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首页> 外文期刊>The British journal of psychiatry : >Childhood origins of violent behaviour in adults with schizophreniform disorder?
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Childhood origins of violent behaviour in adults with schizophreniform disorder?

机译：精神分裂症患者成年后暴力行为的童年起源？

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Background People with psychosis have an elevated risk of violence. Aims To examine whether violent behaviour in adults with psychosis can be accounted for by psychotic symptoms or physical aggression in childhood. Method We used data from a prospective longitudinal study of a complete birth cohort born in New Zealand. When cohort members were 26 years old, information was obtained on past-year psychiatric diagnosis of schizophreniform disorder and on violent behaviour. Childhood psychotic symptoms were measured at age 11 years using a diagnostic interview, and childhood physical aggression was assessed by teachers when cohort members were aged 7, 9 and 11 years. Results Participants with schizophreniform disorder were more likely to be violent than participants without, even after controlling for sociodemographic variables and concurrent substance dependence disorders. Childhood psychotic symptoms were a strong risk factor for violence in adults with schizophreniform disorder, as was childhood physical aggression, although to a lesser extent. Conclusions Violence by individuals with schizophreniform disorder could be prevented by monitoring early signs of psychotic symptoms and by controlling childhood physical aggression.
机译：背景患有精神病的人遭受暴力的风险较高。目的探讨儿童精神病症状或身体攻击是否可以解释成人精神病患者的暴力行为。方法我们使用了对新西兰出生的完整出生队列进行前瞻性纵向研究的数据。当队列成员26岁时，获得了有关精神分裂症样疾病的前一年精神病学诊断和暴力行为的信息。使用诊断性访谈对11岁时的儿童精神病症状进行了测量，并且当队列成员分别为7、9和11岁时，教师对儿童的身体攻击进行了评估。结果与精神分裂症患者相比，即使控制了社会人口统计学变量和并发物质依赖性疾病，参加者比没有精神分裂症患者的暴力倾向更大。儿童精神病性症状是成人精神分裂症患者暴力行为的重要危险因素，尽管其程度较轻，但儿童期的身体攻击行为却是如此。结论通过监测精神病症状的早期迹象并控制儿童的身体攻击，可以预防精神分裂症患者的暴力行为。

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