Stueve A, Link B G
Columbia University School of Public Health, New York, NY 10032, USA.
Psychiatr Q. 1997 Winter;68(4):327-42. doi: 10.1023/a:1025443014158.
This paper investigates the association between various psychiatric disorders and violent behavior using data from a community-based epidemiological study of young adults in Israel (N = 2678). Self-reports of recent fighting and weapon use were elevated among respondents diagnosed with psychotic or bipolar disorders but not among those diagnosed with non-psychotic depression, generalized anxiety disorder or phobias compared to respondents without these disorders. Violence was measured using the Psychiatric Epidemiology Research Interview; psychiatric disorders were diagnosed using a modified version of the Schedule for Affective Disorders and Schizophrenia. The analyses controlled for lifetime substance abuse, antisocial personality disorder and demographic characteristics, thereby extending support for a causal connection between some types of psychiatric disorders and violence. The association between disorder and violence was stronger among respondents with less education, indicating the potentially important role of social and cultural contexts in moderating the association between mental illness and violence.
本文利用以色列一项针对年轻人的社区流行病学研究数据(N = 2678),调查了各种精神障碍与暴力行为之间的关联。与未患这些疾病的受访者相比,被诊断患有精神病或双相情感障碍的受访者近期打架和使用武器的自我报告有所增加,但被诊断患有非精神病性抑郁症、广泛性焦虑症或恐惧症的受访者则没有这种情况。使用《精神疾病流行病学研究访谈》来衡量暴力行为;使用《情感障碍与精神分裂症日程表》的修订版来诊断精神障碍。分析对终生药物滥用、反社会人格障碍和人口统计学特征进行了控制,从而进一步支持了某些类型的精神障碍与暴力之间的因果关系。在受教育程度较低的受访者中,疾病与暴力之间的关联更强,这表明社会和文化背景在调节精神疾病与暴力之间的关联方面可能具有重要作用。