent victimization. However, when combined in a multiple model, only living alone was independently associated with violent victimization (χ = 16.725, df = 2, p < .001, R = 0.221).
Our comparison of victimization rates across samples was cross-sectional.
Since the increased risk of victimization appears to be specific for the acute depressive state, preventive interventions should target victimization in currently depressed patients.
Netherlands Trial Register (NTR): 2599.
与普通人群相比，抑郁患者遭受暴力犯罪的风险更高。但目前尚不清楚这种风险在缓解后是否仍然存在。本研究比较了缓解后的患者与随机普通人群样本和当前抑郁患者群体的受害率。此外，本研究旨在确定未来暴力受害的预测因素。
在荷兰进行的这项纵向研究中，使用安全监测仪评估了 140 名有反复发作抑郁症的当前缓解患者的性侵犯、身体攻击和威胁的 12 个月患病率，并与加权普通人群样本（N=9175）和加权当前抑郁门诊患者样本（N=102）进行比较，使用卡方检验。进行逻辑回归分析，以确定未来受害的基线预测因素。
缓解患者与普通人群的暴力受害率没有差异（12.1%与 11.7%）。与当前抑郁患者相比，缓解患者在过去 12 个月内遭受暴力侵害的可能性显著降低（12.1%与 35.5%）。在缓解患者中，独居和基线时的掌控感低预测未来的暴力受害。然而，当这些因素组合在一个多模型中时，只有独居与暴力受害独立相关（χ²=16.725，df=2，p<0.001，R²=0.221）。
我们对样本间受害率的比较是横断面的。
由于受害风险似乎是特定于急性抑郁状态的，因此预防干预应针对当前抑郁患者的受害情况。
荷兰试验注册（NTR）：2599。
