Menzies R P, Fedoroff J P, Green C M, Isaacson K
Regional Psychiatric Centre (Prairies), Saskatoon, Saskatchewan, Canada.
Br J Psychiatry. 1995 Apr;166(4):529-36. doi: 10.1192/bjp.166.4.529.
New cases of erotomania in men, plus cases from the literature, were analysed to explore any association between erotomania and dangerousness, and to identify possible predictors.
Files at two in-patient facilities were examined to determine the presence of DSM-III-R delusional disorder, erotomanic type. The sample (13 cases) was divided into dangerous and benign groups on the basis of serious antisocial behaviour directly related to erotomanic delusions. These cases were combined with all reports of erotomania in men (16 cases), found in the English language psychiatric literature, to allow for statistical analysis.
Two factors, multiple delusional objects (P < 0.0005) and serious antisocial behaviour unrelated to the delusions (P < 0.05), were found to be significantly associated with dangerousness. Using a combination of these two variables it was possible to predict dangerousness with an accuracy of 88.9% (weighted prediction accuracy or 'hit rate'). We identified no false negatives but three false positives.
The presence of multiple objects, and a history of serious antisocial behaviour unrelated to the erotomanic delusions, are useful predictors of dangerous behaviour in men with erotomania.
对男性色情狂新病例以及文献中的病例进行分析，以探讨色情狂与危险性之间的关联，并确定可能的预测因素。
检查了两家住院机构的档案，以确定是否存在DSM-III-R妄想障碍，色情狂型。根据与色情狂妄想直接相关的严重反社会行为，将样本（13例）分为危险组和良性组。这些病例与英文精神病学文献中发现的所有男性色情狂报告（16例）相结合，以便进行统计分析。
发现两个因素，即多个妄想对象（P < 0.0005）和与妄想无关的严重反社会行为（P < 0.05），与危险性显著相关。使用这两个变量的组合，可以以88.9%的准确率（加权预测准确率或“命中率”）预测危险性。我们未发现假阴性，但有三个假阳性。
存在多个对象以及与色情狂妄想无关的严重反社会行为史，是男性色情狂危险行为的有用预测因素。
